mechanical ventilation

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11/19/2008 1 ©2008 Alraiyes

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Help understanding the wave forms and the modes of mechanical ventilation.

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Page 1: Mechanical Ventilation

11/19/2008 1©2008 Alraiyes

Page 2: Mechanical Ventilation

Quiz?

11/19/2008 2©2008 Alraiyes

Page 3: Mechanical Ventilation

To wash out CO2 in a mechanical ventilated patient I willadjust the:

A. FiO2 and RRB. Vt, PEEP and RRC. RR, PEEP and FiO2D. Vt and RR

11/19/2008 3©2008 Alraiyes

Ventilation “CO2 wash out”

Page 4: Mechanical Ventilation

To increase SpO2 in a mechanical ventilated patient I willadjust the:

A. FiO2 and RRB. PEEP and FiO2C. RR, PEEP and FiO2D. Vt and RR

11/19/2008 4©2008 Alraiyes

Oxygenation

Page 5: Mechanical Ventilation

P

V

11/19/2008 5©2008 Alraiyes

A

C

B

D

Plateau Pressure?

Page 6: Mechanical Ventilation

Transthoracic Compliance =

A. C = Vt x RR / PEEPB. C = Pplt / VTC. C = Vt / Pplt - PEEPD. C = Vt / Pk - Pplt

11/19/2008 6©2008 Alraiyes

Compliance?

Page 7: Mechanical Ventilation

FiO2 at the mount of Everest =

A. 25%B. 15%C. 21%D. 12%

11/19/2008 7©2008 Alraiyes

FiO2

Page 8: Mechanical Ventilation

What are the functions of any type of mechanical ventilation?

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Page 9: Mechanical Ventilation

Mechanical ventilation

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Oxygenation Ventilation

•FIO2•PEEP

•RR• Vt

Page 10: Mechanical Ventilation

11/19/2008 10©2008 Alraiyes

P

V

•Shunting and dead space.•Decrease CO and Renal output.•Nosocomial pneumonia.•Increased ICP.

Page 11: Mechanical Ventilation

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Air

way

R = P / Q

C = V / P

Page 12: Mechanical Ventilation

P

V

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Page 13: Mechanical Ventilation

P

V

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•Barotrauma.•Oxygen toxicity .•Volutrauma.•Atelectrauma.•Biotrauma.•Translocation of the cells.

VILI

Page 14: Mechanical Ventilation

P

V

11/19/2008 14©2008 Alraiyes

Page 15: Mechanical Ventilation

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Peak

Plateau

Air way

Page 16: Mechanical Ventilation

P

11/19/2008 16©2008 Alraiyes

Page 17: Mechanical Ventilation

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P

V

Plateau

Page 18: Mechanical Ventilation

WAVES

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Page 19: Mechanical Ventilation

20

0cmH2O

Pressure wave

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21

Ppeak

Page 20: Mechanical Ventilation

L/Min

Flow wave

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60

F

Page 21: Mechanical Ventilation

mL

Volume wave

11/19/2008 21©2008 Alraiyes

451

Vt

Page 22: Mechanical Ventilation

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Modes of ventilation

Page 23: Mechanical Ventilation

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CPAP

Page 24: Mechanical Ventilation

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PS

Page 25: Mechanical Ventilation

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CMV

Page 26: Mechanical Ventilation

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CMV

Page 27: Mechanical Ventilation

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SIMV

Page 28: Mechanical Ventilation

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SIMV + PS

Page 29: Mechanical Ventilation

11/19/2008 29©2008 Alraiyes

Thank You