The practice of tracheostomy decannulation-a systematic review

被引：69
作者：
Singh, Ratender Kumar [1 ]
Saran, Sai [1 ]
Baronia, Arvind K. [1 ]
机构：
[1] SGPGIMS, Dept Crit Care Med, Raebareli Rd, Lucknow 226014, Uttar Pradesh, India
来源：
JOURNAL OF INTENSIVE CARE | 2017年 / 5卷
关键词：
Tracheostomy; Decannulation; Weaning; INTENSIVE-CARE-UNIT; MECHANICAL VENTILATION; WARD MORTALITY; PROTOCOL; FEASIBILITY; TRACHEOTOMY; PATIENT; COHORT; FLOW;
D O I：
10.1186/s40560-017-0234-z
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Decannulation is an essential step towards liberating tracheostomized patients from mechanical ventilation. However, despite its perceived importance, there is no universally accepted protocol for this vital transition. Presence of an intact sensorium coordinated swallowing and protective coughing are often the minimum requirements for a successful decannulation. Objective criteria for each of these may help better the clinical judgement of decannulation. In this systematic review on decannulation, we focus attention to this important aspect of tracheostomy care.
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页数：12
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