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Weaning of mechanical ventilation in neuro critical care
Ist Teil von
Revue neurologique, 2021-10
Ort / Verlag
Elsevier Masson
Erscheinungsjahr
2021
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
In the intensive care unit (ICU), weaning from mechanical ventilation follows a step by step process that has been well established in the general ICU population. However, little data is available in brain injury patients, who are often intubated to protect airways and prevent central hypoventilation. In this narrative review, we describe the general principles of weaning and how these principles could be adapted to brain injury patients. We focus on three major issues regarding weaning from mechanic ventilation in brain injury patients: 1) sedation protocol, 2) weaning and extubation protocol and criteria, 3) criteria, timing and technique for tracheostomy.