Weaning off mechanical ventilation (MV) is a process that ultimately ends with a patient’s liberation from the ventilator. As extubation failure worsens prognosis, every effort should be made to safely extubate the patient when the clinical condition allows it. There are several methods and techniques to assess whether a patient is ready for weaning. The clinician should choose the proper method for each patient to minimalize the risk of extubation failure. When liberation from MV is not possible, tracheostomy and transferring the patient to a long-term rehabilitation ward may be required. If this is not feasible, palliative care should be considered.
Part of the book: Mechanical Ventilation