Have the patient use a T-tube with humidified oxygen. If the patient tolerates this for 1 to 4 hours as demonstrated by above parameters, discontinue mechanical ventilation. Monitor ABGs and vital signs. If the patient remains stable, discontinue mechanical ventilation. If the trial fails, increase assisted rate until patient stabilizes.
Repeat attempt the following day with a more gradual decrease in the rate of assisted breaths.
O 2 delivered Comments Low-flow Systems 1. 0.5 Aerosol may induce bronchospasm, fluid overload, overmobilization of secretions, or contamination b. Mask CPAP and BiPAP 0 to 12 Up to 100 Useful in COPD and CHF but not in asthma. May prevent intubation and decrease hospital stays. All rights reserved.