Norton L C, Neureuter A
Crit Care Nurse. 1989 Jan;9(1):42-52.
Weaning methods are an important ingredient in successful extubation. All too frequently, however, patient problems that thwart weaning are not identified or controlled. The pre-weaning assessment form in Table 2 should be used as an evaluation tool after the patient is intubated. Any "no" answers will indicate a common problem impeding weaning. Following problem identification, a plan of care can be developed using management strategies described in Table 3. Thus, a critical void in practice, impediments to weaning, is addressed. This article has addressed the need for the prevention or early identification of problems in mechanically ventilated patients. With this knowledge to guide our practice, we should be able to wean almost any patient.
撤机方法是成功拔管的重要因素。然而，阻碍撤机的患者问题常常未被识别或控制。表2中的撤机前评估表应在患者插管后用作评估工具。任何“否”的回答都将表明存在阻碍撤机的常见问题。确定问题后，可使用表3中描述的管理策略制定护理计划。因此，实践中一个关键的空白，即撤机的阻碍，得到了解决。本文阐述了预防或早期识别机械通气患者问题的必要性。有了这些知识来指导我们的实践，我们应该能够使几乎任何患者成功撤机。
