Long-term mechanical ventilation: management strategies.
This paper reviews management strategies for patients undergoing prolonged mechanical ventilation (PMV). Topics covered include how to identify and correct barriers to weaning, the systematic approach to weaning trials, when to cease weaning trials and proceed with life-long support,  managing the tracheostomy tube during PMV, and, finally, how to select a suitable mechanical ventilator for PMV.
Department of Pulmonary and Sleep Medicine, New England Sinai Hospital, Stoughton, Massachusetts 02720, USA. awhite@nesinai.org
Alexander C
AC
White
D003964:Diaphragm / Q000503:physiopathology; D006333:Heart Failure / Q000453:epidemiology; D006801:Humans; D008134:Long-Term Care; D017202:Myocardial Ischemia / Q000453:epidemiology; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy; D012121:Respiration, Artificial / Q000706:statistics & numerical data*; D012131:Respiratory Insufficiency / Q000503:physiopathology / Q000628:therapy*; D017741:Survivors; D014139:Tracheostomy; D015300:Ventilator Weaning