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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (6): 27-32.doi: 10.16460/j.issn1008-9969.2021.06.027

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Best Evidence Summary for Weaning from Mechanical Ventilation of Adult Patients in Intensive Care Unit

CUI Zhao-meia, LIU Jinga, ZHUANG Xina, DU Juana, DONG Chun-huib   

  1. a. Dept. of Cardiac Surgery ICU; b. Dept. of Cardiac Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250014, China
  • Received:2020-11-06 Online:2021-03-25 Published:2021-04-08

Abstract: Objective To evaluate and summarize the best evidence for weaning from mechanical ventilation of adult patients in intensive care unit. Methods Evidence-based problems were determined based on the PIPOST pattern then we electronically retrieved the research on the weaning from mechanical ventilation. Reviewers independently assessed the quality and extracted the data in the included studies. Evidence was summarized from eligible studies. Results Twelve articles were included, with 3 clinical decisions, 4 guidelines, 2 best evidence summary and 3 systematic reviews. Evidence was extracted and summarized into 25 items, which were classified into 4 categories including: assessment of weaning screening, weaning protocol implementing, tracheal tube extraction and organizational administration. Conclusion Weaning from mechanical ventilation of adult patients in intensive care unit is a dynamic and complicated process. A practical weaning program, and standardized training for medical staff on weaning knowledge, program and procedure are conducive to the success of weaning thus to improve clinical outcome.

Key words: weaning, mechanical ventilation, ICU, adult, evidence summary

CLC Number: 

  • R473.6
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