Ventilator Weaning Difficulties in ICU: A Study on VAP Patients with Post-Tracheostomy, Thoracic Trauma, and Thoracic Spinal Cord Injury
Dublin Core
Title
Ventilator Weaning Difficulties in ICU: A Study on VAP Patients with Post-Tracheostomy, Thoracic Trauma, and Thoracic Spinal Cord Injury
Subject
Ventilator Weaning Difficulties, Post-Tracheostomy, Thoracic Trauma, Spinal Cord Injury, Ventilator-associated Pneumonia
Description
Ventilator weaning failure is an inability to adapt to reduced mechanical
ventilator assistance, which can slow down and prolong the weaning
process. Ventilator weaning failure is characterized by increased respiratory
rate, use of respiratory muscles, gasping breath, out-of-synchronization
efforts to assist breathing and ventilator support, shallow breathing,
agitation, and abnormal blood gas arteries. Ventilator weaning failure is an
inability to spontaneous breathing trial (SBT), re-intubation, and assisted
ventilation after extubation or death within 48 hours after extubation.
Weaning process failure factors are divided into non-ventilator and
ventilator factors. Ventilator factors include poor patient conditions, longterm use of ventilators, and abnormal blood gas analysis (BGA). Meanwhile,
the ventilator factor is related to the condition of the patient's lungs that
have suffered severe damage or barotrauma and excessive tidal volume
pressure. This study analyzes ventilator weaning failure in patients with
Ventilator-Associated Pneumonia (VAP), Post Thoracic Trauma, and Post
Spinal Cord Injury in Thoracic 10-12 at the intensive care unit. This research
method is based on case reports by compiling comprehensive nursing care.
The results of the analysis of ventilator weaning failure in this patient are
related to the worsening of the patient's condition, complex thoracic
trauma, prolonged use of mechanical ventilators causing ventilatorassociated pneumonia (VAP), and respiratory acidosis.
ventilator assistance, which can slow down and prolong the weaning
process. Ventilator weaning failure is characterized by increased respiratory
rate, use of respiratory muscles, gasping breath, out-of-synchronization
efforts to assist breathing and ventilator support, shallow breathing,
agitation, and abnormal blood gas arteries. Ventilator weaning failure is an
inability to spontaneous breathing trial (SBT), re-intubation, and assisted
ventilation after extubation or death within 48 hours after extubation.
Weaning process failure factors are divided into non-ventilator and
ventilator factors. Ventilator factors include poor patient conditions, longterm use of ventilators, and abnormal blood gas analysis (BGA). Meanwhile,
the ventilator factor is related to the condition of the patient's lungs that
have suffered severe damage or barotrauma and excessive tidal volume
pressure. This study analyzes ventilator weaning failure in patients with
Ventilator-Associated Pneumonia (VAP), Post Thoracic Trauma, and Post
Spinal Cord Injury in Thoracic 10-12 at the intensive care unit. This research
method is based on case reports by compiling comprehensive nursing care.
The results of the analysis of ventilator weaning failure in this patient are
related to the worsening of the patient's condition, complex thoracic
trauma, prolonged use of mechanical ventilators causing ventilatorassociated pneumonia (VAP), and respiratory acidosis.
Creator
Virgiana Piesesha
Source
https://ebsina.or.id/journals/index.php/jkmi
Publisher
Universitas Jember
Date
February 2025
Contributor
Sri Wahyuni
Rights
EISSN 2502-2717
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Virgiana Piesesha, “Ventilator Weaning Difficulties in ICU: A Study on VAP Patients with Post-Tracheostomy, Thoracic Trauma, and Thoracic Spinal Cord Injury,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11068.