ventilator for dummies
TRANSCRIPT
Ventilator for Dummies the not yet smart
Volume A/C
21 8 1.00 0.50 4.0% bpm sec L L/m
FIO2 Ti Vte Total Ve
18 15 7 50 6cmH2O cmH2O cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat Rpeak
30 1:7.5 0 16 5L/min I:E cmH2O b2/min/L cmH2O
PIFR MIP f/Vt PEEP
8 0.50 30 0 *** 0Rate Volume Peak Flow Insp Pause Pressure Sens
Support
Settings
Please ignore this section
Head InjuryCO2 51O2 - no 79Peep
Complian 56Resistan 5SaO2 - Di 92%98%,99% 92
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below. 6. Lessons 1-5, click the tabs below
90%-97% 9250%-89% 50
Types:Head InjuryARDSStatus Asthmaticus
ver. MVD 1.0
Current ABG
pH 7.31
PCO2 51
PaO2 71HCO3- 24
92%BE -4.3
5 21PEEP FIO2
SaO2
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
Instructions:
1. On some lessons, Mode can be changed by clicking the box.
2. Circled, are the ventilatory parameters that can be changed; unless the field is blocked.
3. To the left you may see the results of changes, either an ABG, or graph.
4. The rectangles in the top section mimic the displayed ventilatory parameters such as flow, I:E ratio, PIP, etc...
5. Videos accompany each lesson, and are located at www.youtube.com , User: "drifter120"
Volume A/C
21 10 1.20 0.60% bpm sec L
FIO2 Rate Ti Vte
20 17 8 50cmH2O cmH2O cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat
30 1:5.0 0 16.67L/min I:E cmH2O b2/min/L
PIFR MIP f/Vt
10 0.60 30 0 ***Rate Volume Peak Flow Insp Pause Pressure
Support
Settings
Please ignore this section
Head InjuryCO2 55O2 - no Peep 76
Peep Compliance 56Resistance 5SaO2 - Display 92%98%,99% 9290%-97% 9250%-89% 50
Types:Head InjuryARDS
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
= =
X
Status Asthmaticus
ver. MVD 1.5
Current ABG
pH 7.286.0L/m
PCO2 55Total Ve
6PaO2 71
RpeakHCO3- 24
5 92%cmH2O BE -6.0PEEP
0 5 21Sens PEEP FIO2
SaO2
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
= =
I:E Trainer
Volume A/C
0 10 3.00 1.00% bpm sec L
FIO2 Rate Ti Vte
### ### ### 0cmH2O cmH2O cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat
20 1:1.0 0 10L/min I:E cmH2O b2/min/L
PIFR MIP f/Vt
10 1.00 20 0 ***Rate Volume Peak Flow Insp Pause Pressure
Support
Settings
3.0 03.0 6.0
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
ver. MVD 1.5
(Volume) ÷ (flow) = (I-time)
10.0 1.00 ÷ 0.33 = 3.0L/m
Converted to L/S by dividing by 60Total Ve
0 I-time : E-time = Total Cycle Time
3.0 : 3.0 = 6.0 SecRpeak
0 1 : 1.0cmH2O I:E RatioPEEP
0 0 0Sens PEEP FIO2
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0
I-Time E-Time
Total Cycle time
Type of Patient: Normal
Volume A/C
40 8 1.00 0.50% bpm sec L
FIO2 Rate Ti Vte
16 *** 7 55cmH2O cmH2O cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat
30 1:6.5 0 16L/min I:E cmH2O b2/min/L
PIFR MIP f/Vt
8 0.50 30 0 ***Rate Peak Flow Insp Pause Pressure
Support
Settings
Cstat RpeakNormal 55 4Low compliance: ARDS 18 5High Resistance: Asthma 55 18Combined low compliance and High Reisistance 22 14
###
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
PIP Plateau
Compliance
Resistance
Drop-down box to select type of patient
ver. MVD 1.5
4.0L/m
Total Ve
4Rpeak
5cmH2O
PEEP
0 5 40Sens PEEP FIO2
5 0.0Breath 5 0.5
16 1.514.09 1.614.09 1.6
5 1.75 2.25 7.5
Breath 5 8.016 9.014 9.114 9.1
5 9.25 9.7
Cough 5 15.560 15.8
5 15.95 16.4
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.00
10
20
30
40
50
60
70Pressure/Time Graph (Waveform)
Time (Sec)
Pre
ss (
cmH
2O)
Compliance
Resistance
0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.00
10
20
30
40
50
60
70Pressure/Time Graph (Waveform)
Time (Sec)
Pre
ss (
cmH
2O)
Volume A/C Drop-down box to change mode
40 18 *** 0.80% bpm L L
FIO2 Rate Spon Vte Vte
25 20 11 55cmH2O cmH2O cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat
60 1:3.2 0.80 22.5L/min I:E sec b2/min/L
PIFR Ti f/Vt
12 0.80 60 0 10Rate Volume Peak Flow Insp Pause Pressure
Support
Settings
Spon Vte with PS RateVolume A/C *** 18Volume SIMV 0.25 0.45 0.41 #VALUE!CPAP 0.21 0.41 0.41 #VALUE!
Alveolar Ve
Alveolar Ve 11.70
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.00
5
10
15
20
25
30
Time (Sec)
Pre
ss (
cmH
2O)
Note: Patient is on +5 PEEP (or CPAP)
ver. MVD 1.5
Current ABG
pH 7.3814.4L/m
42Total Ve
584
Rpeak22
5 97%cmH2O BE 0.0PEEP
0 5 40Sens PEEP FIO2
Time A/C SIMV CPAP0.0 5 5 5 50.1 5 5 5 50.2 5 5 5 30.3 5 5 5 4.75
0.4 5 5 5 6.5
0.5 3 3 5 8.25
0.6 5.75 5.75 5 100.7 8.5 8.5 3 50.8 11.25 11.25 5.75 50.9 14 14 8.5 51.0 16.75 16.75 11.25 51.1 19.5 19.5 14 51.2 22.25 22.25 16.75 51.3 25 25 19.5 51.4 20 20 22.25 51.5 20 20 25 51.6 5 5 20 51.7 5 5 20 5
PCO2
PaO2
HCO3-
SaO2
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.00
5
10
15
20
25
30
Time (Sec)
Pre
ss (
cmH
2O)
Note: Patient is on +5 PEEP (or CPAP)
1.8 5 5 5 51.9 5 5 5 52.0 5 5 5 52.1 5 5 5 52.2 5 5 5 32.3 5 5 5 4.752.4 5 5 5 6.52.5 5 5 5 8.252.6 5 5 5 102.7 5 5 5 52.8 5 5 5 52.9 5 5 5 53.0 5 5 5 53.1 5 5 5 53.2 5 5 5 53.3 5 5 3 53.4 5 5 4.75 53.5 5 5 6.5 53.6 5 5 8.25 53.7 5 5 10 53.8 3 3 10 53.9 5.75 5.75 5 54.0 8.5 8.5 5 54.1 11.25 11.25 5 54.2 14 14 5 34.3 16.75 16.75 5 4.754.4 19.5 19.5 5 6.54.5 22.25 22.25 5 8.254.6 25 25 5 104.7 20 20 5 54.8 20 20 5 54.9 5 5 5 55.0 5 5 5 55.1 5 5 5 55.2 5 5 5 55.3 5 5 5 55.4 5 5 5 55.5 5 5 5 55.6 5 5 5 55.7 5 5 5 55.8 5 5 5 55.9 5 5 3 56.0 5 5 5.75 56.1 5 5 8.5 56.2 5 5 11.25 36.3 5 5 14 4.756.4 5 5 16.75 6.56.5 5 5 19.5 8.256.6 5 5 22.25 106.7 5 5 25 56.8 5 5 20 5
6.9 5 5 20 57.0 5 5 5 57.1 3 3 5 57.2 5.75 5.75 5 57.3 8.5 8.5 5 57.4 11.25 11.25 5 57.5 14 14 5 57.6 16.75 16.75 5 57.7 19.5 19.5 5 57.8 22.25 22.25 5 57.9 25 25 5 58.0 20 20 5 58.1 20 20 5 58.2 5 5 5 38.3 5 5 5 4.758.4 5 5 5 6.58.5 5 5 3 8.258.6 5 5 4.75 108.7 5 5 6.5 58.8 5 5 8.25 58.9 5 5 10 59.0 5 5 10 59.1 5 5 5 59.2 5 5 5 59.3 5 5 5 59.4 5 5 5 59.5 5 5 5 59.6 5 5 5 59.7 5 5 5 59.8 5 5 5 59.9 5 5 5 5
10.0 5 5 5 510.1 5 5 5 510.2 5 5 5 310.3 5 5 5 4.7510.4 3 3 5 6.510.5 5.75 5.75 5 8.2510.6 8.5 8.5 5 1010.7 11.25 11.25 5 510.8 14 14 5 510.9 16.75 16.75 5 511.0 19.5 19.5 5 511.1 22.25 22.25 3 511.2 25 25 4.75 511.3 20 20 6.5 511.4 20 20 8.25 511.5 5 5 10 511.6 5 5 10 511.7 5 5 5 511.8 5 5 5 511.9 5 5 5 5
12.0 5 5 5 512.1 5 5 5 512.2 5 5 5 312.3 5 5 5 4.7512.4 5 5 5 6.512.5 5 5 5 8.2512.6 5 5 5 1012.7 5 5 5 512.8 5 5 5 512.9 5 5 5 513.0 5 5 5 513.1 5 5 5 513.2 5 5 5 513.3 5 5 5 513.4 5 5 5 513.5 5 5 5 513.6 5 5 5 513.7 3 3 3 513.8 5.75 5.75 5.75 513.9 8.5 8.5 8.5 514.0 11.25 11.25 11.25 514.1 14 14 14 514.2 16.75 16.75 16.75 314.3 19.5 19.5 19.5 4.7514.4 22.25 22.25 22.25 6.514.5 25 25 25 8.2514.6 20 20 20 1014.7 20 20 20 514.8 5 5 5 514.9 5 5 5 515.0 5 5 5 516.4 516.5 25
0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.00
5
10
15
20
25
30
Time (Sec)
Pre
ss (
cmH
2O)
Volume A/C Drop-down box to change mode
40 18 *** 0.80% bpm L L
FIO2 Rate Spon Vte Vte
24 20 12 55cmH2O cmH2O cmH2O mL/cmH2O
Ppeak Pplat Pmean Cstat
50 1:2.5 0.96 22.5L/min I:E sec b2/min/L
PIFR Ti f/Vt
12 0.80 50 0 10Rate Volume Peak Flow Insp Pause Pressure
Support
12 Settings
Spon Vte with PS RateVolume A/C *** 18Volume SIMV 0.25 0.45 0.41 #VALUE!CPAP 0.21 0.41 0.41 #VALUE!
Alveolar Ve
Alveolar Ve 11.70
4 46 68 810 1012 1214 1416 161820
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
↓ Change Rate Setting ↓
Combination ofall breaths
(Control/Assist/Spon)
ver. MVD 1.5
Current ABG
pH 7.3814.4 Mech Ve f VtL/m
429.6 18 0.80Total Ve
584
Spon Ve f VtNone 0 ***Rpeak
22
5 97%Total VecmH2O BE 0.0PEEP
14.4
0 5 40Sens PEEP FIO2
PCO2
PaO2
HCO3-
SaO2
© 2009 - Ventilator Simulator "ASMSA"David R. Gibson Productions - All rights reserved.Please see disclaimer on "Instructions" tab below.
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