Clinical review: the ABC of weaning failure--a structured approach.

Clinical review: the ABC of weaning failure--a structured approach.
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DOI:
10.1186/cc9296
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发表时间:
2010
期刊:
Critical care (London, England)
影响因子:
--
通讯作者:
van der Hoeven JG
van der Hoeven JG
中科院分区:
其他
文献类型:
--
作者:
Heunks LM;van der Hoeven JG

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约20%至30%的患者难以脱离有创机械通气。困难脱机的病理生理学是复杂的。因此,确定脱机困难的原因并随后制定治疗策略需要一名对脱机失败的病理生理学有深入了解的专职临床医生。本综述提出了一种评估和治疗难脱机患者的结构框架(‘ABCDE’)。及早认识到根本原因可能会加速撤机。
About 20% to 30% of patients are difficult to wean from invasive mechanical ventilation. The pathophysiology of difficult weaning is complex. Accordingly, determining the reason for difficult weaning and subsequently developing a treatment strategy require a dedicated clinician with in-depth knowledge of the pathophysiology of weaning failure. This review presents a structural framework ('ABCDE') for the assessment and treatment of difficult-to-wean patients. Earlier recognition of the underlying causes may expedite weaning from mechanical ventilation.
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