Skip to main content
Erschienen in: Intensive Care Medicine 12/2005

01.12.2005 | Editorial

Weaning failure from cardiovascular origin

verfasst von: Christian Richard, Jean Louis Teboul

Erschienen in: Intensive Care Medicine | Ausgabe 12/2005

Einloggen, um Zugang zu erhalten

Excerpt

The goal in weaning from mechanical ventilation (MV) is to induce spontaneous breathing (SB) and ultimately extubation. Weaning fails in about 25% of patients meeting weaning criteria and is particularly frequent in patients with chronic obstructive pulmonary disease (COPD) and/or left heart disease [1]. Weaning failure prolongs the duration of MV and increases morbidity and mortality in these critically ill patients [2]. Thus early identification and treatment of the causes of weaning failure is of paramount importance to improve outcome in difficult-to-wean patients. …
Literatur
1.
Zurück zum Zitat Brochard L, Rauss A, Benito S, Conti G, Mancebo J, Rekik N, Gasparetto A, Lemaire F (1994) Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 150:896–903PubMed Brochard L, Rauss A, Benito S, Conti G, Mancebo J, Rekik N, Gasparetto A, Lemaire F (1994) Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 150:896–903PubMed
2.
Zurück zum Zitat Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelly PT, Johnson MM, Browder RW, Bowton DL, Haponik EF (1996) Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 335:1864–1869CrossRefPubMed Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelly PT, Johnson MM, Browder RW, Bowton DL, Haponik EF (1996) Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 335:1864–1869CrossRefPubMed
3.
Zurück zum Zitat Pinsky MR (2000) Breathing as exercise: the cardiovascular response to weaning from mechanical ventilation. Intensive Care Med 26:1164–1166CrossRefPubMed Pinsky MR (2000) Breathing as exercise: the cardiovascular response to weaning from mechanical ventilation. Intensive Care Med 26:1164–1166CrossRefPubMed
4.
Zurück zum Zitat Lamia B, Monnet X, Teboul JL (2005) Weaning-induced cardiac dysfunction. In Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 239–245 Lamia B, Monnet X, Teboul JL (2005) Weaning-induced cardiac dysfunction. In Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 239–245
5.
Zurück zum Zitat Lemaire F, Teboul JL, Cinotti L, Giotto G, Abrouk F, Steg G, Macquin-Mavier I, Zapol W (1988) Acute left ventricular dysfunction during unsuccessful weaning from mechanical ventilation. Anesthesiology 69:171–179PubMed Lemaire F, Teboul JL, Cinotti L, Giotto G, Abrouk F, Steg G, Macquin-Mavier I, Zapol W (1988) Acute left ventricular dysfunction during unsuccessful weaning from mechanical ventilation. Anesthesiology 69:171–179PubMed
6.
Zurück zum Zitat Mekontso-Dessap A, De Prost N, Braconnier F, Lemaire F, Brun-Buisson C, Brochard L (2004) B type natriuretic peptide and weaning from mechanical ventilation. Intensive Care Med 30: S182 Mekontso-Dessap A, De Prost N, Braconnier F, Lemaire F, Brun-Buisson C, Brochard L (2004) B type natriuretic peptide and weaning from mechanical ventilation. Intensive Care Med 30: S182
7.
Zurück zum Zitat Cabello B, Mancebo J (2003) Withdrawal from mechanical ventilation in patients with COPD: the issue of congestive heart failure. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 295–301 Cabello B, Mancebo J (2003) Withdrawal from mechanical ventilation in patients with COPD: the issue of congestive heart failure. In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin Heidelberg New York, pp 295–301
8.
Zurück zum Zitat Hurford WE, Favorito F (1995) Association of myocardial ischemia with failure to wean from mechanical ventilation. Crit Care Med 23:1475–1480CrossRefPubMed Hurford WE, Favorito F (1995) Association of myocardial ischemia with failure to wean from mechanical ventilation. Crit Care Med 23:1475–1480CrossRefPubMed
9.
Zurück zum Zitat Jubran A, Mathru M, Dries D, Tobin M (1998) Continuous recordings of mixed venous oxygen saturation during weaning from mechanical ventilation and the ramifications thereof. Am J Respir Crit Care Med 158:1763–1769PubMed Jubran A, Mathru M, Dries D, Tobin M (1998) Continuous recordings of mixed venous oxygen saturation during weaning from mechanical ventilation and the ramifications thereof. Am J Respir Crit Care Med 158:1763–1769PubMed
10.
Zurück zum Zitat Zakynthinos S, Routsi C, Vassilakopoulos T, Kaltsas P, Zakynthinos E, Kazi D, Roussos C (2005) Differential cardio-vascular responses during weaning failure: effects on tissue oxygenation and lactate. Intensive Care Med (DOI: 10.1007/s00134-005-2699-9) Zakynthinos S, Routsi C, Vassilakopoulos T, Kaltsas P, Zakynthinos E, Kazi D, Roussos C (2005) Differential cardio-vascular responses during weaning failure: effects on tissue oxygenation and lactate. Intensive Care Med (DOI: 10.​1007/​s00134-005-2699-9)
11.
Zurück zum Zitat De Backer D, El Haddad P, Preiser JC, Vincent JL (2000) Hemodynamic responses to successful weaning from mechanical ventilation after cardiovascular surgery. Intensive Care Med 26:1201–1206CrossRefPubMed De Backer D, El Haddad P, Preiser JC, Vincent JL (2000) Hemodynamic responses to successful weaning from mechanical ventilation after cardiovascular surgery. Intensive Care Med 26:1201–1206CrossRefPubMed
12.
Zurück zum Zitat Richard C, Teboul JL, Archambaud F, Hebert JL, Michaud P, Auzepy P (1994) Left ventricular function during weaning of patients with chronic obstructive pulmonary disease. Intensive Care Med 20:181–186CrossRefPubMed Richard C, Teboul JL, Archambaud F, Hebert JL, Michaud P, Auzepy P (1994) Left ventricular function during weaning of patients with chronic obstructive pulmonary disease. Intensive Care Med 20:181–186CrossRefPubMed
Metadaten
Titel
Weaning failure from cardiovascular origin
verfasst von
Christian Richard
Jean Louis Teboul
Publikationsdatum
01.12.2005
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe 12/2005
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-005-2698-x

Weitere Artikel der Ausgabe 12/2005

Intensive Care Medicine 12/2005 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.