Mechanical ventilation (main): Difference between revisions
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== | ==Background== | ||
Intubation and ventilation typically required for respiratory failure or airway proctection/severe altered mental status | |||
=== | ===Categories of Respiratory Failure=== | ||
* | *Type 1 - Hypoxemia | ||
* | *Type 2 - Hypercarbia | ||
* | *Type 3 - Perioperative | ||
*Type 4 - Shock | |||
== | ==Patient Positioning<ref>Greenwood J. Good Lung UP or DOWN? Maneuvers to Improve Oxygenation in Acute Respiratory Failure. Updated 7/15/2014. https://umem.org/educational_pearls/2464/.</ref>== | ||
* | *HOB elevation > 30 degrees | ||
* | *Reverse trendelenberg at 30 degrees in obese hypoventilaters | ||
*Lateral decubitus for severe unilateral lung disease | |||
**'''G'''ood lung to '''G'''round generally | |||
**Good lung UP in these exceptions: | |||
***Massive hemoptysis - prevent blood into dependent, good lung | |||
***Large [[abscess]] - pus fills up dependent lung | |||
***Unilateral emphysema - prevent hyperinflation | |||
== | ==See Also== | ||
{{Mechanical ventilation pages}} | |||
* | *[[EBQ:ARDSnet]] | ||
* | *[[Ideal_body_weight_estimation|Ideal Body Weight Estimation]] | ||
=== | ==References== | ||
<references/> | |||
[[Category:Critical Care]] | |||
[[Category:Pulmonary]] | |||
[[Category: | |||
[[Category: | |||
Revision as of 05:36, 8 May 2019
Background
Intubation and ventilation typically required for respiratory failure or airway proctection/severe altered mental status
Categories of Respiratory Failure
- Type 1 - Hypoxemia
- Type 2 - Hypercarbia
- Type 3 - Perioperative
- Type 4 - Shock
Patient Positioning[1]
- HOB elevation > 30 degrees
- Reverse trendelenberg at 30 degrees in obese hypoventilaters
- Lateral decubitus for severe unilateral lung disease
- Good lung to Ground generally
- Good lung UP in these exceptions:
- Massive hemoptysis - prevent blood into dependent, good lung
- Large abscess - pus fills up dependent lung
- Unilateral emphysema - prevent hyperinflation
See Also
Mechanical Ventilation Pages
- Noninvasive ventilation
- Intubation
- Mechanical ventilation (main)
- Miscellaneous
- EBQ:ARDSnet
- Ideal Body Weight Estimation
References
- ↑ Greenwood J. Good Lung UP or DOWN? Maneuvers to Improve Oxygenation in Acute Respiratory Failure. Updated 7/15/2014. https://umem.org/educational_pearls/2464/.