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Type: Journal article
Title: Tracheal extubation under deep sevoflurane anesthesia: a novel strategy for weaning difficulties in intensive care
Author: Sethi, R.
Mahon, S.
Citation: Journal of Anaesthesiology Clinical Pharmacology, 2013; 29(2):238-240
Publisher: Medknow Publications and Media Pvt Ltd
Issue Date: 2013
ISSN: 0970-9185
Statement of
Rajesh Sethi and Simon V Mahon
Abstract: Various criteria for weaning patients from ventilators in intensive care have been widely published. These criteria are increasingly incorporated into guidelines, protocols, and more recently, care pathways. We present a case where a patient's lungs were ventilated for 4 days with an infective exacerbation of chronic obstructive pulmonary disease (COPD). We successfully weaned off mechanical ventilation and rapidly extubated the patient's trachea utilizing deep sevoflurane anesthesia. Published weaning indices suggest that this would have been an inappropriate course of action at the time. However, our patient clearly benefited and avoided the need for tracheostomy and prolonged ventilation.
Keywords: Artificial ventilation
chronic obstructive pulmonary disease
intensive care
Rights: Copyright status unknown
DOI: 10.4103/0970-9185.111651
Appears in Collections:Anaesthesia and Intensive Care publications
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