Weaning and Extubation

Abstract

Opinion nursing staff in the ICU. Definition Weaning covers the entire process of liberating the patient from mechanical support and from the endotracheal tube (ET). Time spent in the weaning process typically represents 40-50% of the total duration of mechanical ventilation (Boles et al, 2007). Nurses are required to assess the patient's readiness to wean against a number of prerequisites (Crocker, 2009). Responsibilities This Guideline applies to all medical respiratory therapy and nursing staff working in the ICU. Procedure The respiratory therapist, nursing and medical team decide collaboratively if the patient is ready for weaning. Weaning Process: Assessment Criteria The timing of extubation should be carried out when the patient has reached the below assessment criteria. The pace of weaning should be determined by clinical assessment. Keep the respiratory therapist, charge nurse and medical team informed and in agreement on the patient's weaning and extubation plan.