Template:Lung Protective Ventilator Settings
Revision as of 19:25, 21 March 2020 by Rossdonaldson1 (talk | contribs)
Lung Protective Ventilator Settings[1]
Used for ARDS-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2[2]
- Mode
- Volume-assist control
- Tidal Volume
- Start 6-8cc/kg predicted body weight[3]
- 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
- Start 6-8cc/kg predicted body weight[3]
- 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