Patient failing weaning on trachy?
Just do a bronchoscopy without positive pressure
Just do a bronchoscopy without positive pressure
Dexmed in failure due to agitation
Hemodynamic assessment during weaning failure?
Falling COPD pt with 3x SBT failures
sBP increases
NTG to facilitate weaning 🤯
sBP increases
NTG to facilitate weaning 🤯
Screen for cardiac failure even if no cardiac PMH
Measure of high MIP exclude weakness
Hand held device
Hand held device
Here it is again on mechanical ventilation session - ultrasound in weaning failure
@avkwong @iceman_ex
@avkwong @iceman_ex
Diaphragm dysfunction first presentation of neuromuscular disorders
How to increase strength of respiratory muscles 💪?
💪💪💪
Phrenic nerve stimulation ⚡ for a win
Future of MV
Future of MV
⚡⚡⚡ = 💪
Muscle stronger but no impact on weaning success
Muscle stronger but no impact on weaning success
Stimulation synchronise with respiratory cycle
NAWA
🫁 Improves synchronise
🫁 Shorter MV
🫁 Improves synchronise
🫁 Shorter MV
Not often but need to keep on DDx
Conclusion
If your patient fails weaning you want to no WHY just ABCDE approach
If your patient fails weaning you want to no WHY just ABCDE approach
• • •
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