Type of Article:  Review

Volume 6; Issue 3 (May 2018)

Page No.: 2705-2715

DOI: https://dx.doi.org/10.16965/ijpr.2018.116


Bhatia Sneha *1,   Narasimman S 2.

Vinayaka Institute of Physiotherapy, Pranami Bhavan, Vidhyanagar-Vadtal Road, Bakrol, Anand, Gujarat, India.

Address for Correspondence: Dr. Sneha Bhatia (PT), MPT in Orthopedics and Sports Rehabilitation, I/C Principal/ Assistant Professor, Vinayaka Institute of Physiotherapy, Pranami Bhavan, Vidhyanagar-Vadtal Road, Bakrol, Anand, Gujarat 388315, India. Mob: 8758881025

E-Mail: snehabhatiapt@gmail.com


Introduction: Weaning is a process of reducing or removing ventilator support from mechanically ventilated patients. Weaning from mechanical ventilation can be defined as the process of abruptly or gradually withdrawing ventilator support. Over 90% of critically ill patients require mechanical ventilation and 40% of the time patient is receiving mechanical ventilation is spent in process of weaning from it. Successful weaning from ventilatory support is the ultimate goal for all those involved in the care of mechanically ventilated patients in intensive care units.

Methods: Thorough literature search was done through various databases and total of 25 articles were included for the review.

DISCUSSION: The result of the study shows that the therapist directed protocol can effectively wean patients from mechanical ventilation when compared to physician directed protocol. The length of stay in ICU and the cost of hospitalization was also reduced following the implementation of therapist driven protocol. Therapist driven protocol is safe and can lead to extubation more rapidly than physician directed weaning.

Thus therapist driven protocol can safely and rapidly wean patients from mechanical ventilation. It will have effect on ICU length of days and also on hospitalization cost and therapist driven protocol reduces the both. So it is safe to wean the patients using therapist driven protocol.

Conclusion: Based on the literature search it is concluded that the therapist driven weaning protocols can effectively wean the patients from mechanical ventilation and also reduces length of stay and cost of hospitalization when compared to physician directed protocol. Still more research work is needed in this area. More number of randomized controlled trials should be done to prove the effectiveness of therapist driven protocols. Institution of therapist driven protocols can safely and effectively wean patients from mechanical ventilation and reduce length of stay in ICU and also reduces the cost.

KEY WORDS: Weaning, Mechanical ventilation, Ventilation, Therapist driven protocol.


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