Long-term mechanical ventilation: management strategies

Respir Care. 2012 Jun;57(6):889-97; discussion 898-9. doi: 10.4187/respcare.01850.


This paper reviews management strategies for patients undergoing prolonged mechanical ventilation (PMV). Topics covered include how to identify and correct barriers to weaning, the systematic approach to weaning trials, when to cease weaning trials and proceed with life-long support, managing the tracheostomy tube during PMV, and, finally, how to select a suitable mechanical ventilator for PMV.

Publication types

  • Review

MeSH terms

  • Diaphragm / physiopathology
  • Heart Failure / epidemiology
  • Humans
  • Long-Term Care
  • Myocardial Ischemia / epidemiology
  • Pulmonary Disease, Chronic Obstructive / therapy
  • Respiration, Artificial / statistics & numerical data*
  • Respiratory Insufficiency / physiopathology
  • Respiratory Insufficiency / therapy*
  • Survivors
  • Tracheostomy
  • Ventilator Weaning