H_Waveform

Question 1

In the VOLUME CONTROL mode it is important to watch witch curve ?

Answer 1

pressure waveform

is important to monitor the occlusion pressure, or p0.1, to ensure it is not too high

p0.1 = occlusion pressure

Question 2

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Answer 2

In pressure assist control , patient effort should change the flow waveform

Question 3

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Answer 3

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Question 4

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Answer 4

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Question 5

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Answer 5

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Question 6

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Answer 6

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Question 7

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Answer 7

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Question 8

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Answer 8

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Question 9

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Answer 9

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Question 10

Reverse triggering . Qual é a definição ?

Answer 10

paciente só trigger depois do trigger do ventilador

Reverse triggering is another form of asynchrony where the ventilator triggers a breath
that then triggers an effort from the patient.

Question 11

Foi detectado reverse triggering . O que fazer ?

Answer 11

primeiro : avaliar sé por conta de BAD TIMING ou REFLEX
1) DIMINUIR RESP RATE -> se melhorou = bad timing

2) However, if the reverse triggering still continues, a few steps should be taken:
● Turn off sedation if possible

● Increase TIDAL VOLUME to a maximum of 8 mL/kg

● Keep plateau pressure less than = to 27 cm H 2 O, and less than 30 cm H 2 O for COVID-19 patients (typical ARDS guidelines)

● If there is a known injurious pattern (breath stacking) and sedation cannot be stopped, consider NMB agents to protect the lung and minimize the possibility of barotrauma

Question 12

Em paciente com ARDS com Pplateau de 35 e PIPplateau de 32.

Answer 12

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Question 13

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Answer 13

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