Assessing suitability for weaning
Step 2 of the All-Wales Pathway for weaning COVID-19 patients with tracheostomies (linked below) explores suitability for weaning. Caution to initiate ward-based weaning if the patient meets the following criteria:
- Neuromuscular disease
- Those with a life-limiting co-morbidity
- Pre-existing or significant concerns over sleep disordered breathing
- Need for specialist input (e.g. neurosurgery)
Assessing suitability for weaning
Step 2 of the All-Wales Pathway for weaning COVID-19 patients with tracheostomies (linked below) explores suitability for weaning. Caution to initiate ward-based weaning if the patient meets the following criteria:
- Neuromuscular disease
- Those with a life-limiting co-morbidity
- Pre-existing or significant concerns over sleep disordered breathing
- Need for specialist input (e.g. neurosurgery)
Mark as Understood
Resources
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All Wales Pathway for Weaning COVID-19 patients with Tracheostomies
The management of tracheostomised patients with COVID-19, their transfer from ITU to a COVID-19 ward, their weaning from invasive ventilation and eventual decannulation of the tracheostomy should follow a structured approach.
