Singh Ratender Kumar, Saran Sai, Baronia Arvind K
Department of Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Raebareli Road, Lucknow, 226014 Uttar Pradesh India.
J Intensive Care. 2017 Jun 20;5:38. doi: 10.1186/s40560-017-0234-z. eCollection 2017.
Decannulation is an essential step towards liberating tracheostomized patients from mechanical ventilation. However, despite its perceived importance, there is no universally accepted protocol for this vital transition. Presence of an intact sensorium coordinated swallowing and protective coughing are often the minimum requirements for a successful decannulation. Objective criteria for each of these may help better the clinical judgement of decannulation. In this systematic review on decannulation, we focus attention to this important aspect of tracheostomy care.
拔管是使气管切开患者摆脱机械通气的关键步骤。然而，尽管其重要性不言而喻，但对于这一关键过渡过程，尚无普遍认可的方案。意识完整、吞咽协调以及保护性咳嗽通常是成功拔管的最低要求。针对这些方面制定客观标准可能有助于改善拔管的临床判断。在这项关于拔管的系统评价中，我们将重点关注气管切开护理的这一重要方面。
