07-22-2009, 09:48 PM
07-22-2009, 10:17 PM
Goals:
RR: titrated to pH 7.3 - 7.45. Permissive hypercapnia is acceptable.
TV: 6cc/kg (using ideal body weight)
PEEP: Start at 5 cm H20 and titrate up while titrating down on FiO2 to maintain SaO2 >= 92% and FiO2 < 0.4
The critical parameter though, is to keep plateau pressure < 30 cm H20.
The vent parameter that has the most impact is PEEP, although it may take a day or so for recruitment. I have had SICU patients up to a PEEP of 20.
RR: titrated to pH 7.3 - 7.45. Permissive hypercapnia is acceptable.
TV: 6cc/kg (using ideal body weight)
PEEP: Start at 5 cm H20 and titrate up while titrating down on FiO2 to maintain SaO2 >= 92% and FiO2 < 0.4
The critical parameter though, is to keep plateau pressure < 30 cm H20.
The vent parameter that has the most impact is PEEP, although it may take a day or so for recruitment. I have had SICU patients up to a PEEP of 20.
07-22-2009, 10:40 PM
ards= rr 18 to 22/tv= 6to 10 ml /kg/peep 10 t0 12
copd=rr 12 /tv =6 to 8 ml/kg/peep 5 to 10..
copd=rr 12 /tv =6 to 8 ml/kg/peep 5 to 10..
07-23-2009, 05:38 AM
correct.