呼吸机脱机困难的ABCDE流程.ppt

ABCDE Structured Approach for Weaning Failure2024/4/18 周四1.IntroductionApproach for weaningParameters/indicationsTrialsWeaning failureNo pass a SBTReintubation 48 hrs post-extubation2024/4/18 周四2.FocusWeaning“ABCDE”AirwayBrainCardiacDiaphragmendocrine2024/4/18 周四3.Airway/lung2024/4/18 周四4.Resistance of upper airwayTracheal obstruction more than 4 weeks on MVThe work of breathing increases post extubation more 5.5 ds on MV2024/4/18 周四5.COPD2024/4/18 周四6.PEEPiInspiratory thresholdIncrease work of breathingDiaphragm at a suboptimal positionPatient-ventilator asynchronyIneffective triggering2024/4/18 周四7.Brain2024/4/18 周四8.Cardiac2024/4/18 周四9.Diaphragm2024/4/18 周四10.Endocrine2024/4/18 周四11.Thanks2024/4/18 周四12.4/18/202413.