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Click here for instruction on how to carry out cuff deflation
This is not an exhaustive list and staff must use clinical judgement to assess patient’s well being.
If evidence of clinical deterioration is present, the patient should be reviewed by a competent healthcare practitioner and the weaning process reassessed. Care is focused on minimising the risk to the patient. Early intervention and management may prevent a clinical emergency occurring.
Increased respiratory rate
Deterioration in oxygenation
Patient complains of shortness of breath
Change in the level of consciousness
Difficulty removing secretions by suction/expectoration
Ongoing or unresolved issues relating to the airway
Throughout the weaning process patients should be observed for signs of clinical deterioration.
- Supplemental oxygen requirement is less than 40%
- The patient is haemodynamically stable
- The patient is able to cough to clear chest secretions using vocal cords
- The patient is able to maintain an upright sitting position in a bed or chair
- The patient is able to stay awake and alert for 15 minutes while seated upright
- The patient requires occasional suctioning
- No longer requiring positive pressure ventilation
Indications for cuff deflation: