Ventilator

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Pediatric Ventilator Admission Guidelines

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Our goal is to optimize patient’s success with ventilator free breathing time through strengthening and breathing re-training.

Medical Readiness Guidelines

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In addition to a patient’s medical clearance, the patient must:

  • Meet the pre-admission respiratory criteria below
  • Have the potential to tolerate 3 hours of therapy/day
  • Plan to minimize return appointments at acute care hospital
  • Have an appropriate pulmonology plan for after discharge from Shirley Ryan 嫩B研究院

Medical Status

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  • Medical work-up to be complete and with treatment plan agreed upon by primary and consulting services
  • Medical records will be reviewed for medication, infection control and treatment criteria, consistent with all Shirley Ryan 嫩B研究院 admissions

Respiratory

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  • Suctioning requirements at a maximum frequency of every 4 hours
  • Trach should be changed within 30 days and > 24 hours before arrival
  • Patient vent settings should be stable 48 hours prior to transfer
  • Respiratory treatments administered at max of every 6 hours
  • Peep must be < 8 cm H20
  • No FiO2 > 40%

Diet

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  • PO diet or able to tolerate feedings via G tube
  • Unable to accept NG tube with a vented patient

Appropriate Diagnostic Groups

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  • Spinal Cord Injury
  • Neuromuscular Disease
    • Guillen-Barre Syndrome
    • Transverse Myelitis
    • Acute Flaccid Myelitis
  • Neurological Disease
    • Acquired brain injury (traumatic or
      oncology-based)
    • Febrile infection-related epilepsy syndrome (FIRES)
  • Other critical illness neuropathy or myopathy with ongoing recovery

 

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These are guidelines. For more information, please call 312.238.1188.

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