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Weaning off mechanical ventilation: much less an art, but not yet a science.撤机：远非一门艺术，却也尚未成为一门科学。
Ann Transl Med. 2019 Dec;7(Suppl 8):S353. doi: 10.21037/atm.2019.09.83.
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An artificial intelligence system to predict the optimal timing for mechanical ventilation weaning for intensive care unit patients: A two-stage prediction approach.一种用于预测重症监护病房患者机械通气撤机最佳时机的人工智能系统：一种两阶段预测方法。
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Author's Response to Diaphragm Evaluation and Lung Ultrasound Score during Weaning.作者对撤机期间膈肌评估和肺部超声评分的回应。
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New integrated weaning indices from mechanical ventilation: A derivation-validation observational multicenter study.机械通气新的综合撤机指标：一项推导-验证性观察性多中心研究。
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Effect of sequential high-flow nasal cannula oxygen therapy and non-invasive positive-pressure ventilation in patients with difficult weaning from mechanical ventilation after extubation on respiratory mechanics.序贯性高流量鼻导管给氧疗法与无创正压通气对拔管后机械通气撤机困难患者呼吸力学的影响
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[A critical carol : Being an essay on anemia, suffocation, starvation, and other forms of intensive care, after the manner of Dickens].[一篇批判性的颂歌：模仿狄更斯风格，关于贫血、窒息、饥饿及其他重症监护形式的一篇文章]
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Prophylactic noninvasive positive pressure ventilation in the weaning of difficult-weaning tracheotomy patients.预防性无创正压通气在困难脱机气管切开患者脱机中的应用
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本文引用的文献

1
Electrical impedance tomography during spontaneous breathing trials and after extubation in critically ill patients at high risk for extubation failure: a multicenter observational study.高危拔管失败重症患者自主呼吸试验期间及拔管后的电阻抗断层成像：一项多中心观察性研究
Ann Intensive Care. 2019 Aug 13;9(1):88. doi: 10.1186/s13613-019-0565-0.
2
Effect of Pressure Support vs T-Piece Ventilation Strategies During Spontaneous Breathing Trials on Successful Extubation Among Patients Receiving Mechanical Ventilation: A Randomized Clinical Trial.压力支持与 T 型管通气策略对机械通气患者自主呼吸试验中成功拔管的影响：一项随机临床试验。
JAMA. 2019 Jun 11;321(22):2175-2182. doi: 10.1001/jama.2019.7234.
3
Revisiting, Reframing, and Casting a New Light on Liberation From Mechanical Ventilation.重新审视、重新构建并为机械通气脱机赋予新的视角
JAMA. 2019 Jun 11;321(22):2167-2169. doi: 10.1001/jama.2019.7364.
4
Early extubation followed by immediate noninvasive ventilation vs. standard extubation in hypoxemic patients: a randomized clinical trial.早期拔管后立即行无创通气与常规拔管在低氧血症患者中的随机临床试验
Intensive Care Med. 2019 Jan;45(1):62-71. doi: 10.1007/s00134-018-5478-0. Epub 2018 Dec 10.
5
High-flow nasal oxygen therapy in intensive care and anaesthesia.高流量鼻氧疗在重症监护和麻醉中的应用。
Br J Anaesth. 2018 Jan;120(1):18-27. doi: 10.1016/j.bja.2017.11.010. Epub 2017 Nov 21.
6
Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure.ERS/ATS 官方临床实践指南：急性呼吸衰竭的无创通气。
Eur Respir J. 2017 Aug 31;50(2). doi: 10.1183/13993003.02426-2016. Print 2017 Aug.
7
Trials directly comparing alternative spontaneous breathing trial techniques: a systematic review and meta-analysis.直接比较替代自主呼吸试验技术的试验：系统评价和荟萃分析。
Crit Care. 2017 Jun 1;21(1):127. doi: 10.1186/s13054-017-1698-x.
8
Spontaneous breathing trial and post-extubation work of breathing in morbidly obese critically ill patients.肥胖危重症患者的自主呼吸试验及拔管后呼吸功
Crit Care. 2016 Oct 27;20(1):346. doi: 10.1186/s13054-016-1457-4.
9
Effort to Breathe with Various Spontaneous Breathing Trial Techniques. A Physiologic Meta-analysis.采用各种自主呼吸试验技术的呼吸努力。一项生理学荟萃分析。
Am J Respir Crit Care Med. 2017 Jun 1;195(11):1477-1485. doi: 10.1164/rccm.201607-1338OC.
10
Effect of Postextubation High-Flow Nasal Cannula vs Conventional Oxygen Therapy on Reintubation in Low-Risk Patients: A Randomized Clinical Trial.低危患者拔管后使用高流量鼻导管与常规氧疗对再插管的影响：一项随机临床试验。
JAMA. 2016 Apr 5;315(13):1354-61. doi: 10.1001/jama.2016.2711.

Weaning off mechanical ventilation: much less an art, but not yet a science.

作者信息

Navalesi Paolo, Bruni Andrea, Garofalo Eugenio, Biamonte Eugenio, Longhini Federico, Frigerio Pamela

机构信息

Anesthesia and Intensive Care, Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy.

Unit of Anesthesia and Intensive Care, University Hospital Mater Domini, Catanzaro, Italy.

出版信息

Ann Transl Med. 2019 Dec;7(Suppl 8):S353. doi: 10.21037/atm.2019.09.83.

DOI:10.21037/atm.2019.09.83
PMID:32016071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6976421/
Abstract
摘要