Continuous subglottic aspiration of secretions reduces the incidence of nosocomial pneumonia. Withdrawal of mechanical ventilation. Guidelines for weaning from mechanical ventilation. An awake, alert patient. PCO 2 acceptable and a pH in normal range.
Patient is able to generate maximum voluntary ventilation without retractions.
Patient is able to generate a peak negative inspiratory pressure of at least 20 cm H 2 O. Weaning from the ventilator. Explain the process to the patient and encourage cooperation. Place the patient in an upright position. Patient becomes anxious or fatigued or demonstrates increasing respiratory distress or develops significant arrhythmias or hemodynamic deterioration. Have the patient use a T-tube with humidified oxygen.