کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2652069 1139581 2015 7 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Strategies for weaning from mechanical ventilation: A state of the art review
ترجمه فارسی عنوان
استراتژی برای از بین بردن از تهویه مکانیکی: یک حالت بررسی هنر
کلمات کلیدی
از شیر گرفتن؛ تهویه مکانیکی؛ محاکمه تنفس خود به خودی؛ حلقه بسته؛ تعامل بیمار با دستگاه تنفس مصنوعی
Weaning; Mechanical ventilation; Spontaneous breathing trial; Closed loop; Patient–ventilator interaction
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

SummaryIdentification and adoption of strategies to promote timely and successful weaning from mechanical ventilation remain a research and quality improvement priority. The most important steps in the weaning process to prevent unnecessary prolongation of mechanical ventilation are timely recognition of both readiness to wean and readiness to extubate. Strategies shown to be effective in promoting timely weaning include weaning protocols and use of spontaneous breathing trials. This review explores various other strategies that also may promote timely and successful weaning including bundling of spontaneous breathing trials with sedation and delirium monitoring/management as well as early mobility, the use of automated weaning systems and modes that improve patient–ventilator interaction, mechanical insufflation–exsufflation as a weaning adjunct, early extubation to non-invasive ventilation and high flow humidified oxygen. As most critically ill patients requiring mechanical ventilation will tolerate extubation with minimal weaning, identification of strategies to improve management of those patients experiencing difficult and prolonged weaning should be a priority for clinical practice, quality improvement initiatives and weaning research.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 31, Issue 4, August 2015, Pages 189–195
نویسندگان
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