Chao D C, Scheinhorn D J
Barlow Respiratory Hospital, Los Angeles, California, USA.
Crit Care Clin. 1998 Oct;14(4):799-817, viii. doi: 10.1016/s0749-0704(05)70031-2.
For the ventilator-dependent patient, weaning should be accomplished by withdrawing support safely, efficaciously, and efficiently. Success depends largely on physiologic determinants of respiratory system function, avoidance of ventilator-associated complications, and attention to patient readiness. Recent clinical trials, predictors of weaning, current techniques of weaning, the concept of reloading the respiratory pump, and determinants of ventilator dependency are all discussed.
对于依赖呼吸机的患者，撤机应通过安全、有效且高效地撤除支持来实现。成功很大程度上取决于呼吸系统功能的生理决定因素、避免呼吸机相关并发症以及关注患者的撤机准备情况。文中讨论了近期的临床试验、撤机预测指标、当前的撤机技术、重新加载呼吸泵的概念以及呼吸机依赖的决定因素。
