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Somhorst P, Groot MW, Gommers D. Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report. Respir Med Case Rep. 2018;25:225-227doi: 10.1016/j.rmcr.2018.09.008.
Somhorst, P., Groot, M. W., & Gommers, D. (2018). Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report. Respiratory medicine case reports, 25225-227. https://doi.org/10.1016/j.rmcr.2018.09.008
Somhorst, Peter, et al. "Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report." Respiratory medicine case reports vol. 25 (2018): 225-227. doi: https://doi.org/10.1016/j.rmcr.2018.09.008
Somhorst P, Groot MW, Gommers D. Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report. Respir Med Case Rep. 2018 Sep 15;25:225-227. doi: 10.1016/j.rmcr.2018.09.008. eCollection 2018. PMID: 30245971; PMCID: PMC6148465.
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Respir Med Case Rep. 2018 Sep 15;25:225-227. doi: 10.1016/j.rmcr.2018.09.008. eCollection 2018.

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

Respiratory medicine case reports

Peter Somhorst, Mart W Groot, Diederik Gommers

Affiliations

  1. Department of Intensive Care, Erasmus MC - University Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.

PMID: 30245971 PMCID: PMC6148465 DOI: 10.1016/j.rmcr.2018.09.008

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.

Keywords: Acute respiratory distress syndrome; Neuromuscular blocking agents; Partial neuromuscular blockage; Patient self-inflicted lung injury

References

  1. Crit Care Med. 2016 Nov;44(11):2079-2103 - PubMed
  2. JAMA. 2012 Jun 20;307(23):2526-33 - PubMed
  3. N Engl J Med. 2010 Sep 16;363(12):1107-16 - PubMed
  4. N Engl J Med. 2013 Jun 6;368(23):2159-68 - PubMed
  5. Respir Med Case Rep. 2017 Jan 17;20:141-144 - PubMed
  6. Am J Respir Crit Care Med. 2017 Sep 1;196(5):590-601 - PubMed
  7. N Engl J Med. 2000 May 4;342(18):1301-8 - PubMed
  8. Am J Respir Crit Care Med. 2017 May 1;195(9):1253-1263 - PubMed
  9. Am J Respir Crit Care Med. 2008 Aug 15;178(4):346-55 - PubMed
  10. Am J Respir Crit Care Med. 2017 Apr 15;195(8):1033-1042 - PubMed

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