Extubation in the neurocritically ill patient with acute brain injuries: a narrative literature review
| Autor: | Bryan Álvarez Arango, Andrea González Medina, Sebastián Valencia Valencia, Yessica Andrea Tamayo Aristizábal, Danny Steven Pantoja Rojas |
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| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Iatreia, Vol 36, Iss 3, Pp 365-376 (2023) |
| Druh dokumentu: | article |
| ISSN: | 0121-0793 2011-7965 |
| DOI: | 10.17533/udea.iatreia.180 |
| Popis: | Introduction: Ventilator weaning and extubation in patients with acute brain injuries pose a challenge for healthcare professionals due to the lack of clear consensus on extubation criteria. Objective: To summarize the available evidence on extubation of patients with acute brain injuries and analyze potential alternatives to the classical extubation criteria. Methods: A literature search was conducted in the Spanish and English languages, covering the last 20 years, across different databases. Systematic reviews with or without meta-analysis, guidelines and recommendations from scientific societies, clinical trials, and observational studies that met the inclusion criteria were included. Results: A total of 262 relevant articles were collected, of which, through analysis and comparison of the evidence, 48 articles were selected as most relevant to fulfill the stated objective. Conclusions: The available evidence is weak in providing a recommendation on extubation criteria for neurocritical patients. Early extubation could be considered in patients with a minimal level of consciousness while maintaining protective airway reflexes, without an increase in reintubation rate or mortality. |
| Databáze: | Directory of Open Access Journals |
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