Weaning mechanical ventilation: Difference between revisions
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**Anti-inflammatories (steroids in asthma/COPD) | **Anti-inflammatories (steroids in asthma/COPD) | ||
**Neuromuscular disease, Neuro status compromised | **Neuromuscular disease, Neuro status compromised | ||
==See Also== | ==See Also== | ||
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*[[Ventilation (Strategies)]] | *[[Ventilation (Strategies)]] | ||
[[Category: | ==References== | ||
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[[Category:Pulm]] | [[Category:Pulm]] | ||
Revision as of 18:57, 14 May 2015
Weaning Paramater
- PaO2/FiO2 >200
- Tidal volume 5cc/kg
- RR <20
- Vital cap 10cc/kg
- Min vent. <10L/min
- FiO2 < 0.4 with pO2 > 60 and PEEP < 8
- SBP > 90 without pressors
Greater Predictive Value
- Max inspir. pressure greater -90cmH2O female, -120cmH2O male, weaning threshold -25 cm h2o
- RSBI: rate/tidal volume < 100 min/L.
Failure to Wean
- FAIL TO WEAN [1]
- Fluid overload
- Airway resistance (small ETT, mucous plug, etc.)
- Infection
- Lying down (elevate HOB)
- Thyroid, Toxicity (meds)
- Oxygenation insufficient
- Wheezing (nebs for asthma/COPD)
- Electrolyte abnl, Eating (nutrition)
- Anti-inflammatories (steroids in asthma/COPD)
- Neuromuscular disease, Neuro status compromised
See Also
References
- ↑ UIC ICU Guidebook. Mechanical Ventilation - Weaning/Extubation. 2013. http://chicago.medicine.uic.edu/UserFiles/Servers/Server_442934/Image/1.1/residentguides/final/icuguidebook.pdf