Weaning from mechanical ventilation

被引：0

作者：

Moonsie, I ^{[1
]}

Davidson, C ^{[1
]}

机构：

[1] Guys & St Thomas Hosp, Resp Serv, London SE1 7EH, England

来源：

CLINICAL MEDICINE | 2005年 / 5卷 / 05期

关键词：

chronic obstructive pulmonary disease; critical care; ventilation; weaning;

D O I：

10.7861/clinmedicine.5-5-445

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A significant number of critically ill patients require prolonged invasive mechanical ventilation and are difficult to wean from support. A protocolised approach to weaning, with daily screening for the ability to breath spontaneously and cessation of sedation, improves outcome. Some modes of ventilation (pressure support) are better than others (synchronised intermittent mandatory ventilation) at promoting weaning. Elective non-invasive ventilation after extubation may prevent re-intubation in certain patients, particularly those with chronic obstructive pulmonary disease. A small number of patients will need long-term ventilatory support; these are best assessed and managed by specialist units.

引用

页码：445 / 448

页数：4

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