Weaning from invasive mechanical ventilation

被引：13

作者：

Geiseler, Jens ^{[1
]}

Westhoff, Michael ^{[2
,3
]}

机构：

[1] Behandlungszentrum Paracelsus Klin Marl, Klinikum Vest, Med Klin 4, Lipper Weg 11, D-45770 Marl, Germany

[2] Lungenklin Hemer, Klin Pneumol, Hemer, Germany

[3] Univ Witten Herdecke, Witten, Germany

来源：

MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN | 2021年 / 116卷 / 08期

关键词：

Respiratory therapy; Airway management; Noninvasive ventilation; Tracheotomy; Respiratory aspiration; FLOW NASAL CANNULA; ACUTE RESPIRATORY-FAILURE; POSITIVE-PRESSURE VENTILATION; CONVENTIONAL OXYGEN-THERAPY; CUFF-LEAK TEST; CONTROLLED-TRIAL; INTUBATION RATE; ADULT PATIENTS; REINTUBATION; GUIDELINES;

D O I：

10.1007/s00063-021-00858-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Weaning from invasive mechanical ventilation is challenging for the ICU team in terms of shortening time of ventilation via endotracheal tube in order to improve the patient's prognosis by early extubation. Thereby prolonged mechanical ventilation (> 14 days), which is associated with risk of tracheotomy and prolonged weaning, shall be avoided. This article will give an overview about weaning categories, causes for weaning failure and strategies to overcome this problem. In the last part we will cover concepts in the process of prolonged weaning including discharge management with invasive mechanical ventilation.

引用

页码：715 / 726

页数：12

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