Management of Respiratory Failure
- Clinical Conditions
- Criteria for Intubation
- Criteria for Extubation
- Fat Embolism Syndrome
- Inverse I:E Ratio
- Minute volume
- Modes of Ventilation: IMV/CMV/ACMV
- PEEP > 12 cm H2O
- Pre Op Pulmonary Management
- Priorities for Weaning from Ventilatory Support
- Oxygenation in the Ventilated Patient:
- Rate/Tidal Volume/PEEP/Compliance/PIP/CPAP
- Resp Acidosis
- Swan Ganz catheters: Indications:
- Ventilator Types
- Initial Adult Vent Settings:
- use PEEP to wean FiO2; - maintain Hb Sat > 90%
- tidal volume 10-12 ml/kg
- intermittent mandatory ventilation 10-12 breaths/min;
- inspired oxygen fraction 0.6
- positive end expiratory pressure 5 cm H2O
- pressure limit:
- this limit should be set at 10 cm H2O higher than the pressure generated by the delivered tidal volume;
- excessively high pressures should be avoided so as to avoid barotrauma;
- tube suctioning q 1-2 hrs;
- humidifer set at 36 deg and 1/2 NS delivered for 10 min/hr
- Pediatric Vent Settings:
Normal Lungs RDS
- PIP 12-18 cm H2O 20-25 cm H2O
- PEEP 2- 3 mc H2O 4- 5 cm H2O
- Frequ 10-20 / min 20-40 / min
- I/E ratio 1:2 to 1:10 1:1 to 1:3
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Negative Pressure Pulmonary Edema: a complication of shoulder arthroscopy.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Tuesday, May 22, 2012 2:06 pm