从机械通风中断奶,并评估输出管的准备情况
Guilherme Sant'Anna1, Wissam Shalish2
1Professor of Pediatrics, Division of Neonatology, Montreal Children's Hospital Departments of Pediatrics and Experimental Medicine, Senior Scientist of the Research Institute of the McGill University Health Center, McGill University Health Center, 1001 Boulevard Decarie, Room B05.2711, Montreal, Quebec H4A3J1, Canada.
Seminars in perinatology
|March 29, 2024
概括
机械通风对于极度早产婴儿至关重要,但也存在风险. 本综述探讨了安全地将婴儿从机械通风中断奶的策略,并评估了婴儿对输出管的准备.
科学领域:
- 新生儿科学 新生儿科学
- 儿科重症监护 儿科重症监护
- 呼吸系统医学 呼吸系统医学
背景情况:
- 机械通风改善了极度早产婴儿 (妊娠年龄 ≤ 28 周) 的存活率.
- 然而,机械通风与显著的短期和长期并发症有关.
- 尽管努力尽量减少暴露,但70-100%的极度早产婴儿需要机械通风,长时间使用的比例很高.
研究的目的:
- 审查基于证据的策略,以加快早产婴儿的机械通风和断奶.
- 评估在这个高风险人群中确定输出管的准备度的方法.
- 专注于优化极度早产婴儿的呼吸支持.
主要方法:
- 关于机械通风,早产婴儿的断奶和输出管的临床研究的文献综述.
- 综合有关各种断奶协议和输出管准备性评估的证据.
- 强调适用于极度早产新生儿的策略.
主要成果:
- 机械通风,断奶和输出管在极度早产婴儿中构成重大挑战.
- 有证据支持各种策略来加快断奶和提高输出管成功率.
- 优化呼吸支对于减少通风相关并发症至关重要.
结论:
- 有效的断奶和拔策略对于减少早产婴儿机械通风的持续时间至关重要.
- 需要进一步的研究来完善和个性化为极度早产新生儿的断奶协议.
- 改善结果需要采用多学科的方法,重点是尽量减少呼吸器引起的肺损伤,并促进呼吸独立.
关键词:
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