Hanneman S K, Ingersoll G L, Knebel A R, Shekleton M E, Burns S M, Clochesy J M
Texas Woman's University College of Nursing, Houston 77030-2897.
Am J Crit Care. 1994 Nov;3(6):421-41; discussion 442-3.
The purposes of this article are to: identify gaps in the research literature on weaning adult patients from short-term mechanical ventilation, highlight the scientific base for practice guidelines, and suggest future research directions. Data bases from 1989 through June 1993 were reviewed, and relevant research articles were extracted, analyzed, and synthesized within the AACN Third National Study Group framework. Seminal work and other supportive literature also were used in this review. Despite considerable research on predictors and patient responses to weaning from short-term mechanical ventilation, few of the findings can be applied to clinical practice at this time. Less research is available on weaning modes and therapies that facilitate weaning from short-term mechanical ventilation; fruitful research in these areas depends in part on a better understanding of patient responses and accurate weaning predictors.
确定成人患者从短期机械通气撤机的研究文献中的差距，突出实践指南的科学依据，并提出未来的研究方向。回顾了1989年至1993年6月的数据库，并在AACN第三届全国研究小组框架内提取、分析和综合了相关研究文章。本综述还使用了开创性的研究和其他支持性文献。尽管对短期机械通气撤机的预测因素和患者反应进行了大量研究，但目前很少有研究结果可应用于临床实践。关于促进短期机械通气撤机的撤机模式和疗法的研究较少；这些领域富有成效的研究部分取决于对患者反应的更好理解和准确的撤机预测因素。
