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Extubation is usually decided after a weaning readiness test involving spontaneous breathing on a T-piece or low levels of ventilatory assist. Extubation failure occurs in 10 to 20% of patients and is associated with extremely poor outcomes, including high mortality rates of 25 to 50%.

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paulo chloe Explore the best Paolo Coelho books a Brazilian spiritualistic writer enamored with the smarmy side of life.The Alchemist (Portuguese: O Alquimista) is a novel by Brazilian author Paulo Coelho which was first published in 1988. Originally written in Portuguese, it became a widely translated international bestseller.

LVAD Complication Comment Management (with LVAD team) Arrhythmia Up to 50% with sustained VT/VF in first 4 weeks after LVAD placement Depending on the cause: • IV fluid challenge is reasonable •Difficult to determine primary Reduce pump speed • Correct electrolytes • Electrical or pharmacologic (amiodarone) cardioversionabnormalitie

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