{"id":463,"date":"2025-01-23T10:20:50","date_gmt":"2025-01-23T10:20:50","guid":{"rendered":"https:\/\/perfusfind.com\/ic\/?p=463"},"modified":"2025-01-23T10:20:50","modified_gmt":"2025-01-23T10:20:50","slug":"how-we-use-ultrasound-in-the-management-of-weaning-from-mechanical-ventilation","status":"publish","type":"post","link":"https:\/\/perfusfind.com\/ic\/index.php\/2025\/01\/23\/how-we-use-ultrasound-in-the-management-of-weaning-from-mechanical-ventilation\/","title":{"rendered":"How we use ultrasound in the management of weaning from mechanical ventilation"},"content":{"rendered":"<div class=\"c-article-section__content\">\n<p>Difficult weaning from invasive mechanical ventilation is associated with adverse clinical outcome and increased use of limited health care resources. Difficult weaning, characterized by failure of multiple spontaneous breathing trails (SBTs), can result from several causes, including impaired function of lung, heart, and respiratory pump [<a id=\"ref-link-section-d1034024e380\" title=\"Heunks LM, van der Hoeven JG (2010) Clinical review: the ABC of weaning failure\u2013a structured approach. Crit Care 14:245\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s00134-024-07753-5#ref-CR1\" data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 1\">1<\/a>]. In this editorial, we discuss how ultrasound may facilitate weaning from mechanical ventilation.<\/p>\n<\/div>\n<div id=\"figure-1\" class=\"c-article-section__figure js-c-reading-companion-figures-item\" data-test=\"figure\" data-container-section=\"figure\" data-title=\"Fig.\u00a01\">\n<div class=\"c-article-section__content\">\n<p>Critical care ultrasound (CCUS), in the hands of proper trained staff, is a valuable diagnostic tool across all stages of mechanical ventilation, including the weaning phase. During mechanical ventilation, CCUS allows for assessment of readiness for weaning. In case of weaning failure, it can identify the causes of weaning failure, and assess cardiorespiratory function and treatment response.<\/p>\n<\/div>\n<div class=\"c-article-section__content\">\n<p>The ABCDE-ultrasound approach allows clinicians to review the pathophysiology of weaning failure effectively [<a id=\"ref-link-section-d1034024e410\" title=\"Tuinman PR, Jonkman AH, Dres M, Shi ZH, Goligher EC, Goffi A, de Korte C, Demoule A, Heunks L (2020) Respiratory muscle ultrasonography: methodology, basic and advanced principles and clinical applications in ICU and ED patients-a narrative review. Intensiv Care Med. 46:594\u2013605\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s00134-024-07753-5#ref-CR2\" data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 2\">2<\/a>]. It allows for assessment of readiness for weaning and to diagnose and monitor the cause of weaning failure. The detailed use of CCUS in daily practice, following the ABCDE approach, is discussed in subsequent sections.<\/p>\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00134-024-07753-5\"><strong>ACCESS FULL ARTICLE HERE<\/strong><\/a><\/p>\n<p><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/fI5cawQbztg?si=nftmAqIlb37nXTpN\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Difficult weaning from invasive mechanical ventilation is associated with adverse clinical outcome and increased use of limited health care resources. Difficult weaning, characterized by failure of multiple spontaneous breathing trails (SBTs), can result from several causes, including impaired function of lung, heart, and respiratory pump [1]. In this editorial, we discuss how ultrasound may facilitate [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":348,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[6,9],"tags":[143,40,124,37],"class_list":["post-463","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mechanical-ventilation","category-miscellaneous","tag-critical-care-ultrasound-ccus","tag-mechanical-ventilation","tag-ultrasound","tag-weaning"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - 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