Weaning from mechanical ventilation in paediatrics. State of

Arch. Bronconeumol. · Mar 2014

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Weaning from mechanical ventilation in paediatrics. State of the art.

Weaning from mechanical ventilation is one of the greatest volume and strength issues in evidence-based medicine in critically ill adults. In these patients, weaning protocols and daily interruption of sedation have been implemented, reducing the duration of mechanical ventilation and associated morbidity. ⋯ Several indices have been developed to predict the outcome of weaning. However, these have failed to replace clinical judgement, although some additional measurements could facilitate this decision.

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- Jorge Valenzuela, Patricio Araneda, and Pablo Cruces.
- Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile; Área de Cuidados Críticos, Hospital Padre Hurtado, Santiago, Chile. Electronic address: jvalenzuela@hurtadohosp.cl.
- Arch. Bronconeumol. 2014 Mar 1;50(3):105-12.
AbstractWeaning from mechanical ventilation is one of the greatest volume and strength issues in evidence-based medicine in critically ill adults. In these patients, weaning protocols and daily interruption of sedation have been implemented, reducing the duration of mechanical ventilation and associated morbidity. In paediatrics, the information reported is less consistent, so that as yet there are no reliable criteria for weaning and extubation in this patient group. Several indices have been developed to predict the outcome of weaning. However, these have failed to replace clinical judgement, although some additional measurements could facilitate this decision.Copyright © 2012 SEPAR. Published by Elsevier Espana. All rights reserved.

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Weaning from mechanical ventilation in paediatrics. State of the art.

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