Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report. (2018)

• Record Type: Journal Article
• Authors: Somhorst, Peter; Groot, Mart W.; Gommers, Diederik
• Is Part Of: Respiratory medicine case reports. Volume 25(2018)
• Page Start: 225
• Page End: 227
• Publication Date: 2018
• Subjects: Acute respiratory distress syndrome -- Neuromuscular blocking agents -- Patient self-inflicted lung injury -- Partial neuromuscular blockage; Respiratory organs -- Diseases -- Periodicals; Chest -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory System -- Periodicals; Chest -- Diseases; Respiratory organs -- Diseases; Electronic journals; Periodicals; 616.2
• DOI: 10.1016/j.rmcr.2018.09.008
• Languages: English
• ISSNs: 2213-0071

Abstract

Abstract: Spontaneous breathing efforts during mechanical ventilation can lead to patient self-inflicted lung injury (P-SILI). In order to prevent P-SILI, patients are generally heavily sedated and receive muscle relaxation, resulting in a slower weaning process. We present a case in which we applied partial neuromuscular blockage in order to prevent P-SILI while allowing spontaneous breathing but with limited efforts during assist mechanical ventilation.