Tracheal intubation and extubation in patients with non-ventilated neurocritical care:a summary of best evidence
10.3969/j.issn.1671-8283.2025.06.010
- VernacularTitle:神经重症非机械通气患者气管插管拔管的最佳证据总结
- Author:
Yang YU
1
;
Desheng WANG
;
Yushan ZHEN
;
Yingfeng ZHOU
Author Information
1. 常州市第一人民医院神经外科,江苏 常州,213003;复旦大学循证护理中心常州市第一人民医院证据应用基地,江苏 常州,213003
- Publication Type:Journal Article
- Keywords:
extubation;
tracheal intubation;
non-mechanical ventilation;
critical neurological disease;
summary of evidence;
evidence-based nursing
- From:
Modern Clinical Nursing
2025;24(6):71-79
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarise the best evidence of tracheal intubation and extubation in patients with non-ventilated neurocritical care so as to provide a reference and guidance for clinical work.Methods The"6S"evidence-based pyramid model was employed to search multiple databases and sources,including UpToDate,BMJ Best Practice(BMJ),National Institute for Health and Care Excellence(NICE),National Guideline Clearinghouse(NGC),Guidelines International Network(GIN),Scottish Intercollegiate Guidelines Network(SIGN),Canadian Medical Association:Clinical Practice Guideline(CMA Infobase),New Zealand Guidelines Group(NZGG),European Association of Neurosurgical Societies(EANS),American Association of Neurological Surgeons(AANS),Cochrane Library,Joanna Briggs Institute(JBI),Campbell,PubMed,Embase,CINAHL,ProQuest,Elsevier,EBSCO,Web of Science,CNKI,Wanfang Data,VIP,SinoMed and Yimaitong,from inception of the databases to 31st March,2024 for literature on tracheal extubation of the patients in non-ventilated neurocritical care.The retrieved literature included clinical decisions,guidelines,systematic reviews,evidence summaries,expert consensuses,and randomised controlled trials.Two researchers who were trained in evidence-based nursing comprehensively screened the quality of the included literature and extracted the evidences.Results A total of 15 articles were included consisting of 2 clinical decisions,5 guidelines,4 systematic reviews,2 evidence summaries and 2 expert consensuses.They were synthesised into 23 evidence-based recommendations across 4 themes:pre-extubation assessment,pre-extubation preparation,extubation procedure and post-extubation care.Conclusion The best evidence on endotracheal intubation and extubation in patients with non-ventilated neurocritical care summarised in this study provides an evidence-based reference for clinical practice.
