Criteria for extubation
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The document outlines criteria for extubating patients, including that patients must be hemodynamically stable with low or stopped inotropes and a hemoglobin level above 8. They must demonstrate adequate ventilation and oxygenation, as measured by a P/F ratio above 200, FiO2 below 40%, PEEP below 5, and RSBI below 105. Patients must pass a spontaneous breathing trial of 30-120 minutes without deterioration. Other criteria include an effective cough, low or stopped sedation, GCS above 8-10, presence of a cuff leak, temperature below 38 degrees, and resolution of the underlying condition requiring intubation.
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Criteria for extubation
- 2. Respiratory Therapy Monitoring Sheet/ Respiratory Progress Sheet
- 3. Criterias
- 5. Adequate Ventilation & Oxygenation PF Ratio >200 (Arterial Oxygen Partial Pressure to Fractional Oxygen) FiO2 <40 (Fraction of Inspired Oxygen) PEEP <5 (Positive End Expiratory Pressure) RSBI <105 (Rapid Shallow Breathing Index) SBT >30-120 min. (Spontaneous Breathing Trial) *ABG (Arterial Blood Gas)
- 6. Computation PF Ratio >200 P/F Ratio=PaO2/FiO2 RSBI <105 RSBI=RR/TV
- 7. Spontaneous Breathing Trial (SBT)
- 8. Other Criteria Effective Cough Low/Stop Sedation GCS >8-10 Cuff Leak T <38 Causative condition resolved/Under control