Choosing Wisely:

Don’t delay progress toward liberation from mechanical ventilation.

Rationale and Comments: Although mechanical ventilation is frequently lifesaving, it is also associated with numerous complications. Discontinuation of mechanical ventilation support is frequently the rate-limiting step in ICU discharge. Current guidelines recommend removing patients from mechanical ventilation support as soon possible, utilizing mechanical ventilation liberation and sedation interruption protocols in concert with structured multidisciplinary rounds.
Sponsoring Organizations:
  • Society of Critical Care Medicine
  • Sources:
  • Expert consensus
  • Disciplines:
  • Pulmonary medicine
  • References: • Devlin JW, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med: 2018;46(9):e825-e873.

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