《呼吸机脱机指南》.pdf

CHEST VOLUME 120 / NUMBER 6 / DECEMBER, 2001 Supplement Section I: Guidelines Evidence-Based Guidelines for Weaning and Discontinuing Ventilatory Support* A Collective Task Force Facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine Chairman The discontinuation or withdrawal process from me- Neil R. MacIntyre, MD, FCCP chanical ventilation is an important clinical issue.1,2 Writing Committee on Behalf of the Panel Patients are generally intubated and placed on mechanical Deborah J. Cook, MD, FCCP ventilators when their own ventilatory and/or gas exchange E. Wesley Ely, Jr., MD, MPH, FCCP capabilities are outstripped by the demands placed on Scott K. Epstein, MD, FCCP them from a variety of diseases. Mechanical ventilation James B. Fink, MS, RRT also is required when the respiratory drive is incapable of John E. Heffner, MD, FCCP initiating ventilatory activity either because of disease Dean Hess, PhD, RRT processes or drugs. As the conditions that warranted Rolf D. Hubmayer, MD, FCCP placing the patient on the ventilator stabilize and begin to David J. Scheinhorn, MD, FCCP resolve, attention should be placed on removing the ventilator as quickly as possible. Although this process Member