Neuromuscular Compromise and Respiratory Failure Clinical Pathway — Inpatient and PICU
Neuromuscular Compromise and Respiratory Failure Clinical Pathway — Inpatient and PICU
MI-E (CoughAssist) Settings
For new initiation of a patient naïve to therapy, begin with set pressures of:
- Pi: start at 20 cmH2O and increase to see visible chest rise
- Pe: start at -20 cmH2O and adjust for secretion removal
For invasively ventilated patients, start at a peak inspiratory pressure (PIP) or Pi of 20 cmH2O, whichever is higher.
Perform 5 sets of 5 cycles:
- Inhale time = 1-3 second(s)
- Exhale time = 1-3 second(s)
- Pause time = 2 seconds (1 second if patient is < 1 year)
Bleed in oxygen to MI-E (CoughAssist) if requiring supplemental oxygen.