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.
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.
- The system of record is the written, committee-approved weaning protocol in the policy binder.
- 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.
Supported in partVerified against the work's full text
Ely et al. show a daily competence screen and spontaneous breathing trial gating removal of ventilator support and repeated on failure, but do not describe re-introducing support or a graded fading curve.
“Whenever patients failed to meet the criteria of the daily screening test or the trial of spontaneous breathing, they continued to receive morning assessments according to the protocol until their successful extubation or their death.”
- 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.
Verification¶
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