Professional Documents
Culture Documents
Level 1
Mark Willing, RRT-NPS
General Concepts
Low
Minute Ventilation
The amount of gas that is exchanged within the lung in one minute is
called minute ventilation
As minute ventilation is increased, the amount of CO2 in the blood may
decrease
Minute ventilation during conventional ventilation and spontaneous
breathing is calculated as:
Respiratory Rate X Tidal Volume
Minute ventilation during high frequency ventilation is calculated as:
(Respiratory Rate)0.5 X (Tidal Volume)2
Therefore, tidal volume is the primary determinant of minute ventilation
during high frequency ventilation
Oxygenation
Servo Pressure
Common Alarms
What To Do
These two alarms are commonly associated with circuit disconnects and
suctioning, which may be associated with severe, and perhaps lifethreatening, alveolar collapse and oxygen desaturation.
The RN must notify the RRT and have this person available at the bedside
prior to position changes, suctioning, and surfactant administration.
In the event that the RRT is currently unavailable, it is best to leave such
elective procedures until such time an RRT can assist with or perform the
procedure without the RN.
If at any other time, if the ventilator fails to establish the set PIP,
immediately notify the respiratory therapist.
Hand-bagging a patient with a manual resuscitator bag may be very
dangerous to certain premature infants, therefore immediate response
from a respiratory therapist is critical.
The small bore, clear tubing coming off the jet adapter must not be
in a dependent position. Any secretions or water obstructing the
tube will result in inaccurate pressure readings, damage the
pressure transducer in the patient box, and/or will cause
inaccurate pressure delivery to the patient.
The elbow on the in-line suction catheter should be positioned in
such a manner that water condensation is not injected or lavaged
down the airway.
The green jet tubing should be as straight as possible to reduce
any dampening of the jet stream into the airway.
Settings
Frequency
(Hertz, Hz)
Mean Airway Pressure (MAP)
Amplitude (Delta P, change in pressure)
Hertz (Hz)
60
Amplitude
Amplitude
Circuit Positioning
The
Summary