4 years ago

The Initiation of Mechanical Ventilation is an important topic for Respiratory Therapists and students. This video breaks it down in a simplified way.
💥Initiation of Mechanical Ventilation [Full Guide] ➜ ➜ ➜ https://bit.ly/2yfQtjE

🌟Monitoring During Mechanical Ventilation [Full Guide] ➜ ➜ ➜ https://bit.ly/2WSjknB
🌟Ventilator Modes [Full Guide] ➜ ➜ ➜ https://bit.ly/2Rtlgjo
🌟Ventilator Settings [Full Guide] ➜ ➜ ➜ https://bit.ly/2KMrNle
🌟Mechanical Ventilation Made Easy [Full Guide] ➜ ➜ ➜ https://bit.ly/3i4m1v1

🟦 Goals of Mechanical Ventilation
A mechanical ventilator in and of itself does not cure a patient of their initial underlying condition. The ventilator is only meant to provide breathing support until the patient's condition can be treated and reversed.

➡️ With that said, here are the primary goals of mechanical ventilation:
- To improve gas exchange
- To reverse hypoxemia
- To reverse acute respiratory failure
- To provide relief for respiratory distress
- To reverse respiratory muscle fatigue
- To improve pulmonary mechanics
- To prevent or reverse atelectasis
- To improve lung compliance
- To prevent lung injury
- To maintain lung and airway functionality
- To prevent respiratory muscular dystrophy

➡️ Indications for Mechanical Ventilation
As a general rule of thumb, mechanical ventilation is indicated whenever a patient’s spontaneous breathing is not adequate enough to sustain life.

➡️ Here are some of the common indications for mechanical ventilation that you should know:
- Insufficient oxygenation
- Insufficient ventilation
- Acute Lung Injury (ALI)
- Severe asthma
- Severe hypotension
- Inability to protect the airway

➡️ Contraindications for Mechanical Ventilation
A patient cannot survive without adequate ventilation and oxygenation. This means that there are no absolute contraindications for mechanical ventilatory support.

🟦 Initial Ventilator Settings
Once it has been determined that mechanical ventilation is indicated, you must know how to properly input the initial settings.

➡️ Mode
You should know that any operational mode will work when setting up the initial ventilator settings. It’s important not to get too caught up deciding on the right mode. This is especially true for the TMC Exam.

➡️ Tidal Volume
The initial tidal volume setting should be 5 – 10 mL/kg of the patient’s ideal body weight (IBW). So if you know the patient's ideal body weight, then you can easily calculate the initial tidal volume setting on the ventilator.

➡️ Frequency
The initial frequency setting should be 10 – 20 breaths/min.

➡️ FiO2
The initial FiO2 setting should be 30 – 60% unless the patient was previously receiving a higher percentage of oxygen before intubation. If that's the case, then you would simply use that previous FiO2.

➡️ Flow Rate
The initial flow setting should be 40 – 60 L/min.

➡️ I:E Ratio
The initial I:E ratio setting should be 1:2 – 1:4.

➡️ Sensitivity
The initial sensitivity setting should be between -1 and -2 cmH2O.

➡️ PEEP
The initial PEEP setting should be 4 – 6 cmH2O

💥Initiation of Mechanical Ventilation [Full Guide] ➜ ➜ ➜ https://bit.ly/2yfQtjE

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🚑MEDICAL DISCLAIMER
This content is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please consult with a physician with any questions that you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you watch in this video. We strive for 100% accuracy, but errors may occur, and medications, protocols, and treatment methods may change over time.

💡AFFILIATE DISCLAIMER
This description contains affiliate links. If you decide to purchase a product through one of them, we receive a small commission at no cost to you.

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⏰TIMESTAMPS
0:00 - Intro
0:49 - Goals
1:07 - Primary
1:47 - Indications
2:10 - Common Indications
2:37 - Contraindications for Mechanical Ventilation
3:32 - Initial Ventilator Settings
4:01 - Mode
4:41 - Tidal Volume
5:32 - Frequency
5:38 - FiO2
6:42 - Flow Rate
6:43 - I:E Ratio
6:56 - Sensitivity
6:58 - PEEP