Table 3.
Stability criteria for weaning of nasal continuous positive airway pressure
The following should be present for 24–48 h prior to weaning: |
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Continuous positive airway pressure (CPAP) pressure of 5 cm H2O; |
FiO2 of 0.21; |
Normal work of breathing: no persistent tachypnea (>60 breaths for >2 h), marked retractions; |
No apnea (cessation of respiration >20 sec) associated with bradycardia or cyanosis with >2 episodes in 12 h or >3 in 24 h with at least one requiring bag and mask ventilation; |
Saturation >90% most of the time or PaO2/transcutaneous PaO2 >45 mmHg; |
Not currently treated for PDA or sepsis at the time of weaning; |
Tolerated time off CPAP during nursing cluster care up to 15 min or more. |
PDA: patent ductus arteriosus; FiO2: fractional inspired oxygen; PaO2: partial pressure of arterial oxygen.