Weaning pressure or volume ventilator support on a COVID-19 Ward

The next stage of the ventilator tracheostomy weaning process is to reduce the support from the ventilator that the patient requires, towards CPAP therapy, while maintaining adequate oxygenation.

There are a number of strategies for ventilator weaning which should be determined locally and documented in a weaning plan. The patient should be monitored throughout for sign of deterioration, and weaning efforts should be stopped if the patient shows any of the following:

  • Clinical deterioration
  • Oxygen desaturation
  • Tachypnoea
  • Tachycardia
  • New cardiac dysrhythmia
  • Fever
  • Exhaustion

For more information about tracheostomy management, check out the All-Wales TRACHES checklist (linked below) which provides the simple things you need to do to look after a patient with a tracheostomy.

Criteria for transferring a tracheosomised patient to a COVID-19 ward

CPAP in the weaning process on a COVID-19 ward

Mark as Understood


All Wales Pathway for Weaning COVID-19 patients with Tracheostomies

All-Wales TRACHES Checklist – Education package

© Institute of Clinical Science and Technology (ICST) 2020

Support: admin@clinicalscience.org.uk