Weaning mechanical ventilation: Difference between revisions
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==Weaning Paramater== | ==Weaning Paramater== | ||
*PaO2/FiO2 >200 | |||
*Tidal volume 5cc/kg | |||
*RR <20 | |||
*Vital capacity 10cc/kg | |||
*Minute ventilation. <10L/min | |||
*FiO2 < 0.4 with pO2 > 60 and PEEP < 8 | |||
*SBP > 90 without pressors | |||
== | ==Greater Predictive Value== | ||
*Max inspiratory pressure greater -90cmH2O female, -120cmH2O male, weaning threshold -25 cm h2o | |||
*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|'''F'''luid overload]] | |||
*'''A'''irway resistance (small ETT, mucous plug, etc.) | |||
*[[infection|'''I'''nfection]] | |||
*'''L'''ying down (elevate HOB) | |||
*[[thyroid|'''T'''hyroid]], [[toxicology (main)|'''T'''oxicity]] (meds) | |||
*[[hypoxia|'''O'''xygenation]] insufficient | |||
*[[wheezing|'''W'''heezing]] (nebs for [[asthma]]/[[COPD]]) | |||
*[[electrolyte abnormality|'''E'''lectrolyte abnormality]] (including Mg/Phos), '''E'''ating (nutrition) | |||
*'''A'''nti-inflammatories ([[steroids]] in [[asthma]]/[[COPD]]) | |||
*'''N'''euromuscular disease, Neuro status compromised | |||
==See Also== | ==See Also== | ||
{{Mechanical ventilation pages}} | |||
==References== | |||
<references/> | |||
[[Category: | [[Category:Critical Care]] | ||
[[Category: | [[Category:Pulmonary]] | ||
Latest revision as of 16:08, 27 September 2019
Weaning Paramater
- PaO2/FiO2 >200
- Tidal volume 5cc/kg
- RR <20
- Vital capacity 10cc/kg
- Minute ventilation. <10L/min
- FiO2 < 0.4 with pO2 > 60 and PEEP < 8
- SBP > 90 without pressors
Greater Predictive Value
- Max inspiratory 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 abnormality (including Mg/Phos), 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