Department of Neonatology, Lancashire Women and Newborn Centre, East Lancashire Hospital NHS Trust, Burnley, England, United Kingdom.
J Paediatr Child Health. 2022 Jun;58(6):962-968. doi: 10.1111/jpc.15995. Epub 2022 Apr 27.
To present a physiological algorithmic approach to weaning of invasive ventilation in the neonatal intensive care, focusing mainly on the preterm infant. Review of literature, consensus guidelines, expert commentaries and practice guidelines from individual units. Weaning of ventilation for extubation in the neonatal population must follow certain criteria but needs individualising based on disease process, timeline and physiology. Algorithms based on scenarios and modes of ventilation used might aid the clinician on the floor for decision-making process.
呈现一种生理算法策略,用于新生儿重症监护中侵袭性通气的撤离,主要关注早产儿。文献回顾、共识指南、专家评论和个别单位的实践指南。新生儿人群的通气撤离必须遵循一定的标准,但需要根据疾病过程、时间和生理情况进行个体化。基于使用的情景和通气模式的算法可能有助于临床医生在决策过程中的决策。