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BASIC About Skill Stations
BASIC About Skill Stations
Mechanical ventilation 1
Objectives
Equipment required
Ventilator
Test lung
Heat and moisture exchange filter
Heated humidifier
Catheter mount
Case scenarios (provided in downloaded material)
Mechanical ventilation 2
Teaching points
Whenever there is a problem look at the patient first. Does he/she need
immediate resuscitation, is the chest moving etc?
Determinants of airway pressure and therefore causes of high airway pressure
Causes of high airway pressure in volume preset modes are the same as causes
of low tidal volume in pressure preset modes
High airway pressure alarm also associated with hypoventilation due to
premature inspiratory to expiratory cycling when alarm limit is reached
Use of manual ventilation to distinguish between ventilator/circuit problems
and ETT/patient problems
Equipment
Mechanical ventilation 3
Teaching points
Large difference between peak airway pressure and inspiratory pause pressure
when resistance is high
In terms of barotrauma and cardiovascular effects it is alveolar pressure that is
important, not airway pressure
High risk of gas trapping in asthma. Can be estimated from Pplat and PEEPi
Effect of respiratory rate, I:E ratio, pause time on absolute expiratory time and
hence gas trapping
Effect of respiratory rate and I:E ratio on inspiratory flow rate and hence peak
airway pressure
Equipment
Mechanical ventilation 4
Teaching points
Equipment
Non-invasive ventilation
Teaching points:
Equipment:
Non-invasive ventilator(s)
Tubing and masks/interfaces provide a large variety of types and sizes
Case scenarios
Equipment
Trauma
Teaching points
Equipment
Assessment
Teaching points
Equipment
Equipment
Equipment
Equipment