Mechanical ventilator liberation protocol. Recommendation based on review of the evidence
Mechanical ventilation is currently the most widely used supportive therapy for the treatment of moderate and severe hypoxemia of any etiology. However, the decision of “when” is the right time to initiate the withdrawal of this support is currently a matter of debate worldwide. Many authors describ...
Main Authors: | , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Society of Mechanical Ventilation
2023-03-01
|
Series: | Journal of Mechanical Ventilation |
Subjects: | |
Online Access: | https://www.journalmechanicalventilation.com/mechanical-ventilator-liberation-protocol-recommendation-based-on-review-of-the-evidence-2/ |
_version_ | 1797811989959933952 |
---|---|
author | Aurio Fajardo-Campoverdi Alejandro González-Castro Rodrigo Adasme-Jeria Angelo Roncalli-Rocha Miguel Ibarra Carmen Chica-Meza William Cristancho-Gómez Enrique Monares-Zepeda Alberto Medina Villanueva Vicent Modesto I Alapont Fernando Paziencia Juan Pérez Yolanda Lopez-Fernandez |
author_facet | Aurio Fajardo-Campoverdi Alejandro González-Castro Rodrigo Adasme-Jeria Angelo Roncalli-Rocha Miguel Ibarra Carmen Chica-Meza William Cristancho-Gómez Enrique Monares-Zepeda Alberto Medina Villanueva Vicent Modesto I Alapont Fernando Paziencia Juan Pérez Yolanda Lopez-Fernandez |
author_sort | Aurio Fajardo-Campoverdi |
collection | DOAJ |
description | Mechanical ventilation is currently the most widely used supportive therapy for the treatment of moderate and severe hypoxemia of any etiology. However, the decision of “when” is the right time to initiate the withdrawal of this support is currently a matter of debate worldwide. Many authors describe that the disconnection process should be gradual and in compliance with standards that provide safety to this process; while other authors report that it is not feasible to establish a universal standard since each patient would have a unique behavior that would be difficult to establish in a protocolized manner.
The present review represents an extensive search for evidence in an attempt to clarify this issue, generating evidence from a consensus of experts at international level, based on a broad review of the literature. |
first_indexed | 2024-03-13T07:31:55Z |
format | Article |
id | doaj.art-c7dd0caebf8f4448ada3ae6377437b4a |
institution | Directory Open Access Journal |
issn | 2694-0450 |
language | English |
last_indexed | 2024-03-13T07:31:55Z |
publishDate | 2023-03-01 |
publisher | Society of Mechanical Ventilation |
record_format | Article |
series | Journal of Mechanical Ventilation |
spelling | doaj.art-c7dd0caebf8f4448ada3ae6377437b4a2023-06-04T07:11:30ZengSociety of Mechanical VentilationJournal of Mechanical Ventilation2694-04502023-03-0141314210.53097/JMV.10072Mechanical ventilator liberation protocol. Recommendation based on review of the evidenceAurio Fajardo-Campoverdihttps://orcid.org/0000-0001-7350-5948Alejandro González-CastroRodrigo Adasme-JeriaAngelo Roncalli-RochaMiguel IbarraCarmen Chica-MezaWilliam Cristancho-GómezEnrique Monares-ZepedaAlberto Medina VillanuevaVicent Modesto I AlapontFernando PazienciaJuan PérezYolanda Lopez-FernandezMechanical ventilation is currently the most widely used supportive therapy for the treatment of moderate and severe hypoxemia of any etiology. However, the decision of “when” is the right time to initiate the withdrawal of this support is currently a matter of debate worldwide. Many authors describe that the disconnection process should be gradual and in compliance with standards that provide safety to this process; while other authors report that it is not feasible to establish a universal standard since each patient would have a unique behavior that would be difficult to establish in a protocolized manner. The present review represents an extensive search for evidence in an attempt to clarify this issue, generating evidence from a consensus of experts at international level, based on a broad review of the literature.https://www.journalmechanicalventilation.com/mechanical-ventilator-liberation-protocol-recommendation-based-on-review-of-the-evidence-2/weaningliberationsbtrsbip0.1 |
spellingShingle | Aurio Fajardo-Campoverdi Alejandro González-Castro Rodrigo Adasme-Jeria Angelo Roncalli-Rocha Miguel Ibarra Carmen Chica-Meza William Cristancho-Gómez Enrique Monares-Zepeda Alberto Medina Villanueva Vicent Modesto I Alapont Fernando Paziencia Juan Pérez Yolanda Lopez-Fernandez Mechanical ventilator liberation protocol. Recommendation based on review of the evidence Journal of Mechanical Ventilation weaning liberation sbt rsbi p0.1 |
title | Mechanical ventilator liberation protocol. Recommendation based on review of the evidence |
title_full | Mechanical ventilator liberation protocol. Recommendation based on review of the evidence |
title_fullStr | Mechanical ventilator liberation protocol. Recommendation based on review of the evidence |
title_full_unstemmed | Mechanical ventilator liberation protocol. Recommendation based on review of the evidence |
title_short | Mechanical ventilator liberation protocol. Recommendation based on review of the evidence |
title_sort | mechanical ventilator liberation protocol recommendation based on review of the evidence |
topic | weaning liberation sbt rsbi p0.1 |
url | https://www.journalmechanicalventilation.com/mechanical-ventilator-liberation-protocol-recommendation-based-on-review-of-the-evidence-2/ |
work_keys_str_mv | AT auriofajardocampoverdi mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT alejandrogonzalezcastro mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT rodrigoadasmejeria mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT angeloroncallirocha mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT miguelibarra mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT carmenchicameza mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT williamcristanchogomez mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT enriquemonareszepeda mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT albertomedinavillanueva mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT vicentmodestoialapont mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT fernandopaziencia mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT juanperez mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence AT yolandalopezfernandez mechanicalventilatorliberationprotocolrecommendationbasedonreviewoftheevidence |