Skip to main content

Neuromuscular Compromise and Respiratory Failure Clinical Pathway – Inpatient and PICU – Invasive Ventilation Considerations

Neuromuscular Compromise and Respiratory Failure Clinical Pathway – Inpatient and PICU

Invasive Ventilation Considerations

Discuss with the primary intensivist team, respiratory therapy, pulmonary,
and patient/family.

  • Increased airway clearance requirements: suctioning, cough assist more frequently than q2hr
  • TcCO2, EtCO2, blood gas demonstrate poor gas exchange
  • Increased NIV settings: IPAP > 8 cmH2O above baseline or EPAP > 4 cmH2O above baseline
  • Need for FiO2 > 0.40 despite attempts to wean
  • Persistent tachycardia, fatigue, diaphoresis
Jump back to top