Ventilator Basics
from EM Clerkship Hosted by Zack Olson, MD
Step 1: Start Patient on Volume Assist-Control Ventilation * The most basic mode of ventilation* Provides a FIXED VOLUME at a FIXED RATE* If the patient over-breaths…* The ventilator will give another FULL breath* Can cause breath stacking and be uncomfortable in patients who are poorly sedated* This is not a problem in the ED because patients are typically deeply sedated Step 2: Know your oxygenation and ventilation goals * Oxygenation (getting oxygen in)* Try to keep O2 saturation >92%* Ventilation (getting CO2 out)* Try to keep pCO2 (EM Clerkship)* Dominating the Vent Part 1 (EMCrit)* Dominating the Vent Part 2 (EMCrit)
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