Tracheal Extubation

被引：58

作者：

Artime, Carlos A. ^{[1
]}

Hagberg, Carin A. ^{[1
]}

机构：

[1] Univ Texas Med Sch Houston, Dept Anesthesiol, 6431 Fannin St,MSB 5-020, Houston, TX 77030 USA

来源：

RESPIRATORY CARE | 2014年 / 59卷 / 06期

关键词：

airway exchange catheters; airway management; difficult airway; extubation; laryngeal mask airway; ventilator weaning; noninvasive ventilation; CUFF-LEAK TEST; RESIDUAL NEUROMUSCULAR BLOCKADE; POSITIVE-PRESSURE VENTILATION; SPONTANEOUS BREATHING TRIAL; INTENSIVE-CARE-UNIT; RANDOMIZED CONTROLLED-TRIAL; MECHANICAL VENTILATION; NONINVASIVE VENTILATION; DIFFICULT AIRWAY; UNPLANNED EXTUBATION;

D O I：

10.4187/respcare.02926

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Tracheal extubation in both the critical care and anesthesia setting is not only an important milestone for patient recovery, but also a procedure that carries a considerable risk of complication or failure. Mechanical ventilation is associated with significant complications that are time-dependent in nature, with a longer duration of intubation resulting in a higher incidence of complications, including ventilator-associated pneumonia, and increased mortality. Extubation failure and subsequent re-intubation are associated with an overall increase in the duration of mechanical ventilation, increased mortality, a greater need for tracheostomy, and higher medical costs. These risks demand that the process of extubation be managed by practitioners with a detailed understanding of the causes of extubation failure and the potential complications. A pre-established extubation plan with considerations made for the possible need for re-intubation is of the utmost importance.

引用

页码：991 / 1002

页数：12

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