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Extubation Pathway Guide

The extubation pathway document outlines a 4 step process for removing a patient from a ventilator. Step 1 involves assessing if patients meet weaning criteria like adequate oxygen levels and low ventilator support. Step 2 is a 2 hour trial period off the ventilator. Step 3 checks extubation criteria such as consciousness and cough response. Step 4 outlines care after extubation like pain management and respiratory therapy.

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Samahir F Hussein
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185 views1 page

Extubation Pathway Guide

The extubation pathway document outlines a 4 step process for removing a patient from a ventilator. Step 1 involves assessing if patients meet weaning criteria like adequate oxygen levels and low ventilator support. Step 2 is a 2 hour trial period off the ventilator. Step 3 checks extubation criteria such as consciousness and cough response. Step 4 outlines care after extubation like pain management and respiratory therapy.

Uploaded by

Samahir F Hussein
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Extubation Pathway

Step 1: Weaning Criteria


Step 1: Weaning Criteria Yes No Continue reassessing the patient

SpO2 95% (on FiO2 0.4) PEEP 5cmH2O No inotropic or vasopressor agents
Step 2: SBT

Step 2: SBT (for 2 hours)

1. 2. 3.
Any signs of poor tolerance

Stop sedation Pressure Support = 8 cmH2O PEEP 5 cmH2O

No signs of poor tolerance

Go back to the last tolerated settings

No signs of poor tolerance SpO2 < 90% Vt 300 mL RR > 35 bpm or < 6 bpm or apnea HR > 140 bpm SBP <90mmHg or >180 somnolence agitation diaphoresis anxiety
Step 3: Extubation Criteria

Step 3: Extubation Criteria

Yes

NO

Conscious:obeys commands (GCS9) Effective cough/gag reflex Satisfactory ABG Pass cuff leak test (optional) Minimal secretions (suction
once/2 hrs) .. Step 4: Extubation & post extubation Care

Go back to step 2

Step 4: Extubation & post extubation Care

Inform the patient Satisfactory analgesia (25-50g) Ready for re-intubation Aggressive physiotherapy Aggressive suction Wait for 48 hrs

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