Sandbox: Difference between revisions
Jump to navigation
Jump to search
| Line 6: | Line 6: | ||
*Respiratory Criteria | *Respiratory Criteria | ||
#PaO2>= 60 mm hg ( FiO2<40-50,PEEP<5-8cm H2O) | #PaO2>= '''60 mm hg''' ( FiO2<40-50,PEEP<5-8cm H2O) | ||
#PaCo2 normal or base line | #PaCo2 normal or base line | ||
#Pt able to initiate inspiratory effort | #Pt able to initiate inspiratory effort | ||
| Line 14: | Line 14: | ||
#HR<140/min | #HR<140/min | ||
#BP normal without vasopressor or minimal vasopressor support | #BP normal without vasopressor or minimal vasopressor support | ||
#Adequate mental status :arousable/GCS.13 | #Adequate mental status :''arousable/GCS.13'' | ||
*Absence of correctable comorbid conditions | *Absence of correctable comorbid conditions | ||
#Patient is afebrile | #Patient is afebrile | ||
| Line 24: | Line 24: | ||
#total ventilation:5-6 L /min | #total ventilation:5-6 L /min | ||
#RR/Vt ratio :40-50/L | #RR/Vt ratio :40-50/L | ||
#MIP ( maximum inspiration pressure )between 90- to -120 cm H2O | #'''MIP''' ( maximum inspiration pressure )between 90- to -120 cm H2O | ||
Revision as of 16:45, 19 November 2013
Weaning
Overview
criteria for Spontaneous Breathing Test (SBT)
- Respiratory Criteria
- PaO2>= 60 mm hg ( FiO2<40-50,PEEP<5-8cm H2O)
- PaCo2 normal or base line
- Pt able to initiate inspiratory effort
- Cardiovascular Criteria
- No evidence of myocardial ischemia
- HR<140/min
- BP normal without vasopressor or minimal vasopressor support
- Adequate mental status :arousable/GCS.13
- Absence of correctable comorbid conditions
- Patient is afebrile
- No significant electrolytes abnormalities
Patient who will tolerate Weaning
the criteria that predict the patient tolerance to weaning are
- Tidal volume :5-7 ml/Kg
- respiratory rate is :10-18 per minute
- total ventilation:5-6 L /min
- RR/Vt ratio :40-50/L
- MIP ( maximum inspiration pressure )between 90- to -120 cm H2O