Male patient IBW 70 kg with Guillian Barre Syndrome is trach…
Male patient IBW 70 kg with Guillian Barre Syndrome is trached with a 7.0 mm Trach tube and has been vented for the past 2 weeks. Current vent settings: PRVC 12/min, VT 450ml, fi02.28, PEEP 5 cmH20. PIP 20 cmH20, static pressure is also 20 cmH20. VE 5.4 L/min. Total RR 12/min and Abg’s are within normal limits. Weaning parameters were performed with a NIF -15cmH20, VC 500ml, RSBI on CPAP with 5 cmH20 pressure support is 70. There are no signs of respiratory distress when placed on CPAP: RR 8/min, VT on pressure support of 5 cmH20 is 350ml. Abg’s are the following: pH7.30, paC02 53torr, pa02 78 torr, HC03 24 meq/L. How should you approach liberating this patient from the ventilator?