View source for Template:Lung Protective Ventilator Settings

===Lung Protective [[Mechanical Ventilation]]===
''[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref> should be the default for all intubated patients, unless contraindicated. It has demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''

#'''Mode'''
#*Volume-assist control
#'''Tidal Volume'''
#*Start 6-8cc/kg [[ideal body weight estimation|predicted body weight]]<ref>Brower RG, et al. "Ventilation With Lower Tidal Volumes As Compared With Traditional Tidal Volumes For Acute Lung Injury And The Acute Respiratory Distress Syndrome". The New England Journal of Medicine. 2000. 342(18):1301-1308.</ref>
#**Predicted/"ideal" body weight is used because a person's lung parenchyma does not increase in size as the person gains more weight.
#*Titrate down if peak pressure >30 mmHg
#Inspiratory Flow Rate (comfort)
#*More comfortable if higher rather than lower
#*Start at 60-80 LPM
#'''Respiratory Rate (titrate for ventilation)'''
#*Average patient on ventilator requires 120mL/kg/min for eucapnia
#*Start 16-18 breaths/min
#*Maintain pH = 7.30-7.45
#'''FiO2/PEEP (titrate for oxygenation)'''
#*Move in tandem to achieve:
#*SpO2 BETWEEN 88-95%
#*PaO2 BETWEEN 55-80