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Mechanical ventilatory support, whether noninvasive or invasive, requires redefinition of the goals of ventilation on a patient-by-patient basis. Mode and approach to invasive ventilation and liberation to noninvasive ventilation versus tracheostomy have limited evidence, but potential clinical approaches are reviewed.<\/jats:p>","DOI":"10.1055\/s-0044-1788551","type":"journal-article","created":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T19:09:03Z","timestamp":1728328143000},"page":"240-249","source":"Crossref","is-referenced-by-count":0,"title":["Management of Chronic Neuromuscular Respiratory Failure in the Intensive Care Unit"],"prefix":"10.1055","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8019-5324","authenticated-orcid":false,"given":"Mustafa H.","family":"Ghanem","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Won","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, Department of Internal 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