Mechanical Ventilation. Which of the following is true regarding ventilation? Basics of Ventilation
|
|
|
- Annabel Cook
- 6 years ago
- Views:
Transcription
1 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 is true regarding ventilation? A. Normal inspiratory muscle strength is approx 50 cm H2O B. Normal tidal volume is 500 ml C. Normal physiology uses negative pressure inspiration D. Ventilators mimic normal physiology Basics of Ventilation Normally use negative pressure for inspiration Positive pressure (passive) for exhalation Ventilators use positive pressure (active) for inspiration + - I E Spont I E Vent 1
2 Some Normal Physiology Tidal Volume (Vt) 5 ml/kg Minute Ventilation (Ve) <10-12/min Negative Insp Force (NIF) < -100 Resp Rate <16 (the 20 on all charts is actually tachypnea!!!) Some History Ventilators in the ICU are relatively new Used only in surgery prior No post-operative usage Iron Lungs were neg pressure devices rn ventilators developed in the 1950 s Which of the following is true regarding ventilator modes? A. In a control mode the patient initiates the breath B. In assist mode the patient initiates the breath C. In the ventilator gives a full breath each time the patient initiates a breath D. In pressure assist-control the machine guarantees a tidal volume 2
3 Initial ventilators: ure Cycled Set a rate, and pressure Volume unknown Initial mode: Control: Machine initiates breath C C Subsequent ventilators: Volume-cycled Set a tidal volume and rate Early Weaning Control to T-Piece: Extubate if can breathe All or None Probs with ventilator synchrony Led to new modes 3
4 Vent s Assist Breath Senses the negative pressure of normal ventilation Machine cycles and gives a full breath (pressure or volume) A A A Assist-Control: Full Support Will assist if spontaneously triggering Control as a backup if apneic (at set rate) Machine gives a full breath each time Pt breathes 30/min: s 30 breaths Can be regulated by pressure or volume A A A C Assist-Control Initiate Regulate Cycle Interaction Pt or Time Volume Vol 1:1 with backup A-C Pt or Time ure Time 1:1 with backup 4
5 Early Weaning Assist-Control to T-Piece Extubate if can breathe Not scientific Theory that partial reduction of ventilation would help (S)IMV IMV: Intermittent Mandatory Ventilation Give only a set amount of breaths per minute Rest on their own Start with A-C; switch to IMV and gradually reduce rate : Synchronized A A O O O O O Pitfalls (vs A-C) Own breaths through ETT, vent tubing, valves in the circuit, etc. Lot s of vent dyssynchrony 5
6 s Initiate Regulate Cycle Interaction Vol Pt or Time Volume Vol 1:1 at set rate Pt or Time ure Time 1:1 at set rate ure Support Set amount of pressure added to own breaths; limited by a decrease in flow Initially used in conjunction with Now used alone for wean or ventilation Effort determines Vt P P P O P A A ure Support Initiate Regulate Cycle Interaction Pt ure Flow 1:1 6
7 Ventilator s Vol A-C Ventilator s Vol A-C Flow in Volume s Generally Constant ure ramps up as flow continues Some pts not tolerant; need higher flow earlier in duty cycle Flow ure 7
8 Ventilator s Vol A-C Ventilator s Vol A-C Ventilator s Vol A-C 8
9 Ventilator s Vol A-C Ventilator s Vol A-C Ventilator s Vol A-C 9
10 Ventilator s Vol A-C Ventilator s Vol A-C Volume s Volume Limited No ure limitation; can lead to lung injury 10
11 Ventilator s Vol A-C Ventilator s Vol A-C RR,, Flow in ure s Decelerating High early in inspiration Early, constant pressure Easier titration of insp times Flow ure 11
12 Ventilator s Vol A-C RR,, Ventilator s Vol A-C RR,, Ventilator s Vol A-C RR,, Limit 12
13 Ventilator s Vol A-C RR,, Limit No Ventilator s Vol A-C RR,, Limit No Ventilator s Vol A-C RR,, Limit No 13
14 Ventilator s Vol A-C RR,, Limit No Ventilator s Vol A-C RR,, Limit No ure Assist/ s Time Limited Decelerating Flow Easier titration of insp times Better patient tolerance early in duty cycle 14
15 Ventilator s Vol A-C RR,, Limit No Ventilator s Vol A-C RR,, Limit No RR,, FIO2, PEEP Ventilator s Vol A-C RR,, Limit No RR,, FIO2, PEEP Flow 15
16 : Flow Limited Standard: Drop of Insp flow by 25% Newer ventilators allow adjustment Allows pt to continue inspiration In pressure modes shut off by reaching insp time In volume modes shut off by reaching Vt 25% Flow Ventilator s Vol A-C RR,, Limit No RR,, FIO2, PEEP Flow Ventilator s Vol A-C RR,, RR,, FIO2, PEEP Flow Limit Variable Vt, Pt comfort No 16
17 Ventilator s Vol A-C RR,, RR,, FIO2, PEEP Flow Limit Variable Vt, Pt comfort No No Vt or rate Hybrid s ure-regulated Volume Control Limited; Machine adjusts flow to tar insp time Volume Support (Volume-Assured ure Support) mode, ; machine adjusts flow to meet the minimum Vt; pt may over breathe Which one of the following is true regarding oxygenation? A. Prone position improves mortality B. Inverse ratio improves mortality C. PEEP has no adverse hemodynamic consequences, especially at high levels D. PEEP is more likely to be helpful in pulmonary edema than pneumonia 17
18 Oxygenation FIO2 High levels can induce toxicity Goal is as low as possible PEEP ure left intrathoracic after exhalation Allows for recruitment of alveoli Bilateral processes High levels can cause cardiac compromise Ways to Improve Oxygenation Increasing FIO2 Increasing PEEP Increasing Inverse Ratio: >50% Insp time Rarely Used; Hemodynamic Problems Pronation Improves Oxygenation No effect on mortality Hybrid s Airway ure Release Ventilation Two levels of PEEP with intermittent release High Frequency Oscillatory Ventilation Very high rates with minimal tidal volume; convection of airflow Rarely used; no supportive clinical data 18
19 Which of the following it true regarding weaning from mechanical ventilation? A. A person with a resp rate of 20 and a Vt of 400 ml is likely to wean B. A person with a resp rate of 30 and Vt of 200 is likely to wean C. IMV weaning modes shorten duration of mechanical ventilation D. Adding pressure support to IMV does not shorten time of mechanical ventilation When Do I Wean? Clinically Ready!!! Adeq pulm reserve Adeq weaning parameters F/Vt (<104 predictive of successful wean) Progression of Weaning Trials A-C to T-Piece and 1 Fastest Wean (Initial Trial) 4 Increased WOB 3 2 Fastest in 2 nd Trial 19
20 Weaning: General Principles Full Support when initiating PRVC,, A-C Daily Assessment of Weaning SBT (Assess F/Vt) T-Piece Equivalent () If not ready to extubate Full Support Higher level Summary Many modes are available to use Patient comfort is of utmost importance Clear the acute process prior to aggressive weaning It is still an art!!! 20
Mechanical 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
Indications 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)
Basics 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
Ventilators. 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
Selecting 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
Introduction 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
Potential Conflicts of Interest Received research grants from Hamilton, Covidien, Drager, General lel Electric, Newport, and Cardinal Medical Received
How Does a Mechanical Ventilator t 6-22-10 Spain Work? Bob Kacmarek PhD, RRT Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts Potential Conflicts of Interest Received research
Automatic Transport Ventilator
Automatic Transport Ventilator David M. Landsberg, MD, FACP, FCCP, EMT-P Luke J. Gasowski, RRT, NPS, ACCS, CCP-C, FP-C Christopher J. Fullagar, MD, FACEP, EMT-P Stan Goettel, MS, EMT-P Author credits /
Mechanical 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
Pressure 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
Guide 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
Flight 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
NSQIP showed that the University of Utah was a high outlier in for patients receiving >48 cumulative hours of mechanical ventilation.
A multidisciplinary quality improvement approach to ventilator management results in decreased ventilator times and a reduction in ventilator associated pneumonia Gillian eton MD, teven Johnson MBA, Gabriele
Mechanical 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
Advanced 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
Mechanical 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
VENTILATION 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
Principles 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,
O-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
New Frontiers in Anesthesia Ventilation. Brent Dunworth, MSN, CRNA. Anesthesia Ventilation. New Frontiers in. The amount of gas delivered can be
New Frontiers in Anesthesia Ventilation Senior Director, Nurse Anesthesia Department of Anesthesiology University of Pittsburgh Medical Center Content Outline 1 2 Anesthesia Evolution Anesthesia Evolution
Invasive mechanical ventilation:
Invasive mechanical ventilation definition mechanical ventilation: using an apparatus to facilitate transport of oxygen and CO2 between the atmosphere and the alveoli for the purpose of enhancing pulmonary
Using 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
VENTILATORS PURPOSE OBJECTIVES
VENTILATORS PURPOSE To familiarize and acquaint the transfer Paramedic with the skills and knowledge necessary to adequately maintain a ventilator in the interfacility transfer environment. COGNITIVE OBJECTIVES
APRV: 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
INTRODUCTION 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
Managing 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
MEDICAL 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
Classification 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
Respiratory Failure & Mechanical Ventilation. Denver Health Medical Center Department of Surgery and the University Of Colorado Denver
Respiratory Failure & Mechanical Ventilation Denver Health Medical Center Department of Surgery and the University Of Colorado Denver + + Failure of the Respiratory Pump 1. Lack of patent airway 2. Bronchospasm
NOTE: If not used, provider must document reason(s) for deferring mechanical ventilation in a patient with an advanced airway
APPENDIX: TITLE: Mechanical Ventilator Use REVISED: November 1, 2017 I. Introduction: Mechanical Ventilation is the use of an automated device to deliver positive pressure ventilation to a patient. Proper
The Basics of Ventilator Management. Overview. How we breath 3/23/2019
The Basics of Ventilator Management What are we really trying to do here Peter Lutz, MD Pulmonary and Critical Care Medicine Pulmonary Associates, Mobile, Al Overview Approach to the physiology of the
Medical Ventilators. Ryan Sanford Daniel Tajik
Medical Ventilators Ryan Sanford Daniel Tajik Medical Ventilators Assist patients that have trouble breathing on their own. 2 Oxygen Intake The Respiratory System has the responsibility of providing the
Mechanical 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
ONLINE DATA SUPPLEMENT. First 24 hours: All patients with ARDS criteria were ventilated during 24 hours with low V T (6-8 ml/kg
APPENDIX 1 Appendix 1. Complete respiratory protocol. First 24 hours: All patients with ARDS criteria were ventilated during 24 hours with low V T (6-8 ml/kg predicted body weight (PBW)) (NEJM 2000; 342
Completed 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
6 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
UNDERSTANDING 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
Objectives. Respiratory Failure : Challenging Cases in Mechanical Ventilation. EM Knows Respiratory Failure!
Respiratory Failure : Challenging Cases in Mechanical Ventilation Peter DeBlieux, MD, FAAEM, FACEP LSUHSC University Hospital Pulmonary and Critical Care Medicine Emergency Medicine pdebli@lsuhsc.edu Objectives
Ventilating the Sick Lung Mike Dougherty RRT-NPS
Ventilating the Sick Lung 2018 Mike Dougherty RRT-NPS Goals and Objectives Discuss some Core Principles of Ventilation relevant to mechanical ventilation moving forward. Compare and Contrast High MAP strategies
Inspiration 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
Initiation 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
Neonatal 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,
Technical 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)
OPEN 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
Accumulation 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
Disclosures. 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
V8600 Ventilator. Integrated Invasive & Noninvasive Ventilation
V8600 Ventilator Integrated Invasive & Noninvasive Ventilation 0123 V8600 Ventilator Invasive Ventilation With state-of-the-art turbine technology, V8600 helps achieve sequential ventilation in various
Driving Pressure. What is it, and why should you care?
Driving Pressure What is it, and why should you care? Jonathan Pak MD March 2, 2017 Lancet 1967; 290: 319-323 Traditional Ventilation in ARDS Tidal Volume (V T ) = 10-15 ml/kg PBW PEEP = 5-12 cm H 2 O
Bunnell 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
Understanding and comparing modes of ventilation
Understanding and comparing modes of ventilation Löwenstein Medical GmbH & Co. KG Content Volume-Controlled Ventilation Modes VCV PLV VC-SIMV Optional VCV Flexible VCV Pressure-Controlled Ventilation Modes
evolution 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
VT 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
PERFORMANCE 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
PART 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).
The 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)
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
Operating Instructions for Microprocessor Controlled Ventilators
Page 1 of 5 Operating Instructions for Microprocessor Controlled Ventilators Purpose Audience Scope Physician's Order To provide guidelines for the procedure for the use of microprocessor controlled ventilators.
SLE5000 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.
New Modes of Ventilation. Dr. Zia Hashim
New Modes of Ventilation Dr. Zia Hashim Mode Describes the specific combination of: control phase conditional variables Defined for spontaneous mandatory breaths Variable Control variable : Constant throughout
Automatic Transport Ventilators. ICU Quality Ventilation on the Street.
Automatic Transport Ventilators ICU Quality Ventilation on the Street. Kevin Bowden, March 20 th 2014 Ventilator Definition A ventilator is an automatic mechanical device designed to provide all or part
ASSISTANCE. Cardinal Health Pulmonetic Systems Medina Rd., Suite 100 Minneapolis, Minnesota
ASSISTANCE Cardinal Health Pulmonetic Systems 17400 Medina Rd., Suite 100 Minneapolis, Minnesota 55447-1341 Customer Care: (800) 754-1914 (763) 398-8500 Fax: (763) 398-8403 Website: www.cardinalhealth.com/viasys
Presentation 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
ASV. Adaptive Support Ventilation
ASV Adaptive Support Ventilation Intelligent Ventilation since 1983 We live for ventilation technology We live for ventilation technology that helps caregivers improve the lives of their critically ill
Key words: intrahospital transport; manual ventilation; patient-triggered ventilation; respiratory failure
Intrahospital Transport of Critically Ill Patients Using Ventilator With Patient- Triggering Function* Toshiaki Nakamura, MD; Yuji Fujino, MD; Akinori Uchiyama, MD; Takashi Mashimo, MD; and Masaji Nishimura,
Chapter 4: Ventilation Test Bank MULTIPLE CHOICE
Instant download and all chapters Test Bank Respiratory Care Anatomy and Physiology Foundations for Clinical Practice 3rd Edition Will Beachey https://testbanklab.com/download/test-bank-respiratory-care-anatomy-physiologyfoundations-clinical-practice-3rd-edition-will-beachey/
EMS INTER-FACILITY TRANSPORT WITH MECHANICAL VENTILATOR COURSE OBJECTIVES
GENERAL PROVISIONS: EMS INTER-FACILITY TRANSPORT WITH MECHANICAL VENTILATOR COURSE OBJECTIVES Individuals providing Inter-facility transport with Mechanical Ventilator must have successfully completed
Peter Kremeier, Christian Woll. 2nd. Understanding and comparing modes of ventilation. The Kronberg List of Ventilation Modes
Extended Edition Revised and 2nd Peter Kremeier, Christian Woll Understanding and comparing modes of ventilation The Kronberg List of Ventilation Modes Contents Preface... 3 Comparison Table - Parameters...6
3100A 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.
S/5 Aespire. Quick Reference Guide
S/5 Aespire Quick Reference Guide Anesthesia system controls 1 Turn on the system 2 7100 controls and monitored data 3 Menu map 4 Set the ventilation mode 5 Set ventilator controls 6 Vaporizer controls
Notes on BIPAP/CPAP. M.Berry Emergency physician St Vincent s Hospital, Sydney
Notes on BIPAP/CPAP M.Berry Emergency physician St Vincent s Hospital, Sydney 2 DEFINITIONS Non-Invasive Positive Pressure Ventilation (NIPPV) Encompasses both CPAP and BiPAP Offers ventilation support
Ventilator 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
Why we should care (I)
What the $*!# is Lung Protective Ventilation and Why Should I be Using it in the OR? Disclosures KATHERINE PALMIERI, MD, MBA 64 TH ANNUAL POSTGRADUATE SYMPOSIUM UNIVERSITY OF KANSAS MEDICAL CENTER DEPARTMENT
The 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,
GE Healthcare. Centiva/5 Critical Care Ventilator. Meet a new level of expectations
GE Healthcare Centiva/5 Critical Care Ventilator Meet a new level of expectations Intergrating performance and value Marry form and function In an environment where time and space are tight, the design
http://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
excellence in care Procedure Management of patients with difficult oxygenation. For Review Aug 2015
Difficult Oxygenation HELI.CLI.12 Purpose This procedure describes the processes and procedures for a lung protective strategy in the mechanical ventilation of patients that are difficult to oxygenate
Test 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/
MV-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
Virginia 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
Your patients, our primary focus. Siesta i Whispa anesthesia machine
Your patients, our primary focus Siesta i Whispa anesthesia machine Functional, and flexible At Dameca we are not just committed to meeting the healthcare needs of today. We also think about tomorrow.
Difficult Oxygenation Distribution: Sydney X Illawarra X Orange X
HELICOPTER OPERATING PROCEDURE HOP No: C/12 Issued: May 2011 Page: 1 of 5 Revision No: Original Difficult Oxygenation Distribution: Sydney X Illawarra X Orange X TRIM No: 09/300 Document No: D10/9973 X
NAVA 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
Blease900 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
Medical Instruments in the Developing World
2.2 Ventilators 2.2.1 Clinical Use and Principles of Operation Many patients in an intensive care and the operating room require the mechanical ventilation of their lungs. All thoracic surgery patients,
Mechanical ventilation: simplifying the. terminology. Rapidly changing technology has unfortunately resulted in ambiguity in the terminology
Postgrad Med J 1998;74:330-335 The Fellowship of Postgraduate Medicine, 1998 Classic therapies revisited Summary There is presently considerable ambiguity and confusion relating to ventilator termilogy.
Ventilation modes in intensive care
Ventilation modes in intensive care Karin Deden Important note This brochure does not replace the instructions for use. Prior to using a ventilator the corresponding instructions for use must always be
McHENRY WESTERN LAKE COUNTY EMS SYSTEM FALL 2014 CONTINUING EDUCATION MANDATORY FOR ALL PRIMARY AND PROBATIONARY ALS SYSTEM PROVIDERS.
McHENRY WESTERN LAKE COUNTY EMS SYSTEM FALL 2014 CONTINUING EDUCATION MANDATORY FOR ALL PRIMARY AND PROBATIONARY ALS SYSTEM PROVIDERS ResQPOD In a cardiac arrest blood flow to the organs stop. Key to survival
Underlying Principles of Mechanical Ventilation: An Evidence-Based Approach
Underlying Principles of Mechanical Ventilation: An Evidence-Based Approach Ira M. Cheifetz, MD, FCCM, FAARC Professor of Pediatrics and Anesthesiology Chief Medical Officer, Children s Services Associate
How 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
Aims&and&objec5ves& The&Basics&of&Mechanical& Ven5la5on& 30/01/2012&
Aimsandobjec5ves TheBasicsofMechanical Ven5la5on January2012 Whyweven5latepeople Terms,acronymsandotherconfusingthings Basicven5latorseFngs/modes Thosewavylinestheyaskyouaboutinthe exam ThisisNOTanencyclopediclectureon
Mechanical Ventilation Guided by Esophageal Pressure in Acute Lung Injury *
A teaching hospital of Harvard Medical School Mechanical Ventilation Guided by Esophageal Pressure in Acute Lung Injury * Ray Ritz BA RRT FAARC Beth Israel Deaconess Medical Center Boston MA * n engl j
Lung recruitment maneuvers
White Paper Lung recruitment maneuvers Assessment of lung recruitability and performance of recruitment maneuvers using the P/V Tool Pro Munir A Karjaghli RRT, Clinical Application Specialist, Hamilton
Trust Guideline for Neonatal Volume Guarantee Ventilation (VGV)
A Clinical Guideline For Use in: By: For: Division responsible for document: Key words: Name of document author: Job title of document author: Name of document author s Line Manager: Job title of author
Figure 11 iron lung. Dupuis, Ventilators, 1986, Mosby Year Book. early negative pressure ventilators were often bulky and cumbersome
HISTORY MECHANICAL VENTILATION Mechanical ventilatory support is now a major aspect of critical care. The lungs are often central in a patient with multi-organ system failure, and many patients have cardiopulmonary
GE Healthcare. Aestiva/5. More than superior ventilation
GE Healthcare Aestiva/5 More than superior ventilation A balance of superior ventilation and award-winning design SmartVent the shape of superior ventilation At the heart of the Datex-Ohmeda Aestiva /5
Test 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
Initiating In-Line Ventilator Speaking Valve Protocols: Why & How? Kristin C. Dolan; CCC-SLP Kindred Hospital Melbourne, FL
Initiating In-Line Ventilator Speaking Valve Protocols: Why & How? Kristin C. Dolan; CCC-SLP Kindred Hospital Melbourne, FL Disclosure of Relevant Financial Relationships Passy-Muir, Inc consultant Expected
Operation of Oxylog 3000 ventilator
Operation of Oxylog 3000 ventilator Overview Suitable for patients from approximately 7Kg body weight upwards (smallest tidal volume 50mls). Entirely power dependant- will not ventilate if no available
Technology Insights for protective ventilation and spontaneous breathing in the OR
CHAPTER SUBSECTION 01 Technology Insights for protective ventilation and spontaneous breathing in the OR Protective ventilation in the OR poses major requirements to anaesthesia Workstations. Dräger works
HAMILTON-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