BUMC Basics.pdf - Anesthesia Home

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Any time a patient is on MV, the minute volume, plateau,
and peak pressures should be monitored and reported it
in your daily note.
VT (VTE) x RR (fTOT) = minute volume (VETOT) L/min
Specific disease states and mechanical ventilation
suggestions:
• Acute Brain Injury: Volume cycled, Avoid PEEP, Limit
suctioning, Hyperventilate with pCO2 of 34-37
• Neuromuscular disease: Volume cycled, Larger VT
(12-15 ml/kg), Higher flow rate
• COPD: Volume cycled, VT (5-7 ml/kg), higher peak flow
rate, lower mandatory rate, low level PEEP(3), Limit
plateau airway pressures, Reduce autopeep/hyperinflation
• ARDS: Volume cycled, VT (4-6 ml/kg), plateau airway
pressures 5 days as the drug
accumulates in adipose tissue.