简介:拔管是指拔除气管内导管,这是患者脱离机械通气的最后一步。本文阐述了拔管之前我们需要考虑的问题:拔除气管插管的程序以及拔管的管理策略,并探讨拔管的预后,复习影响脱机成功的因素和方法。拔管之前的评估:在脱机的最后一步,很显然,患者不再需要足够的机械通气来维持通气和氧合。但是,除非我们能确保患者气道自我保护作用能力恢复且气道通畅,才能拔除气管插管。气道保护性,就是患者在自主呼吸状态下具有防 Introduction: Extubation refers to the removal of the endotracheal tube, which is the last step in the patient’s escape from mechanical ventilation. This article describes the issues that we need to consider before extubation: the procedure for extubation and management strategies for extubation, the prognosis of extubation, and the factors and methods that influence the success of the extubation. Assessment before extubation: At the final stage of off-line, it is clear that patients no longer need adequate mechanical ventilation to maintain ventilation and oxygenation. However, you can not remove the endotracheal tube unless we can ensure that our airway self-protection is restored and the airway is clear. Airway protection, is the patient in the state of spontaneous breathing with anti-