© Springer International Publishing Switzerland 2016Antonio M. Esquinas (ed.)Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care10.1007/978-3-319-04259-6_44 44. Criteria for Discharging Patients with Prolonged and Difficult Weaning from Intensive Care Unit to Weaning Center…
Prerequisites Recommendation Alert and cooperative No sedative medications to improve sleep Clinical hemodynamic stability No vasoactive medications Normal gas exchange on room air PaCO2 < 45 mmHg (6.0 kPa), PaO2 > 94…
Check for underlying disease and explore severity Define condition requiring intubation and determine severity Observe weaning progress If underlying disease is severe If condition requiring intubation is minor Choose transfer…
Absence of distress and stable ABG values on prolonged mechanical ventilation for 5 days Stable clinical conditions (hemodynamic stability, absence of fever or active infection) PaCO2 < 60 mmHg Normal endoscopic examination…
© Springer International Publishing Switzerland 2016Antonio M. Esquinas (ed.)Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care10.1007/978-3-319-04259-6_39 39. Impact of Noninvasive Positive-Pressure Ventilation in Unplanned Extubation Emel Eryüksel1 and Turgay Çelikel1 (1) Pulmonary and Critical Care,…
CPAP Continuous positive airway pressure APAP Automatic adjustment continuous positive airway pressure BPAP Bi-level positive airway pressure ASV Adaptive servo-ventilation AVAPS Average volume-assured pressure support ventilation 38.2 Definition of Sleep…
© Springer International Publishing Switzerland 2016Antonio M. Esquinas (ed.)Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care10.1007/978-3-319-04259-6_37 37. Noninvasive Mechanical Ventilation in Tetraplegia Michael A. Gaytant1 and Mike J. Kampelmacher1 (1) Department of Home Mechanical Ventilation, University Medical…
Spine fracture Intubation for airway problem GCS at time of extubation Delirium tremens Patients who failed extubation were found to more often require prolonged ventilation (>48 h). Compared with those…
Fig. 35.1 Airway pressure versus time with spontaneous breathing, continuous positive airway pressure (CPAP), and bi-level positive airway pressure (BiPAP) 35.4 BiPAP and Preoxygenation in Acute Postoperative Respiratory Failure BiPAP…
Fig. 34.1 A temporal view of agitation and weaning of mechanical ventilation According to the new classification of weaning given at the Consensus Conference, there are three different groups of…
