A failed SBT will be defined by the presence of any ONE of: | |
(1) A respiratory rate > 35 breaths/min with signs of respiratory distress or an increase in respiratory rate ≥ 20% from baseline with signs of respiratory distress | |
(2) Oxygen saturation of arterial blood (SaO2) or pulse oximetry < 90% | |
(3) Heart rate > 140 beats/min with signs of respiratory distress or an increase in HR ≥ 20% from baseline with signs of respiratory distress | |
(4) Systolic blood pressure ≥ 180 or ≤ 90 mmHg | |
(5) The presence of somnolence, agitation, diaphoresis, or anxiety | |
(6) Requirement for the addition of or an increase in vasopressor or inotropic agent support | |
(7) Chest pain or other limiting pain precluding further continuation |