Mechanical ventilation (main): Difference between revisions
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== | ==Background== | ||
*Intubation and ventilation typically required for [[respiratory failure]] or airway protection/severe [[altered mental status]] | |||
* | |||
=== | ===Categories of [[respiratory failure|Respiratory Failure]]=== | ||
* | *Type 1 - [[Hypoxemia]] | ||
* | *Type 2 - [[hypercapnia|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}} | |||
{{Related Difficult Airway Pages}} | |||
== | ==External Links== | ||
* | *Vent basics resource: https://emcrit.org/wp-content/uploads/2010/05/Managing-Initial-Vent-ED.pdf | ||
== | ==References== | ||
<references/> | |||
[[Category: | [[Category:Critical Care]] | ||
[[Category: | [[Category:Pulmonary]] | ||
Latest revision as of 21:04, 10 April 2024
Background
- Intubation and ventilation typically required for respiratory failure or airway protection/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
Airway Pages
- Pre-intubation
- Induction
- Intubation
- Surgical airways
- Post-intubation
External Links
- Vent basics resource: https://emcrit.org/wp-content/uploads/2010/05/Managing-Initial-Vent-ED.pdf
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/.