11/19/2008   ©2008 Alraiyes   1
Quiz?


11/19/2008    ©2008 Alraiyes   2
Ventilation “CO2 wash out”




     To wash out CO2 in a mechanical ventilated patient I will
     adjust the:

     A. FiO2 and RR
     B. Vt, PEEP and RR
     C. RR, PEEP and FiO2
     D. Vt and RR




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Oxygenation




     To increase SpO2 in a mechanical ventilated patient I will
     adjust the:

     A. FiO2 and RR
     B. PEEP and FiO2
     C. RR, PEEP and FiO2
     D. Vt and RR




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Plateau Pressure?




                 A

                                B

             P
                 C

                                      D


                            V

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Compliance?




     Transthoracic Compliance =

     A. C = Vt x RR / PEEP
     B. C = Pplt / VT
     C. C = Vt / Pplt - PEEP
     D. C = Vt / Pk - Pplt




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FiO2




FiO2 at the mount of Everest =

A. 25%
B. 15%
C. 21%
D. 12%


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What are the functions of any type of
                   mechanical ventilation?




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Mechanical ventilation




         Oxygenation                      Ventilation



             •FIO2                           •RR
             •PEEP                           • Vt
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P
               •Shunting and dead space.
               •Decrease CO and Renal output.
               •Nosocomial pneumonia.
               •Increased ICP.



                V




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R=P/Q




                   Air way
                              C=V/P




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P




                  V


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VILI         •Barotrauma.
                          •Oxygen toxicity .
                          •Volutrauma.
                          •Atelectrauma.
                          •Biotrauma.
                          •Translocation of the cells.
P




                    V

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P




                  V

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Peak




                         Plateau




             Air way



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P




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Plateau




        P




             V

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WAVES




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Pressure wave




Ppeak   20



21
        0
      cmH2O




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Flow wave



   F

 60
L/Min




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Volume wave




   Vt


451
        mL




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Modes of ventilation




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CPAP




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PS




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CMV




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CMV




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SIMV




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SIMV + PS




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Thank You

11/19/2008      ©2008 Alraiyes   29

Mechanical ventilation-quiz

  • 1.
    11/19/2008 ©2008 Alraiyes 1
  • 2.
    Quiz? 11/19/2008 ©2008 Alraiyes 2
  • 3.
    Ventilation “CO2 washout” To wash out CO2 in a mechanical ventilated patient I will adjust the: A. FiO2 and RR B. Vt, PEEP and RR C. RR, PEEP and FiO2 D. Vt and RR 11/19/2008 ©2008 Alraiyes 3
  • 4.
    Oxygenation To increase SpO2 in a mechanical ventilated patient I will adjust the: A. FiO2 and RR B. PEEP and FiO2 C. RR, PEEP and FiO2 D. Vt and RR 11/19/2008 ©2008 Alraiyes 4
  • 5.
    Plateau Pressure? A B P C D V 11/19/2008 ©2008 Alraiyes 5
  • 6.
    Compliance? Transthoracic Compliance = A. C = Vt x RR / PEEP B. C = Pplt / VT C. C = Vt / Pplt - PEEP D. C = Vt / Pk - Pplt 11/19/2008 ©2008 Alraiyes 6
  • 7.
    FiO2 FiO2 at themount of Everest = A. 25% B. 15% C. 21% D. 12% 11/19/2008 ©2008 Alraiyes 7
  • 8.
    What are thefunctions of any type of mechanical ventilation? 11/19/2008 ©2008 Alraiyes 8
  • 9.
    Mechanical ventilation Oxygenation Ventilation •FIO2 •RR •PEEP • Vt 11/19/2008 ©2008 Alraiyes 9
  • 10.
    P •Shunting and dead space. •Decrease CO and Renal output. •Nosocomial pneumonia. •Increased ICP. V 11/19/2008 ©2008 Alraiyes 10
  • 11.
    R=P/Q Air way C=V/P 11/19/2008 ©2008 Alraiyes 11
  • 12.
    P V 11/19/2008 ©2008 Alraiyes 12
  • 13.
    VILI •Barotrauma. •Oxygen toxicity . •Volutrauma. •Atelectrauma. •Biotrauma. •Translocation of the cells. P V 11/19/2008 ©2008 Alraiyes 13
  • 14.
    P V 11/19/2008 ©2008 Alraiyes 14
  • 15.
    Peak Plateau Air way 11/19/2008 ©2008 Alraiyes 15
  • 16.
    P 11/19/2008 ©2008 Alraiyes 16
  • 17.
    Plateau P V 11/19/2008 ©2008 Alraiyes 17
  • 18.
    WAVES 11/19/2008 ©2008 Alraiyes 18
  • 19.
    Pressure wave Ppeak 20 21 0 cmH2O 11/19/2008 ©2008 Alraiyes 19
  • 20.
    Flow wave F 60 L/Min 11/19/2008 ©2008 Alraiyes 20
  • 21.
    Volume wave Vt 451 mL 11/19/2008 ©2008 Alraiyes 21
  • 22.
  • 23.
    CPAP 11/19/2008 ©2008 Alraiyes 23
  • 24.
    PS 11/19/2008 ©2008 Alraiyes 24
  • 25.
    CMV 11/19/2008 ©2008 Alraiyes 25
  • 26.
    CMV 11/19/2008 ©2008 Alraiyes 26
  • 27.
    SIMV 11/19/2008 ©2008 Alraiyes 27
  • 28.
    SIMV + PS 11/19/2008 ©2008 Alraiyes 28
  • 29.
    Thank You 11/19/2008 ©2008 Alraiyes 29