Phase 1 - Screening If deep sedation is stopped and the patient is active, gradually reduce %MinVol (at most to 70% MinVol), PEEP, and Oxygen every hour.
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Phase 2 - Observation If the patient’s respitory rate is < 30 breaths/min, Pinsp < 15 cmH2 O, PEEP ≤ 8 cmH2 O, Oxygen ≤ 40% or according to your ICU standard for 30 min to 2 h, consider an SBT.
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Phase 3 - Spontaneous breathing trials (SBT) Perform SBT. Suggested SBT settings: PEEP = 5 cmH2 O, Oxygen = 30% %MinVol = 25% for 30 minutes
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If SBT is successful after 30 minutes and extubation criteria are fulfilled, consider extubation.
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This protocol is our suggestion. You may have your own specific weaning criteria that patients have to fulfill before starting SBTs
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How to understand the main purpose of the Hamilton-C2.
Phase 1 - Screening If deep sedation is stopped and the patient is active, gradually reduce %MinVol (at most to 70% MinVol), PEEP, and Oxygen every hour.
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• Perform pre-operational check of the ventilator.
+
Phase 2 - Observation If the patient’s respitory rate is < 30 breaths/min, Pinsp < 15 cmH2 O, PEEP ≤ 8 cmH2 O, Oxygen ≤ 40% or according to your ICU standard for 30 min to 2 h, consider an SBT.
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• Select accurate patient height and gender for the calculation of the ideal body weight (IBW)
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Phase 3 - Spontaneous breathing trials (SBT) Perform SBT. Suggested SBT settings: PEEP = 5 cmH2 O, Oxygen = 30% %MinVol = 25% for 30 minutes
+
+
If SBT is successful after 30 minutes and extubation criteria are fulfilled, consider extubation.
+
+
This protocol is our suggestion. You may have your own specific weaning criteria that patients have to fulfill before starting SBTs
Preparation
• Perform pre-operational check of the ventilator.
• Select accurate patient height and gender for the calculation of the ideal body weight (IBW)