منابع مشابه
S2k-Guideline “Prolonged Weaning”* Published by German Respiratory Society (Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin e.V., DGP) S2k-Leitlinie „Prolongiertes Weaning“ Herausgegeben von der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin (DGP)
* Authors’ contributions: The authors listed in this publication represent the leaders of the different subject areas during the guideline development. They all participated in the consensus conferences of this project and had responsibility for the preparation of the original document. BS, OM, JG and DD structured, prepared and translated the English written document for this publication.
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Practice guidelines on weaning should be based on the results of several well-designed randomized studies performed over the last decade. One of those studies demonstrated that immediate extubation after successful trials of spontaneous breathing expedites weaning and reduces the duration of mechanical ventilation as compared with a more gradual discontinuation of ventilatory support. Two other...
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• To review the frequency of weaning failure • To discuss the logic of weaning, ie, questions to ask when approaching the ventilated patient • To assess available predictors of weaning success and failure • To describe the techniques of weaning and the evidence supporting their use • To understand special considerations in weaning, eg, auto-positive end-expiratory pressure, imposed work of brea...
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D iscontinuation of ventilation is estimated to take up to 40% of the total duration of ventilatory support, and around 3–6% of patients admitted to the intensive care unit (ICU) require a prolonged course of mechanical ventilation (MV). Patients being liberated from ventilatory support therefore occupy a significantnumber of ICUbeds andhave a major impact on healthcare resources. There have be...
متن کاملKnowledge based weaning
Improving Intensive Care Unit (ICU) outcomes by reducing ventilator associated complications and ventilator days may warrant re-engineering the weaning process.1 Alternative methods which assist clinicians in organizing and implementing accurate weaning processes may shorten the duration of ventilator dependence and positively impact ICU outcomes.2 Knowledge based weaning (KBW) provides an alte...
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ژورنال
عنوان ژورنال: Pneumologie
سال: 2014
ISSN: 0934-8387,1438-8790
DOI: 10.1055/s-0033-1359038