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Post-ICU Weaning From Mechanical Ventilation*: The Role of Long-term Facilities

David J. Scheinhorn, MD, FCCP; David C. Chao, MD, FCCP; Meg Stearn Hassenpflug, MS, RD; Douglas R. Gracey, MD, FCCP
Author and Funding Information

*From the Barlow Respiratory Research Center (Drs. Scheinhorn, Chao, and Hassenpflug), Los Angeles, CA; and Mayo Clinic (Dr. Gracey), Rochester, MN.

Correspondence to: David J. Scheinhorn, MD, FCCP, Barlow Respiratory Research Center, 2000 Stadium Way, Los Angeles, CA 90026; e-mail: djs@barlow2000.org



Chest. 2001;120(6_suppl):482S-484S. doi:10.1378/chest.120.6_suppl.482S
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A review of the largest observational studies on post-ICU weaning from prolonged mechanical ventilation yields evidence that more than half of such patients can be successfully liberated from mechanical ventilation. Success is likely to fall within a 3-month window, with late successes and partial ventilator independence still possible thereafter. There is a uniformity of practice in finishing difficult weaning with self-breathing trials of increasing duration.


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