Re: Preferred mode of ventilation and weaning
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We also use the Drager Evita XL, they are managed by RTs unless a pulmonologist is on board and wants to manage, but that's rare. We use SIMV almost always for Norc'd / sedated patients. Sometimes MMV in other situations... AC is really rare.
Wean to Extubate orders follow a hospital protocol that includes Vc, RSBI, sats, RR, sometimes ABGs, and the patients ability to lift their head off the pillow. If they meet weaning params, we move to CPAP. If they can tolerate that, then the tube comes out. RTs usually extubate, but I've done it a few times.
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