Weaning mechanical ventilation: Difference between revisions
| Line 13: | Line 13: | ||
==Failure to Wean== | ==Failure to Wean== | ||
'''FAIL TO WEAN <ref>UIC ICU Guidebook. Mechanical Ventilation - Weaning/Extubation. 2013. http://chicago.medicine.uic.edu/UserFiles/Servers/Server_442934/Image/1.1/residentguides/final/icuguidebook.pdf</ref>''' | |||
* | *'''F'''luid overload | ||
* | *'''A'''irway resistance (small ETT, mucous plug, etc.) | ||
* | *'''I'''nfection | ||
* | *'''L'''ying down (elevate HOB) | ||
* | *'''T'''hyroid, Toxicity (meds) | ||
* | *'''O'''xygenation insufficient | ||
* | *'''W'''heezing (nebs for [[asthma]]/[[COPD]]) | ||
* | *'''E'''lectrolyte abnl, Eating (nutrition) | ||
* | *'''A'''nti-inflammatories (steroids in [[asthma]]/[[COPD]]) | ||
* | *'''N'''euromuscular disease, Neuro status compromised | ||
==See Also== | ==See Also== | ||
Revision as of 11:45, 26 August 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
Mechanical Ventilation Pages
- Noninvasive ventilation
- Intubation
- Mechanical ventilation (main)
- Miscellaneous
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