PT - JOURNAL ARTICLE AU - J Goldstone TI - The pulmonary physician in critical care • 10: Difficult weaning AID - 10.1136/thorax.57.11.986 DP - 2002 Nov 01 TA - Thorax PG - 986--991 VI - 57 IP - 11 4099 - http://thorax.bmj.com/content/57/11/986.short 4100 - http://thorax.bmj.com/content/57/11/986.full SO - Thorax2002 Nov 01; 57 AB - The study of patients being weaned from mechanical ventilation has offered new insights into the physiology of respiratory failure. Assessment of the balance between respiratory muscle strength, work and central drive is essential if difficulty in weaning occurs, and optimisation of these elements may improve the success of weaning. Psychological support of patients and the creation of units specialising in weaning have also resulted in a higher success rate.