Mechanical ventilation (main)

Background

Intubation and ventilation typically required for respiratory failure or airway proctection/severe altered mental status

Categories of Respiratory Failure

• Type 1 - Hypoxemia
• Type 2 - Hypercarbia
• Type 3 - Perioperative
• Type 4 - Shock

Sections

Ventilator high pressures

• High pressure alarms
• Management

Recruitment maneuver

• Techniques for hypoxic ARDS patients

Ventilation weaning

• Weaning parameters
• Failure to wean

Extubation

• Extubating after brief periods on a ventilator (ex. intubation for agitated trauma patient)

Patient Positioning

• HOB elevation > 30 degrees
• Reverse trendelenberg at 30 degrees in obese hypoventilaters
• Lateral decubitus for severe unilateral lung disease
  • Good lung to Ground generally
  • Good lung UP in these exceptions:
    • Massive hemoptysis - prevent blood into dependent, good lung
    • Large abscess - pus fills up dependent lung
    • Unilateral emphysema - prevent hyperinflation

See Also

Mechanical Ventilation Pages

• Noninvasive ventilation
• Intubation
  • Intubation (peds)
• Mechanical ventilation (main)
  • Ventilation modes
  • Initial mechanical ventilation settings
    • Initial mechanical ventilation settings (peds)
  • Adjusting mechanical ventilation settings
    • Deterioration after intubation
    • Lung recruitment maneuver
    • Ventilator high pressures
    • Ventilator associated lung injury
  • Weaning mechanical ventilation
    • Extubation
• Miscellaneous
  • ARDS and EBQ:ARDSnet
  • Airway pressure release ventilation
  • Ideal Body Weight Estimation
• EBQ:ARDSnet
• Ideal Body Weight Estimation