Keywords
Mechanical Ventilation
Ventilatory Weaning
Hospital Physiotherapy Service
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Abstract
Objective: To identify the clinical and ventilatory criteria and strategies used in weaning newborns from invasive mechanical ventilation in a Neonatal Intensive Care Unit. Methods: This is an integrative review, conducted using the PubMed, SciELO, LILACS, Virtual Health Library, Scopus, and Web of Science databases, encompassing studies published between 2020 and 2025, in Portuguese and English. Studies were selected through reading titles, abstracts, and full texts. The methodological quality and level of evidence of the included publications were assessed using the GRADE system and the OCEBM hierarchy of evidence. Results: The final sample consisted of 9 studies. The findings indicated that standardized clinical and ventilatory criteria, associated with hemodynamic stability, adequate gas exchange, and the application of the spontaneous breathing trial, contribute to reducing the duration of mechanical ventilation and extubation failure rates. Final considerations: Scientific evidence indicates that the adoption of defined criteria and systematized strategies for neonatal ventilator weaning promotes patient safety and better clinical outcomes, supporting neonatal care practice.
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