Invasive ventilation weaning service
This service is used to wean patients off invasive ventilation, towards non-invasive ventilation.
Weaning patients off prolonged mechanical ventilation is highly complex and requires considerable medical expertise and experience. At Royal Brompton Hospital, our consultants, intensivists, therapists and specialist nurses offer a specialist invasive ventilation weaning service.
Our specialists are experts at the very sensitive and crucial stage of judging the point at which a patient has sufficient respiratory reserve to make the transition to non-invasive ventilation.
The timeliness of this service is vital to its success and requires an in-depth assessment before a fully tailored programme of integrated care is created.
What does ventilation weaning treatment include?
Treatment for the invasive ventilation weaning service includes:
- non-invasive weaning
- speech and language therapy
- occupational therapy.
At Royal Brompton & Harefield Hospitals Specialist Care, the following consultants can treat private patients who require the intensive ventilation weaning service:
- Dr Matthew Hind - Consultant respiratory physician
- Professor Michael Polkey - Consultant respiratory physician
- Professor Anita Simonds - Consultant physician in respiratory and sleep medicine.
What are the benefits of the invasive ventilation weaning service?
Weaning patients off mechanical ventilation can be the first step towards discharge from hospital and domiciliary (at home) ventilation or care. Once successfully weaned off invasive ventilation, many patients will experience a vastly improved quality of life, which can include unimpeded speech and feeding.
What are the risks of the invasive ventilation weaning service?
Weaning a patient off invasive ventilation is highly complex and the risks and benefits are very carefully considered before any decisions are taken. The main risk with this service is that a person’s lungs may not be able to function without the constant help of a mechanical ventilator. However, this is very carefully and constantly monitored by our specialists. Weaning can be the best option when the risks associated with remaining on mechanical ventilation – pneumonia, stenosis and respiratory muscle deconditioning, for example – outweigh the risks of weaning.
Are there any alternatives to the invasive ventilation weaning service?
There is often no alternative to invasive weaning for patients with complex lung conditions. As a result, the only alternative to invasive ventilation weaning is for a patient to remain on a mechanical ventilator.
Where specialists believe it is possible and safe to wean a patient off, a specialist programme of care will be devised following in-depth analysis. In the event that a patient cannot be weaned from invasive mechanical ventilation the team are also able to advise on the creation of a home ventilation program.
Judging in advance whether a patient can be successfully weaned from mechanical ventilation can be a delicate judgement so it is helpful if the most up to date and detailed medical reports can be provided. Sometimes it is helpful for one of our consultants to visit the patients in their hospital prior to transfer to Royal Brompton Hospital.