Page 246 - Clinical Application of Mechanical Ventilation
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Chapter 8















                      Initiation of Mechanical Ventilation



                      David W. Chang
                      James H. Hiers


                      Outline



                                            Introduction                        Ventilator Alarm Settings
                                            Goals of Mechanical Ventilation       Low Exhaled Volume Alarm
                                            Indications                           Low Inspiratory Pressure Alarm
                                             Acute Ventilatory Failure            High Inspiratory Pressure Alarm
                                             Impending Ventilatory Failure        Apnea Alarm
                                             Severe Hypoxemia                     High Frequency Alarm
                                             Prophylactic Ventilatory Support     High and Low FO  Alarms
                                                                                                I
                                                                                                  2
                                            Contraindications                   Hazards and Complications
                                            Initial Ventilator Settings           Types of Hazards and Complications
                                             Mode                                 Malfunction and Misuse of Alarms
                                             Dual Control Mode                    Barotrauma
                                             Frequency                            Decrease in Cardiac Output and
                                             Tidal Volume                          Blood Pressure
                                             Pressure Support                   Summary
                                             FO 2                               Self-Assessment Questions
                                              I
                                             PEEP                               Answers to Self-Assessment Questions
                                             I:E Ratio                          References
                                             Flow Pattern                       Additional Resources

                      Key Terms


                                            acute ventilatory failure           circuit compressible volume
                                            alveolar-arterial oxygen pressure   dual control mode
                                              gradient [P (A-a) O ]             flow rate
                                                             2



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