Weaning from mechanical ventilation is instituted when the patient has recovered sufficiently to breathe spontaneously. Many patients can be weaned easily, but the process remains a challenge in those ventilated for prolonged periods. Patients who repeatedly fail to wean pose considerable clinical, economic, and ethical problems. Planning a rational approach is helpful (Knebel eta[: 19.9.4), taking into consideration the many interacting factors ( Table 1).

Table 1 Associated factors that should be considered when planning weaning

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