Dr. Harish Kinni, a triple-board-certified physician specializing in emergency medicine and critical care, shares his expertise on mechanical ventilation. He covers foundational concepts crucial for emergency providers, including essential modes of ventilation and the importance of accurate patient measurements. The discussion also delves into troubleshooting techniques, optimal settings for various respiratory conditions, and strategies to enhance patient care during emergencies. Prepare to learn vital insights that could make a life-saving difference in high-pressure situations!
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volunteer_activism ADVICE
Choose Volume Control Mode
Start with a volume control mode for mechanical ventilation.
Set tidal volumes using ideal body weight, usually 6-8 cc/kg, to protect lungs from injury.
volunteer_activism ADVICE
Initial Vent Settings
Start intubated patients on 100% FiO2 and PEEP of 5.
Wean FiO2 quickly if lungs are healthy, ideally keeping it below 60%.
volunteer_activism ADVICE
Use DOPE For Vent Troubleshooting
Use the mnemonic DOPE to troubleshoot sudden ventilator decompensation.
Check Dislodgement, Obstruction, Pneumothorax, Equipment, and breath Stacking systematically.
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Dr. Harish Kinni, a triple-board-certified emergency medicine and critical care physician and assistant professor at the Mayo Clinic, provides an overview of the fundamentals of ventilator care for emergency department professionals. We will review key modes that we should know, the variables to set, how to adjust them for your patient’s needs, and provide troubleshooting tips and tricks for when things suddenly go awry. This is sure to be one of the most helpful chapters of Always on EM, but don’t let it take your breath away!
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