呼吸机脱机困难的ABCDE流程PPT课件
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BHale Waihona Puke Baiduain
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Cardiac
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Diaphragm
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Endocrine
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Thanks
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• The work of breathing increases post extubation more 5.5 ds on MV
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COPD
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PEEPi
• Inspiratory threshold • Increase work of breathing • Diaphragm at a suboptimal position • Patient-ventilator asynchrony • Ineffective triggering
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2
Focus
• Weaning “ABCDE”
– Airway – Brain – Cardiac – Diaphragm – endocrine
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Airway/lung
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Resistance of upper airway
• Tracheal obstruction more than 4 weeks on MV
ABCDE
Structured Approach for Weaning Failure
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Introduction
• Approach for weaning
– Parameters / indications – Trials
• Weaning failure
– No pass a SBT – Reintubation 48 hrs post-extubation