Weaning from mechanical ventilation using tracheostomy cuff deflation and a one-way speaking valve: a historical-cohort series
نویسندگان
چکیده
منابع مشابه
Weaning from mechanical ventilation
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 کاملWeaning from mechanical ventilation.
Approximately 20% of all mechanically ventilated patients fail their first attempt to wean. Prolonged mechanical ventilation increases morbidity, mortality, and costs. No single weaning parameter predicts patient ability to wean. Weaning studies suggest that daily trials of spontaneous breathing for appropriate patients assured by standing protocol and driven by respiratory care practitioners a...
متن کاملWeaning from mechanical ventilation.
An understanding of respiratory physiology is helpful when weaning a patient from mechanical ventilation. Various criteria are available that assess pulmonary function and the patient's ability to breathe spontaneously. The majority of patients are weaned without difficulty, but a small percentage will require careful evaluation. A complete assessment of the patient is essential during the wean...
متن کاملWeaning from mechanical ventilation
INTRODUCTION This article reviews the literature on the weaning process in relation to nursing care. Weaning is defined as the process of gradually reducing mechanical ventilatory support as the patient’s own respiratory system recovers from disease (Keen, 2000). This process has been identified as one of the highest-ranked research priorities in nursing care by the American Association of Crit...
متن کاملWeaning from mechanical ventilation
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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ژورنال
عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie
سال: 2017
ISSN: 0832-610X,1496-8975
DOI: 10.1007/s12630-017-0964-3