Extubation of patients with neuromuscular weakness: a new management paradigm.

@article{Bach2010ExtubationOP,
  title={Extubation of patients with neuromuscular weakness: a new management paradigm.},
  author={John R Bach and Miguel R. Gonçalves and Irram Hamdani and Jo{\~a}o Carlos Winck},
  journal={Chest},
  year={2010},
  volume={137 5},
  pages={1033-9}
}
BACKGROUND Successful extubation conventionally necessitates the passing of spontaneous breathing trials (SBTs) and ventilator weaning parameters. We report successful extubation of patients with neuromuscular disease (NMD) and weakness who could not pass them. METHODS NMD-specific extubation criteria and a new extubation protocol were developed. Data were collected on 157 consecutive "unweanable" patients, including 83 transferred from other hospitals who refused tracheostomies. They could… CONTINUE READING

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