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Weaning from mechanical ventilation in people with neuromuscular disease: a systematic review

OBJECTIVE: This systematic review aimed in assessing the effects of different weaning protocols in people with neuromuscular disease (NMD) receiving invasive mechanical ventilation, identifying which protocol is the best and how different protocols can affect weaning outcome success, duration of wea...

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Autores principales: Bernardes Neto, Saint Clair Gomes, Torres-Castro, Rodrigo, Lima, Íllia, Resqueti, Vanessa R, Fregonezi, Guilherme A F
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8442075/
https://www.ncbi.nlm.nih.gov/pubmed/34521661
http://dx.doi.org/10.1136/bmjopen-2020-047449
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author Bernardes Neto, Saint Clair Gomes
Torres-Castro, Rodrigo
Lima, Íllia
Resqueti, Vanessa R
Fregonezi, Guilherme A F
author_facet Bernardes Neto, Saint Clair Gomes
Torres-Castro, Rodrigo
Lima, Íllia
Resqueti, Vanessa R
Fregonezi, Guilherme A F
author_sort Bernardes Neto, Saint Clair Gomes
collection PubMed
description OBJECTIVE: This systematic review aimed in assessing the effects of different weaning protocols in people with neuromuscular disease (NMD) receiving invasive mechanical ventilation, identifying which protocol is the best and how different protocols can affect weaning outcome success, duration of weaning, intensive care unit (ICU) and hospital stay and mortality. DESIGN: Systematic review. DATA SOURCES: Electronic databases (MEDLINE, EMBASE, Web of Science and Scopus) were searched from January 2009 to August 2020. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Randomised controlled trials (RCTs) and non-RCT that evaluated patients with NMD (adults and children from 5 years old) in the weaning process managed with a protocol (pressure support ventilation; synchronised intermittent mandatory ventilation; continuous positive airway pressure; ‘T’ piece). PRIMARY OUTCOME: Weaning success. SECONDARY OUTCOMES: Weaning duration, ICU stay, hospital stay, ICU mortality, complications (pneumothorax, ventilation-associated pneumonia). DATA EXTRACTION AND SYNTHESIS: Two review authors assessed the titles and the abstracts for inclusion and reviewed the full texts independently. RESULTS: We found no studies that fulfilled the inclusion criteria. CONCLUSIONS: The absence of studies about different weaning protocols for patients with NMD does not allow concluding the superiority of any specific weaning protocol for patients with NMD or determining the impact of different types of protocols on other outcomes. The result of this review encourages further studies. PROSPERO REGISTRATION NUMBER: CRD42019117393.
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spelling pubmed-84420752021-09-29 Weaning from mechanical ventilation in people with neuromuscular disease: a systematic review Bernardes Neto, Saint Clair Gomes Torres-Castro, Rodrigo Lima, Íllia Resqueti, Vanessa R Fregonezi, Guilherme A F BMJ Open Neurology OBJECTIVE: This systematic review aimed in assessing the effects of different weaning protocols in people with neuromuscular disease (NMD) receiving invasive mechanical ventilation, identifying which protocol is the best and how different protocols can affect weaning outcome success, duration of weaning, intensive care unit (ICU) and hospital stay and mortality. DESIGN: Systematic review. DATA SOURCES: Electronic databases (MEDLINE, EMBASE, Web of Science and Scopus) were searched from January 2009 to August 2020. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Randomised controlled trials (RCTs) and non-RCT that evaluated patients with NMD (adults and children from 5 years old) in the weaning process managed with a protocol (pressure support ventilation; synchronised intermittent mandatory ventilation; continuous positive airway pressure; ‘T’ piece). PRIMARY OUTCOME: Weaning success. SECONDARY OUTCOMES: Weaning duration, ICU stay, hospital stay, ICU mortality, complications (pneumothorax, ventilation-associated pneumonia). DATA EXTRACTION AND SYNTHESIS: Two review authors assessed the titles and the abstracts for inclusion and reviewed the full texts independently. RESULTS: We found no studies that fulfilled the inclusion criteria. CONCLUSIONS: The absence of studies about different weaning protocols for patients with NMD does not allow concluding the superiority of any specific weaning protocol for patients with NMD or determining the impact of different types of protocols on other outcomes. The result of this review encourages further studies. PROSPERO REGISTRATION NUMBER: CRD42019117393. BMJ Publishing Group 2021-09-14 /pmc/articles/PMC8442075/ /pubmed/34521661 http://dx.doi.org/10.1136/bmjopen-2020-047449 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Neurology
Bernardes Neto, Saint Clair Gomes
Torres-Castro, Rodrigo
Lima, Íllia
Resqueti, Vanessa R
Fregonezi, Guilherme A F
Weaning from mechanical ventilation in people with neuromuscular disease: a systematic review
title Weaning from mechanical ventilation in people with neuromuscular disease: a systematic review
title_full Weaning from mechanical ventilation in people with neuromuscular disease: a systematic review
title_fullStr Weaning from mechanical ventilation in people with neuromuscular disease: a systematic review
title_full_unstemmed Weaning from mechanical ventilation in people with neuromuscular disease: a systematic review
title_short Weaning from mechanical ventilation in people with neuromuscular disease: a systematic review
title_sort weaning from mechanical ventilation in people with neuromuscular disease: a systematic review
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8442075/
https://www.ncbi.nlm.nih.gov/pubmed/34521661
http://dx.doi.org/10.1136/bmjopen-2020-047449
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