Ventilator for Dummies

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


= =

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


= =

I:E Trainer

Volume A/C

0 10 3.00 1.00% bpm sec L

FIO2 Rate Ti Vte

### ### ### 0cmH2O cmH2O cmH2O mL/cmH2O


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


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


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


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

###


PIP Plateau

Compliance

Resistance

Drop-down box to select type of patient

ver. MVD 1.5

4.0L/m

Total Ve

4Rpeak

5cmH2O

PEEP


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


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



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


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


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


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



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


↓ 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


PCO2

PaO2

HCO3-

SaO2


+

=

Ventilator for Dummies

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