Tracheal extubation under deep sevoflurane anesthesia: A novel strategy for weaning difficulties in intensive care

Autor: Rajesh Sethi, Simon V Mahon
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Journal of Anaesthesiology Clinical Pharmacology, Vol 29, Iss 2, Pp 238-240 (2013)
Druh dokumentu: article
ISSN: 0970-9185
DOI: 10.4103/0970-9185.111651
Popis: 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.
Databáze: Directory of Open Access Journals