Page 698 - Clinical Application of Mechanical Ventilation

664 Chapter 19

Patient Monitoring

Respiratory parameters were obtained every morning in an effort to trend his venti-
latory mechanics. The parameters listed in Table 19-1 were obtained on representa-
tive days and are not necessarily concurrent (NOTE: on ventilator days 6 through
25 the patient was mainly unable to breathe on his own).

Patient Management

Management strategy for Guillain-Barré was mainly supportive, since the ascending
paralysis typically runs its course. Because this disease pathology presents signs and

TABLE 19-1 Respiratory Parameters

Vent V FVC V MIP Compliance
T
E
Day f (/min) (mL) (L) (L) f/V T (cm H O) (mL/cm H O)
2
2
2 37 140 0.67 5.30 264 220 28
3 50 60 0.32 5.30 833 215 32

4 25 80 0.69 2.60 312 213 38
5 23 80 0.10 5.40 287 22 62

26 6 410 0.41 4.90 15 215 45
28 10 440 0.45 5.00 23 215 52

32 23 70 0.65 1.03 328 210 34

36 30 135 0.55 4.00 222 226 48
42 29 110 0.54 3.10 263 211 41

46 32 85 0.25 2.73 376 210 44

52 27 200 0.36 4.20 135 214 51
54 23 210 0.57 4.83 1.09 217 53

56 32 115 0.52 3.70 278 217 55
58 21 240 0.68 4.60 88 215 64

60 25 250 0.96 6.22 100 223 70
62 29 175 1.02 5.09 165 224 58

64 25 240 0.68 5.89 104 226 55

66 19 210 1.15 4.91 90 230 54
68 18 200 1.07 6.11 90 237 54
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