Mechanical ventilation indications for use: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 5: | Line 5: | ||
The indications of the mechanical ventilation is as follows:<ref name="pmid9113518">{{cite journal |vauthors=Tung A |title=Indications for mechanical ventilation |journal=Int Anesthesiol Clin |volume=35 |issue=1 |pages=1–17 |year=1997 |pmid=9113518 |doi= |url=}}</ref><ref name="pmid26902369">{{cite journal |vauthors=Kreppein U, Litterst P, Westhoff M |title=[Hypercapnic respiratory failure. Pathophysiology, indications for mechanical ventilation and management] |language=German |journal=Med Klin Intensivmed Notfmed |volume=111 |issue=3 |pages=196–201 |year=2016 |pmid=26902369 |doi=10.1007/s00063-016-0143-2 |url=}}</ref> | The indications of the mechanical ventilation is as follows:<ref name="pmid9113518">{{cite journal |vauthors=Tung A |title=Indications for mechanical ventilation |journal=Int Anesthesiol Clin |volume=35 |issue=1 |pages=1–17 |year=1997 |pmid=9113518 |doi= |url=}}</ref><ref name="pmid26902369">{{cite journal |vauthors=Kreppein U, Litterst P, Westhoff M |title=[Hypercapnic respiratory failure. Pathophysiology, indications for mechanical ventilation and management] |language=German |journal=Med Klin Intensivmed Notfmed |volume=111 |issue=3 |pages=196–201 |year=2016 |pmid=26902369 |doi=10.1007/s00063-016-0143-2 |url=}}</ref> | ||
*The three most common indications for mechanical ventilation are | |||
1) inadequate oxygenation | |||
2) inadequate ventilation | |||
3) inability to protect the airway | |||
Other indications for mechanical ventilation include the following: | |||
* Bradypnea | * Bradypnea | ||
* Tachypnea (respiratory rate >30 breaths per minute) | |||
* Apnea with respiratory arrest including cases from [[intoxication]] | * Apnea with respiratory arrest including cases from [[intoxication]] | ||
* Acute | * Acute respiratory distress syndrome | ||
* Vital capacity less than 15 mL/kg | * Vital capacity less than 15 mL/kg | ||
* Minute ventilation greater than 10 L/min | * Minute ventilation greater than 10 L/min | ||
* | * Reduced respiratory drive | ||
* | * Abnormalities of the Chest wall | ||
* | * Respiratory muscle fatigue | ||
* | * Intrapulmonary shunt | ||
* | * V/Q mismatch(ventilation-perfusion) | ||
* | * Decreased Functional Residual Capacity | ||
* Arterial partial pressure of oxygen (PaO <sub>2</sub>) with a supplemental fraction of inspired oxygen (FIO <sub>2</sub>) of less than 55 mm Hg | * Arterial partial pressure of oxygen (PaO <sub>2</sub>) with a supplemental fraction of inspired oxygen (FIO <sub>2</sub>) of less than 55 mm Hg | ||
* Alveolar-arterial gradient of oxygen tension (A-a DO <sub>2</sub>) with 100% oxygenation of greater than 450 mm Hg | * Alveolar-arterial gradient of oxygen tension (A-a DO <sub>2</sub>) with 100% oxygenation of greater than 450 mm Hg | ||
* Coma | * Coma | ||
* Hypotension due to sepsis, shock, CHF | * Hypotension due to sepsis, shock, CHF | ||
* Acute partial pressure of carbon dioxide (PaCO <sub>2</sub>) greater than 50 mm Hg with an arterial pH less than 7.25 | * Acute partial pressure of carbon dioxide (PaCO <sub>2</sub>) greater than 50 mm Hg with an arterial pH less than 7.25 | ||
* [[Chronic obstructive pulmonary disease]] ([[COPD]]) | * [[Chronic obstructive pulmonary disease]] ([[COPD]]) | ||
* Acute [[respiratory acidosis]] with | * Acute [[respiratory acidosis]] with | ||
Revision as of 13:11, 23 February 2018
|
Mechanical ventilation Microchapters |
|
Mechanical ventilation indications for use On the Web |
|---|
|
American Roentgen Ray Society Images of Mechanical ventilation indications for use |
|
Risk calculators and risk factors for Mechanical ventilation indications for use |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2]
Indications for Use
The indications of the mechanical ventilation is as follows:[1][2]
- The three most common indications for mechanical ventilation are
1) inadequate oxygenation 2) inadequate ventilation 3) inability to protect the airway
Other indications for mechanical ventilation include the following:
- Bradypnea
- Tachypnea (respiratory rate >30 breaths per minute)
- Apnea with respiratory arrest including cases from intoxication
- Acute respiratory distress syndrome
- Vital capacity less than 15 mL/kg
- Minute ventilation greater than 10 L/min
- Reduced respiratory drive
- Abnormalities of the Chest wall
- Respiratory muscle fatigue
- Intrapulmonary shunt
- V/Q mismatch(ventilation-perfusion)
- Decreased Functional Residual Capacity
- Arterial partial pressure of oxygen (PaO 2) with a supplemental fraction of inspired oxygen (FIO 2) of less than 55 mm Hg
- Alveolar-arterial gradient of oxygen tension (A-a DO 2) with 100% oxygenation of greater than 450 mm Hg
- Coma
- Hypotension due to sepsis, shock, CHF
- Acute partial pressure of carbon dioxide (PaCO 2) greater than 50 mm Hg with an arterial pH less than 7.25
- Chronic obstructive pulmonary disease (COPD)
- Acute respiratory acidosis with
- Partial pressure of carbon dioxide (pCO2) > 50 mmHg
- pH < 7.25, which may be due to paralysis of the diaphragm due to
- Guillain-Barré syndrome
- Myasthenia Gravis
- spinal cord injury
- The effect of anaesthetic and muscle relaxants
- Increased work of breathing as evidenced by significant tachypnea, retractions, and other physical signs of respiratory distress
- Hypoxemia with arterial partial pressure of oxygen (PaO2) with supplemental fraction of inspired oxygen (FiO2) < 55 mm Hg
- Neuromuscular disease
References
- ↑ Tung A (1997). "Indications for mechanical ventilation". Int Anesthesiol Clin. 35 (1): 1–17. PMID 9113518.
- ↑ Kreppein U, Litterst P, Westhoff M (2016). "[Hypercapnic respiratory failure. Pathophysiology, indications for mechanical ventilation and management]". Med Klin Intensivmed Notfmed (in German). 111 (3): 196–201. doi:10.1007/s00063-016-0143-2. PMID 26902369.