Advanced Ventilator Modes Flashcards

1
Q

regular ventilator mode

A

all mechanical breaths

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2
Q

are advanced ventilator modes mechanical or spontaneous breaths?

A

both

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3
Q

assisted ventilator breaths happen at what point during the spontaneous breath?

A

beginning

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4
Q

stacked ventilator breath

A

when the vent gives a breath in the middle of a spontaneous breath or during expiration

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5
Q

why are stacked breaths bad?

A

may lead to coughing/bucking and overinflated lungs/barotrauma

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6
Q

assist control ventilation

A

senses spontaneous breaths and assists them

there is a minimum breaths per min limit and will give a mechanical breath to reach it

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7
Q

if the patients respiratory rate is faster than the set minimum then 2

A

all breaths will be spontaneous

all spontaneous breaths will be assisted

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8
Q

if the patients respiratory rate is slower than the set minimum then 2

A

vent will kick in and give mechanical breath

breaths that are spontaneous will be assisted

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9
Q

intermittent mandatory ventilation

A

set minimum mechanical breaths per min
pt allowed to spontaneously ventilate between
ventilator does not sense pts breaths (could cause stacked breath)

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10
Q

which ventilator mode is the same as when we turn on the vent after intubation?

A

intermittent mandatory ventilation

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11
Q

synchronized intermittent mandatory ventilation SIMV

A

set minimum number of mechanical breaths
can spontaneously ventilate between mechanical breaths
CAN sense spontaneous breath

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12
Q

what does the ventilator do in SIMV mode when it does sense a spontaneous breath that would occur during a ventilator breath?

A

assist the breath instead of stack the breath

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13
Q

2 differences between SIMV and assist control

A

SIMV has set number of mechanical breath vs assist control has set number of total breaths per min
SIMV does not assist all spontaneous breaths, assist control does.

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14
Q

pressure support ventilation

A

no mechanical breaths

every breath is assisted

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15
Q

which ventilator mode does the pt need to be spontaneously breathing

A

pressure support

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16
Q

benefits of pressure support ventilation

A

1 helps overcome resistance of circuit/decreases work
2 larger tidal volumes/less atelectsis
3 makes spon vent less contraindicted for certain pts

17
Q

2 things to remember about assist control and SIMV

A

these are considered vent mode and APL/bag are not in circuit
the pt can still breathe spontaneously even though vent is on

18
Q

mandatory minute ventilation

A

pt breaths spontaneously and all are assisted

choose a minumum min ventilation and if you arent acheiving it then it will deliver mechanical breath

19
Q

BiPAP

A

similar to CPAP bc continuous positive pressure but the pressure is higher during inspiration than expiration

20
Q

can BiPAP be done with a face mask or ETT tube?

A

both

21
Q

inverse ratio ventialtion IRV

A

the vent setting actually reverses the inspiratory and expiratory times
IE ratio

22
Q

advantage to inverse ratio ventilation

A

longer inspiratory time increases FRC

23
Q

disadvantages to inverse ratio ventilation

A

possibility of incomplete exhalation

does not allow spontaneous breathing

24
Q

high frequency positive pressure ventilation

A

small tidal volumes

60-120 breaths/min

25
Q

high frequency jet ventilation

A

small cannula in airway

120-600 breaths/min

26
Q

high frequency oscillation

A

600-3000 breaths/min

27
Q

airway pressure release ventilation

A

simular to BiPAP it delivers constant CPAP but will intermittently stop to allow complete exhalation

28
Q

active scavenging

A

hooked up to hospital suctioning system

29
Q

passive scavenging

A

not hooked up to hospital system
just go into the room
TIVA should be used

30
Q

max limit of volatile agent in OR when used alone

A

2 ppm

31
Q

max limit of volatile agent in OR when used with 25ppm nitrous oxide

A

0.5 ppm

32
Q

max limit of nitrous oxide in OR

A

25ppm