I'm curious to see what i get?

Question:
Who uses SIMV for weaning?

Choices:
We use SIMV for weaning patients
We do NOT use SIMV and simply go to CPAP/PS
We use a T-Piece for SBTs
It depends on the circumstances
We think SIMV is a HUGE NO NO.

 

If the patient is breathing spontaneous at all We initiate PSV then if need be transition to CPAP. make sure sedation/ pain control is appropriate.

Thank you so much for your Imput. Some people think SIMV is old schook and its use is basically Non-Existant in some hospitals.

So all 2 of us use CPAP/PSV lol With networking and experience, I do think that the majority of facilities use CPAP/PSV

We use SIMV/CPAP on open heart pt's with a PEP (prompt extubation protocol) We use CPAP/AC on trauma pt's and it varies with all other pt's. No two pt's are the same. Some require time, some require quick attentive actions. Each case requires the best, most efficient method for them. Our goal as RCP/RRT is to achieve the end result of safe extubation without the need for re-intubation. We can all learn each other and from experienced professionals. THANKS TO YOU ALL WHO GIVE US YOUR TEACHINGS AND TIME.

We wean from AC to CPAP+5 PS 10. From there, we extubate to 40% VM.

SIMV should die

Are we considering pediatric patients here?

We ussually wean from ASV to CPAP.