Mechanical ventilation indications for use: Difference between revisions
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== Indications for Use == | == Indications for Use == | ||
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 | 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><ref name="pmid22331041">{{cite journal |vauthors=Strøm T, Rian O, Toft P |title=[Fewer indications for sedation in mechanical ventilation therapy] |language=Danish |journal=Ugeskr. Laeg. |volume=174 |issue=7 |pages=406–9 |date=February 2012 |pmid=22331041 |doi= |url=}}</ref><ref name="pmid27560387">{{cite journal |vauthors=Simonds AK |title=Home Mechanical Ventilation: An Overview |journal=Ann Am Thorac Soc |volume=13 |issue=11 |pages=2035–2044 |date=November 2016 |pmid=27560387 |doi=10.1513/AnnalsATS.201606-454FR |url=}}</ref><ref name="pmid22186215">{{cite journal |vauthors=Boldrini R, Fasano L, Nava S |title=Noninvasive mechanical ventilation |journal=Curr Opin Crit Care |volume=18 |issue=1 |pages=48–53 |date=February 2012 |pmid=22186215 |doi=10.1097/MCC.0b013e32834ebd71 |url=}}</ref><ref name="pmid6812417">{{cite journal |vauthors=Cohen CA, Zagelbaum G, Gross D, Roussos C, Macklem PT |title=Clinical manifestations of inspiratory muscle fatigue |journal=Am. J. Med. |volume=73 |issue=3 |pages=308–16 |date=September 1982 |pmid=6812417 |doi= |url=}}</ref><ref name="pmid8252973">{{cite journal |vauthors=Slutsky AS |title=Mechanical ventilation. American College of Chest Physicians' Consensus Conference |journal=Chest |volume=104 |issue=6 |pages=1833–59 |date=December 1993 |pmid=8252973 |doi= |url=}}</ref> | ||
*The three most common indications for mechanical ventilation are | *The three most common indications for mechanical ventilation are | ||
1) | '''''1) Inadequate oxygenation''''' | ||
2) | |||
3) | '''''2) Inadequate ventilation''''' | ||
'''''3) Inability to protect the airway''''' | |||
Other indications for mechanical ventilation include the following: | Other indications for mechanical ventilation include the following: | ||
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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][3][4][5][6][7]
- 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.
- ↑ Strøm T, Rian O, Toft P (February 2012). "[Fewer indications for sedation in mechanical ventilation therapy]". Ugeskr. Laeg. (in Danish). 174 (7): 406–9. PMID 22331041.
- ↑ Simonds AK (November 2016). "Home Mechanical Ventilation: An Overview". Ann Am Thorac Soc. 13 (11): 2035–2044. doi:10.1513/AnnalsATS.201606-454FR. PMID 27560387.
- ↑ Boldrini R, Fasano L, Nava S (February 2012). "Noninvasive mechanical ventilation". Curr Opin Crit Care. 18 (1): 48–53. doi:10.1097/MCC.0b013e32834ebd71. PMID 22186215.
- ↑ Cohen CA, Zagelbaum G, Gross D, Roussos C, Macklem PT (September 1982). "Clinical manifestations of inspiratory muscle fatigue". Am. J. Med. 73 (3): 308–16. PMID 6812417.
- ↑ Slutsky AS (December 1993). "Mechanical ventilation. American College of Chest Physicians' Consensus Conference". Chest. 104 (6): 1833–59. PMID 8252973.