呼吸机脱机困难的ABCDE流程.pptVIP

ABCDE Structured Approach for Weaning Failure Introduction Approach for weaning Parameters / indications Trials Weaning failure No pass a SBT Reintubation 48 hrs post-extubation Focus Weaning “ABCDE” Airway Brain Cardiac Diaphragm endocrine Airway/lung Resistance of upper airway Tracheal obstruction more than 4 weeks on MV The work of breathing increases post extubation more 5.5 ds on MV COPD PEEPi Inspiratory threshold Increase work of breathing Diaphragm at a suboptimal position Patient-ventilator asynchrony Ineffective triggering Brain Cardiac Diaphragm Endocrine Thanks