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Mechanical Ventilation and Weaning pp 264–278Cite as

Strategies for Implementation of Weaning Algorithms in the Clinical Arena

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Part of the book series: Update in Intensive Care Medicine ((UICMSOFT,volume 36))

Abstract

A protocol that has been validated in an institution other than your own can at best be a guide, and during the implementation process must be modified in ways to “fit” your institutional needs and practices. It is the implementation process itself that is the focus of this chapter. What good is even the best tool if it is not implemented and subsequently used appropriately? Our patients deserve an algorithmic or protocolized approach to liberation from mechanical ventilation (MV) because we know that this enhances their timely removal from the ventilator and reduces complications and costs (see the previous chapter, entitled “The Importance of Clinical Algorithms to Facilitate Weaning and Extubation”). However, effectively incorporating the protocol into daily practice, continually updating or modifying it so that the protocol accommodates new data, and using good clinical judgment as part of the daily decision process will all be discussed in this chapter.

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Authors
  1. E. W. Ely
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Editors and Affiliations

  1. Servei de Medicina Intensiva, Hospital de la Sante Creu i Sant Pau, Av. S.A. Maria Claret 167, 08025, Barcelona, Spain

    Jordi Mancebo MD (Associate Professor of Medicine) & Alvar Net MD (Professor of Medicine) (Associate Professor of Medicine) &  (Professor of Medicine)

  2. Service Réanimation Médicale, Hôpital Henri Mondor, 51, Av. Du Mal de Lattre de Tassigny, F-94010, Créteil cedex, France

    Laurent Brochard MD (Professor of Medicine) (Professor of Medicine)

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© 2003 Springer-Verlag Berlin Heidelberg

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Ely, E.W. (2003). Strategies for Implementation of Weaning Algorithms in the Clinical Arena. In: Mancebo, J., Net, A., Brochard, L. (eds) Mechanical Ventilation and Weaning. Update in Intensive Care Medicine, vol 36. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56112-2_18

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  • DOI: https://doi.org/10.1007/978-3-642-56112-2_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-44181-6

  • Online ISBN: 978-3-642-56112-2

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