Initial mechanical ventilation settings - Revision history

Ostermayer at 17:57, 16 January 2026

2026-01-16T17:57:27Z

← Older revision		Revision as of 17:57, 16 January 2026
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	{{~~Adult top}} [[~~initial mechanical ventilation settings (peds)~~]].''~~		{{AdultPage\|initial mechanical ventilation settings (peds)}}
	==Overview==		==Overview==
	{{Initial ventilation settings table}}		{{Initial ventilation settings table}}

Elcatracho: /* Settings */

2022-01-05T14:35:16Z

Settings

← Older revision		Revision as of 14:35, 5 January 2022
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	#*Volume-assist control		#*Volume-assist control
	#Tidal Volume		#Tidal Volume
	#*Vt = 6-8 cc/kg of [[Ideal Body Weight]]		#*Vt = 6-8 cc/kg of [[Ideal body weight\|Ideal Body Weight]]
	#**Ideal Body Weight used because lung parenchyma does not increase in size as the person gains more weight		#**Ideal Body Weight used because lung parenchyma does not increase in size as the person gains more weight
	#Inspiratory Flow Rate		#Inspiratory Flow Rate

Elcatracho: /* Settings */

2022-01-05T14:34:49Z

Settings

← Older revision		Revision as of 14:34, 5 January 2022
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	#*Volume-assist control		#*Volume-assist control
	#Tidal Volume		#Tidal Volume
	#*Vt = 6-8 cc/kg of Ideal Body Weight		#*Vt = 6-8 cc/kg of [[Ideal Body Weight]]
	#**Ideal Body Weight used because lung parenchyma does not increase in size as the person gains more weight		#**Ideal Body Weight used because lung parenchyma does not increase in size as the person gains more weight
	#Inspiratory Flow Rate		#Inspiratory Flow Rate

Rossdonaldson1 at 16:18, 2 July 2020

2020-07-02T16:18:36Z

← Older revision		Revision as of 16:18, 2 July 2020
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			{{Adult top}} [[initial mechanical ventilation settings (peds)]].''
	==Overview==		==Overview==
	{{Initial ventilation settings table}}		{{Initial ventilation settings table}}

Rossdonaldson1: /* Lung Protective Strategy */

2020-03-21T21:58:09Z

Lung Protective Strategy

← Older revision		Revision as of 21:58, 21 March 2020
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	===Background===		===Background===
	*Focuses on low-tidal volume ventilation to reduce ventilator-associated lung injury (e.g. barotrauma and volutrauma worsening/causing [[ARDS]])<ref>Weingart SD. Managing Initial Mechanical Ventilation in the Emergency Department. Ann Emerg Med. 2016;68:614-617</ref>		*Focuses on low-tidal volume ventilation to reduce ventilator-associated lung injury (e.g. barotrauma and volutrauma worsening/causing [[ARDS]])<ref>Weingart SD. Managing Initial Mechanical Ventilation in the Emergency Department. Ann Emerg Med. 2016;68:614-617</ref>
	*Based on [[EBQ:ARDSnet\|ARDSnet]] trial with demonstrated mortality benefit
	*Indicated for all intubated patients who do not have obstructive lung disease ([[COPD]], [[asthma]])<ref>Weingart SD. Managing Initial Mechanical Ventilation in the Emergency Department. Ann Emerg Med. 2016;68:614-617</ref>		*Indicated for all intubated patients who do not have obstructive lung disease ([[COPD]], [[asthma]])<ref>Weingart SD. Managing Initial Mechanical Ventilation in the Emergency Department. Ann Emerg Med. 2016;68:614-617</ref>

Rossdonaldson1: /* Lung Protective Strategy */

2020-03-21T12:20:39Z

Lung Protective Strategy

← Older revision		Revision as of 12:20, 21 March 2020
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	{{Lung Protective Ventilator Settings}}		{{Lung Protective Ventilator Settings}}

	{{Lung Protective FiO2 and PEEP Scale}}		{{Lung Protective FiO2 and PEEP Scale}}

Rossdonaldson1: /* SettingsThe Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Netwo...

2020-03-21T12:19:51Z

/* SettingsThe Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Netwo...

@@ Line 22: / Line 22: @@
 *Indicated for all intubated patients who do not have obstructive lung disease ([[COPD]], [[asthma]])<ref>Weingart SD. Managing Initial Mechanical Ventilation in the Emergency Department. Ann Emerg Med. 2016;68:614-617</ref>
-===Settings<ref>[[EBQ:ARDSnet|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref>===
+{{Lung Protective Ventilator Settings}}
 {{Lung Protective FiO2 and PEEP Scale}}

Rossdonaldson1: /* Lung Protective Strategy */

2020-03-21T12:14:02Z

Lung Protective Strategy

@@ Line 41: / Line 41: @@
 #*PaO2 BETWEEN 55-80
-===Lung Protective FiO2 and PEEP Scale<ref>[[EBQ:ARDSnet|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref>===
+{{Lung Protective FiO2 and PEEP Scale}}
 ==Obstruction Strategy==

ClaireLewis: /* SettingsThe Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Netwo...

2019-09-27T15:23:10Z

← Older revision		Revision as of 15:23, 27 September 2019
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	#*Volume-assist control		#*Volume-assist control
	#'''Tidal Volume (lung protection)'''		#'''Tidal Volume (lung protection)'''
	#*Start 6-8cc/kg predicted body wt		#*Start 6-8cc/kg [[ideal body weight estimation\|predicted body weight]]
	#**Predicted body weight is used because a ~~persons~~ lung parenchyma does not increase in size as the person gains more weight.		#**Predicted/"ideal" body weight is used because a person's lung parenchyma does not increase in size as the person gains more weight.
	#*Titrate down if peak pressure >30 mmHg		#*Titrate down if peak pressure >30 mmHg
	#Inspiratory Flow Rate (comfort)		#Inspiratory Flow Rate (comfort)
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	#*Start at 60-80 LPM		#*Start at 60-80 LPM
	#'''Respiratory Rate (titrate for ventilation)'''		#'''Respiratory Rate (titrate for ventilation)'''
	#*~~Avg~~ patient on ventilator requires 120mL/kg/min for eucapnia		#*Average patient on ventilator requires 120mL/kg/min for eucapnia
	#*Start 16-18 breaths/min		#*Start 16-18 breaths/min
	#*Maintain pH = 7.30-7.45		#*Maintain pH = 7.30-7.45

Rossdonaldson1: /* Miscellaneous */

2019-07-27T21:21:23Z

Miscellaneous

← Older revision		Revision as of 21:21, 27 July 2019
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	==Miscellaneous==		==Miscellaneous==
	''Normally already set''		''Normally already set''
	*Inspiratory flow rate = 60L/min<ref>Weingart SD. Managing Initial Mechanical Ventilation in the Emergency Department. Ann Emerg Med. 2016;68:614-617</ref> (~~100L~~/min with asthma)		*Inspiratory flow rate = 60L/min<ref>Weingart SD. Managing Initial Mechanical Ventilation in the Emergency Department. Ann Emerg Med. 2016;68:614-617</ref> (100 L/min with asthma)
	*Sensitivity = 1-2 cmH2O		*Sensitivity = 1-2 cmH2O