Retirada de la ventilación mecánica en pediatría. Estado de la situación |
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Authors: | Jorge Valenzuela Patricio Araneda Pablo Cruces |
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Institution: | 1. Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile;2. Área de Cuidados Críticos, Hospital Padre Hurtado, Santiago, Chile;3. Centro de Investigación de Medicina Veterinaria, Escuela de Medicina Veterinaria, Facultad de Ecología y Recursos Naturales, Universidad Andres Bello, Santiago, Chile |
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Abstract: | Weaning from mechanical ventilation is one of the greatest volume and strength issues in evidence-based medicine in critically ill adults. In these patients, weaning protocols and daily interruption of sedation have been implemented, reducing the duration of mechanical ventilation and associated morbidity. In paediatrics, the information reported is less consistent, so that as yet there are no reliable criteria for weaning and extubation in this patient group. Several indices have been developed to predict the outcome of weaning. However, these have failed to replace clinical judgement, although some additional measurements could facilitate this decision. |
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Keywords: | Ventilació n mecá nica Destete Extubació n Pediatrí a |
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