Effects of Different Weaning Protocols in Patients Undergoing Mechanical Ventilation.
DOI:
https://doi.org/10.36557/2674-8169.2024v6n10p4307-4315Keywords:
mechanical ventilation, weaning, spontaneous breathing trials, pressure support, complications.Abstract
This article presents a systematic review on the effects of different weaning protocols in patients undergoing mechanical ventilation. Through the analysis of clinical trials and observational studies, the results indicate that strategies such as spontaneous breathing trials (SBT) and pressure support ventilation are effective in reducing ventilation time and associated complications. Additionally, automated protocols proved to be a promising alternative to optimize ventilatory weaning, improving outcomes in intensive care units. It is concluded that the implementation of standardized approaches and adequate sedation management are essential for successful ventilator weaning.
Downloads
References
AMADO, Carlos A. et al. Impacto da pressão de suporte no desmame ventilatório. Revista Brasileira de Terapia Intensiva, v. 30, n. 1, p. 47-53, 2018. DOI: 10.5935/0103-507X.20180009.
BURNS, Karen E.A. et al. Automated weaning from mechanical ventilation: a systematic review of randomized controlled trials. Critical Care, v. 21, n. 2, p. 38-46, 2017. DOI: 10.1186/s13054-017-1715-4.
EL HAFIDI, Fouad et al. Clinical comparison of spontaneous breathing trials with T-tube vs. low level of pressure support ventilation. Annals of Intensive Care, v. 9, p. 16-25, 2019. DOI: 10.1186/s13613-019-0491-0.
FERNANDES, Flávia L. A. et al. Desmame da ventilação mecânica: análise de diferentes protocolos. Jornal Brasileiro de Pneumologia, v. 43, n. 1, p. 1-10, 2017. DOI: 10.1590/S1806-37562016000000243.
GOLIGHER, Ewan C. et al. Pressure support ventilation vs. T-piece for spontaneous breathing trials: A multicenter randomized trial. American Journal of Respiratory and Critical Care Medicine, v. 195, n. 10, p. 1363-1372, 2017. DOI: 10.1164/rccm.201608-1562OC.
HIGGINS, Julian P.T. et al. Cochrane Handbook for Systematic Reviews of Interventions. 6.1 ed. Chichester (UK): John Wiley & Sons, 2021.
JUBRAN, Amal. Critical care: Weaning patients from mechanical ventilation. New England Journal of Medicine, v. 376, n. 19, p. 1833-1843, 2017. DOI: 10.1056/NEJMra1613758.
LUZ, Michelle A. et al. Comparação de métodos de desmame da ventilação mecânica: revisão sistemática. Acta Médica Portuguesa, v. 33, n. 4, p. 234-243, 2020. DOI: 10.20344/amp.12251.
ROSA, Renato G. et al. Early mobilization in critically ill patients: A systematic review and meta-analysis. Journal of Critical Care, v. 47, p. 310-317, 2018. DOI: 10.1016/j.jcrc.2018.07.003.
SCHMIDT, Guy A.; POWERS, John H. Ventilator Weaning: Decisive Factors for Success. American Journal of Respiratory and Critical Care Medicine, v. 198, n. 8, p. 964-974, 2018. DOI: 10.1164/rccm.201712-2503CI.
SOUZA, Marcos et al. Intervenções para desmame da ventilação mecânica: uma revisão das evidências. Cadernos de Terapia Intensiva, v. 10, n. 1, p. 1-12, 2017.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Antonio Elcio Santos Silva , Braz Martins Neto, Daniel Alvares Vasconcelos, Daniel Pugas Aleixo, Dhemer Jhony Dall'Agnol, Fernanda de Lima Wolff Albuquerque, Fernanda Helena Rossi, Francy Ellen dos Santos Farias, Giulia Ribeiro Vieira, Iole Pedrosa de Souza, Jeferson Ramos Vieira da Silva, Karla Romero Santos, Kauara Marcelino Gonçalves, Luiz Felipe Rodrigues da Silva, Maria Fernanda de Bastos Bonadiman, Mariana Thiel Biava, Pedro Henrique de Oliveira Costa, Renata Gomes Santos Guimarães, Stephane Izabor de Oliveira Costa, Yuri da Silva David
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are copyright holders under a CCBY 4.0 license.
