Difference between revisions of "Mechanical ventilation (main)"

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==Background==
 
==Background==
Intubation and ventilation typically required for respiratory failure or airway proctection/severe altered mental status
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*Intubation and ventilation typically required for [[respiratory failure]] or airway protection/severe [[altered mental status]]
  
===Categories of Respiratory Failure===
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===Categories of [[respiratory failure|Respiratory Failure]]===
*Type 1 - Hypoxemia
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*Type 1 - [[Hypoxemia]]
*Type 2 - Hypercarbia
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*Type 2 - [[hypercapnia|Hypercarbia]]
 
*Type 3 - Perioperative
 
*Type 3 - Perioperative
*Type 4 - Shock
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*Type 4 - [[Shock]]
  
 
==Patient Positioning<ref>Greenwood J. Good Lung UP or DOWN? Maneuvers to Improve Oxygenation in Acute Respiratory Failure. Updated 7/15/2014. https://umem.org/educational_pearls/2464/.</ref>==
 
==Patient Positioning<ref>Greenwood J. Good Lung UP or DOWN? Maneuvers to Improve Oxygenation in Acute Respiratory Failure. Updated 7/15/2014. https://umem.org/educational_pearls/2464/.</ref>==
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**'''G'''ood lung to '''G'''round generally
 
**'''G'''ood lung to '''G'''round generally
 
**Good lung UP in these exceptions:
 
**Good lung UP in these exceptions:
***Massive hemoptysis - prevent blood into dependent, good lung
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***Massive [[hemoptysis]] - prevent blood into dependent, good lung
 
***Large [[abscess]] - pus fills up dependent lung
 
***Large [[abscess]] - pus fills up dependent lung
***Unilateral emphysema - prevent hyperinflation
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***Unilateral [[emphysema]] - prevent hyperinflation
  
 
==See Also==
 
==See Also==
 
{{Mechanical ventilation pages}}
 
{{Mechanical ventilation pages}}
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==External Links==
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*Vent basics resource: https://emcrit.org/wp-content/uploads/2010/05/Managing-Initial-Vent-ED.pdf
  
 
==References==
 
==References==

Latest revision as of 21:55, 21 March 2020

Background

Categories of Respiratory Failure

Patient Positioning[1]

  • 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

External Links

References

  1. Greenwood J. Good Lung UP or DOWN? Maneuvers to Improve Oxygenation in Acute Respiratory Failure. Updated 7/15/2014. https://umem.org/educational_pearls/2464/.