Principles of Mechanical Ventilation: A Graphics-Based Approach
|
|
- Abner Sims
- 6 years ago
- Views:
Transcription
1 Principles of Mechanical Ventilation: A Graphics-Based Approach Steven M. Donn, MD, FAAP Professor of Pediatrics Neonatal-Perinatal Medicine C.S. Mott Children s Hospital University of Michigan Health System
2 DATA
3
4
5
6
7
8
9 The Importance of Graphics
10 Why is it Important? Assists in optimizing mechanical ventilation parameters (PIP, PEEP, Ti, tidal volume, flow rate) Allows evaluation of spontaneous respiratory effort and interaction with the ventilator Determines infant s response to pharmacologic agents (surfactant, diuretics, steroids, bronchodilators) Trends monitored events and ventilator parameters over time
11 Basic Principles Oxygenation is proportional to mean airway pressure (PIP, PEEP, Ti, and rate) Ventilation is proportional to the product of frequency and Vt (amplitude, or PIP-PEEP) In CMV, carbon dioxide removal = f X Vt In HFV, carbon dioxide removal = f X (Vt) 2
12 Ways to increase Mean Paw 20 Pressure (cm H 2 O) Increase PIP 2. Increase PEEP 3 3. Increase I-time 4. Increase flow rate (5. Increase vent rate) 2 Ti Te Ti Time (sec)
13 Overview Pulmonary waveforms Pressure waveform Flow waveform Volume waveform Pulmonary loops and mechanics Pressure-volume loop Flow-volume loop
14 Pulmonary Waveforms Pressure vs Time Flow vs Time Volume vs Time Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
15 Pressure Waveform Area under the curve = mean airway pressure Inspiration(red) Expiration(blue) PIP Ti PEEP Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
16 Flow Waveform Inspiratory phase(positive) Peak inspiratory flow Accelerating flow Expiratory phase(negative) Peak expiratory flow Decelerating flow Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
17 Flow Waveform Gas Trapping Before the decelerating expiratory waveform reaches baseline(0 flow), the accelerating inspiratory flow wave of the next breath begins(below 0 flow) Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
18 Flow Waveform Distinguishing Breath Types Sinusoidal wave form seen in pressure ventilation Square waveform seen in volume ventilation Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
19 Flow Waveform Expiratory Resistance Lower resistance has a steeper decelerating expiratory waveform Sinha SK, Nicks JJ, Donn SM. Graphic analysis of pulmonary mechanics in neonates receiving assisted ventilation. Arch Dis Child Fetal Neonatal Ed 1996; 75: F213-F218.
20 Flow Waveform - Turbulence Noisy appearance of the waveform Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
21 Volume Waveform Similar to the previously viewed pressure waveform with the exception that the volume waveform should start and end at a baseline of 0 volume Inspiration(red) Expiration(blue) Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
22 Autocycling Rhythmic breaths without a pause and a large ETT leak shown by the expiratory volumes not returning to baseline (0 volume) Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
23 Pressure-Volume Loop Volume Expiration PIP Pressure Inspiration PEEP Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
24 Pressure-Volume Loop Compliance = Volume Pressure Good compliance will have a compliance axis >45 if axes are properly scaled. Compliance Axis Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
25 Pressure-Volume Loop - Compliance Poor compliance Good compliance Slope ~30 Slope ~45 Sinha SK, Nicks JJ, Donn SM. Graphic analysis of pulmonary mechanics in neonates receiving assisted ventilation. Arch Dis Child Fetal Neonatal Ed 1996; 75: F213-F218
26 Pressure-Volume Loop Inadequate PEEP Delay in volume delivery despite increasing pressure, indicating suboptimal opening pressure Sinha SK, Nicks JJ, Donn SM. Graphic analysis of pulmonary mechanics in neonates receiving assisted ventilation. Arch Dis Child Fetal Neonatal Ed 1996; 75: F213-F218
27 Pressure-Volume Loop Lung Overinflation Flattening of the volume curve indicates: -The ventilator delivers volume that is in excess of lung capacity -Excessive pressure without an increase in volume This can be numerically depicted by using the C20/C as shown. Figure courtesy of Dr. Mark Mammel
28 Pressure-Volume Loop Lung Overinflation Image at:
29 Pressure-Volume Loop Inadequate Flow Inadequate flow as evidenced by: -Narrow loop -Little separation between the inspiratory and expiratory limbs - Figure 8 appearance at the end of inspiration Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
30 Flow-Volume Loop Peak inspiratory flow Flow Inspiration(positive) Expiration(negative) Volume Peak expiratory flow Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
31 Flow-Volume Loop - Resistance Increased resistance(lower peak inspiratory and expiratory flows) Decreased resistance(higher peak inspiratory and expiratory flows) Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
32 Flow-Volume Loop ETT Leak The expiratory flow loop does not reach the origin Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
33 Flow-Volume Loop - Turbulence Noisy appearance of the loops Becker MA, Donn SM. Real-time pulmonary graphic monitoring. Clin Perinatol 2007; 34: 1-17
34 Time Constant Time constant (sec) = Resistance (cm H 2 O/L/sec) X Compliance (L/cm H 2 0) One time constant is defined as the time necessary for alveolar pressure to reach 63% of the change in airway pressure.
35 Time Constant % 95% 98% 99% Change in Pressure (%) % Time Constants
36 Time Constant: Healthy Infant Resistance = 30 cm H 2 O/L/sec x Compliance = L/cm H 2 O Time Constant = 0.12 sec For near complete equilibration (5 TC) = 5 x 0.12 sec = 0.6 sec
37 Time Constant: RDS Resistance = 100 cm H 2 O/L/sec x Compliance = L/cm H 2 O Time Constant = 0.05 sec For near complete equilibration (5 TC) = 5 x 0.05 sec = 0.25 sec Lungs with decreased compliance will complete inflation & deflation quicker
38 Time Constant Time constant becomes critical when Ti or Te is so short that it is insufficient for pressure equilibration. If Ti is too short (<5 TC) incomplete tidal volume may be delivered If Te is too short (<5 TC) Incomplete expiration Increase in FRC Inadvertent PEEP
39 Practical Hints Make sure graphs are properly scaled - P and V axes should be equal - Wave forms should not be off scale Check for leaks, condensation, and secretions When all else fails, LOOK AT THE BABY!
40 Pulmonary Graphics You can observe a lot by watching. -Yogi Berra
RESPIRATORY PHYSIOLOGY, PHYSICS AND PATHOLOGY IN RELATION TO ANAESTHESIA AND INTENSIVE CARE
Course n : Course 3 Title: RESPIRATORY PHYSIOLOGY, PHYSICS AND PATHOLOGY IN RELATION TO ANAESTHESIA AND INTENSIVE CARE Sub-category: Intensive Care for Respiratory Distress Topic: Pulmonary Function and
More informationPhysiological based management of hypoxaemic respiratory failure
Physiological based management of hypoxaemic respiratory failure David Tingay 1. Neonatal Research, Murdoch Children s Research Institute, Melbourne 2. Neonatology, Royal Children s Hospital 3. Dept of
More informationPrinciples of mechanical ventilation. Anton van Kaam, MD, PhD Emma Children s Hospital AMC Amsterdam, The Netherlands
Principles of mechanical ventilation Anton van Kaam, MD, PhD Emma Children s Hospital AMC Amsterdam, The Netherlands Disclosure Research grant Chiesi Pharmaceuticals Research grant CareFusion GA: 27 weeks,
More informationPressure Controlled Modes of Mechanical Ventilation
Pressure Controlled Modes of Mechanical Ventilation Christopher Junker Department of Anesthesiology & Critical Care Medicine George Washington University Saturday, August 20, 2011 Assist Control Hypoxemic
More informationAdvanced Ventilator Modes. Shekhar T. Venkataraman M.D. Professor Critical Care Medicine and Pediatrics University of Pittsburgh School of Medicine
Advanced Ventilator Modes Shekhar T. Venkataraman M.D. Shekhar T. Venkataraman M.D. Professor Critical Care Medicine and Pediatrics University of Pittsburgh School of Medicine Advanced modes Pressure-Regulated
More informationGuide to Understand Mechanical Ventilation Waveforms
Do No Harm Ventilate Gently Guide to Understand Mechanical Ventilation Waveforms Middle East Critical Care Assembly 1/30/2015 Mazen Kherallah, MD, FCCP http://www.mecriticalcare.net Email: info@mecriticalcare.net
More informationTest Bank for Pilbeams Mechanical Ventilation Physiological and Clinical Applications 6th Edition by Cairo
Test Bank for Pilbeams Mechanical Ventilation Physiological and Clinical Applications 6th Edition by Cairo Link full download: http://testbankair.com/download/test-bank-for-pilbeams-mechanicalventilation-physiological-and-clinical-applications-6th-edition-by-cairo/
More informationNeonatal Assisted Ventilation. Haresh Modi, M.D. Aspirus Wausau Hospital, Wausau, WI.
Neonatal Assisted Ventilation Haresh Modi, M.D. Aspirus Wausau Hospital, Wausau, WI. History of Assisted Ventilation Negative pressure : Spirophore developed in 1876 with manual device to create negative
More informationMechanical ven3la3on. Neonatal Mechanical Ven3la3on. Mechanical ven3la3on. Mechanical ven3la3on. Mechanical ven3la3on 8/25/11. What we need to do"
8/25/11 Mechanical ven3la3on Neonatal Mechanical Ven3la3on Support oxygen delivery, CO2 elimination" Prevent added injury, decrease ongoing injury" Enhance normal development" Mark C Mammel, MD University
More informationUNDERSTANDING NEONATAL WAVEFORM GRAPHICS. Brandon Kuehne, MBA, RRT-NPS, RPFT Director- Neonatal Respiratory Services
UNDERSTANDING NEONATAL WAVEFORM GRAPHICS Brandon Kuehne, MBA, RRT-NPS, RPFT Director- Neonatal Respiratory Services Disclosures Purpose: To enhance bedside staff s knowledge of ventilation and oxygenation
More informationBasics of Mechanical Ventilation. Dr Shrikanth Srinivasan MD,DNB,FNB,EDIC Consultant, Critical Care Medicine Medanta, The Medicity
Basics of Mechanical Ventilation Dr Shrikanth Srinivasan MD,DNB,FNB,EDIC Consultant, Critical Care Medicine Medanta, The Medicity Overview of topics 1. Goals 2. Settings 3. Modes 4. Advantages and disadvantages
More informationMechanical Ventilation. Flow-Triggering. Flow-Triggering. Advanced Concepts. Advanced Concepts in Mechanical Ventilation
Mechanical Ventilation Advanced Concepts in Mechanical Ventilation Flow-Triggering Trigger = the variable that causes the vent to begin the inspiratory phase Common triggers 1-2- 3- Effort required to
More informationSLE5000 Infant Ventilator with HFO
SLE5000 Infant Ventilator with HFO When the smallest thing matters SLE5000 - The Total Solution for Infant Ventilation Shown on optional roll stand. Ventilator may be mounted either way round on stand.
More informationPhysiological Basis of Mechanical Ventilation
Physiological Basis of Mechanical Ventilation Wally Carlo, M.D. University of Alabama at Birmingham Department of Pediatrics Division of Neonatology wcarlo@peds.uab.edu Fine Tuning Mechanical Ventilation
More informationCompleted downloadable Test Bank for Pilbeams Mechanical Ventilation Physiological and Clinical Applications 5th Edition by Cairo
Completed downloadable Test Bank for Pilbeams Mechanical Ventilation Physiological and Clinical Applications 5th Edition by Cairo Link full download: http://testbankcollection.com/download/pilbeams-mechanicalventilation-physiological-and-clinical-applications-5th-edition-test-bank-cairo
More informationIntroduction to Conventional Ventilation
Introduction to Conventional Ventilation Dr Julian Eason Consultant Neonatologist Derriford Hospital Mechanics Inspiration diaphragm lowers and thorax expands Negative intrathoracic/intrapleural pressure
More informationSelecting the Ventilator and the Mode. Chapter 6
Selecting the Ventilator and the Mode Chapter 6 Criteria for Ventilator Selection Why does the patient need ventilatory support? Does the ventilation problem require a special mode? What therapeutic goals
More informationMechanical Ventilation
Mechanical Ventilation Chapter 4 Mechanical Ventilation Equipment When providing mechanical ventilation for pediatric casualties, it is important to select the appropriately sized bag-valve mask or endotracheal
More informationNeonatal tidal volume targeted ventilation
Neonatal tidal volume targeted ventilation Colin Morley Retired Professor of Neonatal Medicine, Royal Women s Hospital, Melbourne, Australia. Honorary Visiting Fellow, Dept Obstetrics and Gynaecology,
More informationUsing Common Ventilator Graphics to Provide Optimal Ventilation
Using Common Ventilator Graphics to Provide Optimal Ventilation David Vines, MHS, RRT, FAARC Associate Professor Chair / Program Director Department of Respiratory Care RUSH UNIVERSITY MEDICAL CENTER Disclosure
More informationManaging Patient-Ventilator Interaction in Pediatrics
Managing Patient-Ventilator Interaction in Pediatrics Robert L. Chatburn, MHHS, RRT-NPS, FAARC Clinical Research Manager - Section of Respiratory Therapy Professor of Medicine Case Western Reserve University
More informationMechanical Ventilation. Mechanical Ventilation is a Drug!!! is a drug. MV: Indications for use. MV as a Drug: Outline. MV: Indications for use
Mechanical Ventilation is a Drug!!! Mechanical Ventilation is a drug I am an employee of Philips Healthcare Hospital Respiratory Care Group and they help me pay for my kids education Jim Laging, RRT, RCP
More informationmechanical ventilation Arjun Srinivasan
Respiratory mechanics in mechanical ventilation Arjun Srinivasan Introduction Mechanics during ventilation PV curves Application in health & disease Difficulties & pitfalls The future. Monitoring Mechanics
More informationMechanical Ventilation
Mechanical Ventilation Understanding Modes Rob Chatburn, RRT-NPS, FAARC Research Manager Respiratory Therapy Cleveland Clinic Associate Professor Case Western Reserve University 1 Overview Characteristics
More informationAPRV: Moving beyond ARDSnet
APRV: Moving beyond ARDSnet Matthew Lissauer, MD Associate Professor of Surgery Medical Director, Surgical Critical Care Rutgers, The State University of New Jersey What is APRV? APRV is different from
More informationPERFORMANCE EVALUATION #34 NAME: 7200 Ventilator Set Up DATE: INSTRUCTOR:
PERFORMANCE EVALUATION #34 NAME: 7200 Ventilator Set Up DATE: 1. **Identify and name the filters on the 7200ae. 2. **Explain how each filter is sterilized. 3. **Trace the gas flow through the ventilator
More informationRSPT 1060 OBJECTIVES OBJECTIVES OBJECTIVES EQUATION OF MOTION. MODULE C Applied Physics Lesson #1 - Mechanics. Ventilation vs.
RSPT 1060 MODULE C Applied Physics Lesson #1 - Mechanics OBJECTIVES At the end of this module, the student should be able to define the terms and abbreviations used in the module. draw & explain the equation
More informationMEDICAL EQUIPMENT IV MECHANICAL VENTILATORS. Prof. Yasser Mostafa Kadah
MEDICAL EQUIPMENT IV - 2013 MECHANICAL VENTILATORS Prof. Yasser Mostafa Kadah Mechanical Ventilator A ventilator is a machine, a system of related elements designed to alter, transmit, and direct energy
More informationSLE4000. Infant Ventilator with touch-screen operation. When the smallest thing matters
SLE4000 Infant Ventilator with touch-screen operation When the smallest thing matters SLE4000 - The Total Solution for Conventional Infant Ventilation SLE is a world leader in the design and manufacture
More informationThe Crossvent 2i+ 2. Ventilator Concept (brief theory of operation and features)
The Crossvent 2i+ 1. How is this ventilator classified 2. Ventilator Concept (brief theory of operation and features) -Your Two Choices with this Ventilator 3. An overview of the device (an in-service)
More informationInitiation and Management of Airway Pressure Release Ventilation (APRV)
Initiation and Management of Airway Pressure Release Ventilation (APRV) Eric Kriner RRT Pulmonary Critical Care Clinical Specialist Pulmonary Services Department Medstar Washington Hospital Center Disclosures
More informationPanther 5 Acute Care Ventilator
1 HIGHLIGHTS High performance and advanced features target the ICU environment Utilizes an internal blower with a specially designed flow control valve removing the need for using compressed air without
More informationBunnell LifePulse HFV Quick Reference Guide # Bunnell Incorporated
Bunnell Incorporated n www.bunl.com n 800-800-4358 (HFJV) n info@bunl.com 436 Lawndale Drive n Salt Lake City, Utah 84115 n intl 801-467-0800 n f 801-467-0867 Bunnell LifePulse HFV Quick Reference Guide
More informationFlight Medical presents the F60
Flight Medical presents the F60 Reliable Ventilation Across the Spectrum of Care Adult & Pediatric Pressure/Volume Control Basic/Advanced Modes Invasive/NIV High Pressure/Low Flow O2 Up to 12 hours batteries
More informationHow does HFOV work? John F Mills MBBS, FRACP, M Med Sc, PhD Neonatologist Royal Children s Hospital. Synopsis
How does HFOV work? John F Mills MBBS, FRACP, M Med Sc, PhD Neonatologist Royal Children s Hospital Synopsis Definition of an oscillator Historical perspective Differences between HFOV and CMV Determinants
More informationStephanie. Pediatrics. The ventilation system for neonatology
Pediatrics Stephanie The ventilation system for neonatology + Conventional ventilator + High-frequency oscillator + Proportional Assist Ventilation (PAV) + Integrated patient gas humidifier + Minimum volume
More informationInspire rpap REVOLUTION FROM THE FIRST BREATH
Inspire rpap TM REVOLUTION FROM THE FIRST BREATH The Inspire rpap The Inspire rpap is a revolutionary, non-invasive system for the initial stabilisation and resuscitation of infants. TM Its innovative,
More informationRESPIRATORY PHYSIOLOGY RELEVANT TO HFOV
RESPIRATORY PHYSIOLOGY RELEVANT TO Physiology of CMV 1 What is? Ventilation using a relatively high continuous distending pressure at the airway opening, around which an oscillatory wave is generated to
More informationVolume vs Pressure during Neonatal Ventilation
Volume vs Pressure during Neonatal Ventilation David Tingay 1. Neonatal Research, Murdoch Children s Research Institute, Melbourne 2. Neonatology, Royal Children s Hospital 3. Dept of Paediatrics, University
More informationClassification of Mechanical Ventilators
Classification of Mechanical Ventilators Kacmarek s 12 Point Classification Positive/Negative Pressure Powering Mechanism Driving Mechanism Single or Double Circuited Modes of Ventilation Cycling Parameter
More informationTechnical Data and Specifications
Technical Data and Specifications INTENDED USE Ventilator designed to provide Invasive and Non-invasive ventilation for the critical care management of adult, pediatric and neonate-infant (including premature)
More informationPROBLEM SET 8. SOLUTIONS April 15, 2004
Harvard-MIT Division of Health Sciences and Technology HST.542J: Quantitative Physiology: Organ Transport Systems Instructors: Roger Mark and Jose Venegas MASSACHUSETTS INSTITUTE OF TECHNOLOGY Departments
More informationBlease900 Ventilator PATIENT CENTERED VENTILATION
Blease900 Ventilator PATIENT CENTERED VENTILATIN PATIENT CENTERED VENTILATIN From the first Blease/Manley ventilator sixty years ago, Spacelabs Healthcare has built a heritage of innovative and intuitive
More informationSLE5000 Neonatal Ventilator with High Frequency Oscillation
SLE5000 Neonatal Ventilator with High Frequency Oscillation The SLE5000 is superb: the best High Frequency Ventilator I ve used When the smallest thing matters SLE5000 - The Total Solution for Infant Ventilation
More informationVentilators. Dr Simon Walton Consultant Anaesthetist Eastbourne DGH KSS Basic Science Course
Ventilators Dr Simon Walton Consultant Anaesthetist Eastbourne DGH KSS Basic Science Course Objectives Discuss Classification/ terminology Look at Modes of ventilation How some specific ventilators work
More informationPresentation Overview. Monitoring Strategies for the Mechanically Ventilated Patient. Early Monitoring Strategies. Early Attempts To Monitor WOB
Monitoring Strategies for the Mechanically entilated Patient Presentation Overview A look back into the future What works and what may work What s all the hype about the WOB? Are ventilator graphics really
More informationUnit 15 Manual Resuscitators
15-1 Unit 15 Manual Resuscitators GOAL On completion of this unit, the student should comprehend the proper operation of self-inflating resuscitation bags, flow-inflating resuscitation bags and gas-powered
More informationIndications for Mechanical Ventilation. Mechanical Ventilation. Indications for Mechanical Ventilation. Modes. Modes: Volume cycled
Mechanical Ventilation Eric A. Libré, MD VCU School of Medicine Inova Fairfax Hospital and VHC Indications for Mechanical Ventilation Inadequate ventilatory effort Rising pco2 with resp acidosis (7.25)
More informationbirth: a transition better guidelines better outcomes the birth experience a challenging transition the fountains of life: 2/8/2018
better guidelines better outcomes neonatal resuscitation Anne G. Wlodaver, MD neonatology OU medical center the birth experience a challenging transition birth requires major and sudden transitions some
More informationInspiration 7i Ventilator
Inspiration 7i Ventilator Clinician Focused Products is not just a tag line, rather a belief system. Low cost of ownership High performance PSOL and active exhalation Comprehensive graphics and trending
More informationHAMILTON-C2 HAMILTON-C2. The universal ventilation solution
HAMILTON-C2 HAMILTON-C2 The universal ventilation solution The universal ventilation solution HAMILTON-C2 - The compact ventilation solution The HAMILTON-C2 mechanical ventilator is a universal ventilation
More informationINTRODUCTION TO BI-VENT (APRV) INTRODUCTION TO BI-VENT (APRV) PROGRAM OBJECTIVES
INTRODUCTION TO BI-VENT (APRV) INTRODUCTION TO BI-VENT (APRV) PROGRAM OBJECTIVES PROVIDE THE DEFINITION FOR BI-VENT EXPLAIN THE BENEFITS OF BI-VENT EXPLAIN SET PARAMETERS IDENTIFY RECRUITMENT IN APRV USING
More informationO-Two Self-Study Guide. e600 Transport Ventilator Ventilation Modes
O-Two Self-Study Guide e600 Transport Ventilator Ventilation Modes e600 VENTILATION MODES The e600 ventilator has 13 ventilation modes: Manual Ventilation, Controlled Mandatory Ventilation (CMV), Assist
More informationMechanical Ventilation. Which of the following is true regarding ventilation? Basics of Ventilation
Mechanical Ventilation Jeffrey L. Wilt, MD, FACP, FCCP Associate Professor of Medicine Michigan State University Associate Program Director MSU-Grand Rapids Internal Medicine Residency Which of the following
More informationAccumulation of EEV Barotrauma Affect hemodynamic Hypoxemia Hypercapnia Increase WOB Unable to trigger MV
Complicated cases during mechanical ventilation Pongdhep Theerawit M.D. Pulmonary and Critical Care Division Ramathibodi Hospital Case I Presentation Male COPD 50 YO, respiratory failure, on mechanical
More informationVENTILATION STRATEGIES FOR THE CRITICALLY UNWELL
VENTILATION STRATEGIES FOR THE CRITICALLY UNWELL Dr Nick Taylor Visiting Emergency Specialist Teaching Hospital Karapitiya Senior Specialist and Director ED Training Clinical Lecturer, Australian National
More informationHIGH FREQUENCY JET VENTILATION (HFJV): EQUIPMENT PREPRATION
POLICY The physician orders High Frequency Jet Ventilation (HFJV). The Respiratory Therapist in discussion with the physician will determine blood gas targets and ventilation settings for the treatment
More informationQUICK REFERENCE GUIDE
cm H O 2 cm H O 2 cm HO 2 PSI cm H O 2 ON OFF UPPER LIMIT LOWER LIMIT UPPER LIMIT LOWER LIMIT LIFE PULSE HIGH-FREQUENCY VENTILATOR QUICK REFERENCE GUIDE 01388-08.11 MONITOR PIP JET VALVE ALARMS READY SILENCE
More informationHAMILTON-C3 HAMILTON-C3. The compact high-end ventilator
HAMILTON-C3 HAMILTON-C3 The compact high-end ventilator The compact high-end ventilator HAMILTON-C3 - The all-rounder for ICUs The HAMILTON-C3 ventilator is a modular high-end ventilation solution for
More informationOPEN LUNG APPROACH CONCEPT OF MECHANICAL VENTILATION
OPEN LUNG APPROACH CONCEPT OF MECHANICAL VENTILATION L. Rudo Mathivha Intensive Care Unit Chris Hani Baragwanath Aacademic Hospital & the University of the Witwatersrand OUTLINE Introduction Goals & Indications
More informationNAVA Neurally Adjusted Ventilatory Assist In Neonates
NAVA Neurally Adjusted Ventilatory Assist In Neonates Howard Stein, M.D. Director Neonatology Toledo Children s Hospital Toledo, Ohio Disclaimers Dr Stein: Is on the speaker s bureau for Maquet Is discussing
More informationHospital and Transport for Controlled Breathing
Hospital and Transport for led Breathing When transporting a critically ill patient you need a ventilator that can go anywhere in any situation. Smiths Medical Pneupac small portable gas powered ventilators
More informationVT PLUS HF performance verification of Bunnell Life-Pulse HFJV (High Frequency Jet Ventilator)
VT PLUS HF performance verification of Bunnell Life-Pulse HFJV (High Frequency Jet Ventilator) VT PLUS HF provides a special mode for evaluating the performance of high frequency ventilators while connected
More informationAUTOVENT 4000 VENTILATOR
OVERVIEW AUTOVENT 4000 Only properly trained and approved Escambia County Bureau of Public Safety Paramedics are to use the AutoVent 4000 ventilator manufactured by LSP to transport patients already on
More informationVirginia Beach EMS. Oxylator EMX. Debra H. Brennaman, RN, MPA, NREMT-P
Virginia Beach EMS Oxylator EMX Debra H. Brennaman, RN, MPA, NREMT-P Oxylator EMX Overview Patient responsive oxygen powered resuscitation / ventilation device intended to provide emergency ventilatory
More informationFor more information about how to cite these materials visit
Author(s): Louis D Alecy, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
More informationManual: Biphasic Positive Airway Pressure (BiPAP) Ventilation
RCH@Home Manual: Biphasic Positive Airway Pressure (BiPAP) Ventilation 1. Commonly used terms... 2 1.1 Inspiration... 2 1.2 Expiration... 2 1.3 Breath rate (bpm)... 2 1.4 Ventilation... 2 1.5 Biphasic
More informationVolume Diffusion Respiration (VDR)
Volume Diffusion Respiration (VDR) A therapy with many uses Jeffrey Pietz, MD April 15, 2016 VDR ventilation has been used to treat patients with: ARDS Meconium Aspiration Burn and Inhalation Injury RDS
More informationPATIENT SETUP QUICK REFERENCE GUIDE
PATIENT SETUP QUICK REFERENCE GUIDE Puritan Bennett 980 Ventilator NEW PATIENT COMPLETE SETUP To set up a new patient: Open the wye connector of the breathing circuit (the ventilator has a patient detection
More informationMT The secret of harmonious breathing BABYLOG 8000 PLUS
MT-1166-2005 The secret of harmonious breathing BABYLOG 8000 PLUS 02 The product of expertise and experience More than 30 years of experience in neonatal ventilation and a century of expertise in breathing
More information6 th Accredited Advanced Mechanical Ventilation Course for Anesthesiologists. Course Test Results for the accreditation of the acquired knowledge
6 th Accredited Advanced Mechanical Ventilation Course for Anesthesiologists Course Test Results for the accreditation of the acquired knowledge Q. Concerning the mechanics of the newborn s respiratory
More informationRESPIRATORY PHYSIOLOGY, PHYSICS AND
Course n : Course 3 Title: RESPIRATORY PHYSIOLOGY, PHYSICS AND PATHOLOGY IN RELATION TO ANAESTHESIA AND INTENSIVE CARE Sub-category: Techniques Topic: Respiratory monitoring Date: May 05-07, 2016 Language:
More informationV8800 Ventilator System. Your healthcare, we care.
V8800 Ventilator System Your healthcare, we care. V8800 Ventilator System V8800 is a critical care ventilator for infants, children and adults. It has comprehensive functionality, a user-friendly design,
More informationfabian HFO: Modular, Powerful, Versatile.
fabian HFO: Modular, Powerful, Versatile. Introducing the flagship of the ACUTRONIC FABIAN FAMILY. The FABIAN HFO, a ventilator developed specifically for the NICU and PICU needs, packed with many great
More informationhttp://www.priory.com/cmol/hfov.htm INTRODUCTION The vast majority of patients who are admitted to an Intensive Care Unit (ICU) will need artificial ventilation (Jones et al 1998). The usual means through
More informationCapnography in the Veterinary Technician Toolbox. Katie Pinner BS, LVT Bush Advanced Veterinary Imaging Richmond, VA
Capnography in the Veterinary Technician Toolbox Katie Pinner BS, LVT Bush Advanced Veterinary Imaging Richmond, VA What are Respiration and Ventilation? Respiration includes all those chemical and physical
More informationUNIQUE CHARACTERISTICS OF THE PULMONARY CIRCULATION THE PULMONARY CIRCULATION MUST, AT ALL TIMES, ACCEPT THE ENTIRE CARDIAC OUTPUT
UNIQUE CHARACTERISTICS OF THE PULMONARY CIRCULATION THE PULMONARY CIRCULATION MUST, AT ALL TIMES, ACCEPT THE ENTIRE CARDIAC OUTPUT UNIQUE CHARACTERISTICS OF THE PULMONARY CIRCULATION THE PULMONARY CIRCULATION
More informationDisclosures. The Pediatric Challenge. Topics for Discussion. Traditional Anesthesia Machine. Tidal Volume = mls/kg 2/13/14
2/13/14 Disclosures Optimal Ventilation of the Pediatric Patient in the OR Consulting Draeger Medical Jeffrey M. Feldman, MD, MSE Division Chief, General Anesthesia Dept. of Anesthesiology and Critical
More informationMV-TRAINER USER MANUAL
MV-TRAINER USER MANUAL Computational Tool for Modeling and Simulation of Mechanically Ventilated Patients Version 0.2 January 2014 Leidy Yanet Serna Mauricio Hernández Miguel Ángel Mañanas MV-TRAINER User
More informationBreathing during mask ventilation of preterm infants at birth
6 Breathing during mask ventilation of preterm infants at birth Corinne J.M. van der Pot Kim Schilleman Stuart B. Hooper Colin J. Morley Frans J. Walther Arjan B. te Pas Submitted Chapter 6 Abstract Objective
More informationVentilator Training Module
Ventilator Training Module LTV (Lap Top Ventilator) Teaching Script LTV User guides: http://www.carefusion.com/documents/guides/user-guides/rc_ltv-1000_ug_en.pdf http://www.carefusion.com/documents/guides/user-guides/rc_ltv-1100_ug_en.pdf
More informationActivity 2: Examining the Effect of Changing Airway Resistance on Respiratory Volumes
1 BGYC34 PhysioEx Lab 7 Respiratory Systems Mechanics Marking Scheme Part 1 Complete PhysioEx lab #7. Hand-in all of the pages associated with the lab. Note that there are 5 activities to be completed.
More informationPART ONE CHAPTER ONE PRIMARY CONSIDERATIONS RELATING TO THE PHYSIOLOGICAL AND PHYSICAL ASPECTS OF THE MECHANICAL VENTILATION OF THE LUNG
PART ONE CHAPTER ONE PRIMARY CONSIDERATIONS RELATING TO THE PHYSIOLOGICAL AND PHYSICAL ASPECTS OF THE MECHANICAL VENTILATION OF THE LUNG POSSIBLE ORIGIN OF THE MECHANICAL VENTILATION OF THE LUNG- The first
More informationChanging gas flow during neonatal resuscitation: a manikin study
8 Changing gas flow during neonatal resuscitation: a manikin study Kim Schilleman Georg M. Schmölzer C. Omar F. Kamlin Colin J. Morley Arjan B. te Pas Peter G. Davis Resuscitation. 2011 Jul;82(7):920-924
More informationThe physiological functions of respiration and circulation. Mechanics. exercise 7. Respiratory Volumes. Objectives
exercise 7 Respiratory System Mechanics Objectives 1. To explain how the respiratory and circulatory systems work together to enable gas exchange among the lungs, blood, and body tissues 2. To define respiration,
More informationEmergency Transport and Ventilation
Emergency Transport and Ventilation When you get a call and the patient is not breathing, are you and your equipment ready? Can you make the difference? Pneupac portable gas powered ventilators (PGPVs)
More informationOxygen injection sites: Important factors that affect the fraction of inspired oxygen
Oxygen injection sites: Important factors that affect the fraction of inspired oxygen during non-invasive positive pressure ventilation Bing Dai, MD, Jian Kang, MD, Na Yu, MD, Wei Tan, Hong-Wen Zhao, MD
More informationPART EIGHT HIGH FREQUENCY PERCUSSIVE OSCILLATION (HFPOV )
PART EIGHT HIGH FREQUENCY PERCUSSIVE OSCILLATION (HFPOV ) Note: For maximal comparative understanding, FIRST read PART SEVEN which defines the concept of High Frequency Oscillatory Ventilation (HFOV).
More informationWILAmed INTENSA. Intensive Care Ventilator System
EN WILAmed INTENSA Intensive Care Ventilator System 0197 WILAmed INTENSA Ventilator System The WILAmed INTENSA is a full invasive and non-invasive life-support ventilator, solely designed for the ventilation
More information3100A Competency Exam
NAME DATE (Circle the appropriate answer) 3100A Competency Exam 1. Of the following, which best describes the mechanics of ventilation used by the 3100A? a. Active inspiration with passive exhalation b.
More informationUpdate to RS-232 commands. Changing patient from NIV to INVASIVE Vent Type. SNDF command
Changing patient from NIV to INVASIVE Vent Type Table 9 shows automatic settings changes that occur when changing the same patient from NIV to INVASIVE Vent Type. Table 9: Automatic settings changes NIV
More informationLet s talk about Capnography
Let s talk about Capnography This is one of a series of articles by Keith Simpson BVSc MRCVS MIET (Electronics) discussing the practical aspects of some common monitoring techniques. Capnometry is the
More informationPOCKET GUIDE POCKET GUIDE. FLOW-i version 2.1. FLOW-i MODES OF VENTILATION WAVEFORMS AND LOOPS
POCKET GUIDE POCKET GUIDE FLOW-i version 2.1 FLOW-i MODES OF ENTILATION WAEFORMS AND LOOPS Table of contents EMPTY 1 2 3 4 5 6 Introduction Background and basic concepts Waveforms and loops Capnogram,
More informationevolution 3e Ventilators
evolution 3e Ventilators A new paradigm in blower-based ventilators, delivering ICU ventilator care anywhere, anytime. Comprehensive graphics and trending High performance PSOL and active exhalation Servo
More informationSafe and Intuitive Neonatal Ventilation
Safe and Intuitive Neonatal Ventilation www.hamilton-medical.com/g5 Clinical benefits for infants Improve patient outcome Use of protective tidal volumes, 4 6 ml/kg in preterm infants, has been shown
More informationRESPIRATORY CARE POLICY AND PROCEDURE MANUAL. a) Persistent hypoxemia despite improved ventilatory pattern and elevated Fl02
The University of Mississippi AND PROCEDURE MANUAL Effective Date: June 30, 1990 Revised Date: December 2009 MANUAL CODE Page 1 of 5 PREPARED BY: Respiratory Care Policy and Procedure Review Committee
More informationNewer forms of conventional ventilation for preterm newborns
Acta Pædiatrica ISSN 0803 5253 REVIEW ARTICLE Newer forms of conventional ventilation for preterm newborns Sunil K Sinha (Sunil.sinha@stees.nhs.uk) 1, Steven M Donn 2 1.Professor of Paediatrics and Neonatal
More informationEndotracheal Suctioning: In Line ETT
Approved by: Endotracheal Suctioning: In Line ETT Gail Cameron Senior Director Operations, Maternal, Neonatal & Child Health Programs Dr. Paul Byrne Medical Director, Neonatology Neonatal Policy & Procedures
More informationTest your PICU/ NICU/ CHSU Knowledge
Test your PICU/ NICU/ CHSU Knowledge 1. On the LTV 1150 you have a 12-year-old trach patient. You are adding in 2 liters of 100% Oxygen through the flow inlet. The patient s spontaneous respiratory rate
More informationNeonatal resusitation 1: A model to measure inspired and expired tidal volumes and assess leak at the face mask
ADC-FNN Online First, published on May 4, 2005 as 10.1136/adc.2004.064683 Neonatal resusitation 1: A model to measure inspired and expired tidal volumes and assess leak at the face mask Colm P F O Donnell
More information