TY - CHAP M1 - Book, Section TI - Chapter 58. Weaning from Mechanical Ventilation A1 - Tobin, Martin J. A1 - Jubran, Amal A2 - Tobin, Martin J. PY - 2013 T2 - Principles and Practice of Mechanical Ventilation, 3e AB - Thirty years ago, the weaning of patients from the ventilator was relegated to nurses and respiratory therapists. It aroused little interest among physicians. It certainly wasn’t thought worthy of serious scientific inquiry. All this has changed. No other area of critical care has undergone so great a transformation. But the illumination has also cast shadows. In particular, discussion of weaning is now bedeviled by imprecise language. This can be seen as just deserts insofar as few clinicians use the term weaning in the strict literal sense—a gradual reduction in the level of ventilator support. Instead, most patients today are taken off the ventilator cold turkey. It would be fine if the confused language stopped there. But this is only one small example of how fundamental scientific misunderstanding has arisen from imprecise word choices. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=57079614 ER -