Airway protection and acute respiratory failure
                    Wondering if anyone else has run into the challenge of a patient that was initially intubated for airway protection due to seizures, but then some time during that suffers a CVA with multifocal emboli.  Days later the patient fails vent wean due to central apnea and now provider is documenting acute respiratory failure 2/2 central apnea likely from CVA.  Can you now count the vent and if so what is your starting point?  The initial was clearly for airway protection from the seizure.  Having a hard time finding info for guidance and this was after querying the provider for clarification.                
                        
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