Weaning da ventilazione meccanica a breve e lungo termine nei pazienti adulti. Aggiornamenti
Abstract
Introduzione: lo svezzamento dei pazienti adulti dalla ventilazione meccanica (VM) in terapia intensiva (TI) è tuttora tra i cosiddetti hot topics in area critica poiché l’aumento del tempo di permanenza in ventilazione si associa ad un incremento di mortalità . Il weaning è attualmente classificato in semplice, difficile o prolungato sulla base del tempo e dei tentativi impiegati per raggiungere l’indipendenza del paziente dal ventilatore.
Supporting Agencies
References
- Knebel AR. Weaning from mechanical ventilation: current controversies. Heart Lung. 1991;20(4):321-31.
- Mancebo J. Weaning from mechanical ventilation. Eur Respir J. 1996;9(9):1923-31.
- boles JM, bion J, connors a, Herridge M, MarsH b, Melot c, Pearl r, silverMan H, stancHina M, vieillard-baron a, Welte T. Weaning from mechanical ven-
- tilation. Eur Respir J. 2007;29(5):1033-56.
- crocKer c, Kinnear W. Weaning from ventilation: does a care bundle approach work? Intensive Crit Care Nurs. 2008;24(3):180-6.
- baMbi s. Le estubazioni non piani cate nelle terapie intensive: quali implicazioni per l’assistenza infermieristica? Assist Inferm Ric.
- ;23(1):36-47.
- crocKer C. Weaning from ventilation-current state of the science and art. Nurs Crit Care. 2009;14(4):185-90.
- burns sM, ryan b, burns Je. The weaning continuum use of Acute Physiology and Chronic Health Evaluation III, Burns Wean Assessment Pro-
- gram,Therapeutic Intervention Scoring System, and Wean Index scores to establish stages of weaning. Crit Care Med. 2000;28(7):2259-67.
- Meade M, guyatt g, cooK d, griffitH l, sinuff t, Kergl c, Mancebo J, esteban a, ePstein s. Predicting success in weaning from mechanical ventilation.
- Chest. 2001;120(6 Suppl):400S-24S.
- Mcconville JF. Weaning patients from the ventilator. N Engl J Med 2012; 367:2233-2239.
- Macintyre nr. Evidence-based ventilator weaning and discontinuation. Respir Care. 2004 Jul;49(7):830-6.
- ePstein sK. Weaning from ventilatory support. Curr Opin Crit Care. 2009;15(1):36-43.
- European federation of Critical Care Nursing associations – EfCCNa. Position statement on nurses’ role in weaning from ventilation. 2012.
- http://www.efccna.org/images/stories/publication/2012_ps_weaning.pdf Ultimo accesso effettuato il 23-01-2015.
- blacKWood b, alderdice f, burns Ke, cardWell cr, lavery g, o’Halloran P. Protocolized versus non-protocolized weaning for reducing the duration of
- mechanical ventilation in critically ill adult patients. Cochrane Database Syst Rev. 2010 May 12;(5):CD006904.
- Perren a, brocHard l. Managing the apparent and hidden dif culties of weaning from mechanical ventilation. Intensive Care Med. 2013
- Nov;39(11):1885-95.
- ladeira Mt, vital fM, andriolo rb, andriolo bn, atallaH an, Peccin MS. Pressure support versus T-tube for weaning from mechanical ventilation in
- adults. Cochrane Database Syst Rev. 2014 May 27;5:CD006056.
- burns Ke, lelloucHe f, lessard Mr, friedricH Jo. Automated weaning and spontaneous breathing trial systems versus non-automated weaning
- strategies for discontinuation time in invasively ventilated postoperative adults. Cochrane Database Syst Rev. 2014 Feb 13;2:CD008639.
- burns Ke, adHiKari nK, Keenan sP, Meade MO. Noninvasive positive pressure ventilation as a weaning strategy for intubated adults with respirato-
- ry failure. Cochrane Database Syst Rev. 2010 Aug 4;(8):CD004127.
- goldstone J. The pulmonary physician in critical care • 10: Dif cult weaning. Thorax. 2002; 57(11): 986-991.
- staWicKi SP OPUS 12. Mechanical ventilation: Weaning and extubation. Scientist. 2007;1(2):13-16.
- burns sM, fisHer c, earven tribble ss, leWis r, Merrel P, conaWay Mr, blecK tP. Multifactor clinical score and outcome of mechanical ventilation
- weaning trials: Burns Wean Assessment Program. Am J Crit Care. 2010 Sep;19(5):431-9.
- WHite AC. Long-term mechanical ventilation: management strategies. Respir Care. 2012;57(6):889-97.
- A Collective Task Force Facilitated by the American College of Chest Physicians, the American Association for Respiratory Care, and the
- American College of Critical Care Medicine. Evidence-based guidelines for weaning and discontinuing ventilatory support. Respir Care
- ;47(1):69-90.
- Juern JS. Removing the critically ill patient from mechanical ventilation. Surg Clin North Am. 2012;92(6):1475-83.
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