ICU Ventilator Weaning Protocol — Governed AI Workflow

A governed workflow for AI-assisted ventilator weaning decisions in the ICU. This protocol defines the agentic loop pattern where the AI agent monitors patient readiness indicators (spontaneous breathing trial metrics, oxygenation indices, hemodynamic stability) and generates weaning recommendations. All recommendations are classified as EDENA Red — requiring mandatory nurse authorization before any ventilator parameter changes. The protocol includes: (1) Continuous monitoring loop with 15-minute assessment intervals, (2) Multi-parameter readiness scoring algorithm, (3) Nurse override capability at every decision point, (4) Automatic escalation to attending physician for complex cases, (5) Full audit trail of all AI recommendations and human decisions.