Advanced Ventilation Management
-
Upload
anka-eremia -
Category
Documents
-
view
212 -
download
0
Transcript of Advanced Ventilation Management
-
7/28/2019 Advanced Ventilation Management
1/3
Procedural Skills for Medical Students
1
Advanced Ventilation management: Bi-Level Positive Airway Pressure (BiPAP), Continuous
Positive Airway Pressure (CPAP), Assist Control (AC), and Synchronized Intermittent
Mandatory Ventilation (SIMV)
Objectives:
1. Learners should be able to verbalize thephysiologic differences in delivery of
respiratory support between BiPAP and CPAP.
2. Learners should be able to verbalize thedifference between AC and SIMV.
3. Learners will understand the basic settings ofmechanical ventilation in AC and SIMV mode
and normal ranges of these settings in adults.
Material to review prior to lab: reviewCPAP versus BiPAPandVentilator Management
BiPAP:
Indications
1. Exacerbations of COPD associated with hypercapnia.2. Cardiogenic pulmonary edema associated with hypercapnia and/or unresponsive
to CPAP alone.
3. Respiratory distress and pulmonary infiltrates in immunosuppressed patients.4. Acute or chronic hypercapnic respiratory failure due to chest wall deformity or
neuromuscular disease.
5. Decompensated obstructive sleep apnea with hypercapnia.Contraindications
1. A reduced level of consciousness, which results in an unprotected airway (GCS