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The use of non-invasive ventilation in decannulating and weaning critically ill tracheostomy patients

Divya Sharma

There are many difficulties connected to Invasive Mechanical Ventilation (IMV). There are both short-term and long-term hazards for people who have a tracheostomy placed. Tracheostomies are nevertheless implanted to shorten IMV, aid in weaning, and eventually undergo effective decannulation. Using the search phrases "non-invasive ventilation," "tracheostomy," and "weaning" (along with synonyms and words that are closely related), we ran a narrative evaluation to find pertinent citations. When weaning from Invasive Mechanical Ventilation (IMV) and/or tracheostomy decannulation, Non-Invasive Ventilation (NIV) was one of the procedures employed in publications that included retrospective or prospective investigations. Patients with tracheostomies made comprised a subgroup of patients on IMV in several studies. The majority of the research mainly involved specialized weaning facilities and individuals with underlying cardiopulmonary comorbidities and disorders. Although not all studies included information on decannulation, those that did report high success rates for weaning and decannulation when utilizing NIV as a supplemental method of weaning patients off ventilators support. After being discharged, a sizable portion of patients required home NIV. The review indicates a potential use for NIV in tracheostomy patients who are being weaned off of their ventilator or who are having their tracheostomy decannulated. To create weaning protocols and more fully understand the function of NIV during weaning, more study is required.

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協会、団体、大学向けのピアレビュー出版 pulsus-health-tech
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