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A 50-year-old smoker with a known case of chronic obstructive pulmonary disease (COPD) with dilated cardiomyopathy was admitted to the intensive care unit with altered sensorium and acute respiratory distress. His arterial blood gases showed severe hypoxemia and acute respiratory acidosis. He was intubated and initiated on controlled mechanical ventilation. His clinical condition improved in 2 days. A spontaneous breathing trial (SBT) was tried, and the patient was extubated after a successful SBT. After 5 h, the patient again developed severe respiratory distress and had to be reintubated. He failed several trials of SBT.

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Weaning from Mechanical Ventilation

  • 章节

  • 发表日期：

    2025年

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  • Rajesh Chawla,
  • Haritha Indulekha,
  • Roseleen Kaur Bali,
  • Aakanksha Chawla

摘要

A 50-year-old smoker with a known case of chronic obstructive pulmonary disease (COPD) with dilated cardiomyopathy was admitted to the intensive care unit with altered sensorium and acute respiratory distress. His arterial blood gases showed severe hypoxemia and acute respiratory acidosis. He was intubated and initiated on controlled mechanical ventilation. His clinical condition improved in 2 days. A spontaneous breathing trial (SBT) was tried, and the patient was extubated after a successful SBT. After 5 h, the patient again developed severe respiratory distress and had to be reintubated. He failed several trials of SBT.