Mechanical ventilation choosing amongst ventilator modes
|
Mechanical ventilation Microchapters |
|
Mechanical ventilation choosing amongst ventilator modes On the Web |
|---|
|
American Roentgen Ray Society Images of Mechanical ventilation choosing amongst ventilator modes |
|
FDA on Mechanical ventilation choosing amongst ventilator modes |
|
CDC on Mechanical ventilation choosing amongst ventilator modes |
|
Mechanical ventilation choosing amongst ventilator modes in the news |
|
Blogs on Mechanical ventilation choosing amongst ventilator modes |
|
Risk calculators and risk factors for Mechanical ventilation choosing amongst ventilator modes |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2]
Choosing Amongst Ventilator Modes
- Choosing amongst the ventilator modes
- Assist-control mode minimizes patient effort by providing full mechanical support with every breath.
- This is often the initial mode chosen because it provides the greatest degree of support.
- In patients with less severe respiratory failure, other modes such as SIMV may be appropriate.
- Assist-control mode should not be used in those patients with a potential for respiratory alkalosis, in which the patient has an increased respiratory drive.
- Such hyperventilation and hypocapnia (decreased systemic carbon dioxide due to hyperventilation) usually occurs in patients with end-stage liver disease, hyperventilatory sepsis, and head trauma.
- Respiratory alkalosis will be evident from the initial arterial blood gas obtained, and the mode of ventilation can then be changed if so desired.
- Positive End Expiratory Pressure may or may not be employed to prevent atelectasis.
- High frequency oscillation is used most frequently in neonates, but is also used as an alternative mode in adults with severe ARDS.