Ventilator troubleshooting in ICU Hospital.pptx

pictorial35 24 views 70 slides Jul 04, 2024
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About This Presentation

Health is wealth

Size: 9.32 MB
Language: en
Added: Jul 04, 2024
Slides: 70 pages

Slide Content

Ventilator troubleshooting Dr Aqib Hussain Resident EM

Objectives Vent alarms Crashing patient Situational ventilation strategies Critical cases

terminologies PEEP Vt FiO2 I/E ratio Minute ventilation Peak inspiratory pressure(PIP) Plateau pressure (Pplat)

Vent alarms

Approach to ventilation failure!

DOTTS Think DOPES ( Dx the Problem) then DOTTS (How to Fix ) D = Disconnect the vent O = O2 100% BVM T = Tube Position/ Fxn /suction T = Tweak the Vent S = Sonography

Situational ventilation Lung injury physiology Obstructive physiology Normal lung physiology

Lung injury

1: Lung injury physiology Lung protective ventilation Baby lungs?

Normal lung physiology Intubated for extra pulmonary cause i.e. Acidosis (tricky) Head injury or any other cause.

Intubating/ventilating the acidotic Don't do it if compensating enough. Don’t Rush. Preoxygenate plus pre ventilate Decrease apnea time/Awake intubation Peri intubation bicarb drip? Match the minute ventilation Pressure controlled on pressure support ventilation

Critical case 1 45 year old known DM. Presented with worsening shortness of breath. RR 48 spo2 98 BP 123/67 pH 7.13 pco2 16 hco3 13 BSR hi. You decided to intubate him in Resus with an RSI. Started management accordingly….

Thank you Any questions for mentor?
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