Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously.

Ely, E. W., Baker, A. M., Dunagan, D. P., Burke, H. L., Smith, A. C., Kelly, P. T., Johnson, M. M., et al. (1996). Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. New England Journal of Medicine, 335(25), 1864-1869.

Type

Journal article

Intellectual base

Primary research

Year

1996

DOI

10.1056/nejm199612193352502

Link

https://doi.org/10.1056/NEJM199612193352502

Cited from

education_pedagogy, engineering_design

Cited by

2 citations across 2 artifacts.

Each citation links to the sentence it supports in the citing article.

Primes

• Configuration Drift
  • The system of record is the written, committee-approved weaning protocol in the policy binder.

    This sourceProtocol-directed (vs. usual bedside) ventilator weaning in the ICU, establishing the written-protocol system of record against which actual weaning practice can diverge.

• Fading
  • Rehabilitation medicine (non-obvious): Assistive support — parallel bars, a therapist's steadying hand, exoskeleton torque, supplemental oxygen, ventilator pressure-support — is dialed down as motor or physiological function returns, so the patient does not learn dependence on the aid; ventilator weaning protocols are formalized fading curves.

    This sourcelandmark RCT establishing the spontaneous breathing trial as the readiness gate for ventilator weaning — support is reduced only when a daily competence assessment is passed and restored when it is not, an explicit competence-indexed, hysteretic fading curve.

Verification

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