title: [Current problems in weaning from the respirator].
abstract: Weaning from the respirator is obviously the most time-consuming phase in mechanically ventilated patients. Major problems still arise in the early detection and elimination of risk factors which may impair adequate spontaneous breathing. Detailed physiological consideration of the respiratory disability should distinguish between defects in lung mechanics and inspiratory muscle failure. Thus, proper mechanical ventilation can be established in order to restore or to train the respiratory muscles (IPPB versus IMV/CPAP principle) during the weaning period. Prior to any extubation, the data on clinical state, results of blood gas analysis and pulmonary mechanics, as well as special tests for estimation of inspiratory muscle strength, are of definite value.
mesh_terms: D000402:Airway Obstruction / Q000150:complications; D002493:Central Nervous System Diseases / Q000150:complications; D006801:Humans; D008171:Lung Diseases / Q000150:complications; D009468:Neuromuscular Diseases / Q000150:complications; D012120:Respiration Disorders / Q000209:etiology / Q000628:therapy*; D012121:Respiration, Artificial; D012306:Risk; D014939:Work of Breathing
vernacular_title: Aktuelle Probleme bei der Entwöhnung vom Respirator.