Week 4: Weaning and rehabilitation

Topics to consider

• Why do we need respiratory weaning?

• Methods of respiratory weaning

• Role of physiotherapy, occupational therapy, and SALT

• Extubation vs tracheostomy

• Downsizing and decannulation

Resources

• What do we mean by weaning, SBTs and ventilator dyssynchrony (LITFL)

• Evidence based weaning from the ventilator (ATOTW)

• Weaning from mechanical ventilation (BJAEd)

• Why is dyssynchony bad (other than alarms and upset nurses)? (Deranged Physiology)

Key trials and guidelines

• TRAC-MAN - early vs late tracheostomies

• Subira et al - weaning strategies

• BREATH - extubation onto NIV

Have we missed something?

Know a great resource or teaching aid that we've missed? Let us know and help make this page even better.