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Tag: Redirect target changed |
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| == Lung Injury Strategy ==
| | #REDIRECT[[Initial mechanical ventilation settings]] |
| === Background ===
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| *Ok for all pts except for obstructed
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| === Settings ===
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| *1. Mode
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| **Assist control
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| | |
| *2. Tidal Volume (lung protection)
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| **Start 6-8cc/kg ideal body wt
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| ***Titrate down if peak pressure >30
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| | |
| *3. Inspiratory Flow Rate (comfort)
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| **More comfortable if higher rather than lower
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| **Start at 60-80 LPM
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| | |
| *4. Respiratory Rate (CO2)
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| **Avg pt on ventilator requires 120mL/kg/min for eucapnia
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| **Start 16-18 breaths/min
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| **Maintain pH = 7.30-7.45
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| | |
| *5. FiO2/PEEP (O2)
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| **Move in tandem to achieve:
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| ***SpO2 BETWEEN 88-95%
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| ***PaO2 BETWEEN 55-80
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| | |
| {| border="1" cellspacing="1" cellpadding="1" style="width: 500px;"
| |
| |-
| |
| | FiO2
| |
| | 0.3
| |
| | 0.4
| |
| | 0.4
| |
| | 0.5
| |
| | 0.5
| |
| | 0.6
| |
| | 0.7
| |
| | 0.7
| |
| | 0.7
| |
| | 0.8
| |
| | 0.9
| |
| | 0.9
| |
| | 0.9
| |
| | 1.0
| |
| | 1.0
| |
| | 1.0
| |
| |-
| |
| | PEEP
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| | 5
| |
| | 5
| |
| | 8
| |
| | 8
| |
| | 10
| |
| | 10
| |
| | 10
| |
| | 12
| |
| | 14
| |
| | 14
| |
| | 14
| |
| | 16
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| | 18
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| | 20
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| | 22
| |
| | 24
| |
| |}
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| | |
| | |
| ==Source==
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| EMCrit Vent Lecture
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| | |
| [[Category:Pulm]] | |
