Methylphenidate in the ‘hard to wean’ patient

Patients on mechanical ventilation are occasionally hard to wean because of fatigue and/or depression. It is difficult to diagnose depression in this population, and treatment with traditional antidepressants has too slow an onset to be useful. Two cases are presented which suggest the possible util...

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Bibliographic Details
Published in:Journal of psychosomatic research 1995, Vol.39 (1), p.63-68
Main Authors: Johnson, Cameron J., Auger, William R., Fedullo, Peter F., Dimsdale, Joel E.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Chronic Disease
Critical Care - psychology
Depression
Depressive Disorder - drug therapy
Depressive Disorder - psychology
Female
Humans
Life threatening
Male
Mechanical ventilation
Medical sciences
Methylphenidate
Methylphenidate - adverse effects
Methylphenidate - therapeutic use
Neuropharmacology
Patient Care Team
Patients
Pharmacology. Drug treatments
Postoperative Complications - drug therapy
Postoperative Complications - psychology
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Pulmonary Embolism - psychology
Pulmonary Embolism - surgery
Respiratory diseases
Sick Role
Stimulants
Treatment
Ventilator Weaning - psychology
Weaning
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Description
Summary:Patients on mechanical ventilation are occasionally hard to wean because of fatigue and/or depression. It is difficult to diagnose depression in this population, and treatment with traditional antidepressants has too slow an onset to be useful. Two cases are presented which suggest the possible utility of psychostimulants in this setting.
ISSN:0022-3999
1879-1360
DOI:10.1016/0022-3999(94)00075-G