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机械通风断奶期间肺超声波的适用性:系统性审查

André Luiz Lisboa Cordeiro¹, Geruza Oliveira Santos¹, Jennifer Beatriz Barbosa Silva¹

¹Centro Universitário de Excelência (UNEX), Feira de Santana, Brazil.

Physiotherapy research international : the journal for researchers and clinicians in physical therapy

|November 23, 2025

概括

肺部超声波 (LUS) 显示了预测机械通风的断奶的潜力. 需要进一步的标准化研究来确认其在输出管决策中的临床使用.

科学领域:

关键护理医学关键护理医学
肺部病理学肺部病理学
医疗成像医学成像

背景情况:

肺部超声波 (LUS) 正在在重症监护室 (ICU) 获得吸引力.
在机械通风过程中预测输出管的最佳时间仍然具有挑战性.
在支持断奶过程中LUS的精确作用需要进一步的研究.

研究的目的:

系统地审查肺部超声波的实用性,作为人工通风成功断奶的预测因素.

主要方法:

使用PECOS战略进行了系统审查.
在主要数据库 (PubMed,CENTRAL,LILACS,CINAHL,Cochrane) 进行了搜索.
关键词包括机械通风,输出管,肺部超声波和断奶.

主要成果:

分析了十四篇文章.
四项研究表明LUS在断奶时有用;三项研究报告了有限的预测准确性.
在不同研究中,灵敏度在66%至100%之间,特异性在37.4%至96%之间.

结论:

不同类型的方法和不同的灵敏度/特异性截止值限制了直接比较.
肺部超声波显示出作为预测断奶结果的辅助工具的潜力.
标准化研究对于建立明确的临床适用性至关重要.

关键词:

人工通风的人工通风.输出位 (extubation) 是一个过程.肺部超声波肺部超声波肺部超声波胸部超声波 - 胸部超声波 - 胸部超声波断奶断奶断奶断奶断奶

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