Ventilator desaturation: Difference between revisions
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*Immediately disconnect from ventilator (allows for expiration of stacked breaths) | *Immediately disconnect from ventilator (allows for expiration of stacked breaths) | ||
*" | *"DOPES like DOTTS" Mnemonic | ||
Troubleshoot | |||
**D - Displacement of tube | **D - Displacement of tube | ||
***Attach end-tidal CO2 to verify | ***Attach end-tidal CO2 to verify and check depth (cm at lip) | ||
**O - Obstruction of tube | **O - Obstruction of tube/circuit | ||
***Use suction catheter | ***Use suction catheter to remove mucus plug, or make sure pt not biting down | ||
**P - Pneumothorax | **P - Pneumothorax | ||
***Verify via US | ***Verify via US | ||
**E - Equipment failure | **E - Equipment failure | ||
***Connect to BVM | ***Connect to BVM | ||
**S - Stacked breaths | **S - Stacked breaths - Auto-PEEP especially in COPD/Asthma pts | ||
***Disconnect from ventilator | ***Disconnect from ventilator | ||
Fix | |||
**Disconnect vent and put light pressure on pt chest | |||
**Oxygen 100% | |||
**Tube Position & Function | |||
**Tweak Vent Settings | |||
***Drop TV, then decrease RR, and then increase flow rate | |||
***Caution as it causes hypercapnia and resp acidosis, which is harmful in pts with increased ICP or tox ingestion | |||
**Sonography | |||
==See Also== | ==See Also== | ||
Revision as of 00:14, 13 January 2014
- Immediately disconnect from ventilator (allows for expiration of stacked breaths)
- "DOPES like DOTTS" Mnemonic
Troubleshoot
- D - Displacement of tube
- Attach end-tidal CO2 to verify and check depth (cm at lip)
- O - Obstruction of tube/circuit
- Use suction catheter to remove mucus plug, or make sure pt not biting down
- P - Pneumothorax
- Verify via US
- E - Equipment failure
- Connect to BVM
- S - Stacked breaths - Auto-PEEP especially in COPD/Asthma pts
- Disconnect from ventilator
- D - Displacement of tube
Fix
- Disconnect vent and put light pressure on pt chest
- Oxygen 100%
- Tube Position & Function
- Tweak Vent Settings
- Drop TV, then decrease RR, and then increase flow rate
- Caution as it causes hypercapnia and resp acidosis, which is harmful in pts with increased ICP or tox ingestion
- Sonography