机械通气超早产儿的撤机和拔管

Weaning and extubation in extremely preterm infants from mechanical ventilation

机械通气超早产儿的理想通气策略是尽早成功撤机和拔管。由于目前确切预测拔管时间点的能力有限,常发生拔管失败,且引起短期和长期后果。因此,改善预测超早产儿成功拔管的方法,以期减少拔管失败和再插管风险。本文就超早产儿围拔管期相关问题进行归纳分析,旨在为临床上尽早成功撤机和拔管提供借鉴。

Available evidence strongly suggests that early weaning and extubation are desirable,but our ability to predict the point at which can be accomplished safely in extremely preterm remains limited.Extubation failure remains frequent and may carry significant short and long-term consequences.Improved tools for predicting successful extubation in this population are currently being explored with the hope of reducing extubation failure and the attendant risks of reintubation.This review summarized and analyzed the related problems in the peri-extubation period of extremely preterm,in order to provide reference for successful extubation and weaning of ventilatory as soon as possible.