Weaning mechanical ventilation: Difference between revisions
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==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> | |||
* | *[[fluid overload|Fluid overload]] | ||
* | *Airway resistance (small ETT, mucous plug, etc.) | ||
* | *[[infection|Infection]] | ||
* | *Lying down (elevate HOB) | ||
* | *[[thyroid|Thyroid]], [[toxicology (main)|Toxicity]] (meds) | ||
* | *[[hypoxia|Oxygenation]] insufficient | ||
* | *[[wheezing|Wheezing]] (nebs for [[asthma]]/[[COPD]]) | ||
* | *[[electrolyte abnormality|Electrolyte abnormality]] (including Mg/Phos), Eating (nutrition) | ||
* | *Anti-inflammatories ([[steroids]] in [[asthma]]/[[COPD]]) | ||
*'''N'''euromuscular disease, Neuro status compromised | *'''N'''euromuscular disease, Neuro status compromised | ||
Latest revision as of 09:28, 22 March 2026
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