Page 407 - Clinical Application of Mechanical Ventilation

Chapter 12

Management of Mechanical Ventilation

David W. Chang

Outline

Introduction Arterial Blood Gases
Basic Management Strategies Respiratory Acidosis and Compen-
Strategies to Improve Ventilation sated Metabolic Alkalosis
Increase Ventilator Frequency Respiratory Alkalosis and Compen-
Increase Spontaneous Tidal Volume sated Metabolic Acidosis
or Frequency Alveolar Hyperventilation Due to
Increase Ventilator Tidal Volume Hypoxia, Improper Ventilator
Other Strategies to Improve Settings, or Metabolic Acidosis
Ventilation Alveolar Hyperventilation in Patients
Permissive Hypercapnia with COPD
Strategies to Improve Oxygenation Alveolar Hypoventilation due to
Increase Inspired Oxygen Fraction Sedation or Patient Fatigue
(FO ) Metabolic Acid-Base Abnormalities
2
I
Improve Ventilation and Reduce Troubleshooting of Common
Mechanical Deadspace Ventilator Alarms and Events
Improve Circulation Low Pressure Alarm
Maintain Normal Hemoglobin Level Low Expired Volume Alarm
Initiate Continuous Positive Airway High Pressure Alarm
Pressure (CPAP) High Frequency Alarm
Initiate Positive End-Expiratory Apnea/Low Frequency Alarm
Pressure (PEEP) High PEEP Alarm
Initiate Inverse Ratio Ventilation (IRV) Low PEEP Alarm
Initiate Extracorporeal Membrane Auto-PEEP
Oxygenation (ECMO) Care of the Ventilator Circuit
Initiate High Frequency Oscillatory Circuit Compliance
Ventilation (HFOV) for Adults Circuit Patency

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