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Medicina interna de México

Print version ISSN 0186-4866

Abstract

PIN-GUTIERREZ, E. et al. Predictors in the retirement of mechanical ventilation: are they enough to neurocritical patient?. Med. interna Méx. [online]. 2017, vol.33, n.5, pp.675-681. ISSN 0186-4866.  http://dx.doi.org/10.24245/mim.v33i5.1561.

Long mechanical ventilation (MV) increases the risk of complications; moreover, early retirement of it exposes the patient to the risks presented before starting. The balance in speaking of prolonged mechanical ventilation and early retirement remains controversial, besides being an unresolved issue, even more so when speaking of neurological patients. Protection of the airway and prevention of further compromised brain compliance are the purposes of initiating invasive mechanical ventilation in patients with neurological impairment in addition to engaging the patient with particular fan under the presence of abnormal breathing patterns. Of patients requiring mechanical ventilation in the Intensive Care Unit (ICU), about 20% are due to neurological diseases. The appropriate time for extubation may be based on a clinical decision, which may be considered subjective, for this reason objective parameters have been proposed to make such a decision, they will identify candidates to perform test of spontaneous ventilation with great chance of success. The search for a parameter to evaluate the success or failure of extubation in neurological patient is a problem not solved so far, so it should be the subject of further studies, until today the Glasgow Coma Scale (SCG) is the variable associated with good or bad results.

Keywords : mechanical ventilation; Glasgow Coma Scale; intensive care unit; failure of extubation.

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