Critical Care

Question 1

What are the different types of ventialtion?

Answer 1

Volume controlled ventilation

Pressure controlled ventilation

Question 2

What is volume controlled pressure ventilation?

Answer 2

Ventilator delivers a pre set tidal volume

Question 3

What is a pressure controlled pressure ventilator?

Answer 3

Flow is delivered to a pre set target pressure limit during inspiration

Question 4

What is CPAP?

Answer 4

Continuous positive airway pressure

Provides positive pressure but with no mandatory breaths so the patient has to breathe spontaneously

Question 5

What are the roles of the physiotherapist on critical care?

Answer 5

Maintenance and improvement of CR status
Maintenance of MSK function
Work as part of a wider critical care MDT
ABGs

Question 6

What is the Ax in critical care / ITU?

Answer 6

Respiratory system
Cardiovascular system
CNS 
Renal system 
MSK 
Bloods 
ABCDE approach

Question 7

Why do we suction ventilated patients?

Answer 7

Removal of bronchial secretions is important for gas exchange

Question 8

What are the methods of suctioning?

Answer 8

Open suction

Closed suction

Question 9

What is open suctioning?

Answer 9

Patient is temporarily removed and disconnected from the ventilator whilst suctioning occurs

Question 10

What is closed suctioning?

Answer 10

The patient remains attached to the ventilator

Question 11

What are the complications of suctioning?

Answer 11

Hypoxia / hypoxemia 
Tissue trauma 
Atelectasis 
Bronchospasm 
Increase / decrease in BP

Question 12

What is manual hyperinflation?

Answer 12

A powerful way of opening atelectasis lung areas, improves oxygenation and facilitates the removal of secretions
(mimics ACBT)