Pediatric Ventilator Admission Guidelines

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Our goal is to optimize patient’s success with ventilator free breathing time through strengthening and breathing re-training.

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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 AbilityLab

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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 AbilityLab admissions

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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%

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• PO diet or able to tolerate feedings via G tube
• Unable to accept NG tube with a vented patient

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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)
• Other critical illness neuropathy or myopathy with ongoing recovery

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These are guidelines. For more information, please call 312.238.1188.