Society guideline links: Weaning from mechanical ventilation

Introduction — 

This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Canada

●Choosing Wisely Canada: Don't continue invasive mechanical ventilation without a daily assessment for the patient's ability to breathe spontaneously using coordinated spontaneous breathing and awakening trials (2024)

●Choosing Wisely Canada: Don't prolong invasive mechanical ventilation by over-use of sedatives and/or analgesics and bed rest (2024)

United States

●American Association for Respiratory Care (AARC): Clinical practice guideline on spontaneous breathing trials for liberation from adult mechanical ventilation (2024)

●American Thoracic Society (ATS)/American College of Chest Physicians (CHEST): An official clinical practice guideline on liberation from mechanical ventilation in critically ill adults (2017)

United Kingdom

●British Thoracic Society (BTS)/Intensive Care Society (ICS): Guidelines for the ventilatory management of acute hypercapnic respiratory failure in adults (2016)

Australia–New Zealand

●Choosing Wisely Australia: Undertake daily attempts to lighten sedation in ventilated patients unless specifically contraindicated and deeply sedate mechanically ventilated patients only if there is a specific indication (2016)