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    Table 2: Goals and Objectives For Invasive Mechanical Ventilation

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    afif 88 ary 99
    The document outlines the goals and objectives of invasive mechanical ventilation. The goals are to replace or supplement the normal lung functions in patients whose ability to breathe is impaired, and to do so with minimal disruption and complications. The physiologic objectives are to improve ventilation and oxygenation through increasing lung volumes and reducing work of breathing. The clinical objectives are to reverse respiratory acidosis and hypoxemia, relieve distress, prevent atelectasis, reduce muscle fatigue, allow sedation/paralysis, decrease oxygen demands, stabilize intracranial pressure, and stabilize the chest wall.

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    Table 2: Goals and Objectives For Invasive Mechanical Ventilation

    Uploaded by

    afif 88 ary 99
    7 views1 page
    The document outlines the goals and objectives of invasive mechanical ventilation. The goals are to replace or supplement the normal lung functions in patients whose ability to breathe is impaired, and to do so with minimal disruption and complications. The physiologic objectives are to improve ventilation and oxygenation through increasing lung volumes and reducing work of breathing. The clinical objectives are to reverse respiratory acidosis and hypoxemia, relieve distress, prevent atelectasis, reduce muscle fatigue, allow sedation/paralysis, decrease oxygen demands, stabilize intracranial pressure, and stabilize the chest wall.

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    The document outlines the goals and objectives of invasive mechanical ventilation. The goals are to replace or supplement the normal lung functions in patients whose ability to breathe is impaired, and to do so with minimal disruption and complications. The physiologic objectives are to improve ventilation and oxygenation through increasing lung volumes and reducing work of breathing. The clinical objectives are to reverse respiratory acidosis and hypoxemia, relieve distress, prevent atelectasis, reduce muscle fatigue, allow sedation/paralysis, decrease oxygen demands, stabilize intracranial pressure, and stabilize the chest wall.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    7 views1 page

    Table 2: Goals and Objectives For Invasive Mechanical Ventilation

    Uploaded by

    afif 88 ary 99
    The document outlines the goals and objectives of invasive mechanical ventilation. The goals are to replace or supplement the normal lung functions in patients whose ability to breathe is impaired, and to do so with minimal disruption and complications. The physiologic objectives are to improve ventilation and oxygenation through increasing lung volumes and reducing work of breathing. The clinical objectives are to reverse respiratory acidosis and hypoxemia, relieve distress, prevent atelectasis, reduce muscle fatigue, allow sedation/paralysis, decrease oxygen demands, stabilize intracranial pressure, and stabilize the chest wall.

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    Table 2: Goals and Objectives for Invasive Mechanical Ventilation

    Goals

    • To replace in whole or in part the normal functions of the lungs and ventilatory
    pump in patients whose ability to maintain these functions is temporarily or
    permanently impaired
    • To provide these functions with as little disruption of homeostasis and with as few
    complications as possible

    Physiologic objectives

    • To improve alveolar ventilation, as indicated by arterial PCO2 and pH


    • To improve arterial oxygenation, as indicated by arterial PO2, saturation, and/or
    oxygen content
    • To increase end-inspiratory lung inflation
    • To increase end-expiratory lung volume (functional residual capacity)
    • To reduce the work of breathing (i.e. to unload the ventilatory muscles)

    Clinical objectives

    • To reverse acute respiratory acidosis: to relieve immediately life-threatening


    acidemia, rather than necessarily to make arterial PCO2 and/or pH normal
    • To reverse hypoxemia: to increase arterial PO2 (generally such that arterial
    saturation is 90% or more, e.g. to ≥ 60 mm Hg), in order to reverse or prevent
    clinically important tissue hypoxia
    • To relieve respiratory distress: to relieve patient discomfort while the primary
    disease process resolves or improves
    • To prevent or reverse atelectasis: to avoid or correct adverse consequences of
    incomplete lung inflation
    • To reverse ventilatory muscle fatigue: to unload the ventilatory muscles and allow
    them to rest while the causes of increased work load are reversed or improved
    • To permit sedation and/or neuromuscular blockade: to allow the patient to be
    rendered unable to breathe spontaneously, as during surgery or certain ICU
    procedures
    • To decrease systemic or myocardial oxygen consumption: in certain settings
    (e.g. severe ARDS; cardiogenic shock), when spontaneous breathing or other
    muscular activity impairs systemic or cardiac oxygenation
    • To reduce intracranial pressure, by means of controlled hyperventilation, as in
    acute closed head injury
    • To stabilize the chest wall, as in chest wall resection or massive flail chest

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