Table 2.
Assessment of the child on ventilation prior to discharge from ICU.
| To Home | To general hospital ward or transitional care facility |
|---|---|
| Clinical | |
| Gaining weight | No need for 1:1 nursing care |
| Improving stamina | No need for invasive vital monitoring |
| No frequent fever or infection | No need for vasoactive/inotropicdrug support |
| Physiologic | |
| Patent and stable airway | Matured tracheostomy stoma (≥1 week of surgery) |
| PaO2≥ 60 mmHg on FiO2≤ 0.4 | SpO2> 92% on FiO2≤ 40% |
| PaCO2< 50 mmHg (parenchymal disease) or < 45 mmHg (neuromuscular weakness or chest wall problem) | Blood gases within appropriate ranges per diagnosis |
| No need for frequent ventilator setting changes | Stable ventilator settings for ≥ 1 week |