International Consensus Conference in Intensive Care Medicine: Weaning from mechanical ventilation, Budapest 2005

About
International Consensus Conferences (ICC) were organised jointly by the European Respiratory Society (ERS), the European Society for Intensive Care Medicine (ESICM), the American Thoracic Society (ATS), the Society of Critical Care Medicine (SCCM) and the Société de Réanimation de Langue Française (SRLF).
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Aims

The purpose of the Consensus conference was to produce an informed debate on a limited subject presented in the form of 5 main questions, with the aim of evaluating available scientific information and to advance understanding of the issue in question. It consisted of a two-day conference, during which experts from different disciplines and/or from different schools make short presentations, aimed at answering the 5 questions previously defined by the Scientific Advisors:

  • What do we know about the epidemiology of weaning problems?
  • What ist the pathophysiology of weaning failure?
  • What is the usual process of initial weaning from the ventilator?
  • Is there a role for different ventilator modes in more difficult weaning?
  • How should patients with difficult weaning failure best be managed?
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 [+]  PDF journal article, handout or slides Slide presentation Webcast How are weaning failure and delay defined?
J. Mancebo (Barcelona, Spain)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast How common are weaning delay and failure?
P. Navalesi (Pavia, Italy)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast How common is post extubation respiratory failure and unplanned extubation and what are its consequences?
S. Epstein (Boston, United States Of America)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast What are the costs of weaning problems?
S. Carson (Chapel Hill, United States Of America)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast The respiratory muscle pump: peripheral function
M. Polkey (London, United Kingdom)
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 [+]  Slide presentation Webcast The respiratory muscle pump: central function
T. Similowski (Paris, France)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast Role of cardiac function in weaning failure
M. R. Pinsky (Pittsburgh, United States of America)
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 [+]  Slide presentation Webcast Nutritional and metabolic factors (including anaemia)
M. W. Elliott (Leeds, United Kingdom)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast Patient-ventilator dysynchrony
F. Laghi (Hines, United States Of America)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 10 Ventilator associated pneumonia, aspiration and sepsis
A. Torres (Barcelona, Spain)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 11 Critical care neuropathy and myopathy
B. De Jonghe (Poissy, France)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 12 Psychological factors (anxiety, post-traumatic stress)
A. Jubran (Hines, United States Of America)
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 [+]  PDF journal article, handout or slides 13 Role and interpretation of weaning predictors
M. Tobin (Hines, United States Of America)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 14 Pressure support is the preferred weaning method
L. Brochard (Creteil, France)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 15 A T-tube trial is the preferred weaning method
C. Sassoon (Long Beach, United States Of America)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 16 Weaning protocols are necessary
M. Vitacca (Gussago, Italy)
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17 Weaning protocols are not necessary
M. Tobin (Hines, United States Of America)
 [+]  PDF journal article, handout or slides Slide presentation Webcast 18 Controlled mechanical ventilation - respiratory muscle rest
T. Vassilakopoulos (Athens, Greece)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 19 CPAP
A. Rossi (Bergamo, Italy)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 20 Does noninvasive ventilation have a role – yes
S. Nava (Pavia, Italy)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 21 Does noninvasive ventilation have a role – no
N. Hill (Boston, United States Of America)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 22 Servo controlled ventilation
P. Jolliet (Geneva, Switzerland)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 23 In a special facility?
B. Schönhofer (Hannover, Germany)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 24 The role of tracheostomy - timing, technique, complications
E. L'Her (Brest, France)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 25 Rehabilitation
R. Gosselink (Leuven, Belgium)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 26 Home mechanical ventilation in the post weaning period
B. Schönhofer (Hannover, Germany), W. Wedzicha (London, United Kingdom)
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 [+]  PDF journal article, handout or slides Slide presentation Webcast 27 Terminal care for the ventilator dependant patient
J. R. Curtis (Seattle, United States Of America)
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