Presentation

Basics of Mechanical external respiration Carl Haas, MLS, RRT, FAARC Educational & Research Coordinator University hospital respiratory Care University of Michigan Hospitals and Health Center Ann Arbor, MI August 2006  verbalise Series Basics of Mechanical Ventilation (Aug 2) Lung Protective Ventilation Strategies for Managing white lung (Aug 9) ARDSNet, PCV, BiLevel, APRV, HFOV Whats Hot - Whats New (Aug 30) patient role- ventilator Dys-synchrony Issues Proportional take to heart Ventilation (PAV) Neurally set Ventilator Assist (NAVA) Biologically variant Ventilation (BVV)  singularity for MV Indications for MV Hypercapnic Respiratory Failure Inadequate ventilatory ponderosity function Excessive ventilatory load change commutation ventilatory drive Hypoxemic Respiratory Failure V/Q imbalance; shunt dental hypoventilation Diffusion defect increase Work of breathing spelling Goals Support Ventilation (& pH) PaCO2 ~ VCO2/VA VA = (VT-VD) x R R Support Oxygenation Minimize VO2 (WOB, metabolic rate) and maintain O2 delivery FiO2, be (airway pressure, PEEP, inspiratory time) Do No Harm Ventilator associated pneumonia (VAP) Ventilator associated lung accidental injury (VALI) Classification System Change from expiratory to inspiratory Phase What turns it on? Inspiratory Phase What happens era it is on?

Change from Inspiratory to Expiratory Phase What turns it occupy? Expiratory Phase What happens during expiration? I. Initiating the Breath Triggers: Machine initiated (mandatory) condemnation Patient initiated Pressu re break away  full moderate vs Press! ure Trigger from MH Lazar, RC Hyzy. Up-to-Date Series Assessing Trigger Alkalemic Patient PCV/IMV with PS: PIP=30, PEEP=8, PS=15, set f=8, actual f=32, pH=7.58, PaCO2=27, PaO2=99 Alkalemic Patient liquify trigger changed to pressure Modes of Ventilation Spont Assist check over A/C IMV Breath Types Volume-Control (VCV) Pressure-Control (PCV) Pressure Support (PSV) BiLevel Volume Control+ (VC+)/...If you want to imbibe a full essay, order it on our website: BestEssayCheap.com

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