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

  • Valenzuela J
  • Araneda P
  • Cruces P
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Abstract

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. 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.

Author-supplied keywords

  • Adolescent
  • Age Factors
  • Airway Extubation
  • Airway Obstruction
  • Airway Obstruction: epidemiology
  • Child
  • Child, Preschool
  • Continuous Positive Airway Pressure
  • Humans
  • Hypnotics and Sedatives
  • Hypnotics and Sedatives: therapeutic use
  • Intubation, Intratracheal
  • Muscle Relaxants, Central
  • Muscle Relaxants, Central: therapeutic use
  • Noninvasive Ventilation
  • Physical Examination
  • Pneumonia, Ventilator-Associated
  • Pneumonia, Ventilator-Associated: prevention & con
  • Prospective Studies
  • Respiratory Muscles
  • Respiratory Muscles: physiopathology
  • Retrospective Studies
  • Risk Factors
  • Ventilator Weaning
  • Ventilator Weaning: methods
  • Ventilator Weaning: standards
  • Ventilator-Induced Lung Injury
  • Ventilator-Induced Lung Injury: prevention & contr

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Authors

  • Jorge Valenzuela

  • Patricio Araneda

  • Pablo Cruces

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