TUES 22ND MARCH '16
We'll be looking at Management of COPD & NIV with a practical hands on session with our guest speaker, Ally Hanson, from Teleflex
NIV (NON-INVASIVE VENTILATION)
COMPREHENSIVE UPDATE ON NIV USE IN CRITICALLY ILL (EB MEDICINE) (DOWNLOAD FULL PDF, BLUE TAB ON RIGHT)
VENTILATING SICKEST OF PATIENTS
SOME KEY CONCEPTS TO KEEP IN MIND IF THE WORST CASE SCENARIO ARISES (NEEDING TO TUBE & VENTILATE SICKEST ASTHMATIC OR COPD PATIENT)
- ALLOW PERMISSIVE HYPERCAPNOEA
- PREVENT AUTO-PEEP, DYNAMIC HYPERINFLATION & BAROTRAUMA
- LOW TIDAL VOLUME (TV): 6-8 ml / Kg PREDICTED BODY WEIGHT (PBW)
- LOW RESP RATE (RR) 6-10
- LOW INSPIRATORY : EXPIRATORY (I:E) RATIO 1:4 OR 1:5
- LOW PEEP (0-5)
- FLOW RATE 80-100 LPM
- FIO2 TO EFFECT
DOMINATING THE VENT WITH WEINGART (EMCRIT)
PROTECTIVE LUNG VENTILATION (LITFL)
