Wratney Angela T, Cheifetz Ira M
Critical Care Medicine, Children's National Medical Center, George Washington University, 111 Michigan Avenue NW, Suite 3-West 100, Washington, DC 20010, USA.
Respir Care Clin N Am. 2006 Sep;12(3):469-81. doi: 10.1016/j.rcc.2006.05.005.
Predictors of extubation outcome attempt to provide objective data that may help to modify clinical decision making at the bedside. This article reviews the subjective and objective extubation readiness predictors tested in the pediatric medical literature. An understanding of the predictive capacity of the extubation criteria is vital for the critical care physician. No test is likely to predict the extubation outcome for an individual patient with absolute certainly. Therefore, weaning and extubation practices in the pediatric critical care setting remain variable, and teh development of standardized protocols for extubation remains controversial. Perhaps future well-designed, large-scale trials will provide more accurate predictors of extubation readiness to guide the safe and timely extubation of the pediatric patient.
拔管结果的预测指标旨在提供客观数据，以帮助改变床边的临床决策。本文回顾了儿科医学文献中测试的主观和客观拔管准备预测指标。了解拔管标准的预测能力对重症监护医生至关重要。没有任何一项测试能够绝对肯定地预测个体患者的拔管结果。因此，儿科重症监护环境中的撤机和拔管实践仍存在差异，制定标准化的拔管方案仍存在争议。也许未来精心设计的大规模试验将提供更准确的拔管准备预测指标，以指导儿科患者的安全及时拔管。
