Avaliação da eficácia do teste de respiração espontânea na predição do sucesso da extubação no pós-operatório de cirurgia cardíaca em crianças: estudo randomizado-controlado

Abstract

FERREIRA, F. V. Evaluation of the efficacy of the spontaneous breathing test in predicting the success of extubation in the postoperative period of cardiac surgery in children: A randomized controlled trial. 2018.76p. Thesis (Doctoral). Faculdade

Heart Rate Variability (HRV) is Extubation Failure Predictor in Pediatrics?

“…However, it is known that early weaning can be harmful to patients, especially in the pediatric population. 24 Ventilatory weaning/tracheal extubation protocols aim to reduce MV time and ICU stay. 6,25,26 A standardized approach to managing the management of the ventilatory weaning process contributes to reducing MV time and improving clinical outcomes for the patient.…”

“…6,25,26 A standardized approach to managing the management of the ventilatory weaning process contributes to reducing MV time and improving clinical outcomes for the patient. 24,27 For the discontinuation of ventilatory support, decision-making is expected to be based on tests, criteria and objectives that determine the appropriate time for its initiation and completion with the success of tracheal extubation. 24,28 The most frequently used strategy for ventilatory weaning of infants and children is clinical judgment and the gradual reduction of ventilatory parameters.…”

“…24,27 For the discontinuation of ventilatory support, decision-making is expected to be based on tests, criteria and objectives that determine the appropriate time for its initiation and completion with the success of tracheal extubation. 24,28 The most frequently used strategy for ventilatory weaning of infants and children is clinical judgment and the gradual reduction of ventilatory parameters. Extubation is usually performed based on minimum ventilatory support parameters or after SBT.…”

Análise da variabilidade da frequência cardíaca como preditora de falha/sucesso da extubação traqueal em pediatria

“…pacientes com registro da VFC com interferência de fatores ambientais. Entretanto, sabe-se que a realização do desmame ventilatório precoce pode ser prejudicial aos pacientes, especialmente quando se trata de população pediátrica 93 .…”