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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Typical adjustments to initial ventilator settings in children by underlying condition

Typical adjustments to initial ventilator settings in children by underlying condition
Lung protection strategy for patients with inadequate oxygenation (eg, PARDS)
  • PIP: Adjust for target tidal volume 4 to 6 mL/kg (maximum 10 mL/kg); higher PIP (up to 30 to 40 cm H2O) required for poor lung compliance
  • PEEP: Increase for hypoxemia, atelectasis, may be >10 cm H2O
  • SpO2: Target 88 to 92%/55 to 88 mmHg
  • PaO2: Target 88 to 92%/55 to 88 mmHg
Obstructive airway disease causing inadequate ventilation (eg, status asthmaticus or bronchiolitis)
  • RR: Near or below physiologic to prevent breath-stacking and dynamic hyperinflation
  • IT: Low/normal, goal I:E of 1:3 to 1:5 or greater
  • PIP: >Plateau pressure and <40 cm H2O
  • PaCO2: Permissive hypercapnia, goal pH >7.20
Airway protection
  • Minimize settings to maintain adequate oxygenation and ventilation and avoid ventilator-associated lung injury
PARDS: pediatric acute respiratory distress syndrome; PIP: peak inspiratory pressure; PEEP: positive end-expiratory pressure; SpO2: oxygen saturation; PaO2: arterial oxygen tension; RR: respiratory rate; IT: inspiratory time.
* Consultation with an expert in the mechanical ventilation of children (eg, pediatric intensivist or pediatric anesthesiologist) is strongly encouraged. Regardless of ventilator settings employed, the physician must assess ventilator settings shortly after initiation and frequently thereafter and adjust them as needed to meet oxygenation and ventilation goals as the natural course of the underlying pathophysiology evolves.
Graphic 113546 Version 2.0

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