mechanical ventilation
Post on 14-Nov-2014
27 Views
Preview:
DESCRIPTION
TRANSCRIPT
11/19/2008 1©2008 Alraiyes
Quiz?
11/19/2008 2©2008 Alraiyes
To wash out CO2 in a mechanical ventilated patient I willadjust the:
A. FiO2 and RRB. Vt, PEEP and RRC. RR, PEEP and FiO2D. Vt and RR
11/19/2008 3©2008 Alraiyes
Ventilation “CO2 wash out”
To increase SpO2 in a mechanical ventilated patient I willadjust the:
A. FiO2 and RRB. PEEP and FiO2C. RR, PEEP and FiO2D. Vt and RR
11/19/2008 4©2008 Alraiyes
Oxygenation
P
V
11/19/2008 5©2008 Alraiyes
A
C
B
D
Plateau Pressure?
Transthoracic Compliance =
A. C = Vt x RR / PEEPB. C = Pplt / VTC. C = Vt / Pplt - PEEPD. C = Vt / Pk - Pplt
11/19/2008 6©2008 Alraiyes
Compliance?
FiO2 at the mount of Everest =
A. 25%B. 15%C. 21%D. 12%
11/19/2008 7©2008 Alraiyes
FiO2
What are the functions of any type of mechanical ventilation?
11/19/2008 8©2008 Alraiyes
Mechanical ventilation
11/19/2008 9©2008 Alraiyes
Oxygenation Ventilation
•FIO2•PEEP
•RR• Vt
11/19/2008 10©2008 Alraiyes
P
V
•Shunting and dead space.•Decrease CO and Renal output.•Nosocomial pneumonia.•Increased ICP.
11/19/2008 11©2008 Alraiyes
Air
way
R = P / Q
C = V / P
P
V
11/19/2008 12©2008 Alraiyes
P
V
11/19/2008 13©2008 Alraiyes
•Barotrauma.•Oxygen toxicity .•Volutrauma.•Atelectrauma.•Biotrauma.•Translocation of the cells.
VILI
P
V
11/19/2008 14©2008 Alraiyes
11/19/2008 15©2008 Alraiyes
Peak
Plateau
Air way
P
11/19/2008 16©2008 Alraiyes
11/19/2008 17©2008 Alraiyes
P
V
Plateau
WAVES
11/19/2008 18©2008 Alraiyes
20
0cmH2O
Pressure wave
11/19/2008 19©2008 Alraiyes
21
Ppeak
L/Min
Flow wave
11/19/2008 20©2008 Alraiyes
60
F
mL
Volume wave
11/19/2008 21©2008 Alraiyes
451
Vt
11/19/2008 22©2008 Alraiyes
Modes of ventilation
11/19/2008 23©2008 Alraiyes
CPAP
11/19/2008 24©2008 Alraiyes
PS
11/19/2008 25©2008 Alraiyes
CMV
11/19/2008 26©2008 Alraiyes
CMV
11/19/2008 27©2008 Alraiyes
SIMV
11/19/2008 28©2008 Alraiyes
SIMV + PS
11/19/2008 29©2008 Alraiyes
Thank You
top related