ventilation ‘101’ - blackcarrot.pptVIP

VENTILATION ‘101’ Junior Practitioner Learning Package Dr Bronwyn Avard, July 2010 Objectives To understand the physiological principles underlying mechanical ventilation To know the different terminology associated with mechanical ventilation PRE-TEST Please complete pre-test before proceeding with learning package /s/ventilation_juniorpack_pretest BASIC RESPIRATORY PHYSIOLOGY POSITIVE PRESSURE VENTILATION TERMINOLOGY BiPAP NIV ARV PEEP SIMV PCV PS CPAP IMV IRV Invasive v Noninvasive INVASIVE VENTILATION NON-INVASIVE VENTILATION Invasive v Noninvasive INVASIVE VENTILATION NON-INVASIVE VENTILATION CPAP BIPAP TIME PRESSURE 5cmH2O 10cmH2O Invasive v Noninvasive INVASIVE VENTILATION NON-INVASIVE VENTILATION controlled spontaneous volume control pressure control pressure support (PCV) (PS) (SIMV) Invasive v Noninvasive INVASIVE VENTILATION NON-INVASIVE VENTILATION pressure volume controlled spontaneous controlled (PCV) (PS) (SIMV) Invasive ventilation Volume-control ventilation TIME VOLUME Invasive ventilation Volume-control ventilation - SIMV TIME VOLUME Invasive ventilation Pressure-control ventilation TIME PRESSURE PEEP TIME PRESSURE 5cmH2O 10cmH2O Number tricks Peak inspiratory pressure  Pressure = 10cmH2O PRESSURE SUPPORT SET : pressure support 10cmH20 PEEP 5cmH2O Number tricks TIME 10cmH2O 20cmH2O  Pressure = 10cmH2O PRESSURE SUPPORT SET : pressure support 10cmH20 PEEP 5cmH2O Number tricks PRESSURE CONTROL SET : PIP 15cmH20 PEEP 5cmH2O  Pressure = 10cmH2O Number tricks TIME PRESSURE 5cmH2O 15cmH2O PRESSURE CONTROL SET : PIP 15cmH20 PEEP 10cmH2O  Pressure = 5cmH2O Number tricks BiPAP SET : IPAP 15cmH20 EPAP 5cmH2O  Pressure = 10cmH2O Number tricks TIME PRESSURE 5cmH2O 15cmH2O BiPAP SET : IPAP 15cmH20 EPAP 10cmH2O  Pressure = 5cmH2O Other issues Triggering Inspiratory time I:E ratios Other issues Triggering Flow or pressure change Inspiratory time I:E ratio Other issues Triggering Inspiratory time Default 1.7 seconds Often reduced (1.2 seconds more