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Arch Bronconeumol. 2014 Mar;50(3):105-12. doi: 10.1016/j.arbres.2013.02.003. Epub 2013 Mar 29.

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

[Article in English, Spanish]

Author information

1
Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile; Área de Cuidados Críticos, Hospital Padre Hurtado, Santiago, Chile. Electronic address: jvalenzuela@hurtadohosp.cl.
2
Área de Cuidados Críticos, Hospital Padre Hurtado, Santiago, Chile.
3
Área de Cuidados Críticos, Hospital Padre Hurtado, Santiago, Chile; Centro de Investigación de Medicina Veterinaria, Escuela de Medicina Veterinaria, Facultad de Ecología y Recursos Naturales, Universidad Andres Bello, Santiago, Chile.

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.

KEYWORDS:

Destete; Extubación; Extubation; Mechanical ventilation; Paediatric; Pediatría; Ventilación mecánica; Weaning

PMID:
23542044
DOI:
10.1016/j.arbres.2013.02.003
[Indexed for MEDLINE]
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