|
|
| Line 1: |
Line 1: |
| *Immediately disconnect from ventilator (allows for expiration of stacked breaths)
| | #REDIRECT[[Deterioration after intubation]] |
| *"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
| |
| | |
| Fix
| |
| *Disconnect vent and put light pressure on pt chest
| |
| *Oxygen 100%
| |
| **Bag and take time to evaluate your patient
| |
| *Tube Position & Function
| |
| **Pass bougie or suction all the way through the tube, OR take a look with DL
| |
| *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
| |
| | |
| Auto-PEEP (Breath stacking) troubleshooting options
| |
| *Bronchodilators if COPD/asthma
| |
| *Decrease RR
| |
| *Decrease I:E ratio (increase expiratory time)
| |
| *Quicker inspiratory flow rate
| |
| *Decrease TV
| |
| *Increase sedation
| |
| | |
| ==See Also==
| |
| *[[Ventilation (Main)]]
| |
| | |
| [[Category:Critical Care]]
| |
| [[Category:Pulm]]
| |
