Weaning From Mechanical Ventilation
نویسنده
چکیده
• 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 breathing, cardiac ischemia, the importance of psychological factors, routine interruption of sedation and of a systematic approach to weaning
منابع مشابه
Comparison of the effect of pressure support ventilation and volume assured pressure support ventilation on weaning patients off mechanical ventilation after cardiac surgery
Background: Weaning from mechanical ventilation in the intensive care unit is an important step in the treatment process. More patients in less than 6 hours after cardiac surgery can be separated from mechanical ventilation and extubated. However, 20-40% of patients after cardiac surgery, due to dysfunctional ventilator weaning response (DVWR), still remain under mechanical ventilation. Therefo...
متن کاملThe effect of protocol of weaning from mechanical ventilation on gastrointestinal function in people undergoing coronary artery bypass graft surgery (CABG)
Abstract Aim. The aim of this study was to examine the effect of protocol of weaning from mechanical ventilation on the gastrointestinal function in people undergoing CABG. Background. The most common problems after cardiac surgery in the intensive care unit are change in vital signs, respiratory problems, unsuccessful separation from mechanical ventilation, and gastrointestinal problems. Due t...
متن کاملحسابرسی مراقبت‌های پرستاری مرتبط با جداسازی نوزادان از دستگاه تهویه مکانیکی در بخش‌های مراقبت‌های ویژه نوزادان
Background & Aim: Mechanical ventilation is one of the most common treatments in neonatal intensive care unit and is however associated with many complications. One of the ways to reduce complications is providing nursing care according to standards. This study was conducted with the aim of determining the conformity of nursing care related to weaning neonates from mechanical ventilation to the...
متن کاملبررسی طول مدت جداسازی از دستگاه تهویۀ مکانیکی براساس مقیاس برن و عوامل مرتبط با آن در بخش‌های مراقبت ویژه
Introduction: Mechanical ventilation has been one of the most common forms of patients’ medical treatment in intensive care unit and several factors affect the preparation of patients for weaning the mechanical ventilation. This study aimed at determining factors that have an impact on the duration of mechanical ventilation weaning. Methods: In this sectional -an...
متن کاملSudden Complete Versus Gradual Weaning from Nasal Continuous Positive Airway Pressure in Preterm Neonates: A Randomized Controlled Trial
Background: Continuous positive airway pressure (CPAP) is used as respiratory support in preterm neonates; however, the best weaning method has not yet been determined. In this study, we compared sudden complete and gradual weaning from nasal CPAP (NCPAP) in preterm newborns. Methods: This randomized controlled trial was conducted on 62 prete...
متن کاملSequential invasive-noninvasive mechanical ventilation weaning strategy for patients after tracheostomy.
BACKGROUND Because the continuity and integrity of the trachea are likely damaged to some extent after tracheostomy, the implementation of sequential ventilation has certain difficulties, and sequential invasive-noninvasive ventilation on patients after tracheostomy is less common in practice. The present study aimed to investigate the feasibility of invasive-noninvasive sequential weaning stra...
متن کامل