Chuck had a rough day. He was confused and upset. Thank God Stacie was with him. It is my uneducated opinion that Chuck's vent setting was too low...that he was not blowing off enough carbon dioxide. Too much carbon dioxide can cause confusion. Dr. Bell increased his rate back to a comfortable level.
Dr. Bell wants to give the conventional route one more try before taking the road less traveled. This means low vent settings again. So...one more rough day then Chuck should be good to go. Dr. Bell will then try weaning Chuck as Dr. Brancaccio did...going from a higher vent setting and letting Chuck sink or swim. As we all know...Chuck can swim!
Wounds look great!