Ventilation (Strategies): Difference between revisions

(Created page with "Inclusion criteria: ARDS defined as PaO2/FiO2 ratio <300, bilateral alveolar infiltrates on CXR, no evidence of CHF Treatment: 1) TV 6cc/kg ideal body weight 2) Increased ...")
 
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Inclusion criteria:
#REDIRECT[[Initial mechanical ventilation settings]]
 
ARDS defined as PaO2/FiO2 ratio <300, bilateral alveolar infiltrates on CXR, no evidence of CHF
 
 
Treatment:
 
1) TV 6cc/kg ideal body weight
 
2) Increased PEEP with decreased FiO2-->
 
 
FiO2 (PEEP)
 
0.4 (5-8)
 
0.5 (8-10)
 
0.6 (10)
 
0.7 (10-14)
 
0.8 (14)
 
0.9 (14-18)
 
1.0 (18-24)
 
 
Adjust to:
 
1) pH = 7.3-7.45 adjust rate (6-35) prn
 
2) PaO2 = 55-80 (or SaO2 = 88-95%)
 
 
Outcome: decreased mortality & #days on the ventilator
 
 
2/2/06 DONALDSON (adapted from Lampe; NEJM May 200?)
 
 
 
 
[[Category:Pulm]]

Latest revision as of 03:41, 14 August 2019

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