How to extube power point presentation
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This document discusses guidelines for extubating patients from mechanical ventilation. It notes that extubation success is important to reduce re-intubation rates. A patient must pass a spontaneous breathing trial and meet general criteria like stable lung disease, low oxygen and pressure support needs, and hemodynamic stability to be assessed for extubation. Factors that can be optimized before extubation include respiratory muscle power, decreasing respiratory work, optimizing ventilator drive, and increasing oxygenation. Predictors of weaning failure include advanced age, prolonged ventilation, COPD, increased minute ventilation, and positive fluid balance.
How to extube power point presentation
- 2. LY Hour RascalVentilation classification 1- Simple 2- Difficult (2-7day) 3- Prolonged >7day
- 3. LY Hour RascalWeaning failure • Pass a spontaneous-breathing trial (failure) or re-intubation within 48hour following extubation. • Predicting success is important to reduce rates of Re-intubation.
- 4. LY Hour RascalWean Screen (General) © Lung disease is stable/resoling © Low Fio2 (<50%) and PEEP (<5-8mmHg) requirement © Hemodynamic stability (little to no inopressois © Able to in spontaneous breaths (good neuromuscular function)
- 5. LY Hour Rascal PASS ALL TO BE ASSESSED FOR EXTUBATION
- 6. LY Hour Rascal Optimize Respiratory muscle power • Nutrition • Avoid neuromuculare blocking drugs, decreas steroid use and other contributors to critcal illness induce weakness. • Encorrage spontaneous breathing but avoid extubation.
- 7. LY Hour Rascal Optimize Respiratory muscle power • Normal electrolytes • Normal FRC • Physiotherapy
- 8. LY Hour RascalDecrease Respiratory work • Sit up • Decrease respiratory demand – Decrease CO2 – Correct metabolic acidosis • Decrease resistance • Increase compliance
- 9. LY Hour RascalOptimize ventilator drive • Stop sedation • Consider cause from the brain to the neuromuscular function
- 10. LY Hour Rascal Increase oxygenation and carrying capacity • Sit up and avoid atelectasis • Correct anemia • Correct acid-base disturbance
- 11. LY Hour RascalPredictors of weaning failure • Advanced age • Prolonged mechanical ventilation • COPD • Increased minute ventilation • Positive fluid balance
- 12. LY Hour Rascal យ ើងសងឃឹមថាការបង្ហា ញយនេះនឹងផ្តល់ជាបទ ពិយោធថ្មីយ ើមបី ជាជំនួ ក្ន ុងការថថ្ទំ & ពាបាលកាន់ ថែមានគុណភាព។ សូ មអគុណ!