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Doctor insights on: Ventilator Wean

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How can I wean off a mechanical ventilator?

How can I wean off a mechanical ventilator?

Many ways....: weaning from mechanical ventilation is the process by which a patient is removed from the ventilator. Sometimes it!s as easy as disconnecting the ventilator and the patient breathes normally. Sometimes it requires a very slow process. There are many factors that determine the weaning process for a certain patient like age, medical conditions( like lung disease, infections, etc.), medications, etc. ...Read more

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How can I wean myself off the ventilator if I have copd?

How can I wean myself off the ventilator if I have copd?

Honest discussion: You need to have a candid talk with your doctor. You need to know where your lung situation stands, how to improve it, is it medically possible to get off the ventilator. Your medications might need to be fine tuned. Pulmonary rehabilitation should be considered. ...Read more

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My mom, 78, got trach a week ago. Her ventilator is in PS mode, PS=4, PEEP=4, The setting is low, however, she cannot be weaned off from this setting?

My mom, 78, got trach a week ago. Her ventilator is in PS mode, PS=4, PEEP=4, 
The setting is low, however, she cannot be weaned off from this setting?

Patience: She may need better nutritional status, control of any ongoing infections, and adequate muscle, cardiac and kidney function before weaning is possible. Her critical care team should be addressing these issues through medications, volume status, physical therapy and nutritional support. Be patient. Thanks for trusting HealthTap! ...Read more

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My mom is in icu right now with a ventilator to help her breathe. How hard is to wean someone off a ventilator?

My mom is in icu right now with a ventilator to help her breathe. How hard is to wean someone off a ventilator?

Complex question: Sorry about your mom. How old is she? Why is she on a ventilator? What other diseases does she have? Was she a smoker? Does she have heart disease? How was her health before she got sick? These all determine how hard it will be to wean her off the ventilator. ...Read more

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84 year old being weaned off a non invasive ventilator with suspected COPD. What will happen next if lungs don't cope?

84 year old being weaned off a non invasive ventilator with suspected COPD. What will happen next if lungs don't cope?

CPAP/BiPAP: Some patients benefit from nocturnal support with CPAP or BiPAP chronically.The patient should be evaluated for sleep apnea and arterial blood gasses should be analyzed. A persistently high pCO2 or acidosis may impair weaning. Look for complications like infection, concomitant congestive heart failure which may be contributing ...Read more

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I need to know what is ventilator asynchrony?

I need to know what is ventilator asynchrony?

Patient-ventilator: I am sure the one you are talking about is when the patient is taking breaths and the ventilator is pushing pressure or air. It results in increased pressures in the lungs and can cause barotrauma. (there is also that one that we use separate ventilation for each lung.) we want the patient breath and the ventilator breath to recycle and synchronize with each other. Space too short to fully explain. ...Read more

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Who would go on a mechanical ventilator post op?

Who would go on a mechanical ventilator post op?

May be anyone: Remaining on mechanical ventilation post op can be for many reasons. After some cases this is expected due to large fluid shifts during surgery. Healthy patients can remain intubated if some of the effects of medications haven't worn off, narcotics or muscle relaxants for example. Finally, if there was a problem related to the patient's lungs or airway either acute or chronic can be a reason. ...Read more

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My dad is on ventilator, fluid, pneumonia, what to do?

My dad is on ventilator, fluid, pneumonia, what to do?

Expectant waiting: Leave it to the health care practitioners and if you believe in prayers do so. Keep yourself strong so others will do the same. Talk to your dad even if sleeping, he may hear you and have more strength. Talk to the doctors and nurses and be updated time and again. ...Read more

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What are optimal ventilator settings for premature babies?

What are optimal ventilator settings for premature babies?

As needed: Vent settings are those required by the infant at the time by the factors involved. The pressures must be high enough to inflate the lung tissue and cycle often enough to remove co2. Fine tuning is done within the parameters set by the physician at the beside. ...Read more