神经重症气管切开患者气道功能康复与管理专家共识(2024)

doi:10.3969/j.issn.1006-9771.2024.08.001

Abstract

Abstract:

Objective To create an evidence-based expert consensus on airway function rehabilitation and management post tracheostomy in neurocritical patients.

Methods The lists of problems and recommendations were defined using Delphi method, and the evidence quality and recommendation strength were evaluated using GRADE, and the results were reported based on RIGHT.

Results The comprehensive rehabilitation of airway function for neurocritical patients with tracheotomy in the setting of clinical rehabilitation would be conducted by a multidisciplinary team, including rehabilitation physicians, rehabilitation therapists, nurses, etc. A total of 17 recommendations were finally formulated on four major issues, including the airway function rehabilitation, airway management, pre-decannulation assessment and decannulation, and the monitoring after decannulation and rehabilitation management.

Conclusions The expert consensus on the airway function rehabilitation and the management after tracheostomy in neurocritical patients in the setting of clinical rehabilitation has been created, which may be helpful for the quality and safety of rehabilitation for the airway function in neurocritical patients with tracheostomy.

Key words: neurocritical care, tracheostomy, rehabilitation, respiratory therapy, swallowing therapy, expert consensus

CLC Number:

R742

Committee of Neurological Rehabilitation, China Association of Rehabilitation of Disabled Persons, China Rehabilitation Research Center. Expert consensus on rehabilitation and management of airway function for neurocritical patients with tracheotomy (2024)[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(8): 869-881.

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Expert consensus on rehabilitation and management of airway function for neurocritical patients with tracheotomy (2024)

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