Usual practice of the kinesiologist in pediatric intensive care units and role in the process of weaning from invasive mechanical ventilation. Survey and update.
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Abstract
Introduction: The role of the kinesiologist in the pediatric intensive care unit has a broad scope of action. One of his responsibilities is to participate in the weaning process from invasive mechanical ventilation. Implementing a protocol for this process avoids variability in the approach and improves health indicators.
Objectives: To determine the usual practice of the kinesiologist in general and in the weaning process from invasive mechanical ventilation in particular, in the pediatric intensive care units of Argentina. Measure the use of weaning protocols from invasive mechanical ventilation, describe the predominant type of test, and report an update of this process.
Design: Descriptive, cross-sectional, multicenter study conducted through a survey.
Results: A survey was sent to 80 pediatric intensive care units. 75% (n = 60) of the kinesiologists surveyed expressed that they always or almost always participate in the decisions and actions taken during the weaning process from mechanical ventilation. 32.5% (n = 26) of these units use a protocol as a guide, being the continuous positive pressure with pressure support the main spontaneous breathing test (57.5% (n = 46).
Conclusions: There is a high participation of the kinesiologist in the weaning process from invasive mechanical ventilation, with a low percentage of protocol use in the usual practice. Continuous positive pressure with pressure support is the method of choice for the spontaneous breathing test.
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