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Intensive Care Medicine
Published in: Intensive Care Medicine 4/2007

01-04-2007 | Correspondence

Comment on “Remembrance of weaning past: the seminal papers,” by Dr. Martin Tobin

Author: Wes Ely

Published in: Intensive Care Medicine | Issue 4/2007

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Excerpt

Sir: In his recent contribution to Intensive Care Medicine Dr. Tobin [1] provided an excellent historical appraisal of many seminal manuscripts that have shaped modern-day concepts in weaning patients from mechanical ventilation. In the “weaning techniques phase II” subheading, however, a factual error occurred that requires correction. Dr. Tobin wrote that our 1997 study (actually published in 1996 [2]) lacked internal validity because, “in the usual-care arm, 76% were managed with IMV [while] not one protocol patient was so managed. To conclude that protocols are superior, weaning methods need to be the same in the protocol and usual-care arms.” …
Literature
1.
Tobin MJ (2006) Remembrance of weaning past: the seminal papers. Intensive Care Med 32:1485–1493PubMedCrossRef
2.
Ely EW, Baker AM, Dunagan DP, Burke HL, Smith AC, Kelly PT, Johnson MM, Browder RW, Bowton DL, Haponik EF (1996) Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 335:1684–1869CrossRef
Metadata
Title
Comment on “Remembrance of weaning past: the seminal papers,” by Dr. Martin Tobin
Author
Wes Ely
Publication date
01-04-2007
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 4/2007
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-007-0567-5

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