Ventilator desaturation: Difference between revisions
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**Disconnect vent and put light pressure on pt chest | **Disconnect vent and put light pressure on pt chest | ||
**Oxygen 100% | **Oxygen 100% | ||
***Bag and take time to evaluate your patient | |||
**Tube Position & Function | **Tube Position & Function | ||
***Pass bougie or suction all the way through the tube, OR take a look with DL | |||
**Tweak Vent Settings | **Tweak Vent Settings | ||
***Drop TV, then decrease RR, and then increase flow rate | ***Drop TV, then decrease RR, and then increase flow rate | ||
Revision as of 00:41, 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%
- 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