Por favor, use este identificador para citar o enlazar este ítem: https://hdl.handle.net/20.500.12008/52294
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dc.contributor.author Autor Abu-Sultaneh, Samer-
dc.contributor.author Autor Prabhu Iyer, Narayan-
dc.contributor.author Autor Fernández, Analía-
dc.contributor.author Autor Gaies, Michael-
dc.contributor.author Autor González-Dambrauskas, Sebastián-
dc.contributor.author Autor Hotz, Justin Christian-
dc.contributor.author Autor Kneyber, Martin C. J.-
dc.contributor.author Autor López-Fernández, Yolanda M.-
dc.contributor.author Autor Rotta, Alexandre T.-
dc.contributor.author Autor Werho, David K.-
dc.contributor.filiacion Filiación Abu-Sultaneh Samer, Indiana University School of Medicine (E.E.U.U)-
dc.contributor.filiacion Filiación Prabhu Iyer Narayan, University of Southern California (E.E.U.U)-
dc.contributor.filiacion Filiación Fernández Analía, Hospital General de Agudos Carlos G. Durand (Argentina)-
dc.contributor.filiacion Filiación Gaies Michael, University of Cincinnati College of Medicine (E.E.U.U)-
dc.contributor.filiacion Filiación González-Dambrauskas Sebastián, Universidad de la República (Uruguay). Facultad de Medicina-
dc.contributor.filiacion Filiación Hotz Justin Christian, Children's Hospital Los Angeles (E.E.U.U)-
dc.contributor.filiacion Filiación Kneyber Martin C. J., University of Groningen (Países Bajos)-
dc.contributor.filiacion Filiación López-Fernández Yolanda M., Cruces University Hospital (España)-
dc.contributor.filiacion Filiación Rotta Alexandre T., Duke University (E.E.U.U.)-
dc.contributor.filiacion Filiación Werho David K., University of California (E.E.U.U)-
dc.date.accessioned Fecha ingreso 2025-10-31T17:50:03Z-
dc.date.available Fecha disponible 2025-10-31T17:50:03Z-
dc.date.issued Año de publicación 2023-
dc.description.abstract Resumen Background Common, operational definitions are crucial to assess interventions and outcomes related to pediatric mechanical ventilation. These definitions can reduce unnecessary variability among research and quality improvement efforts, to ensure findings are generalizable, and can be pooled to establish best practices. Research Question Can we establish operational definitions for key elements related to pediatric ventilator liberation using a combination of detailed literature review and consensus-based approaches? Study Design and Methods A panel of 26 international experts in pediatric ventilator liberation, two methodologists, and two librarians conducted systematic reviews on eight topic areas related to pediatric ventilator liberation. Through a series of virtual meetings, we established draft definitions that were voted upon using an anonymous web-based process. Definitions were revised by incorporating extracted data gathered during the systematic review and discussed in another consensus meeting. A second round of voting was conducted to confirm the final definitions. Results In eight topic areas identified by the experts, 16 preliminary definitions were established. Based on initial discussion and the first round of voting, modifications were suggested for 11 of the 16 definitions. There was significant variability in how these items were defined in the literature reviewed. The final round of voting achieved ≥ 80% agreement for all 16 definitions in the following areas: what constitutes respiratory support (invasive mechanical ventilation and noninvasive respiratory support), liberation and failed attempts to liberate from invasive mechanical ventilation, liberation from respiratory support, duration of noninvasive respiratory support, total duration of invasive mechanical ventilation, spontaneous breathing trials, extubation readiness testing, 28 ventilator-free days, and planned vs rescue use of post-extubation noninvasive respiratory support. Interpretation We propose that these consensus-based definitions for elements of pediatric ventilator liberation, informed by evidence, be used for future quality improvement initiatives and research studies to improve generalizability and facilitate comparison.es
dc.format.extent Extensión 11 p.es
dc.format.mimetype Formato application/pdfes
dc.identifier.citation Citación Abu-Sultaneh S, Prabhu Iyer N, Fernández A y otros. Operational Definitions Related to Pediatric Ventilator Liberation. Chest [en línea]. May 2023;163(5):1130-1143es
dc.identifier.doi DOI 10.1016/j.chest.2022.12.010-
dc.identifier.issn ISSN 1931-3543-
dc.identifier.uri URI https://hdl.handle.net/20.500.12008/52294-
dc.language.iso Idioma enes
dc.publisher Editorial Elsevieres
dc.relation.ispartof EN Chest. May 2023;163(5):1130-1143es
dc.rights Derechos Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)es
dc.rights.licence Licencia Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0)es
dc.subject Palabras clave Airway extubationes
dc.subject Palabras clave Extubation failurees
dc.subject Palabras clave High-flow nasal cannulaes
dc.subject Palabras clave Mechanical ventilationes
dc.subject Palabras clave Noninvasive ventilationes
dc.subject Palabras clave Pediatric ICUes
dc.subject Palabras clave Ventilator weaninges
dc.subject.other Descriptores RESPIRACIÓN ARTIFICIALes
dc.subject.other Descriptores EXTUBACIÓN TRAQUEALes
dc.subject.other Descriptores NIÑOes
dc.subject.other Descriptores DISEÑO DE INVESTIGACIONES EPIDEMIOLÓGICASes
dc.subject.other Descriptores DESCONEXIÓN DEL VENTILADORes
dc.title Título Operational Definitions Related to Pediatric Ventilator Liberationes
dc.type Tipo de documento Artículoes

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