• Crit Care Nurs Clin North Am · Dec 2016

    Review

    Nursing Strategies for Effective Weaning of the Critically Ill Mechanically Ventilated Patient.

    • Darian Ward and Paul Fulbrook.
    • Education, Training and Research, Wide Bay Hospital and Health Service, 65 Main Street, Hervey Bay, Queensland 4655, Australia. Electronic address: darian.ward@health.qld.gov.au.
    • Crit Care Nurs Clin North Am. 2016 Dec 1; 28 (4): 499-512.

    AbstractThe risks imposed by mechanical ventilation can be mitigated by nurses' use of strategies that promote early but appropriate reduction of ventilatory support and timely extubation. Weaning from mechanical ventilation is confounded by the multiple impacts of critical illness on the body's systems. Effective weaning strategies that combine several interventions that optimize weaning readiness and assess readiness to wean, and use a weaning protocol in association with spontaneous breathing trials, are likely to reduce the requirement for mechanical ventilatory support in a timely manner. Weaning strategies should be reviewed and updated regularly to ensure congruence with the best available evidence.Copyright © 2016 Elsevier Inc. All rights reserved.

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