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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Bibliographic Details
Published in:Respiratory medicine case reports 2018-01, Vol.25, p.225-227
Main Authors: Somhorst, Peter, Groot, Mart W., Gommers, Diederik
Format: Article
Language:English
Subjects:
Acute respiratory distress syndrome
Case Report
Neuromuscular blocking agents
Partial neuromuscular blockage
Patient self-inflicted lung injury
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Summary: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.
ISSN:2213-0071
2213-0071
DOI:10.1016/j.rmcr.2018.09.008