Decrease Ventilator Settings Ventilator Settings : RR,FIO2,PEEP LOWEST POSSIBLE VENTILATOR SETTINGS SIMV/IMV 4 breaths FIO2 of 40% PEEP 0f 5cm H2O
WEANING METHODS Traditional method/Trial and error/T-piece trial IMV/SIMV PSV IPAP support for difficult to wean
Summary of adverse conditions ↑ HR by > 20 bpm Δ in Bp by 10-20 torr ↑ in PaCO2 by 10 torr RR ↑ 10 or > 30 bpm Stridor
Chronically Ventilator-Dependent Patients 23 Definition: ventilator dependency remains following 3 months of weaning attempts. Once dependency established, goal is to restore highest level of independence.