GuidelineCurrent
ATS/ACCP — Liberation from Mechanical Ventilation in Critically Ill Adults
American Thoracic Society / American College of Chest Physicians, 2017
Conduct spontaneous breathing trials with inspiratory pressure augmentation (5-8 cmH2O) rather than unsupported T-piece trials; use protocols that minimize sedation; and use planned post-extubation noninvasive ventilation in patients at high risk for extubation failure.
Conditional recommendationModerate certainty
View source guidelineClinical Context & Relevant Topics (2)
Disease ReferenceInvasive Mechanical Ventilation
Complete clinical topic overview. For the full 10-level interactive course, visit Master MV. Covers core ventilator modes, respiratory mechanics (Cstat, Raw, driving pressure), waveform dyssynchrony analysis, VILI prevention, and liberation protocols.
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Tracheostomy & Difficult Ventilator Liberation
Systematic evaluation of failed liberation, tracheostomy timing/selection, cuff and secretion management, and multidisciplinary weaning.
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