Ventilator Alarm Checklist

18,175 views

Published on

Checklist for managing ventilator alarms.

Published in: Health & Medicine

Ventilator Alarm Checklist

  1. 1. Ventilator Alarm Checklist Paw High (High airway pressures)  Tube in R main bronchus  Bronchospasm  Mucous plugs  Pneumothorax  Air-trapping  Pt cough/biting/gagging on ETT  Patient-ventilator dyssynchrony  Pmax set too low  PEEP set too high Paw Low (Low airway pressures)  ETT Cuff deflation  Oesophageal intubation  TV set too low  Chest wounds/drains allowing air to escape  Disconnection in ventilator circuit Developed by Kane Guthrie, July 2013
  2. 2. Ventilator Alarm Checklist MV High (Minute volume high)  Pt initiating own spontaneous breaths – give more sedation/paralysis  Tidal volume too high  Minute volume alarm set too low MV Low (Minute volume low)  ETT cuff deflation air leak  Leakage at ETCo2 connection  Tidal volume set too low  Chest wounds allowing air to escape Developed by Kane Guthrie, July 2013
  3. 3. Ventilator Alarm Checklist Decreasing Spo2  Check patient & quality of trace  Ensure probe adequately attached  Check bilateral chest expansion  Auscultate chest  Check tube position @ lips  Consider suctioning   Fio2%  Consider PEEP, Tidal Volume  Retake ABG/VBG ETCO2 High ETCO2 (>45mmHg) • Acidotic retaining Co2   Set Resp Rate   Tidal volume Low ETCO2 (<35mmHg) • Alkalotic blowing of Co2   Set resp rate  Tidal volmue Developed by Kane Guthrie, July 2013
  4. 4. Crashing Ventilatored Patient Checklist Step 1 (D.O.P.E.S.) Indentify problem:  Displaced ET tube/cuff not inflated.  Obstruction of ET tube  Pneumothorax  Equipment malfunction  Stacking (Breath stacking/auto peep) Step 2 (D.O.T.T.S) Fix Problem:  Disconnect pt from ventilator  Oxygen – Oxygenate patient with BVM – feel for resistance  Tube position/function – ETT migration/kinking/plugging  Tweak the vent- check settings  Sonogram- look for pneumothorax, mainstem intubation Developed by Kane Guthrie, July 2013

×