G. Nutritional complications (1) Malnutrition: weight loss of > 10% body weight (from admission weight). (2) Elevated CO2production during weaning attempts: patients pCO2 exceeds 50 mmHg. Patients caloric and carbohydrate count will be reviewed (patient must be free from fever, chills, shivering, or hyperdynamic state). For COPD patients; pCO2 must exceed baseline by 15%.