Patients’ Peadiness with Success in Weaning from Mechanical Ventilation

Main Article Content

นันทิกานต์ กลิ่นเชตุ
ศิริพร สว่างจิตร


Nowadays, increasing numbers of patients require treatment by mechanical ventilation with upward trends worldwide. Although mechanical ventilation saves patient’s life, long-term use of mechanical ventilation has impacts in many aspects such as body, psychological and economic losses. So evaluating to recover the cause of use mechanical ventilation, preparing muscle respiration’s patients and physiological factors including perception factors. In the weaning process, the patients have to adjust to breathing with mechanical ventilation to breathing by themselves. That results will make patients passed spontaneous breathing trial and successful weaning. Nurses’role to prepare readiness and manage factors lengthening the duration of spontaneous breathing trials in order to reduce complications from mechanical ventilation and long intubation time.


Download data is not yet available.

Article Details

How to Cite
กลิ่นเชตุน, สว่างจิตรศ. Patients’ Peadiness with Success in Weaning from Mechanical Ventilation. J Royal Thai Army Nurses [nternet]. 2018Aug.29 [cited 2021Nov.30];19(2):79-5. vailable from:
Academic articles


1. Wunsch H, Linde-Zwirble WT, Angus DC, Hartman ME, Milbrandt EB, Kahn JM. The epidemiology of mechanical ventilation uses in the United States. Critical Care Medicine. 2010;38(10): 1947-53.

2. Needham DM, Bronskill SE, Calinawan JR, Sibbald WJ, Pronovost PJ, Laupacis A. Projected incidence of mechanical ventilation in Ontario to 2026: Preparing for the aging baby boomers. Critical Care Medicine. 2005;33(3):574-9.

3. Pierucci P, Carlucci A, Schreiber A, & Nava S. Weaning from mechanical ventilation and post-extubation failure. Turkish Thoracic Journal. 2011;12(1):27-31.

4. McConville JF, & Kress JP. Weaning patients from the ventilator. The New England Journal of Medicine. 2012;367(23):2233-9.

5. Tonnelier A, Tonnelier JM, Nowak E, Gut Gobert C, Prat G, Renault A, et al. Clinical Relevance of Classification According to Weaning Difficulty. Respiratory Care. 2011;56(5):583-90.

6. Jaber S, Petrof BJ, Jung B, Chanques Gr, Berthet JP, Rabuel C, et al. Rapidly Progressive Diaphragmatic Weakness and Injury during Mechanical Ventilation in Humans. American Journal of Respiratory Critical Care Medicine. 2011;183: 364-71.

7. Edriss H, Whiting J, Nugent K. A ventilatorassociated event in an intensive care unit patient with multiple comorbidities and prolonged mechanical ventilation. Gaziantep Medical Journal. 2014; 20(3): 277-80.

8. Carbery C. Basic concepts in mechanical ventilation. Journal of Perioperative Practice. 2008;18(3):106-14.

9. Chu YF, Jiang Y, Meng M, Jiang JJ, Zhang JC, Ren HS, et al. Incidence and risk factors of gastrointestinal bleeding in mechanically ventilated patients. World Journal of Emergency Medicine. 2010;1(1):32-6.

10. Chen YJ, Jacobs WJ, Quan SF, Figueredo AJ, Davis AHT. Psychophysiological Determinants of Repeated Ventilator Weaning Failure: An Explanatory Model. American Journal of Critical Care. 2011;20(4):292-302.

11. Chaiviradech M, Uakit N, &Uamtanee A. Experiences of being an adult patient receiving ventilator. Songklanagarind Journal of Nursing. 2013;33(2):31-46. (in Thai).

12. Cox CE, Carson SS, Govert JA, Chelluri L, Sanders GD. An economic evaluation of prolonged mechanical ventilation. Critical care medicine. 2007;35(8):1918.

13. Zilberberg MD, Wit M, & Shorr AF. Accuracy of previous estimates for adult prolonged acute mechanical ventilation volume in 2020: update using 2000–2008 data. Critical Care Medicine. 2012;40(1):18-20.

14. Burns SM. The science of weaning: when and how?. Critical Care Nursing Clinics of North America. 2004;16(3):379-86.

15. Coyer FM, Wheeler MK, Wetzig SM, & Couchman BA. Nursing care of the mechanically ventilated patient: what does the evidence say?.Intensive & Critical Care Nursing. 2007; 23(2):71-80.

16. Pedersen CM, Rosendahl-Nielsen M, Hjermind J, & Egerod I. Endotracheal suctioning of the adult intubated patient-What is the evidence?. Intensive and Critical Care Nursing. 2009; 25(1):21-30.

17. Segal LN, Oei E, Oppenheimer BW, Goldring RM, Bustami RT, Ruggiero S, et al. Evolution of pattern of breathing during a spontaneous breathing trial predicts successful extubation. Intensive Care Medicine.2010;36(3):487-95.

18. Savi A, Teixeira C, Silva JM, Borges LG, Pereira PA, Pinto KB, et al. Weaning predictors do not predict extubation failure in simple-to-wean patients. Journal of Critical Care. 2012;27(2): 221.e1-8.

19. Heunks LM, &Hoeven JG. Clinical review: The ABC of weaning failure-a structured approach. Critical Care. 2010;14(6):1-9.

20. Mamary AJ, Kondapaneni S, Vance GB, Gaughan JP, Martin UJ, & Criner GJ. Survival in patients receiving prolonged ventilation: factors that influence outcome. Circulatory, Respiratory and Pulmonary Medicine. 2011;5:17–26.

21. Su WL, Chen YH, Chen CW, Yang SH, Su CL, Perng WC, et al. Involuntary cough strength and extubation outcomes for patients in an ICU. CHEST Journal. 2010;137(4):777-82.

22. Salam A, Tilluckdharry L, Amoateng-Adjepong Y, & Manthous CA. Neurologic status, cough, secretions and extubation outcomes. Intensive Care Medicine. 2004;30(7):1334-39.

23. Khamiees M, Raju P, DeGirolamo A, Amoateng-Adjepong Y, Manthous CA. Predictors of extubation outcome in patients who have successfully completed a spontaneous breathing trial. CHEST Journal. 2001;120(4): 1262-70.

24. Burns SM, Fisher C, Tribble SS, Lewis R, Merrel P, Conaway MR, et al. Pulmonary critical care. Multifactor clinical score and outcome of mechanical ventilation weaning trials: Burns Wean Assessment Program. American Journal of Critical Care. 2010;19(5):431-40.

25. Wu YK, Kao KC, Hsu KH, Hsieh MJ, Tsai YH. Predictors of successful weaning from prolonged mechanical ventilation in Taiwan. Respiratory Medicine. 2009;103:1189-95.

26. DeJonghe B, Garin SB, Durand MC, Malissin I, Rodrigues P, Cerf C, et al. Respiratory weakness is associated with limb weakness and delayed weaning in critical illness. Critical Care Medicine. 2007;35(9):2007-15.

27. Kumar G, Majumdar T, Jacobs ER, Danesh V, Dagar G, Deshmukh A, et al. Outcomes of morbidly obese patients receiving invasive mechanical ventilation: a nationwide analysis. CHEST Journal. 2013;144(1):48-54.

28. Nafae RM, Mohammed MA, Morsi AF, & Ibrahim DA. Thyroid function in respiratory failure patients. Egyptian Journal of Chest Diseases and Tuberculosis. 2014;63(2):513-521.

29. Udchumpisai M, Na Ayuthya K, Pongthavornkamon K, Wongsurakiat P. Factors influencing prolonged mechanical ventilation in critically-ill medical patients. Thai Journal of Cardio-Thoracic Nursing. 2010;21(1):14-30. (in Thai).

30. Perren A, Previsdomini M, Llamas M, Cerutti B, GyorikS, Merlani G, et al. Patients’ prediction of extubation success. Intensive Care Med. 2010;36(12):2045-52.

31. Wang K, Zhang B, Li C, & Wang C. Qualitative analysis of patients’ intensive care experience during mechanical ventilation. Journal of Clinical Nursing. 2009;18(2):183-90.

32. Klinchet N. Influences of creatinine clearance, cough effectiveness, perceived sleep quality, perceived severity of illness on duration of spontaneous breathing trial in patients with simple ventilator weaning. Journal of The Royal Thai Army Nurses. 2015;16(3): 105-113. (in Thai).