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Summary

Weaning patients with ARDS from ventilatory support present a challenge, with patient presenting disease, comorbidity, and severity of the ARDS all influencing the success rate. Most knowledge in the area is derived from trials in mixed populations or excluded ARDS patient; the evidence supporting the use of specific techniques is very rare. General attention to nutrition, physiotherapy, mobilization, and psychological support is pragmatically useful. Automated systems offer some promise, but clinical evidence of benefit in patients who have suffered from ARDS remains scarce.

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