Page 550 - Clinical Application of Mechanical Ventilation

Chapter 16

Weaning from Mechanical Ventilation

David W. Chang
James H. Hiers

Outline

Introduction Other Modes of Partial Ventilatory
Definition of Weaning Success and Support
Failure Weaning Protocol
Weaning Success Signs of Weaning Failure
Weaning in Progress Causes of Weaning Failure
Weaning Failure Increase of Airflow Resistance
Patient Condition Prior to Weaning Decrease of Compliance
Weaning Criteria Respiratory Muscle Fatigue
Ventilatory Criteria Terminal Weaning
Oxygenation Criteria Prior to Withdrawal
Pulmonary Reserve Withdrawal
Pulmonary Measurements Summary
Rapid Shallow Breathing Index (RSBI) Self-Assessment Questions
Weaning Procedure Answers to Self-Assessment Questions
Spontaneous Breathing Trial References
Failure of SBT Additional Resources
Pressure Support Ventilation
Key Terms

pressure support ventilation (PSV) weaning failure
rapid shallow breathing index (RSBI) weaning in progress

spontaneous breathing trial (SBT) weaning success
synchronized intermittent mandatory
ventilation (SIMV)

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