Weaning from mechanical ventilator support in neonates

TY - CHAP

T1 - Weaning from mechanical ventilator support in neonates

AU - Greenough, Anne

AU - Currie, Andrew

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Bronchopulmonary dysplasia (BPD) has a multifactorial aetiology which includes prolonged use of mechanical ventilation. It is, therefore, desirable to wean, particularly prematurely born, infants from the ventilator as soon as possible. It is, however, equally important to neither undertake inappropriate weaning as this can result in an increased work of breathing nor extubate too early as this may result in an acute deterioration and need for reintubation. In this section, the evidence for respiratory strategies pre and post extubation is reviewed and the efficacy of predictors of weaning and extubation success and adjunctive therapies discussed.

AB - Bronchopulmonary dysplasia (BPD) has a multifactorial aetiology which includes prolonged use of mechanical ventilation. It is, therefore, desirable to wean, particularly prematurely born, infants from the ventilator as soon as possible. It is, however, equally important to neither undertake inappropriate weaning as this can result in an increased work of breathing nor extubate too early as this may result in an acute deterioration and need for reintubation. In this section, the evidence for respiratory strategies pre and post extubation is reviewed and the efficacy of predictors of weaning and extubation success and adjunctive therapies discussed.

UR - http://www.scopus.com/inward/record.url?scp=84944569987&partnerID=8YFLogxK

U2 - 10.1007/978-3-642-01219-8_58

DO - 10.1007/978-3-642-01219-8_58

M3 - Chapter

AN - SCOPUS:84944569987

SN - 9783642012198

SN - 9783642012181

SP - 1425

EP - 1431

BT - Pediatric and Neonatal Mechanical Ventilation: From Basics to Clinical Practice

PB - Springer Berlin Heidelberg

ER -