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題名 | 人工呼吸器的脫離=Weaning from Mechanical Ventilation |
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作者 | 吳清平; Wu, Chin-pyng; |
期刊 | 中華民國重症醫學雜誌 |
出版日期 | 19991000 |
卷期 | 1:1 1999.10[民88.10] |
頁次 | 頁82-88 |
分類號 | 415.415 |
語文 | chi |
關鍵詞 | 人工呼吸器; 脫離; Weaning; |
英文摘要 | Weaning from mechanical ventilation is the process of withdraw ventilatory support when the underlying causes of respiratory failure is under control. Most of the patients easily shift to spontaneous breathing within one week of ventilatory support. In others, the gradual withdrawal is needed. The timing to start weaning is hard to define; however, daily screening criteria with five parameters seems to be handy and easy to be performed. The method of weaning is important. Both of pressure support ventilation and T-piece breathing is safe and effective. The prediction of weaning is quite accurate at present. The pathophysiology of weaning failure is complex, therefore, the strategy of enhancing weaning process in those difficult-to wean patients requires a global management including a through physiologic screening, protocol-driven therapy, team work in a special weaning center. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。