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Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report

Spontaneous breathing efforts during mechanical ventilation can lead to patient self-inflicted lung injury (P-SILI). In order to prevent P-SILI, patients are generally heavily sedated and receive muscle relaxation, resulting in a slower weaning process. We present a case in which we applied partial...

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Detalles Bibliográficos
Autores principales: Somhorst, Peter, Groot, Mart W., Gommers, Diederik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148465/
https://www.ncbi.nlm.nih.gov/pubmed/30245971
http://dx.doi.org/10.1016/j.rmcr.2018.09.008
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author Somhorst, Peter
Groot, Mart W.
Gommers, Diederik
author_facet Somhorst, Peter
Groot, Mart W.
Gommers, Diederik
author_sort Somhorst, Peter
collection PubMed
description Spontaneous breathing efforts during mechanical ventilation can lead to patient self-inflicted lung injury (P-SILI). In order to prevent P-SILI, patients are generally heavily sedated and receive muscle relaxation, resulting in a slower weaning process. We present a case in which we applied partial neuromuscular blockage in order to prevent P-SILI while allowing spontaneous breathing but with limited efforts during assist mechanical ventilation.
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spelling pubmed-61484652018-09-21 Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report Somhorst, Peter Groot, Mart W. Gommers, Diederik Respir Med Case Rep Case Report Spontaneous breathing efforts during mechanical ventilation can lead to patient self-inflicted lung injury (P-SILI). In order to prevent P-SILI, patients are generally heavily sedated and receive muscle relaxation, resulting in a slower weaning process. We present a case in which we applied partial neuromuscular blockage in order to prevent P-SILI while allowing spontaneous breathing but with limited efforts during assist mechanical ventilation. Elsevier 2018-09-15 /pmc/articles/PMC6148465/ /pubmed/30245971 http://dx.doi.org/10.1016/j.rmcr.2018.09.008 Text en © 2018 The Authors. Published by Elsevier Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Somhorst, Peter
Groot, Mart W.
Gommers, Diederik
Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report
title Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report
title_full Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report
title_fullStr Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report
title_full_unstemmed Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report
title_short Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report
title_sort partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ards: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148465/
https://www.ncbi.nlm.nih.gov/pubmed/30245971
http://dx.doi.org/10.1016/j.rmcr.2018.09.008
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