Scheinhorn D J, Stearn-Hassenpflug M
Barlow Respiratory Hospital, Los Angeles, California, USA.
Crit Care Clin. 1998 Oct;14(4):819-32, viii. doi: 10.1016/s0749-0704(05)70032-4.
When patients suffer prolonged mechanical ventilation, physicians are faced with a series of decisions beginning in the intensive care unit (ICU) and extending into a broadening spectrum of post-ICU levels of care. This article reviews current thinking and outcome data on when and how to perform the tracheostomy, as well as when and where the patient should be transferred from the ICU for continued weaning efforts or support. Decannulation after success in weaning and continuation of ventilation at home are also addressed.
当患者需要长时间机械通气时，医生会面临一系列决策，这些决策始于重症监护病房（ICU），并延伸至范围更广的ICU后护理阶段。本文回顾了关于何时以及如何进行气管切开术，以及患者何时、何地应从ICU转出以继续进行撤机努力或获得支持的当前观点和结局数据。还讨论了撤机成功后的拔管以及在家中继续通气的问题。
