Table of contents
Weaning from mechanical ventilation
What's new
Updated 2024 AARC guidelines on spontaneous breathing trials for weaning from mechanical ventilation.
Guidelines
Key sources
The following summarized guidelines for the evaluation and management of weaning from mechanical ventilation are prepared by our editorial team based on guidelines from the American Association for Respiratory Care (AARC 2024), the Korean Society of Critical Care Medicine (KSCCM 2024), the European Society of Intensive Care Medicine (ESICM 2020), the Society of Critical Care Medicine (SCCM 2018), the American ...
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Screening and diagnosis
Diagnostic investigations
Diagnostic procedures
Respiratory support
Spontaneous breathing trial: as per AARC 2024 guidelines, consider performing spontaneous breathing trials with or without low-level pressure support ventilation (≤ 8 cmH₂O).
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Noninvasive ventilation
Intermittent mandatory ventilation
Mechanical ventilation
Medical management
Corticosteroids: as per KSCCM 2024 guidelines, administer corticosteroids before extubation to prevent post-extubation stridor and re-intubation in mechanically ventilated adult patients failed a cuff leak test.
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Anesthesia and sedation
Nonpharmacologic interventions
Inspiratory muscle training: as per KSCCM 2024 guidelines, consider providing inspiratory muscle training to increase the success rate of weaning from mechanical ventilation in critically ill adult patients on mechanical ventilation.
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Rehabilitation
Therapeutic procedures
Extubation: as per KSCCM 2024 guidelines, administer high-flow nasal cannula over conventional oxygen therapy for successful weaning from mechanical ventilation in adult patients undergoing planned extubation.
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Tracheotomy
RBC transfusion thresholds