1 / 30

VENTILATION ‘101’

VENTILATION ‘101’. Junior Practitioner Learning Package. Dr Bronwyn Avard, July 2010. Objectives. To understand the physiological principles underlying mechanical ventilation To know the different terminology associated with mechanical ventilation. PRE-TEST.

snowy
Télécharger la présentation

VENTILATION ‘101’

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. VENTILATION ‘101’ Junior Practitioner Learning Package Dr Bronwyn Avard, July 2010

  2. Objectives • To understand the physiological principles underlying mechanical ventilation • To know the different terminology associated with mechanical ventilation

  3. PRE-TEST Please complete pre-test before proceeding with learning package http://www.surveymonkey.com/s/ventilation_juniorpack_pretest

  4. BASIC RESPIRATORY PHYSIOLOGY

  5. POSITIVE PRESSURE VENTILATION

  6. TERMINOLOGY NIV PS CPAP IRV PEEP BiPAP PCV IMV ARV SIMV

  7. Invasive v Noninvasive NON-INVASIVE VENTILATION INVASIVE VENTILATION

  8. Invasive v Noninvasive NON-INVASIVE VENTILATION INVASIVE VENTILATION CPAP BIPAP 10cmH2O PRESSURE 5cmH2O TIME

  9. Invasive v Noninvasive NON-INVASIVE VENTILATION INVASIVE VENTILATION controlled spontaneous volume control pressure control pressure support (SIMV) (PCV) (PS)

  10. Invasive v Noninvasive NON-INVASIVE VENTILATION INVASIVE VENTILATION pressure volume controlled spontaneous controlled (PCV) (PS) (SIMV)

  11. Invasive ventilation • Volume-control ventilation VOLUME TIME

  12. Invasive ventilation • Volume-control ventilation - SIMV VOLUME TIME

  13. Invasive ventilation • Pressure-control ventilation PRESSURE TIME

  14. PEEP 10cmH2O PRESSURE 5cmH2O TIME

  15. Number tricks SET : pressure support 10cmH20 & PEEP 5cmH2O Peak inspiratory pressure  Pressure = 10cmH2O 15cmH2O PRESSURE 5cmH2O TIME PRESSURE SUPPORT

  16. Number tricks SET : pressure support 10cmH20 & PEEP 5cmH2O 20cmH2O  Pressure = 10cmH2O 10cmH2O TIME PRESSURE SUPPORT

  17. Number tricks SET : PIP 15cmH20 & PEEP 5cmH2O  Pressure = 10cmH2O 15cmH2O PRESSURE 5cmH2O TIME PRESSURE CONTROL

  18. Number tricks SET : PIP 15cmH20 & PEEP 10cmH2O 15cmH2O  Pressure = 5cmH2O PRESSURE 5cmH2O TIME PRESSURE CONTROL

  19. Number tricks SET : IPAP 15cmH20 & EPAP 5cmH2O  Pressure = 10cmH2O 15cmH2O PRESSURE 5cmH2O TIME BiPAP

  20. Number tricks SET : IPAP 15cmH20 & EPAP 10cmH2O 15cmH2O  Pressure = 5cmH2O PRESSURE 5cmH2O TIME BiPAP

  21. Other issues • Triggering • Inspiratory time • I:E ratios

  22. Other issues • Triggering • Flow or pressure change • Inspiratory time • I:E ratio

  23. Other issues • Triggering • Inspiratory time • Default 1.7 seconds • Often reduced (1.2 seconds more comfortable) • I:E ratio

  24. Other issues • Triggering • Inspiratory time • I:E ratio • Usually ~1:3 • When adjusting inspiratory time check I:E ratio • Check not accidently ventilating with inspiratory time longer than expiratory time • Disease-specific

  25. Oxygen or Carbon Dioxide? • Oxygenation • FiO2 • PEEP • Carbon dioxide • Respiratory rate • Pressure/volume

  26. POST-TEST http://www.surveymonkey.com/s/ventilation_juniorpack_posttest

  27. The end

More Related