Best evidence summary of indications for extubation in neurosurgical tracheotomy patients
10.3760/cma.j.cn115682-20230113-00167
- VernacularTitle:神经外科气管切开患者拔管指征的最佳证据总结
- Author:
Yin HU
1
;
Chen QING
;
Mei YUAN
;
Xiang QUE
;
Xia XIE
;
Shun LI
;
Lifang MAO
Author Information
1. 川北医学院附属医院护理部，南充 637000
- Keywords:
Tracheotomy;
Extubation;
Neurosurgery;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2023;29(21):2847-2854
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve and summarize the evidence of indications for extubation in neurosurgical tracheotomy patients, so as to provide reference for promoting timely and safe extubation of neurosurgical tracheotomy patients.Methods:Evidence-based problems were identified according to the population, intervention, professional, outcome, setting, type of evidence (PIPOST) model. According to the "6S" classification model of the evidence-based retrieval database, all evidences of extubation indications of neurosurgical tracheotomy patients in the database, guideline website and professional institution website were systematically retrieved, including clinical guidelines, systematic review, expert consensus, evidence summary and clinical decision-making. The search period was from the establishment of the database to May 31, 2022. Two researchers independently evaluated the quality of the included article and extracted evidence.Results:A total of 12 articles were included, including four guidelines, four systematic reviews, two expert consensuses, one evidence summary, and one clinical decision-making. A total of 18 pieces of best evidence for extubation indications of neurosurgical tracheotomy patients were summarized, including 7 themes: disease condition, consciousness and autonomous activity, respiratory function, cough function, swallowing function, airway condition, multidisciplinary team and equipment support.Conclusions:The extubation of neurosurgical tracheotomy patients should consider many factors. The summary of evidence has a certain degree of scientific and practical significance, which can provide evidence-based basis for medical and nursing staff to apply evidence in a targeted manner.
