Before extubation: 1. Patient selection and timing of extubation: Age and body mass index (BMI) Nutritional status (both over- and underweight) Underlying diseases (cardiac and pulmonary conditions), previous use of…
Fig. 55.1 Roles for NIV in the weaning and peri-extubation period. COPD chronic obstructive pulmonary disease, CPE cardiogenic pulmonary edema, SBT spontaneous breathing failure In 2001, an International Consensus Conference…
Fig. 53.1 Necker hospital decannulation flow chart The patient should be in a stable condition for at least 1 month. This delay depends on the child’s age and also on…
© Springer International Publishing Switzerland 2016Antonio M. Esquinas (ed.)Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care10.1007/978-3-319-04259-6_51 51. Noninvasive Ventilation After Extubation in Pediatric Patients: Determinants of Response and Key Topics Juan Mayordomo-Colunga1 , Alberto Medina1 , Martí Pons-Òdena2 ,…
Indications Contraindications Atelectasis Unconscious/noncooperative Acute pulmonary edema Hemodynamic instability Pneumonia Abundant and thick secretions Diaphragmatic paralysis Severe respiratory failure (P/F <150; S/F <200) Airway edema: post-extubation laryngitis Vomiting/gastrointestinal hemorrhage Weaning…
© Springer International Publishing Switzerland 2016Antonio M. Esquinas (ed.)Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care10.1007/978-3-319-04259-6_49 49. Noninvasive Ventilation Strategies to Prevent Post-extubation Failure: Neonatology Perspective Erik A. Jensen1 and Georg M. Schmölzer2, 3, 4 (1) Department…
, Anne Claire Servel1 and Alan de Klerk2 (1) Division of Pediatrics and Neonatal Critical Care, South Paris University Hospitals, Medical Center “A. Béclére” – APHP, Paris, France (2) Department of Pediatrics, Division of…
Indications for NIV Patient has chronic stable or slowly progressive respiratory failure: Significant daytime CO2 retention (>50 mmHg) with appropriately compensated pH or Mild daytime or nocturnal CO2 retention (45–50…
© 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…
