Organization of a Weaning Unit
Fig. 46.1 Bedside attended session of muscular active training involving the upper limbs Fig. 46.2 An advanced recovery phase: patient’s flat walking using a rollator but still needing the ventilatory…
Extubation and Decannulation of Unweanable Patients with Neuromuscular Weakness
Fig. 42.1 Ten-year-old girl with neurofibromatosis status post spinal cord tumor resection, extubated with a vital capacity of 180 ml and no ventilator-free breathing ability, using a 15-mm angled mouthpiece…
Rational Bases and Approach of Noninvasive Mechanical Ventilation in Difficult Weaning: A Practical Vision and Key Determinants
Before extubation: 1. Patient selection and timing of extubation: Age and body mass index (BMI) Nutritional status (both over- and underweight) Underlying diseases (cardiac and pulmonary conditions), previous use of…
Noninvasive Ventilation and Weaning Outcome
Fig. 55.1 Roles for NIV in the weaning and peri-extubation period. COPD chronic obstructive pulmonary disease, CPE cardiogenic pulmonary edema, SBT spontaneous breathing failure In 2001, an International Consensus Conference…
Noninvasive Positive Pressure Ventilation by Means of a Nasal Mask May Avoid Recannulation After Decannulation in Pediatric Patients: Key Practical Aspects and Implications
Fig. 53.1 Necker hospital decannulation flow chart The patient should be in a stable condition for at least 1 month. This delay depends on the child’s age and also on…
Noninvasive Ventilation After Extubation in Pediatric Patients: Determinants of Response and Key Topics
© Springer International Publishing Switzerland 2016Antonio M. Esquinas (ed.)Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care10.1007/978-3-319-04259-6_51 51. Noninvasive Ventilation After Extubation in Pediatric Patients: Determinants of Response and Key Topics Juan Mayordomo-Colunga1 , Alberto Medina1 , Martí Pons-Òdena2 ,…
Application of Noninvasive Ventilation in Preventing Extubation Failure in Children with Heart Disease: Key Topics and Clinical Implications
Indications Contraindications Atelectasis Unconscious/noncooperative Acute pulmonary edema Hemodynamic instability Pneumonia Abundant and thick secretions Diaphragmatic paralysis Severe respiratory failure (P/F <150; S/F <200) Airway edema: post-extubation laryngitis Vomiting/gastrointestinal hemorrhage Weaning…
Noninvasive Ventilation Interfaces and Equipment in Neonatology
, Anne Claire Servel1 and Alan de Klerk2 (1) Division of Pediatrics and Neonatal Critical Care, South Paris University Hospitals, Medical Center “A. Béclére” – APHP, Paris, France (2) Department of Pediatrics, Division of…
Noninvasive Ventilation Strategies to Prevent Post-extubation Failure: Neonatology Perspective
© Springer International Publishing Switzerland 2016Antonio M. Esquinas (ed.)Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care10.1007/978-3-319-04259-6_49 49. Noninvasive Ventilation Strategies to Prevent Post-extubation Failure: Neonatology Perspective Erik A. Jensen1 and Georg M. Schmölzer2, 3, 4 (1) Department…
Discharge Planning of Neuromuscular Patients with Noninvasive Mechanical Ventilation After Difficult Weaning from Invasive Mechanical Ventilation: From ICU to Home Care
Indications for NIV Patient has chronic stable or slowly progressive respiratory failure: Significant daytime CO2 retention (>50 mmHg) with appropriately compensated pH or Mild daytime or nocturnal CO2 retention (45–50…
