vent settings crib sheet

12 Feb

Okay, you’ve intubated your patient. Pat yourself on the back & walk away?  Oh wait, RT is there asking you what you want your initial vent settings. What do you tell them?

intubation

HIGHLIGHTS (from this blog post/videos via Weingart):

 

the INJURED lung:

  • initial tidal volume: 6-8 mLs/kg
  • initial respiratoryrate: 16-18/min
  • Do not fear rolling up your patients PEEP: PEEP of 18–24 not uncommon

 

the OBSTRUCTED (asthma, COPD) lung:

  • initial tidal volume: 8 mLs/kg
  • FiO2: 40-100%
  • PEEP: zero
  • respiratory rate: 10/min (start low & titrate)
  • I:E ratio of 1:4 or 1:5
  • give time for alveoli to empty before next breath
  • If your patient is crashing the first thing you need to do is disconnect them from the ventilator

References: the aforementioned post

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: