Ventilator Settings in Pediatric Patients Wanida Paoin Thammasat

  • Slides: 23
Download presentation
Ventilator Settings in Pediatric Patients Wanida Paoin Thammasat Hospital, Thammasat University

Ventilator Settings in Pediatric Patients Wanida Paoin Thammasat Hospital, Thammasat University

Ventilator Settings in Pediatric Patients l Types of mechanical ventilation l Modes of mechanical

Ventilator Settings in Pediatric Patients l Types of mechanical ventilation l Modes of mechanical ventilation l Initial settings - full ventilatory support l Weaning l Extubation

Types of mechanical ventilation l Volume control ventilator l Pressure control ventilator l Infant

Types of mechanical ventilation l Volume control ventilator l Pressure control ventilator l Infant Ventilator

Volume control ventilator V P V

Volume control ventilator V P V

Pressure control ventilator V P V

Pressure control ventilator V P V

Infant Ventilator - Time cycle, pressure limit V P V 20

Infant Ventilator - Time cycle, pressure limit V P V 20

Which Type?

Which Type?

Phases of mechanical ventilation l Expiratory to inspiratory phase l Inspiratory to expiratory phase

Phases of mechanical ventilation l Expiratory to inspiratory phase l Inspiratory to expiratory phase l Expiratory phase

Modes of mechanical ventilation l Control l Assist/Control l IMV/SIMV l PSV l CPAP

Modes of mechanical ventilation l Control l Assist/Control l IMV/SIMV l PSV l CPAP

Modes of mechanical ventilation P 0 3 Control 6

Modes of mechanical ventilation P 0 3 Control 6

Modes of mechanical ventilation P 0 3 Assist/Control 6

Modes of mechanical ventilation P 0 3 Assist/Control 6

Modes of mechanical ventilation P 0 3 IMV 6

Modes of mechanical ventilation P 0 3 IMV 6

Detrimental hemodynamic effects ITP -> venous return -> CO -> LV afterload l Aware

Detrimental hemodynamic effects ITP -> venous return -> CO -> LV afterload l Aware hyperinflation: Lowest PEEP, Optimal Te, Optimal PIP l WOB: flow pattern, trigger

Initial settings l Type l Mode l Flow l Tidal volume l TI l

Initial settings l Type l Mode l Flow l Tidal volume l TI l Rate l Fi. O 2 l PIP l PEEP l Trigger

Initial settings l Type - Volume control l Mode - A/C l Fi. O

Initial settings l Type - Volume control l Mode - A/C l Fi. O 2 l Flow l Tidal volume l TI 0. 5 -1 sec l Rate 5 -10 ml/kg l PIP l PEEP l Trigger

Initial settings l Type - Pressure control l Mode - A/C l Flow l

Initial settings l Type - Pressure control l Mode - A/C l Flow l Tidal volume l TI l Rate l Fi. O 2 l PIP l PEEP l Trigger

Initial settings l Type - Infant ventilator l Mode - A/C, IMV l Flow

Initial settings l Type - Infant ventilator l Mode - A/C, IMV l Flow l Tidal volume l TI 0. 3 -0. 6 sec l Rate l Fi. O 2 l PIP l PEEP l Trigger

Aims l Tidal volume l Oxygenation l Ventilation l TI l Rate l Fi.

Aims l Tidal volume l Oxygenation l Ventilation l TI l Rate l Fi. O 2 l PIP l PEEP

Aims l Tidal volume l Oxygenation l Ventilation l TI l Rate l Fi.

Aims l Tidal volume l Oxygenation l Ventilation l TI l Rate l Fi. O 2 l PIP l PEEP

Weaning l Modes • • IMV PSV CPAP T-tube l Tidal volume l TI

Weaning l Modes • • IMV PSV CPAP T-tube l Tidal volume l TI l Rate l Fi. O 2 l PIP l PEEP

Extubation Conscious Airway SIMV 5 -8 PS 5 -10 Fi. O 2 < 0.

Extubation Conscious Airway SIMV 5 -8 PS 5 -10 Fi. O 2 < 0. 4 PEEP < 5 CALMS Lung Secretion Muscle

Ventilator Settings in Pediatric Patients l Types of mechanical ventilation l Modes of mechanical

Ventilator Settings in Pediatric Patients l Types of mechanical ventilation l Modes of mechanical ventilation l Initial settings - full ventilatory support l Weaning l Extubation

Acute lung injury Oxygen toxicity Volutrauma Shear stress

Acute lung injury Oxygen toxicity Volutrauma Shear stress

Catheterrelated bloodstream infections Wanida Paoin Thammasat University CatheterrelatedCatheterrelated bloodstream infections Wanida Paoin Thammasat University Catheterrelated
Infections in the intensive care unit Wanida PaoinInfections in the intensive care unit Wanida Paoin
Pulmonary Function Tests Wanida Paoin 1 Objectives lPulmonary Function Tests Wanida Paoin 1 Objectives l
SISTEM VENTILATOR SISTEM VENTILATOR Kegunaan ventilator Pada kendaraanSISTEM VENTILATOR SISTEM VENTILATOR Kegunaan ventilator Pada kendaraan
MECHANICAL VENTILATION Seyed Alireza Mahdavi Ventilator settings VentilatorMECHANICAL VENTILATION Seyed Alireza Mahdavi Ventilator settings Ventilator
Ventilator Modes RN Role of Ventilator Patients inVentilator Modes RN Role of Ventilator Patients in
Initial Ventilator Settings Chapter 7 Initial Settings duringInitial Ventilator Settings Chapter 7 Initial Settings during
p Neuton Transport Ventilator mini Ventilator Self Guidedp Neuton Transport Ventilator mini Ventilator Self Guided
3100 B Ventilator 3100 B Ventilator Approved for3100 B Ventilator 3100 B Ventilator Approved for
Correlations Between Ventilator Assessment Items and Ventilator WeaningCorrelations Between Ventilator Assessment Items and Ventilator Weaning
Ventilator CONTENT What is a ventilator Types ofVentilator CONTENT What is a ventilator Types of
Principles of Mechanical Ventilation Aimes Ventilator settings ModesPrinciples of Mechanical Ventilation Aimes Ventilator settings Modes
Choose a ventilator mode initial settings Measure ABGVBGSpoChoose a ventilator mode initial settings Measure ABGVBGSpo
SIIT Sirindhorn International Institute of Technology THAMMASAT UNIVERSITYSIIT Sirindhorn International Institute of Technology THAMMASAT UNIVERSITY
THAMMASAT UNIVERSITY Relationship between growth inequality and povertyTHAMMASAT UNIVERSITY Relationship between growth inequality and poverty
Notes on Macroeconomic Management Bhanupong Thammasat University DrNotes on Macroeconomic Management Bhanupong Thammasat University Dr
ME TU MECHANICAL ENGINEERING DEPARTMENT THAMMASAT UNIVERSITY AssocME TU MECHANICAL ENGINEERING DEPARTMENT THAMMASAT UNIVERSITY Assoc
CHAPTER 10 Pediatric and Geriatric Procedures Pediatric PatientsCHAPTER 10 Pediatric and Geriatric Procedures Pediatric Patients
American Heart Association Guidelines for CPR 2015 WanidaAmerican Heart Association Guidelines for CPR 2015 Wanida
TCP EndToEnd Congestion Control Wanida Putthividhya Dept ofTCP EndToEnd Congestion Control Wanida Putthividhya Dept of
Research Tools Techniques Assoc Prof Wanida Pensuwon KanarkardResearch Tools Techniques Assoc Prof Wanida Pensuwon Kanarkard
Common drugs used in anesthesia Wanida Chongarunngamsang MDCommon drugs used in anesthesia Wanida Chongarunngamsang MD