EARLY WEANING FROM INVASIVE PRESSURE VENTILATION AMONG CRITICALLY ILL PATIENTS
Keywords:Invasive pressure ventilation, early weaning, nurses, intensive care unit, critically ill patients, clinical practice
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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