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Patients under mechanical ventilation who are not capable of sustaining spontaneous breathing despite the presence of general criteria are characterized by brain dysfunction. Specifically, there is a poor correlation between the activity of the two hemispheres in terms of sleep depth, and these patients never reach full awakening based on electrical activity. Pathological wakefulness seems to be a marker of difficult weaning from mechanical ventilation.
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This page is a summary of: Sleep and Pathological Wakefulness at the Time of Liberation from Mechanical Ventilation (SLEEWE). A Prospective Multicenter Physiological Study, American Review of Respiratory Disease, May 2019, American Thoracic Society,
DOI: 10.1164/rccm.201811-2119oc.
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