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Preferred mode of ventilation and weaning



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  #11  
Old Apr 14, 2008, 11:14 AM
cardiacRN2006's Avatar
Moving on......
Join Date: Jan 2005
Re: Preferred mode of ventilation and weaning

Our pulmonologist manages the vents.

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  #12  
Old Apr 14, 2008, 05:33 PM
Registered User
Join Date: Oct 2007
Re: Preferred mode of ventilation and weaning

[quote=meandragonbrett;2777158] Who manages your ventilators in your facilities? [quote]
>
The order usually reads "vent settings as per RT"
and "wean to extubate as per RT" a few of the docs will leave blood gas parameters.

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  #13  
Old Apr 14, 2008, 06:01 PM
diveRN (Male)
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Join Date: Mar 2008
Re: Preferred mode of ventilation and weaning

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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Preferred mode of ventilation and weaning

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