Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2009;13(3):142.
doi: 10.1186/cc7746. Epub 2009 May 18.

Hippocrates is alive and weaning in Brazil

Nalan Adigüzel  1 , Gökay Güngör, Martin J Tobin
Affiliations
Comment

Hippocrates is alive and weaning in Brazil

Nalan Adigüzel et al. Crit Care. 2009.

Abstract

In a group of postoperative patients, Taniguchi and coworkers compared the effect of a computerized system for weaning against 'manual care'. The computerized system involved automatic adjustments to the level of pressure support to achieve a target respiratory rate. Manual care involved adjustments to the level of pressure support to keep the ratio of respiratory frequency to tidal volume below 80. The duration of ventilator weaning was equivalent with the two approaches. The level of pressure support, however, was lower with manual care than with computerized ventilation. The study adds support to the notion that ventilator duration is shortened when weaning is contemplated at the earliest possible time. The findings also emphasize the importance of the Hippocratic dictum that patient outcome is improved when care is individualized rather than delivered according to a protocol.

PubMed Disclaimer

Comment on

References

    1. Taniguchi C, Eid RC, Saghabi C, Souza R, Silva E, Knobel E, Paes T, Barbas CS. Automatic versus manual pressure support reduction in the weaning of post-operative patients: a randomized controlled trial. Crit Care. 2009;13:R6. doi: 10.1186/cc7695. - DOI - PMC - PubMed
    1. Tobin MJ. Remembrance of weaning past: the seminal papers. Intensive Care Med. 2006;32:1485–1493. doi: 10.1007/s00134-006-0338-8. - DOI - PubMed
    1. Tobin MJ, Jubran A. Weaning from mechanical ventilation. In: Tobin MJ, editor. Principles and Practice of Mechanical Ventilation. 2. New York, NY: McGraw-Hill, Inc; 2006. pp. 1185–1220.
    1. Lellouche F, Mancebo J, Jolliet P, Roeseler J, Schortgen F, Dojat M, Cabello B, Bouadma L, Rodriguez P, Maggiore S, Reynaert M, Mersmann S, Brochard L. A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation. Am J Respir Crit Care Med. 2006;174:894–900. doi: 10.1164/rccm.200511-1780OC. - DOI - PMC - PubMed
    1. Rose L, Presneill JJ, Johnston L, Cade JF. A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare/PS. Intensive Care Med. 2008;34:1788–1795. doi: 10.1007/s00134-008-1179-4. - DOI - PubMed

LinkOut - more resources