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Ventilator Weaning in Prolonged Mechanical Ventilation-A Narrative Review.
Dolinay, Tamás; Hsu, Lillian; Maller, Abigail; Walsh, Brandon Corbett; Szucs, Attila; Jerng, Jih-Shuin; Jun, Dale.
Afiliación
  • Dolinay T; Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.
  • Hsu L; Barlow Respiratory Hospital, Los Angeles, CA 90026, USA.
  • Maller A; Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.
  • Walsh BC; Barlow Respiratory Hospital, Los Angeles, CA 90026, USA.
  • Szucs A; Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.
  • Jerng JS; Barlow Respiratory Hospital, Los Angeles, CA 90026, USA.
  • Jun D; Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.
J Clin Med ; 13(7)2024 Mar 26.
Article en En | MEDLINE | ID: mdl-38610674
ABSTRACT
Patients requiring mechanical ventilation (MV) beyond 21 days, usually referred to as prolonged MV, represent a unique group with significant medical needs and a generally poor prognosis. Research suggests that approximately 10% of all MV patients will need prolonged ventilatory care, and that number will continue to rise. Although we have extensive knowledge of MV in the acute care setting, less is known about care in the post-ICU setting. More than 50% of patients who were deemed unweanable in the ICU will be liberated from MV in the post-acute setting. Prolonged MV also presents a challenge in care for medically complex, elderly, socioeconomically disadvantaged and marginalized individuals, usually at the end of their life. Patients and their families often rely on ventilator weaning facilities and skilled nursing homes for the continuation of care, but home ventilation is becoming more common. The focus of this review is to discuss recent advances in the weaning strategies in prolonged MV, present their outcomes and provide insight into the complexity of care.
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Texto completo: 1 Bases de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Bases de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos