0
Articles |

Bedside Criteria for Discontinuation of Mechanical Ventilation

Steven A. Sahn; S. Lakshminurayan
Author and Funding Information

Pulmonary Disease Division, Department of Medicine, University of Colorado Medical Center, Denver


1973, by the American College of Chest Physicians


Chest. 1973;63(6):1002-1005. doi:10.1378/chest.63.6.1002
Text Size: A A A
Published online

Abstract

The purpose of this study was to determine bedside criteria for discontinuation of mechanical ventilation. The resting minute ventilation (MV), maximal voluntary ventilation (MVV) and peak negative pressure on maximal inspiration (PNP) were studied in 100 consecutive patients receiving assisted ventilation. Seventy-six patients (Group 1) had MV less than 10 L/min and could double the MV with an MVV maneuver. All Group 1 patients could have mechanical ventilation discontinued. Seventeen patients (Group 2) could not double their resting MV with an MVV maneuver and required further ventilatory assistance. Seven patients (Group 3) could not double their resting MV with an MVV maneuver hut did not require further mechanical ventilation. Patients whose PNP was greater than 30 cm H2O less than atmospheric were always able to have mechanical ventilation discontinued. The ease with which these measurements can be performed at the bedside and their high degree of predictability make them useful in acute respiratory care.


Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543