Presentation On Ventilator Management
Presentation On Ventilator Management
MECHANICAL
VENTILATION
Presented by Ms. Anny Amirali & Ms. Ambreen
Merchant Acknowledgement:
Ms. Rozina Somani
OBJECTIVE
2 S the end of presentation participant’s will be able
By
to Review the Anatomy and Physiology of
ventilation
List down trouble shootings related to
mechanical ventilation
Describe Nursing care of patient on
mechanical ventilation
Relate complications associated with
mechanical ventilation
Explain methods for weaning patient from
mechanical ventilation
PHYSIOLOGY OF BREATHING
4
INSPIRATION
The diaphragm lowers and flattens, the
Neuromuscular impairment
Post surgery
INDICATION
S
⚫ Chronic Obstructive Pulmonary Disease(COPD)
⚫ Clinical Deterioration
⚫ Respiratory Muscle Fatigue
⚫ Coma
⚫ Hypotension
⚫ Tachypnea or Bradypnea
⚫ Blood gases showing persistent hypoxemia
⚫ Acute partial pressure of carbon dioxide (PCO2) of
>50 mm Hg (36-44) with pH <7.25
⚫ Neuromuscular disease
Basic Terminologies of Ventilators
Sensitivity
Is used to determine the amount of effort needed to
initiate an assisted breath. It is normally set at 2cm of
H20.
TYPES OF MECHANICAL
VENTILATORS
NEGATIVE PRESSURE
VENTILATION
16
(Iron Lungs)
Muscle contracts and pull outwards as
well as the diaphragm pulling downward
to create a negative pressure in the thorax,
causing respiration to occur. It is non
invasive ventilation. first used in Boston
Children’s Hospital in 1928
POSITIVE PRESSURE
VENTIALTION
18
Most common method for ventilating
patient in acute care setting. Gases pushed
inside the lungs through ETT or TT
tubes. Higher pressure is generated
outside of the patient’s body. Positive
pressure is created in the pleural, alveolar
and thoracic regions.
OETT Tubes
CYCLING IN VENTILATOR
24
⚫ VOLUME CYCLED
⚫ PRESSURE CYCLED
31
mechanical ventilation
Provide psychological support to patient and
family
Check and document ventilator parameters q hrly
PULMONARY SYSTEM
Baro trauma
Tracheal damage
Damage to oral (Lip soars) and nasal mucosa
Aspiration
Infection
ventilator dependence or inability to wean
WEANIN
42 G
ASSESSMENT PARAMETERS INDICATING
READINESS TO WEAN
UNDERLYING CAUSE FOR MECHANICAL
VENTILATION RESOLVED
🞑 Improved chest X ray
🞑 Minimal Secretion
🞑 Normal Breath Sounds
HEMODYNAMIC STABILITY
🞑 Respiratory rate less than 25/min
🞑 Spontaneous Vt 4-5 ml/kg
ADEQUATE ABG RESULTS WITHOUT
HIGH
FIO2/PEEP
WEANIN
43
G OF CONCIOUSNESS;
ADEQUATE LEVEL
PROTECTIVE REFLEX INTACT (GAG)
GOOD NUTRITIONAL STATUS AND
HYDRATION
ABSENCE OF FACTORS THAT IMPAIR WEANING
🞑 Infection
🞑 Anemia
🞑 Fever
🞑 Electrolyte imbalance
🞑 Fatigue
🞑 Pain
🞑 Sleep deprivation
🞑 Abdominal distension
Reference
s
44