الفهرس 
Impact of a mechanical ventilation weaning protocol on successful weaning
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Abstract
Background: Mechanical ventilation is a life-supporting intervention that is used for a significant number of patients in ICUs, but it can also cause lung injury, diaphragmatic dysfunction, and lung infection. Ventilator liberation should be attempted as soon as clinically indicated, to minimize morbidity and mortality Objectives: is to detect the impact of the mechanical ventilation weaning protocol on successful weaning in patients admitted at 6th floor pediatric intensive care unit, children`s hospital- Cairo university. Subjects and methods: It is a prospective study which included 100 children who were receiving mechanical ventilation considered ready for extubation. This consists of two groups; group A cases (protocolized group) using weaning checklist, P/F ratio and RSBI before being subjected to spontaneous breathing trial (SBT) compared to group B (non protocolized group) weaned according to standard unit practice using weaning checklist, P/F ratio and clinical assessment of the patients before being subjected to SBT. The cases of each group entered several trials regarding SBT and extubation so named group A` (70 trials) and group B` (76 trials) Fifty-two were females (24 in group B 46.2% and 28 in group A 53.8%). Forty-eight were males (26 in group B 54.2% and 22 in group A 45.8%). In group B the age ranged from 2-144 months with a median of 4.5 months, in group A it ranged from 2-132 months with a median of 9 months