Sedation and weaning from mechanical ventilation: time for 'best practice' to catch up with new realities?

Giorgio Conti; Jean Mantz; Dan Longrois; Peter Tonner

doi:10.1186/2049-6958-9-45

Sedation and weaning from mechanical ventilation: time for 'best practice' to catch up with new realities?

Multidiscip Respir Med. 2014 Aug 29;9(1):45. doi: 10.1186/2049-6958-9-45. eCollection 2014.

Authors

Giorgio Conti¹, Jean Mantz², Dan Longrois³, Peter Tonner⁴

Affiliations

¹ Department of Intensive Care and Anesthesiology, Università Cattolica del Sacro Cuore, Rome, Italy.
² Anesthesiology Department, Beaujon Hospital, AP-HP, Université Paris-Diderot, Paris, France.
³ Département d'Anesthésie Réanimation Chirurgicale, Hôpital Bichat-Claude Bernard, Université Paris-Diderot, Hôpitaux Universitaires Paris Nord Val de Seine, Paris, France.
⁴ Department of Anesthesiology and Intensive Care Medicine, Emergency Medicine Hospital Links der Weser GmbH, Bremen, Germany.

Abstract

Delivery of sedation in anticipation of weaning of adult patients from prolonged mechanical ventilation is an arena of critical care medicine where opinion-based practice is currently hard to avoid because robust evidence is lacking. We offer some views on this subject, hoping to stimulate debate among colleagues.

Keywords: Intensive care; Mechanical ventilation; Sedation; Weaning.

Publication types

Review