Pulmonary Medicine- Rapid Ventilator Weaning           ISSN 1930-6741



 

 Rapid Ventilator Weaning

Article Author

Ramesh Kaul ,MD, MS, FCCP

1. If patient is alert, and spontaneously triggers the Ventilator  and vitals are stable, please start a rapid wean or get the patient separated from the ventilator.

2.Try to correct all the metabolic components, Phosphate, Magnesium, Potassium ,        Sodium, chloride bicarbonate to non critical levels. Remove sedatives and CNS suppressants and wake the patient to comfort level.

3. Correct the offending causes and do a Spontaneous breathing trial viz. CPAP up to 5 and Pressure Support up to 10 depending on the circuit and the size of the patient.

4.Set of blood gases and weaning parameters to follow the each change helps in documentation, assessment and prevents misjudgments.

5. If patient is in Respiratory Acidosis with low PH weaning may have to be suspended.

 

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