1、ABCDE Structured Approach for Weaning FailureIntroductionIntroduction Approach for weaning Parameters/indications Trials Weaning failure No pass a SBT Reintubation 48 hrs post-extubationFocusFocus Weaning“ABCDE”Airway Brain Cardiac Diaphragm endocrineAirway/lungAirway/lungResistance of upper airwayR
2、esistance of upper airway Tracheal obstruction more than 4 weeks on MV The work of breathing increases post extubation more 5.5 ds on MVCOPDCOPDPEEPPEEPi i Inspiratory threshold Increase work of breathing Diaphragm at a suboptimal position Patient-ventilator asynchrony Ineffective triggeringBrainBrainCardiacCardiacDiaphragmDiaphragmEndocrineEndocrineThanksThanks
