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...

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Main Authors: 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
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/
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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.
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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/
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