Template:Lung Protective Ventilator Settings - Revision history

Elcatracho: /* Lung Protective Mechanical Ventilation */

2022-01-05T14:30:59Z

Lung Protective Mechanical Ventilation

← Older revision		Revision as of 14:30, 5 January 2022
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	#*Move in tandem to achieve:		#*Move in tandem to achieve:
	#*SpO2 BETWEEN 88-95%		#*SpO2 BETWEEN 88-95%
	#*PaO2 BETWEEN 55-80		#*PaO2 BETWEEN 55-80mmHg

Elcatracho: /* Lung Protective Mechanical Ventilation */

2022-01-05T14:29:46Z

Lung Protective Mechanical Ventilation

← Older revision		Revision as of 14:29, 5 January 2022
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	#*Start 6-8cc/kg [[ideal body weight estimation\|predicted body weight]]<ref>Brower RG, et al. "Ventilation With Lower Tidal Volumes As Compared With Traditional Tidal Volumes For Acute Lung Injury And The Acute Respiratory Distress Syndrome". The New England Journal of Medicine. 2000. 342(18):1301-1308.</ref>		#*Start 6-8cc/kg [[ideal body weight estimation\|predicted body weight]]<ref>Brower RG, et al. "Ventilation With Lower Tidal Volumes As Compared With Traditional Tidal Volumes For Acute Lung Injury And The Acute Respiratory Distress Syndrome". The New England Journal of Medicine. 2000. 342(18):1301-1308.</ref>
	#**Predicted/"ideal" body weight is used because a person's lung parenchyma does not increase in size as the person gains more weight.		#**Predicted/"ideal" body weight is used because a person's lung parenchyma does not increase in size as the person gains more weight.
	#*Titrate down if ~~peak~~ pressure >30 mmHg		#*Titrate down if plateau pressure >30 mmHg
	#Inspiratory Flow Rate (comfort)		#Inspiratory Flow Rate (comfort)
	#*More comfortable if higher rather than lower		#*More comfortable if higher rather than lower

Rossdonaldson1: /* Lung Protective Mechanical Ventilation */

2020-07-02T20:33:01Z

Lung Protective Mechanical Ventilation

← Older revision		Revision as of 20:33, 2 July 2020
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	===Lung Protective [[Mechanical Ventilation]]===		===Lung Protective [[Mechanical Ventilation]]===
	''[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref> should be the default for all intubated patients. It has demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''		''[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref> should be the default for all intubated patients, unless contraindicated. It has demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''

	#'''Mode'''		#'''Mode'''

Rossdonaldson1: /* Lung Protective Mechanical Ventilation */

2020-07-02T20:31:01Z

Lung Protective Mechanical Ventilation

← Older revision		Revision as of 20:31, 2 July 2020
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	===Lung Protective Mechanical Ventilation===		===Lung Protective [[Mechanical Ventilation]]===
	''[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref> should be the default for all intubated patients. It has demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''		''[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref> should be the default for all intubated patients. It has demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''

Rossdonaldson1 at 20:30, 2 July 2020

2020-07-02T20:30:47Z

← Older revision		Revision as of 20:30, 2 July 2020
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	==Lung Protective Mechanical Ventilation==		===Lung Protective Mechanical Ventilation===
	''[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref> should be the default for all intubated patients. It has demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''		''[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref> should be the default for all intubated patients. It has demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''

Ostermayer: /* Lung Protective Mechanical VentilationVentilation */

2020-04-06T20:07:55Z

Lung Protective Mechanical VentilationVentilation

← Older revision		Revision as of 20:07, 6 April 2020
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	==Lung Protective Mechanical ~~VentilationVentilation~~==		==Lung Protective Mechanical Ventilation==
	''[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref> should be the default for all intubated patients. It has demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''		''[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref> should be the default for all intubated patients. It has demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''

Ostermayer: /* Lung Protective Ventilator SettingsThe Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respirat...

2020-04-06T20:02:46Z

/* Lung Protective Ventilator SettingsThe Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respirat...

← Older revision		Revision as of 20:02, 6 April 2020
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	===[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref>~~===~~		==Lung Protective Mechanical VentilationVentilation==
	~~''Demonstrated~~ mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''		''[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref> should be the default for all intubated patients. It has demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''

	#'''Mode'''		#'''Mode'''
	#*Volume-assist control		#*Volume-assist control

Rossdonaldson1: /* Lung Protective Ventilator SettingsThe Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respirat...

2020-03-21T22:01:03Z

← Older revision		Revision as of 22:01, 21 March 2020
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	===Lung Protective Ventilator Settings<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref>===		===[[Initial_mechanical_ventilation_settings#Lung_Protective_Strategy\|Lung Protective Ventilator Settings]]<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref>===
	''Demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''		''Demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''
	#'''Mode'''		#'''Mode'''

Rossdonaldson1: /* Lung Protective Ventilator SettingsThe Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respirat...

2020-03-21T21:59:04Z

← Older revision		Revision as of 21:59, 21 March 2020
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	===Lung Protective Ventilator Settings<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref>===		===Lung Protective Ventilator Settings<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref>===
	''~~Used~~ for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''		''Demonstrated mortality benefit for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>[[EBQ:ARDSnet\|ARDSnet]] </ref><ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''
	#'''Mode'''		#'''Mode'''
	#*Volume-assist control		#*Volume-assist control

Rossdonaldson1 at 19:25, 21 March 2020

2020-03-21T19:25:34Z

← Older revision		Revision as of 19:25, 21 March 2020
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	===Lung Protective Ventilator Settings<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref>===		===Lung Protective Ventilator Settings<ref>[[EBQ:ARDSnet\|The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000;342(18):1301-1308.]] </ref>===
			''Used for [[ARDS]]-like pulmonary conditions; limits barotrauma and decreases complications of high FiO2<ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>''
	#'''Mode'''		#'''Mode'''
	#*Volume-assist control		#*Volume-assist control
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	#*SpO2 BETWEEN 88-95%		#*SpO2 BETWEEN 88-95%
	#*PaO2 BETWEEN 55-80		#*PaO2 BETWEEN 55-80


	**Limit barotrauma to healthy area of lung
	**Increase PEEP to improve oxygenation
	***High FiO2 can cause absorptive atelectasis<ref>O'Brien J. Absorption Atelectasis: Incidence and Clinical Implications. AANA Journal. June 2013. Vol. 81, No. 3.</ref>
	***Ardsnet PEEP/FiO2 [http://www.ardsnet.org/files/ventilator_protocol_2008-07.pdf protocol card]<ref>Kallet RH, et al. "Respiratory controversies in the critical care setting. Do the NIH ARDS Clinical Trials Network PEEP/FIO2 tables provide the best evidence-based guide to balancing PEEP and FIO2 settings in adults?" Respiratory Care. 2007. 52(4):461-75.</ref>