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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 汤头条app
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 汤头条app 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)
- Acquired brain injury (traumatic or
- Other critical illness neuropathy or myopathy with ongoing recovery
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These are guidelines. For more information, please call 312.238.1188.