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In medicine, a ventilator weaning tactic which utilizes confusion & misdirection to minimize agitation's negative physiologic effects in which sedation is turned down, the endotracheal tube (breathing tube) is removed, then the patient wakes up breathing on their own, not having the opportunity to become agitated and delay extubation, and then the remaining sedation is discontinued.
Mr. Jones was agitated and hyperventilated every time we turned down his sedation to wean the vent so we bit the bullet and pulled a Mexican Hat Trick on him. Now he is breathing on his own and is relaxed but confused as to what just happened
by ACNP December 22, 2009
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