Pediatric ventilation weaning - Critical Care Science (CCS)

Commentary

Pediatric ventilation weaning

Rev Bras Ter Intensiva. 2020;32(3):333-336

DOI: 10.5935/0103-507X.20200061

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IMPORTANCE OF MECHANICAL VENTILATION RELEASE

Mechanical ventilation (MV) is a widely used practice among pediatric intensive care units (PICUs) throughout the world. Data from multicenter studies reveal rates of use ranging from 20% to 64%, and MV typically lasts approximately 5 to 6 days.(,) The practice of using artificial methods to provide respiratory care is considered a revolution in the care of critically ill patients, reducing their morbidity and mortality.

On the other hand, it is widely known that these tools can cause a variety of possible complications, such as health care-associated pneumonia, upper and lower airway injuries, and cardiovascular instability.() Moreover, to use this resource, most of the time, it is necessary to resort to sedative and analgesic drugs.() Therefore, it is indispensable to interrupt the MV as soon as possible.

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