Weaning and extubation from neonatal mechanical ventilation: an evidenced-based review

Author:

Sangsari Razieh,Saeedi Maryam,Maddah Marzieh,Mirnia KayvanORCID,Goldsmith Jay P.

Abstract

AbstractMechanical 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.

Publisher

Springer Science and Business Media LLC

Subject

Pulmonary and Respiratory Medicine

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