The Weaning Protocol from Mechanical Ventilation for Adult and Older Adult Patients Requiring Prolonged Mechanical Ventilation: A Systematic Review
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Abstract
This systematic review aims to study the weaning protocol from mechanical ventilation for adult and older adult patients requiring prolonged mechanical ventilation. The Joanna Briggs Institute was used as a conceptual framework. The articles were searched in
electronic data-based publishing and other methods from 2012 to 2022. The eight of 566 studies were qualified. The weaning phase of the American Association of Critical-Care Nurse’s(AACN’s) was used as the content analysis, and the descriptive statistic were used to analyse the weaning protocol from mechanical ventilation for adult and older adult patients requiring prolonged mechanical ventilation. The results were summarized in 3 phases; the majority of the population is older adult patients has suffered from the respiratory disorder with comorbidity,1) The pre-weaning phase; presents the assessment of readiness to wean, the selection of
methods to wean which are suitable for any patients, and the encouragement from the headward and physicians caring patients. 2) Weaning phase; reports the gradual weaning technique with different methods for weaning from mechanical ventilation, the multidisciplinary round and bedside nursing round from the headword, and the design of notification system to continue caring for patients requiring prolonged mechanical ventilation. 3) Weaning outcome on extubation phase; presents a nursing care after weaning, the follow up for using the weaning protocol, and the presented weaning protocol findings to report, encourage, and recognize for
co-operating to continue using the weaning protocol. These results were found from evidence.Although, there were the same weaning protocol, it was different methods in each protocol.Therefore, should be apply and the further research is required that depend on context.
Keywords: Patients requiring prolonged mechanical ventilation, Systematic review, Weaning from mechanical ventilation
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
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