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management ventilation criticalcare mechanical diagnosis anesthesia anesthesiology checklist differential intraoperative noninvasive support ac adaptive adenosine airway algorithm assistcontrol asv basics
Mechanical Ventilation: The Basics In the most basic sense, ventilator modes are defined by their control variable
sense, ventilator modes ... there are many modes ... Volume: 6-8 cc/kg ... pressure for set ... #Comparison #management
Overview of Ventilator Modes VC - Volume Control (a.k.a. assist control volume) - Every breath delivered (mandatory
of Ventilator Modes ... - Hybrid PC mode ... ratio ventilation (e.g ... #Ventilator #Modes ... #CriticalCare #Comparison
Volume Assist/Control Mechanical Ventilation How does this mode work? • Delivers a set volume of air with
work? ... • Delivers a set ... ; pressure modes ... • TV- Use 8cc/kg ... #criticalcare #pulmonary
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
High CO / Low SVR ... Failure, Toxins/Medications ... • Obstructive: Pulmonary ... Embolism, Tension ... ) UOP > 0.5 cc/kg
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
potentially improving SV ... generate larger VT ... exacerbation (cardiogenic pulmonary ... status • Won't Work ... NIPPV #CPAP #BPAP #indications
SPONT - Spontaneous Breathing = Pressure Support Ventilation Summary Basic Set Parameters: 1) Pressure Support (PS)
Parameters: 1) Pressure ... do some of the work ... means the patient ↑work ... > 8cc/kg at 6/6 ... #Ventilation #pulmonary
ASV - Adaptive Support Ventilation Summary Basic Set Parameters: 1) Target MV (80-120%) 2) PEEP
lowest amount of work ... optimizing 1) Pinsp (pressure ... no significant pulmonary ... While a "weaning" mode ... choose different mode
Noninvasive Ventilation Summary Positive pressure ventilation that is delivered through a nasal, mask, or helmet interface and
• Decreases work ... breathing by improving pulmonary ... tidal volumes (Vt ... for barotrauma (eg ... Ventilation #management #pulmonary
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
→ ↓ → →↑ Pulmonary ... Embolism ↓ ↑ ... Index CARDIAC WORK ... LCWI 3.4-4.2 kg ... RCWI Cardiac Work
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
Increased Airway Pressure ... blood gas, 12-lead ECG ... o Circulatory embolus ... o Aspiration, pulmonary ... Diagnosis #Management #Workup
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