Executive Summary: International Clinical Practice Guidelines for Pediatric Ventilator Liberation, A Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network Document

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorIndiana University School of Medicine-
Autor(es): dc.contributorIndiana University Health-
Autor(es): dc.contributorChildren’s Hospital Los Angeles-
Autor(es): dc.contributorUniversity of Southern California-
Autor(es): dc.contributorAcute Care General Hospital “Carlos G. Durand-
Autor(es): dc.contributorUniversity of Cincinnati College of Medicine-
Autor(es): dc.contributorUniversidad de la Republica-
Autor(es): dc.contributorUniversity of Groningen-
Autor(es): dc.contributorCruces University Hospital-
Autor(es): dc.contributorDuke University-
Autor(es): dc.contributorSan Diego-
Autor(es): dc.contributorPostgraduate Institute of Medical Education and Research-
Autor(es): dc.contributorQueen’s University Belfast-
Autor(es): dc.contributorChildren’s Hospital of Philadelphia-
Autor(es): dc.contributorUniversity of Montreal-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversity of Washington-
Autor(es): dc.contributorCopenhagen University Hospital-
Autor(es): dc.contributorImperial College London-
Autor(es): dc.contributorKing’s College London-
Autor(es): dc.contributorEdge Hill University Health Research Institute-
Autor(es): dc.contributorKK Women’s and Children’s Hospital-
Autor(es): dc.creatorAbu-Sultaneh, Samer-
Autor(es): dc.creatorIyer, Narayan Prabhu-
Autor(es): dc.creatorFernández, Analía-
Autor(es): dc.creatorGaies, Michael-
Autor(es): dc.creatorGonzález-Dambrauskas, Sebastián-
Autor(es): dc.creatorHotz, Justin Christian-
Autor(es): dc.creatorKneyber, Martin C.J.-
Autor(es): dc.creatorLopez-Fernández, Yolanda M.-
Autor(es): dc.creatorRotta, Alexandre T.-
Autor(es): dc.creatorWerho, David K.-
Autor(es): dc.creatorBaranwal, Arun Kumar-
Autor(es): dc.creatorBlackwood, Bronagh-
Autor(es): dc.creatorCraven, Hannah J.-
Autor(es): dc.creatorCurley, Martha A.Q.-
Autor(es): dc.creatorEssouri, Sandrine-
Autor(es): dc.creatorFioretto, Jose Roberto-
Autor(es): dc.creatorHartmann, Silvia M.M.-
Autor(es): dc.creatorJouvet, Philippe-
Autor(es): dc.creatorKorang, Steven Kwasi-
Autor(es): dc.creatorRafferty, Gerrard F.-
Autor(es): dc.creatorRamnarayan, Padmanabhan-
Autor(es): dc.creatorRose, Louise-
Autor(es): dc.creatorTume, Lyvonne N.-
Autor(es): dc.creatorWhipple, Elizabeth C.-
Autor(es): dc.creatorWong, Judith J.M.-
Autor(es): dc.creatorEmeriaud, Guillaume-
Autor(es): dc.creatorMastropietro, Christopher W.-
Autor(es): dc.creatorNapolitano, Natalie-
Autor(es): dc.creatorNewth, Christopher J.L.-
Autor(es): dc.creatorKhemani, Robinder G.-
Data de aceite: dc.date.accessioned2025-08-21T18:47:31Z-
Data de disponibilização: dc.date.available2025-08-21T18:47:31Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2022-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1164/rccm.202204-0795SO-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/248128-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/248128-
Descrição: dc.descriptionRationale: Pediatric-specific ventilator liberation guidelines are lacking despite the many studies exploring elements of extubation readiness testing. The lack of clinical practice guidelines has led to significant and unnecessary variation in methods used to assess pediatric patients’ readiness for extubation. Methods: Twenty-six international experts comprised a multiprofessional panel to establish pediatrics-specific ventilator liberation clinical practice guidelines, focusing on acutely hospitalized children receiving invasive mechanical ventilation for more than 24 hours. Eleven key questions were identified and first prioritized using the Modified Convergence of Opinion on Recommendations and Evidence. A systematic review was conducted for questions that did not meet an a priori threshold of >80% agreement, with Grading of Recommendations, Assessment, Development, and Evaluation methodologies applied to develop the guidelines. The panel evaluated the evidence and drafted and voted on the recommendations. Measurements and Main Results: Three questions related to systematic screening using an extubation readiness testing bundle and a spontaneous breathing trial as part of the bundle met Modified Convergence of Opinion on Recommendations criteria of >80% agreement. For the remaining eight questions, five systematic reviews yielded 12 recommendations related to the methods and duration of spontaneous breathing trials, measures of respiratory muscle strength, assessment of risk of postextubation upper airway obstruction and its prevention, use of postextubation noninvasive respiratory support, and sedation. Most recommendations were conditional and based on low to very low certainty of evidence. Conclusions: This clinical practice guideline provides a conceptual framework with evidence-based recommendations for best practices related to pediatric ventilator liberation.-
Descrição: dc.descriptionNational Institutes of Health-
Descrição: dc.descriptionDivision of Pediatric Critical Care Department of Pediatrics Indiana University School of Medicine-
Descrição: dc.descriptionRiley Hospital for Children Indiana University Health-
Descrição: dc.descriptionFetal and Neonatal Institute Division of Neonatology Department of Pediatrics Children’s Hospital Los Angeles-
Descrição: dc.descriptionKeck School of Medicine University of Southern California-
Descrição: dc.descriptionPediatric Critical Care Unit Acute Care General Hospital “Carlos G. Durand-
Descrição: dc.descriptionDivision of Pediatric Cardiology Department of Pediatrics Cincinnati Children’s Hospital Medical Center Heart Institute University of Cincinnati College of Medicine-
Descrição: dc.descriptionRed Colaborativa Pediatrica de Latinoamerica (LARed Network) Facultad de Medicina Unidad de Cuidados Intensivos de Niños del Centro Hospitalario Pereira Rossell Universidad de la Republica-
Descrição: dc.descriptionDepartment of Anesthesiology and Critical Care Children’s Hospital Los Angeles-
Descrição: dc.descriptionDivision of Paediatric Critical Care Medicine Department of Paediatrics Beatrix Children’s Hospital University Medical Center Groningen University of Groningen-
Descrição: dc.descriptionDepartment of Pediatrics Biocruces-Bizkaia Health Research Institute Cruces University Hospital-
Descrição: dc.descriptionDivision of Pediatric Critical Care Medicine Department of Pediatrics Duke University-
Descrição: dc.descriptionDivision of Pediatric Cardiology Cardiothoracic Intensive Care Rady Children’s Hospital University of California San Diego-
Descrição: dc.descriptionDepartment of Pediatrics Postgraduate Institute of Medical Education and Research-
Descrição: dc.descriptionWellcome-Wolfson Institute for Experimental Medicine Queen’s University Belfast-
Descrição: dc.descriptionRuth Lilly Medical Library Indiana University School of Medicine-
Descrição: dc.descriptionFamily and Community Health University of Pennsylvania School of Nursing Philadelphia Pennsylvania Research Institute Children’s Hospital of Philadelphia-
Descrição: dc.descriptionDepartment of Pediatrics Sainte-Justine Hospital University of Montreal-
Descrição: dc.descriptionPediatric Critical Care Division Department of Pediatrics Botucatu Medical School Sao Paulo State University, Botucatu-
Descrição: dc.descriptionDivision of Critical Care Medicine Department of Pediatrics Seattle Children’s Hospital University of Washington-
Descrição: dc.descriptionCopenhagen Trial Unit Centre for Clinical Intervention Research Capital Region of Denmark Rigshospitalet Copenhagen University Hospital-
Descrição: dc.descriptionCentre for Human and Applied Physiological Sciences Faculty of Life Sciences & Medicine Imperial College London-
Descrição: dc.descriptionDepartment of Surgery and Cancer Faculty of Medicine Imperial College London-
Descrição: dc.descriptionFlorence Nightingale Faculty of Nursing Midwifery and Palliative Care King’s College London-
Descrição: dc.descriptionEdge Hill University Health Research Institute-
Descrição: dc.descriptionKK Women’s and Children’s Hospital-
Descrição: dc.descriptionChildren’s Hospital of Philadelphia-
Descrição: dc.descriptionPediatric Critical Care Division Department of Pediatrics Botucatu Medical School Sao Paulo State University, Botucatu-
Descrição: dc.descriptionNational Institutes of Health: R13HD102137-
Formato: dc.format17-28-
Idioma: dc.languageen-
Relação: dc.relationAmerican Journal of Respiratory and Critical Care Medicine-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectairway extubation-
Palavras-chave: dc.subjectclinical protocols-
Palavras-chave: dc.subjectmechanical ventilators-
Palavras-chave: dc.subjectpediatric intensive care units-
Palavras-chave: dc.subjectventilator weaning-
Título: dc.titleExecutive Summary: International Clinical Practice Guidelines for Pediatric Ventilator Liberation, A Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network Document-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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