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Intensive Care Medicine
Erschienen in: Intensive Care Medicine 10/2006

01.10.2006 | Seminal Study in Intensive Care

Remembrance of weaning past: the seminal papers

verfasst von: Martin J. Tobin

Erschienen in: Intensive Care Medicine | Ausgabe 10/2006

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Abstract

The approach to ventilator weaning has changed considerably over the past 30 years. Change has resulted from research in three areas: pathophysiology, weaning-predictor testing, and weaning techniques. Physiology research illuminated the mechanisms of weaning failure. It also uncovered markers of weaning success. Through more reliable prediction, patients whose weaning would have been tedious in the 1970s are now weaned more rapidly. The weaning story offers several lessons in metascience: importance of creativity, the asking of heretical questions, serendipity, mental-set psychology, cross-fertilization, and the hazards of precocity. Weaning research also illustrates how Kuhnian normal (me-too) science dominates any field. Making the next quantum leap in weaning will depend on spending less time on normal science and more on the raising (and testing) of maverick ideas.
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Metadaten
Titel
Remembrance of weaning past: the seminal papers
verfasst von
Martin J. Tobin
Publikationsdatum
01.10.2006
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe 10/2006
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-006-0338-8

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