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Weaning and Extubation From Neonatal Mechanical Ventilation: An Evidenced-Based Review Publisher Pubmed



Sangsari R1 ; Saeedi M1 ; Maddah M2 ; Mirnia K1 ; Goldsmith JP3
Authors
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Authors Affiliations
  1. 1. Department of Pediatrics, Division of Neonatology, Faculty of Medicine, Tehran University of Medical Sciences, Children’s Medical Center, Pediatric Center of Excellence, Tehran, Iran
  2. 2. Department of Pediatrics, Division of Neonatology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Shohadaye Tajrish Hospital, Tehran, Iran
  3. 3. Division of Newborn Medicine, Tulane University School of Medicine, New Orleans, LA, United States

Source: BMC Pulmonary Medicine Published:2022


Abstract

Mechanical ventilation is a lifesaving treatment used to treat critical neonatal patients. It facilitates gas exchange, oxygenation, and CO2 removal. Despite advances in non-invasive ventilatory support methods in neonates, invasive ventilation (i.e., ventilation via an endotracheal tube) is still a standard treatment in NICUs. This ventilation approach may cause injury despite its advantages, especially in preterm neonates. Therefore, it is recommended that neonatologists consider weaning neonates from invasive mechanical ventilation as soon as possible. This review examines the steps required for the neonate's appropriate weaning and safe extubation from mechanical ventilation. © 2022, The Author(s).
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