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.

Additional Metadata
Keywords Acute respiratory distress syndrome, Neuromuscular blocking agents, Partial neuromuscular blockage, Patient self-inflicted lung injury
Persistent URL dx.doi.org/10.1016/j.rmcr.2018.09.008, hdl.handle.net/1765/110383
Journal Respiratory Medicine Case Reports
Citation
Somhorst, P, Groot, M.W. (Mart W.), & Gommers, D.A.M.P.J. (2018). Partial neuromuscular blockage to promote weaning from mechanical ventilation in severe ARDS: A case report. Respiratory Medicine Case Reports, 25, 225–227. doi:10.1016/j.rmcr.2018.09.008