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Mechanical ventilation(MV)is one of the lifesaving techniques applied to critically ill patients at bedside.However,some complications,such as ventilator-induced lung injury and ventilator-associated pneumonia,may occur in a patient undertaking MV and are often related to the duration of MV.Some written protocols have been proposed to reduce the risk of such complications,but they can be time consuming,leading to fluctuation in protocol implementation and compliance.Moreover,written instructions tend to be general and thus cannot cover all possible scenarios,resulting in variable interpretation of the protocol.To overcome these limiting factors,protocols have been computerized and there is convincing evidence in the literature showing that computerized protocols benefit management of the process and reduce the time a patient spends under MV.QuickWean is a computeraided weaning protocol implemented on the Hamilton S1 ventilator(Hamilton Medical AG,Bonaduz,Switzerland),which guides the patient through the weaning process without requiring any intervention by the treating physician.The fully-automated ventilation mode is INTELLiVENT?-ASV(Hamilton Medical AG),which is set according to the patient’s respiratory mechanics,patientventilator interaction,peripheral oxygen saturation(SpO2)and pulmonary end-tidal carbon dioxide(PetCO2).The INTELLiVENT?-ASV mode sets automatically each minute to provide accurate ventilation,pressure support,fraction of inspired oxygen and positive end-expiratory pressure based on the patient’s needs.QuickWean can be pre-set to match the established weaning policy of an intensive care unit as well as being customized to a patient’s needs.It provides a progressive reduction of respiratory support,and guides the patient through the spontaneous breathing trial(SBT).At the end of the SBT,the ventilator re-starts the previous ventilation support and provides a report of the successful SBT.During all phases,PetCO2,SpO2 and all breathing parameters are monitored.This new automated weaning too
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篇名 Automated weaning from mechanical ventilation
来源期刊 世界呼吸病学杂志 学科 医学
关键词 AUTOMATED ventilation AUTOMATED WEANING WEANING from artificial ventilation WEANING PROTOCOL QuickWean
年,卷(期) 2016,(2) 所属期刊栏目
研究方向 页码范围 49-53
页数 5页 分类号 R
字数 语种
DOI
五维指标
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研究主题发展历程
节点文献
AUTOMATED
ventilation
AUTOMATED
WEANING
WEANING
from
artificial
ventilation
WEANING
PROTOCOL
QuickWean
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界呼吸病学杂志
不定期
2218-6255
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
66
总下载数(次)
0
总被引数(次)
0
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