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+--- Thread: What are ventillator setting in ARDS & COPD - harry206 (/showthread.php?tid=430715)
What are ventillator setting in ARDS & COPD - harry206 - ArchivalUser - 07-22-2009
1. RR
2. TV
3. PEEP
0 - ArchivalUser - 07-22-2009
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.
0 - ArchivalUser - 07-22-2009
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..
0 - ArchivalUser - 07-23-2009
correct.