인공 호흡기 중단 시기 (Weaning from mechnical ventilation and sedation)
- 최초 등록일
- 2014.04.03
- 최종 저작일
- 2014.03
- 12페이지/ MS 파워포인트
- 가격 1,500원
소개글
인공호흡기 중단시기 결정 protocol에 관하여 교과서 및 논문을 요약한 ppt 입니다.
목차
1. Weaning from mechanical ventilation
2. Weaning from sedation
3. Conclusion
본문내용
“Simple weaning”
Successful weaning after one SBT and first extubation
“Difficult weaning”
Successful weaning at least after the third of two previously failed SBTs
Successful weaning within 7 days after the first failed SBT
“Prolonged weaning”
Successful weaning after three failed SBTs
Successful weaning at least 7 days ventilation after the first failed SBT
“Weaning failure”
Failed SBT
Reintubation or resumption of ventilatory assist within 48h
Death within 48h after extubation
Essential element of the weaning process
Using T-piece or low-pressure support
Duration: 30min
Rapid Shallow Breathing Index(RSBI)
Parameter as a predictor of weaning success during SBT
Respiratory rate to tidal volume ratio(RR/TV)
High RSBI (breathing fast with low tidal volumes) during SBT → higher risk for weaning or extubation failure
참고 자료
Curr Opin Anesthesiol 2012, 25:164-169