medigraphic.com
SPANISH

Mediciego

ISSN 1029-3035 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2011, Number 1

<< Back Next >>

Mediciego 2011; 17 (1)

The weaning process at national and international context

Iglesias ANR
Full text How to cite this article

Language: Spanish
References: 34
Page:
PDF size: 65.81 Kb.


Key words:

VENTILATOR WEANING/methods, ARTIFICIAL MECHANICAL VENTILATION/history, VENTILATED.

ABSTRACT

It examines the weaning process according to the consensus of the last years to achieve necessary concepts commonly used, adapted to the Cuban context of intensive care units. It shows how this process has elapsed in Cuba and different international and local protocols have been used in solving this problem of intensive care units and their particularities according to the patients admitted.


REFERENCES

  1. Goldwasser R, Farias A, Freitas E, Sadd F, Amado V, Okamoto V. III Consenso Brasileño de ventilación mecánica. J Bras Pneumol [Internet]. 2007 [citado 20 Ene 2009]; 33(supl. 2): [aprox. 7 p.]. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132007000800001&lng=en&nrm=iso&tlng=pt

  2. Collective Task-Force facilitated by the American College of Chest Physicians; American Association for Respiratory Care; American College of Critical Care Medicine. Evidencebased guidelines for weaning and discontinuig ventilatory support. Chest. 2001; 120:375S-95S.

  3. Boles JM, Bion J, Connors A, Herridge M, Marsh B, Melot C, et al. Weaning from mechanical ventilation. Eur Respir J. 2007; 29:1033-1056.

  4. Tobin MJ. Mechanical ventilation. N Engl J Med [Internet]. 1994 [citado 20 Ago 2008]; 330:[aprox. 8 p.]. Disponible en: http://hinarigw. who.int/whalecomcontent.nejm.org/whalecom0/cgi/content/full/330/15/1056

  5. Grasso S, Leone A, De Michele M, Anaclerio R, Cafarelli A, Ancona G. Use of N-terminal pro-brain natriuretic peptide to detect acute cardiac dysfunction during weaning failure in diffi cultto-wean patients with chronic obstructive pulmonary disease. Crit Care Med [Internet]. 2007 [citado 6 Dic 2005]; 35: [aprox. 9 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/17095948

  6. Morris A H. Clinical trial of a weaning protocol. Crit Care. 2004; 8(4):207–209.

  7. Burns KE, Adhikari NK, Keenan SP, Meade M. Use of non-invasive ventilation to wean critically ill adults off invasive ventilation: meta-analysis and systematic review. Br Med J [Internet]. 2009 [citado 19 Oct 2005]; 338: [aprox. 3 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19460803

  8. Florenzano M, Valdés S. Ventilación mecánica no invasiva en la insuficiencia respiratoria aguda. Rev Med Clin Condes. 2007; 18(2):128-132.

  9. Esteban A, Frutos F, Tobin MJ. A comparison of four methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group. N Engl J Med [Internet]. 1995 [citado 3 Feb 2005]; 332: [aprox. 5 p.]. Disponible en: http://content.nejm.org/cgi/content/abstract/332/6/345

  10. Brochard L, Rauss A, Benito S. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Resp Crit Care Med [Internet]. 1994 [citado 5 Feb 2005]; 150:[aprox. 8 p.]. Disponible en: http://ajrccm.atsjournals.org/cgi/content/abstract/150/4/896

  11. Esteban A, Alia I, Tobin MJ. Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Spanish Lung Failure Collaborative Group. Am J Resp Crit Care Med [Internet]. 1999 [citado 20 Abr 2005]; 159: [aprox. 6 p.]. Disponible en: http://ajrccm.atsjournals.org/cgi/content/abstract/159/2/512

  12. Esteban A, Alia I, Gordo F. Extubation outcome after spontaneous breathing trials with Ttube or pressure support ventilation. The Spanish Lung Failure Collaborative Group. Am J Resp Crit Care Med [Internet]. 1997 [citado 22 May 2005]; 156: [aprox. 6 p.]. Disponible en: http://ajrccm.atsjournals.org/cgi/content/abstract/156/2/459

  13. Farias JA, Retta A, Alia I. A comparison of two methods to perform a reathing trial before extubation in paediatric intensive care patients. Intens Care Med [serie en Internet]. 2001 [citado 19 Oct 2005]; 27:[aprox. 5 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/11685307

  14. Seneff MG, Zimmerman JE, Knaus WA, Wagner DP, Draper EA. Predicting the duration of mechanical ventilation. The importance of disease and patient characteristics. Chest [Internet]. 1996 [citado 16 Feb 2004]; 110:[aprox. 10 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/8697853

  15. Castañeda L, Caballero A. Destete de la ventilación mecánica. En: Caballero López A, editor. Terapia Intensiva. 2 ed. La Habana: Ciencias Médicas; 2007. p. 542-552.

  16. Lim Alonso N, Pardo Núñez A, Ortiz Montoso M, Martínez A, Armesto Coll W. Deshabituación de la ventilación artificial ¿cómo lo asumimos en nuestra unidad? Rev Cubana Med Intens Emerg [Internet]. 2002 [citado 20 Ene 2009]; 1(2): [aprox. 8 p.]. Disponible en: http://bvs.sld.cu/revistas/mie/vol1_1_02/mie02102.htm

  17. Puga Torres SC, Bravo Pérez R, Peña Dorado R, Padrón Sánchez A, Marine Fernádez HM, Ayala Pérez JL. Aplicación de un protocolo para la retirada rápida de la ventilación mecánica. Rev Cubana Med Milit [Internet]. 2001; 30(Supl. 1): 29-33. Disponible en: http://bvs.sld.cu/revistas/mil/vol30_s_01/MIL06401.htm

  18. Gónzalez A, Hernández W. Separación de la ventilación mecánica y estado nutricional. Rev Cubana Med Intens Emerg [Internet]. 2000 [citado 5 Abril 2007]; 13(4):[aprox. 8 p.]. Disponible en: http://bvs.sld.cu/revistas/mie/vol3-4-B4/mie08404.pdf

  19. Pereira E. Guía de práctica clínica para la desconexión rápida del ventilador. Medisur [Internet]. 2009 [citado 20 Oct 2009]; 7(1):7-10. Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/681

  20. Cobas O, Matos K, Navarro Z, Pozo T, Obrador L. Valor de la prueba de ventilación espontánea con soporte de presión como método de destete. Rev Cubana Med Intens Emerg [Internet]. 2009; [citado 15 Ene 2010]; 8(4): [aprox. 6 p.]. Disponible en: http://bvs.sld.cu/revistas/mie/vol8_4_09/mie09409.htm

  21. Herlihy JP, Koch SM, Jackson R, Hope N. Course of weaning from prolonged mechanical ventilation after cardiac surgery. Prolonged mechanical ventilation: weaning patterns. Texas Heart Instit J [Internet]. 2006 [citado 10 Ene 2009]; 33(2):[aprox. 5 p.]. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=16878611

  22. Lelloucbe F. A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation. Crit Care Curr. 2006; 5(4): 234-239.

  23. Blackwood B, Wilson-Barnett J, Trinder J. Protocolized weaning from mechanical ventilation: ICU physicians’ views. J Adv Nurs [Internet]. 2004 [citado 10 Oct 2005]; 48(1):[aprox. 8 p.]. Disponible en: http://www3.interscience.wiley.com/journal/118779508/abstract?cretry=1&sretry=0

  24. Burns SM. The science of weaning: when and how? Crit Care Nurs [Internet]. 2004 [citado 5 Abr 2007]; 16(3):[aprox. 8 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/15358386?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA&linkpos=4&log$=relatedreviews&logdbfrom=pubmed

  25. Wesley E, Albert MB, Donnie P, Dunagan R, Burke HL, Smith AC. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. Resp Crit J [Internet]. 2004 [citado 19 Oct 2008]. [aprox. 8 pantallas]. Disponible en: http://www.rcjournal.com/abstracts/2004/?id=OF-04

  26. Smyrnios NA, Connolly A, Wilson MM, Curley FJ, French CT, Heard SO. Effects of a multifaceted, multidisciplinary, hospital-wide quality improvement program on weaning from mechanical ventilation. Crit Care Med [Internet]. 2002 [citado 20 Ago 2008]; 30(6):1224–30:[aprox. 8 p.]. Disponible en: htpp://hinari-gov.who.int-ovid:tableofcontens

  27. Kollef MH, Shapiro FD, Silver P. A randomized, controlled trial of protocol-directed vs physician-directed weaning from mechanical ventilation. Crit Care Med [Internet]. 1997 [citado 20 Ago 2008]; 25(4): [aprox. 8 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/sites/entrez?orig_db=PubMed&db=pubmed&cmd=Search&term=Crit%20Care%20Med.%20[Jour]%20AND%2030[volume]%20AND%206[issue]%20AND%201224[page]%20AND%202002[pdat

  28. Capdevila XJ, Perrigault PF, Perey PJ, Roustan JP, d'Athis F. Occlusion pressure and its ratio to maximum inspiratory pressure are useful predictors for successful extubation following T-piece weaning trial. Chest. 1995; 108:482–489.

  29. Hendrix H, Kaiser ME, Yusen RD. Arando mized trial of automated versus convencional protocol-driven weaning from mechanical vantilation following coronary artery bypass surgery. Eur J Cardiothorac Surg [Internet]. 2006 [citado 4 Ene 2008]; 29(6): [aprox. 5 p.]. Disponible en: http://ejcts.ctsnetjournals.org/cgi/reprint/29/6/957

  30. Gutierrez CJ, Harrow J, Haines F. Using an evidence-based protocol to guide rehabilitation and weaning of ventilator-dependent cervical spinal cord injury patients. J Rehabil Res Dev. 2003; 40:99–110.

  31. Grap MJ, Strickland D, Tormey L, Keane K, Lubin S, Emerson J, Winfield S, Townes R, Sessler CN. Collaborative practice: development, implementation, and evaluation of weaning protocol for patients receiving mechanical ventilation. Am J Crit Care. 2003; 12:454–460.

  32. Iregui M, Ward S, Clinikscale D, Clayton D, Kollef MH. Use of handheld computer by respiratory care practitioners to improve the efficiency of weaning patients from mechanical ventilation. Crit Care Med. 2002; 30:2038–2043.

  33. Blackwood B, Wilson-Barnett J, Trinder J. Protocolized weaning from mechanical ventilation: ICU physicians' views. J Adv Nurs. 2004; 48:26–34.

  34. Blackwood B, Wilson-Barnett J, Patterson CC, Trinder TJ, Lavery GG. An evaluation of protocolised weaning on the duration of mechanical ventilation. Anaesthesia. 2006; 61:1079–1086.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Mediciego. 2011;17