Neuromuscular Compromise and Respiratory Failure Clinical Pathway – Inpatient and PICU
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