Vent Extubation

Question 1

What should the P/F Ratio Be at for extubation

Answer 1

> 300

Question 2

What should the respiratory muscle strength Be at for extubation

Answer 2

MIP or NIF at -20 cmH20

Question 3

Extubation for trach

Answer 3

If a patient is unable to maintain an airway for extubation they are a good candidate to get a trach

Question 4

Extubation for Non-invasive PPV

Answer 4

If a patient is able to maintain an airway but can not maintain spontaneous breathing for extubation they are a good candidate for no invasive PPV

Question 5

Cuff Leak Test

Answer 5

1) Asses patient for spontaneous breathing
2) Suction
3) deflate cuff
4) Occule endotracheal tube breifly
5) if they are unable to breath around a deflated cuff then laryngeal edema should be suspected

Question 6

After 30-120 min of a SBT patients that can be extubated should have

Answer 6

resolution of disease state
Hemodynamic stability
adequate oxygenation-low FiO2, PEEP
Adequate vent status-PacO2, normal pH

Question 7

an extubation is considered successful when

Answer 7

Patient remains stable and extubated for 24 hours