mechanical ventilation... its not thats complicated, lets not make it needlessly painful...
#StoweEM20 by @SkylerLentz
measure pt and use 6-8 cc/kg. @mdcalc formula for ETT depth & TV.
#StoweEM20 by @SkylerLentz
different shops prefer pressure or volume. either is fine, just monitor how you’re doing.
#StoweEM20 by @SkylerLentz
know your patient’s minute ventilation & track it. get a sense of how much minute ventilation different patients need. #StoweEM20 by @SkylerLentz
hyperoxia is probably dangerous. as soon as the intubation is finished, cut back on the oxygen (esp neuro patients)
#StoweEM20 by @SkylerLentz
plateau pressure is the sum of all pressures! #StoweEM20 by @SkylerLentz
plateau is what the lung (alveoli) feels. easiest to check inmediately after intubation (pt must be passive on ventilator). one more reason to use rocuronium 🤣 #StoweEM20 by @SkylerLentz
use the plateau pressure to sort through high peak-pressure alarms. #StoweEM20 by @SkylerLentz
take-home points. remember not to worry too much about the blood gas (ie permissive hypercapnia).
#StoweEM20 by @SkylerLentz
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