EARLY WEANING FROM INVASIVE PRESSURE VENTILATION AMONG CRITICALLY ILL PATIENTS
Journal: International Education and Research Journal (Vol.4, No. 9)Publication Date: 2018-09-15
Authors : Melba Sheila D'Souza Porkodi Arjunan;
Page : 5-6
Keywords : Invasive pressure ventilation; early weaning; nurses; intensive care unit; critically ill patients; clinical practice;
Abstract
Purpose. To review the studies comparing outcomes with early weaning from the IPV among critically ill patients. Results. 11 of the studies were randomized controlled trials, 8 were nonrandomized controlled trials and 7 were cohort studies. 16 of these studies concluded that early weaning decreases the duration of IPV, length of stay, morbidity, and mortality in the intensive care units (p<0.05). 10 of the studies showed significant differences using sedation vacation, spontaneous breathing trials, spontaneous awakening trials, and mobilization while on IPV. Conclusion. Best practices in early weaning include a sedation vacation, spontaneous breathing trials, spontaneous awakening trials, mobilization and respiratory management.
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