Scalise P J, Gerardi D A, Wollschlager C M, Votto J J
Hospital for Special Care, New Britain, USA.
Conn Med. 1997 Jul;61(7):387-9.
This report reviews the outcomes of patients on mechanical ventilation admitted to a new regional weaning center. We reviewed the records of 47 patients admitted to the weaning center over an 18-month period. All patients had a tracheostomy, were ventilator dependent, and considered difficult to wean by their referring physician. The mean days of ventilator dependence prior to transfer to our facility was 86 days, with a range of 21 to 332 days. Patients were admitted to a 12-bed weaning unit at our chronic disease and rehabilitation hospital and assessed by a multi-disciplinary team of physicians, nurses, and therapists. Thirty patients were successfully weaned from prolonged mechanical ventilation and subsequently discharged from our unit. These data indicate that the majority of difficult to wean patients admitted to our regional weaning center were successfully liberated from prolonged mechanical ventilation.
本报告回顾了入住新的区域撤机中心的机械通气患者的治疗结果。我们查阅了18个月期间入住撤机中心的47例患者的记录。所有患者均行气管切开术，依赖呼吸机，且转诊医生认为其难以撤机。转至我院之前，患者呼吸机依赖的平均天数为86天，范围为21至332天。患者入住我院慢性病与康复医院的一个设有12张床位的撤机单元，并由医生、护士和治疗师组成的多学科团队进行评估。30例患者成功脱离长期机械通气，随后从我院出院。这些数据表明，入住我们区域撤机中心的大多数难以撤机的患者成功摆脱了长期机械通气。
