The Journal of Association of Chest Physicians

REVIEW ARTICLE
Year
: 2016  |  Volume : 4  |  Issue : 2  |  Page : 43--49

Weaning from mechanical ventilation in chronic obstructive pulmonary disease: Keys to success


Deepak Talwar, Vikas Dogra 
 Metro Centre for Respiratory Diseases, Metro Multispeciality Hospital, Noida, Uttar Pradesh, India

Correspondence Address:
Deepak Talwar
Metro Centre for Respiratory Diseases, Metro Multispeciality Hospital, Noida, Uttar Pradesh
India

Invasive mechanical ventilation (IMV) for management of chronic obstructive pulmonary disease (COPD) associated respiratory failure is increasing in Intensive Care Units. However, IMV is not without its own complications. Hence, aim of managing such patients is to get them off the ventilator as early as possible. This bridging process from IMV to extubation is called weaning in which mechanical ventilation is gradually withdrawn and the patient resumes spontaneous breathing. Many objective parameters have been defined for weaning success. Many of these patients are difficult-to-wean because of various pathophysiologic mechanisms that are of particular relevance to patients of COPD. The following review focuses on these mechanisms and how to troubleshoot patients who are difficult-to-wean.


How to cite this article:
Talwar D, Dogra V. Weaning from mechanical ventilation in chronic obstructive pulmonary disease: Keys to success.J Assoc Chest Physicians 2016;4:43-49


How to cite this URL:
Talwar D, Dogra V. Weaning from mechanical ventilation in chronic obstructive pulmonary disease: Keys to success. J Assoc Chest Physicians [serial online] 2016 [cited 2021 Apr 10 ];4:43-49
Available from: https://www.jacpjournal.org/article.asp?issn=2320-8775;year=2016;volume=4;issue=2;spage=43;epage=49;aulast=Talwar;type=0