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==Weaning==
==Weaning==
*Overview  
===Overview===


*criteria for Spontaneous Breathing Test (SBT)
===criteria for Spontaneous Breathing Test (SBT)===


**Respiratory Criteria
*Respiratory Criteria
 
#PaO2
 
#PaCo2


#PaO2>= 60 mm hg ( FiO2<40-50,PEEP<5-8cm H2O)
#PaCo2 normal or base line
#Pt able to initiate inspiratory effort  
#Pt able to initiate inspiratory effort  


**Cardiovascular Criteria  
*Cardiovascular Criteria  
**Absence of correctable comorbid conditions
#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

Revision as of 16:33, 19 November 2013

Weaning

Overview

criteria for Spontaneous Breathing Test (SBT)

  • Respiratory Criteria
  1. PaO2>= 60 mm hg ( FiO2<40-50,PEEP<5-8cm H2O)
  2. PaCo2 normal or base line
  3. Pt able to initiate inspiratory effort
  • Cardiovascular Criteria
  1. No evidence of myocardial ischemia
  2. HR<140/min
  3. BP normal without vasopressor or minimal vasopressor support
  4. Adequate mental status :arousable/GCS.13
  • Absence of correctable comorbid conditions
  1. Patient is afebrile
  2. No significant electrolytes abnormalities
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