{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:25:07Z","timestamp":1790007907051,"version":"4.0.1"},"reference-count":43,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p> Objective: to clinically validate the nursing diagnosis of Dysfunctional Ventilatory Weaning Response in adult patients admitted to Intensive Care Units.  Method: a concurrent cohort performed with 93 patients admitted to Intensive Care Units. The incidence and incidence density of the diagnosis were estimated, its related factors were identified based on bivariate analysis and clinical indicators for determining its occurrence, according to the global and temporal presentation.  Results: the overall incidence of the diagnosis was 44.09% and the incidence density was 14.49 occurrences for every 100 extubations\/day. The factors related to the diagnosis were the following: age, clinical severity, fluid balance, oliguria, hemodialysis, edema in upper\/lower limbs, anasarca, number of antibiotics, hypothermia, hyperthermia, amount of secretion, muscle retraction, anxiety score, heart rate, use of vasopressors and non-invasive ventilation after extubation. The clinical indicators most frequently identified for determining the diagnosis were the following: tachypnea, drop of saturation and tachycardia. Temporal progression in the severity of these manifestations was found.  Conclusion: the Dysfunctional Ventilatory Weaning Response is a common finding in critically ill patients. Some components of the diagnosis of the NANDA-International (2018) version could be clinically validated. It is noteworthy that there are variables not yet described in the taxonomy, demonstrating the need to review this nursing diagnosis.<\/jats:p>","DOI":"10.1590\/1518-8345.3522.3334","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T21:20:52Z","timestamp":1597267252000},"source":"Crossref","is-referenced-by-count":9,"title":["Clinical study of Dysfunctional Ventilatory Weaning Response in critically ill patients"],"prefix":"10.1590","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2097-3809","authenticated-orcid":false,"given":"Ludmila Christiane Rosa da","family":"Silva","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil; Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3419-9145","authenticated-orcid":false,"given":"Isadora Soto","family":"Tonelli","sequence":"additional","affiliation":[{"name":"UNIMED,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6744-6758","authenticated-orcid":false,"given":"Raissa Caroline Costa","family":"Oliveira","sequence":"additional","affiliation":[{"name":"UNIMED,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1429-9045","authenticated-orcid":false,"given":"Patricia Lage","family":"Lemos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5102-5051","authenticated-orcid":false,"given":"Selme Silqueira de","family":"Matos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8313-2791","authenticated-orcid":false,"given":"Tania Couto Machado","family":"Chianca","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"23","key":"ref1","first-page":"162","article-title":"Principais crit\u00e9rios relacionados ao sucesso e insucesso do desmame da ventila\u00e7\u00e3o mec\u00e2nica invasiva","volume":"12","author":"Vargas MHM","year":"2019","journal-title":"Rev Sa\u00fade Integrada"},{"issue":"2","key":"ref2","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/ACO.0000000000000297","article-title":"The differential diagnosis for failure to wean from mechanical ventilation","volume":"29","author":"Doorduin J","year":"2016","journal-title":"Curr Opin Anaesthesiol"},{"issue":"18","key":"ref3","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.1001\/jama.2018.13763","article-title":"Effect of Protocolized Weaning With Early Extubation to Noninvasive Ventilation vs Invasive Weaning on Time to Liberation From Mechanical Ventilation Among Patients With Respiratory Failure: The Breathe Randomized Clinical Trial","volume":"320","author":"Perkins GD","year":"2018","journal-title":"JAMA"},{"issue":"7","key":"ref4","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/j.ajic.2018.12.015","article-title":"Chest physiotherapy for the prevention of ventilator-associated pneumonia: A meta-analysis","volume":"47","author":"Wang MY","year":"2019","journal-title":"Am J Infect Control"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/s40635-019-0259-9","article-title":"Ventilator-induced diaphragm dysfunction: translational mechanisms lead to therapeutical alternatives in the critically ill","volume":"7","author":"Penuelas O","year":"2019","journal-title":"Intensive Care Med Exp"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1097\/MCC.0000000000000683","article-title":"Diaphragm protection: what should we target?","volume":"26","author":"Schepens T","year":"2020","journal-title":"Curr Opin Crit Care"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1177\/1941874416663279","article-title":"Review of critical illness Myopathy and neuropathy","volume":"7","author":"Shepherd S","year":"2017","journal-title":"Neurohospitalist"},{"issue":"22","key":"ref8","doi-asserted-by":"crossref","first-page":"2175","DOI":"10.1001\/jama.2019.7234","article-title":"Effect of Pressure Support vs T-Piece Ventilation Strategies During Spontaneous Breathing Trials on Successful Extubation Among Patients Receiving Mechanical Ventilation: A Randomized Clinical Trial","volume":"321","author":"Subir\u00e0 C","year":"2019","journal-title":"JAMA"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"S54","DOI":"10.1590\/S1806-37132007000800002","article-title":"III Consenso Brasileiro de ventila\u00e7\u00e3o mec\u00e2nica. Ventila\u00e7\u00e3o mec\u00e2nica: princ\u00edpios, an\u00e1lises gr\u00e1ficas e modalidades ventilat\u00f3rias","volume":"33","author":"Carvalho CRR","year":"2007","journal-title":"J Bras Pneumol"},{"issue":"1","key":"ref10","first-page":"26","article-title":"A realidade dos pacientes que necessitam de ventila\u00e7\u00e3o mec\u00e2nica prolongada: um estudo multic\u00eantrico","volume":"27","author":"Loss SH","year":"2015","journal-title":"Rev Bras Ter Intensiva"},{"issue":"1","key":"ref11","first-page":"3","article-title":"Analysis of mechanical ventilation time and hospitalization of patients undergoing cardiac surgery","volume":"42","author":"Cordeiro ALL","year":"2017","journal-title":"ABCS Health Sciences"},{"issue":"3","key":"ref12","first-page":"215","article-title":"Brazilian recommendations of mechanical ventilation 2013. 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