Weaning mechanical ventilation: Difference between revisions
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#-120 male threshold -25 cm h2o | #-120 male threshold -25 cm h2o | ||
#RSBI: rate/tidal volume < 100 min/L. | #RSBI: rate/tidal volume < 100 min/L. | ||
==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> | |||
**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 | |||
==References== | |||
<references/> | |||
==See Also== | ==See Also== | ||
Revision as of 14:48, 16 April 2015
Weaning Paramater
- PaO2/FiO2 >200
- Tidal volume 5cc/kg
- RR <40
- Vital cap 10cc/kg
- Min vent. <10L/min
greater predictive value
- max inspir. pressure greater -90cmH2O female
- -120 male 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
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