Published online 21st July
Identification and adoption of strategies to promote timely and
successful weaning from mechanical ventilation remain a research and quality
improvement priority. The most important steps in the weaning process to
prevent unnecessary prolongation of mechanical ventilation are timely
recognition of both readiness to wean and readiness to extubate. Strategies
shown to be effective in promoting timely weaning include weaning protocols and
use of spontaneous breathing trials. This review explores various other strategies
that also may promote timely and successful weaning including bundling of
spontaneous breathing trials with sedation and delirium monitoring/management
as well as early mobility, the use of automated weaning systems and modes that
improve patient–ventilator interaction, mechanical insufflation–exsufflation as
a weaning adjunct, early extubation to non-invasive ventilation and high flow
humidified oxygen.
No comments:
Post a Comment