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重症监护病房机械通气患者拔管后呼吸支持指南制定方案。

Protocol for the development of a guideline on post-extubation respiratory support for mechanically ventilated patients in the ICU.

作者信息

Hu Xiaofang, Cheng Jie, Hou Jialu, Zhang Min, Han Yan, Tian Jinhui

机构信息

Nursing Department, Changzhi People's Hospital, Changzhi, Shanxi Province, China

Nursing Department, Changzhi People's Hospital, Changzhi, Shanxi Province, China.

出版信息

BMJ Open. 2025 Jan 9;15(1):e078271. doi: 10.1136/bmjopen-2023-078271.

Abstract

UNLABELLED

Prophylactic respiratory support for patients after extubation is effective in improving their outcomes and prognosis. However, the optimal post-extubation respiratory support for different populations and disease types of mechanically ventilated patients remains controversial, and there is a lack of detailed, multidisciplinary, evidence-based recommendations for clinical application.

METHODS AND ANALYSIS

This protocol strictly follows the development process outlined in the WHO Handbook for Guideline Development and Guidelines 2.0, as well as the guidelines for the development of relevant methodological standards. Key steps in developing the guideline include: (1) establishing the guideline working groups, (2) defining the scope of guideline application, (3) selecting the priority clinical questions, (4) retrieving and screening evidence, (5) grading the quality of evidence, (6) forming recommendations and (7) conducting an external review.

ETHICS AND DISSEMINATION

Ethical approval has been granted by Changzhi People's Hospital (2023K023). Findings from this study will be disseminated through peer-reviewed publications.

GUIDELINE REGISTRATION

PREPARE-2023CN418.

摘要

未标注

拔管后对患者进行预防性呼吸支持可有效改善其结局和预后。然而,对于不同人群和疾病类型的机械通气患者,最佳的拔管后呼吸支持仍存在争议,并且缺乏详细的、多学科的、基于证据的临床应用建议。

方法与分析

本方案严格遵循世界卫生组织《指南制定手册》和《指南2.0》中概述的制定流程以及相关方法学标准的制定指南。制定该指南的关键步骤包括:(1)成立指南工作组,(2)界定指南应用范围,(3)选择优先临床问题,(4)检索和筛选证据,(5)对证据质量进行分级,(6)形成推荐意见,以及(7)进行外部评审。

伦理与传播

长治市人民医院已批准伦理许可(2023K023)。本研究结果将通过同行评审出版物进行传播。

指南注册

PREPARE - 2023CN418。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d6d/11752012/e87680c5c73a/bmjopen-15-1-g001.jpg

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