Mechanical Ventilation

•

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Abdul Hamid Alraiyes

Help understan the Wave forms of the mechanical ventilation.

Saúde e medicina Negócios Tecnologia

Ventilation “CO2 wash out”

To wash out CO2 in a mechanical ventilated patient I will
adjust the:

A. FiO2 and RR
B. Vt, PEEP and RR
C. RR, PEEP and FiO2
D. Vt and RR

11/19/2008 ©2008 Alraiyes 3

Oxygenation

To increase SpO2 in a mechanical ventilated patient I will
adjust the:

A. FiO2 and RR
B. PEEP and FiO2
C. RR, PEEP and FiO2
D. Vt and RR

11/19/2008 ©2008 Alraiyes 4

Plateau Pressure?

A

B

P
C

D

V

11/19/2008 ©2008 Alraiyes 5

Compliance?

Transthoracic Compliance =

A. C = Vt x RR / PEEP
B. C = Pplt / VT
C. C = Vt / Pplt - PEEP
D. C = Vt / Pk - Pplt

11/19/2008 ©2008 Alraiyes 6

FiO2

FiO2 at the mount of Everest =

A. 25%
B. 15%
C. 21%
D. 12%

11/19/2008 ©2008 Alraiyes 7

What are the functions of any type of
mechanical ventilation?

11/19/2008 ©2008 Alraiyes 8

Mechanical ventilation

Oxygenation Ventilation

•FIO2 •RR
•PEEP • Vt
11/19/2008 ©2008 Alraiyes 9

P
•Shunting and dead space.
•Decrease CO and Renal output.
•Nosocomial pneumonia.
•Increased ICP.

V

11/19/2008 ©2008 Alraiyes 10

R=P/Q

Air way
C=V/P

11/19/2008 ©2008 Alraiyes 11

VILI •Barotrauma.
•Oxygen toxicity .
•Volutrauma.
•Atelectrauma.
•Biotrauma.
•Translocation of the cells.
P

V

11/19/2008 ©2008 Alraiyes 13

Peak

Plateau

Air way

11/19/2008 ©2008 Alraiyes 15

Plateau

P

V

11/19/2008 ©2008 Alraiyes 17

Pressure wave

Ppeak 20

21
0
cmH2O

11/19/2008 ©2008 Alraiyes 19

Flow wave

F

60
L/Min

11/19/2008 ©2008 Alraiyes 20

Volume wave

Vt

451
mL

11/19/2008 ©2008 Alraiyes 21

Modes of ventilation

11/19/2008 ©2008 Alraiyes 22

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