#mechanicalventilation

[connectbiomedical]

Treatment for life support is Mechanical Ventilation. A Ventilator is a device that aids in breathing when a person is unable to breathe.

[charito]

Workshop “Manejo Integral de Patología Pleural” *** OMNI HOSPITAL *** 🍃 Ventilación Mecánica en Derrame Pleural 🫁 ✨ EXPOSITORA ✨ 👩🏻‍⚕️ Dra. Rosario Ochoa V. INTENSIVISTA ⚕️ #pasionporlauci #criticalcare #mechanicalventilation #ardsnet #dräguer #ventilacionmecanica #neumologia #cuidadosintensivos #omnihospital #alat #medicinacritica #womaninscience https://www.instagram.com/p/CM5D5czs2pK/?igshid=iovb2w2kzs8b

[criticalcaredvm]

What is #mechanicalventilation? Learn more now - https://criticalcaredvm.com/mechanical-ventilation-cats-dogs/ #breathing #ventilator #respirator #dogs #cats #pets #vetmed #catsofinstagram #dogsofinstagram #petsofinstagram #vetmedicine #covid_19 https://www.instagram.com/p/B-Pg_U_JXBW/?igshid=17lktxhjd8qvo

[novasciencepublishers-blog]

Mechanical Ventilation in the ICU: A New Approach and Treatment | Nova Science Publishers

Carolina Romero-Dapueto (Editor) Servicio Medicina Física y Rehabilitación, Clínica Alemana de Santiago, Santiago, Chile Jeronimo Graf Santos (Editor) Medical in Chief Clinica Alemana, Santiago, Chile Series: Emergency and Intensive Care Medicine BISAC: MED108000

Mechanical Ventilation in the ICU: A New Approach and Treatment    

Carolina Romero-Dapueto (Editor) Servicio Medicina Física y Rehabilitación, Clínica Alemana de Santiago, Santiago, Chile

Jeronimo Graf Santos (Editor) Medical in Chief Clinica Alemana, Santiago, Chile

Series: Emergency and Intensive Care Medicine BISAC: MED108000

In the present book, a broad description of the processes carried out in patients with mechanical ventilation in the ICU is made. It covers from an overview of mechanical ventilation and some of its history to the processes of weaning and extubation. The novelty of this publication is that it focuses only on the conditions or complications in which patients are vented, as currently is done with these patients in the ICU: Early mobilization, both cooperative and non-cooperative patients with mechanical ventilation, the use of non-invasive ventilation, the adjunctive treatments of mechanical ventilation (such as inhalation therapy in different types of ventilation), and finally ethical issues in both adult and pediatric patients involved in the use of mechanical ventilation with respect to the end of treatment. Moreover, a categorization system for ICU patients and mechanically for narrowing the care burden and optimizing treatment based on an array of ventilation assessment scales is proposed.

[maxcurehospitals-blog]

MaxCure Hospitals critical care unit is equipped with state-of-art life-saving equipment.

Log on to: https://goo.gl/besWKT

[criticalcarenursing]

Acute Respiratory Disorders

Causes of Hypoxemia: 

V/Q Mismatch

   -Shunt (o2 not getting in), Dead Space ( Good ventilation, not good perfusion - PNA, Asthma, CHF

Dead space causes: hypovolemia, low cardiac output, pulmonary embolus, high airway pressures 

Impaired gas diffusion 

Alveolar hypoventilation

High altitude 

A-a gradient (Alveolar-arterial O2): Tells you if it’s an issue at the level of the lung or just a ventilation issue

Formula: PAO2 (from formula below) - PaO2 (from ABG) = gradient

PAO2 = [FiO2 x (Pb-47)] - [1.25x PaCO2]

***rough guide to whether there is a significant A-a gradient present: PaO2 should = FiO2 x 500 (e.g. 0.21 x 500 = 105 mmHg)

Normal A-a gradient; 10mmHg - if >10 = V/Q Mismatch, lung issue

Determine if ARDS: Pa02:FI02 ratio; >300 = normal

ARDS Severity PaO2/FiO2 Mild 200 – 300 Moderate 100 – 200  Severe < 100 

IPAP/EPAP = Pressure Support/Peep (increases oxygenation)

If you have an O2 issue: increase EPAP to bring it closer to IPAP #, titrate by 2cm increments. 

Mechanical Ventilation

Lung Injury / ARDS / COPD: 6-8cc/kg of IDEAL body weight

Normal: 8-10/kg of IDEAL body weight

For every 10mm increase in CO2 = pH change of 0.08

Ventilatory failure: adjust TV, increase difference between IPAP & EPAP 

Normal min volume (RR x TV) : 5-10 

Plateau Pressure - peak pressure: Normal 5-10

Normal Plateau pressure <30, if higher at risk for barotrauma

Normal Peak pressure <35

Low diff: restrictive process - pneumo, Right main stem, acute pulmonary edema

High diff: obstructive process - biting tube, needs suction, bronchospasm 

Auto-PEEP

Interventions to decrease auto-peep:

Decrease respiratory rate

Decrease Tidal volume

Increase gas flow rate or Increase I:E ratio 

Determinants of Oxygenation: 

FIO2

Mean airway pressure

Tidal volume

I:E ratio

Inspiratory flow rate

PEEP

Auto PEEP

For Obstructive Airway Disease:

Set initial tidal volume 6-8cc/kg

Optimize expiratory time

Be aware of auto-PEEP

Adjust min. ventilation to low normal pH

Bronchodilators 

[criticalcarenursing]

From Eric Strong Videos

https://www.youtube.com/user/drericstrong?desktop_uri=%2Fuser%2Fdrericstrong&app=desktop

[tomyknoxville]

Bird, Hamilton, Draeger, Bennett four second names, four technologies, one purpose. #MechanicalVentilation #IMSS #HEALTH #LUNG