home/chronic ventilation

Question 1

indication for chronic ventilation?

Answer 1

Demonstrated inability to maintain
adequate ventilation
– 24 hrs
– Overnight
– Combination e.g. periodically during day and
overnight

Question 2

contraindication for chornic ventilation

Answer 2

• FiO2 >.4
  • PEEP >10
  • Need for intensive/invasive monitoring
  • Patient refusal

Question 3

What characteristic make a ideal chronic ventilator

Answer 3

• user friendly
• quiet
• alarms
• humidity
• ->HME
• ->heated humdity
• portability and compact
• have a compressor to drive gas
• ->doesnt need source gas
• ability to add medication

Question 4

What are the type of ventilator used at home?

Answer 4

Invasive or non-invasive positive pressure

• volume or pressure controlled

Question 5

What is a common home ventilator

Answer 5

trilogy 200

Question 6

who can use this vent?

Answer 6

adult

pediatric > or equal to 5KG

Question 7

What are 3 circuit types that can be used with this vent

Answer 7

1. Active exhalation valve with proximal airway pressure (PAP)
2. Active exhalation valve with flow sensor
3. single limb with Passive exhalation port

Question 8

What are the synchrony features of trilogy

Answer 8

Auto-Trak sensitivity

Adjustable flow triggering

Question 9

fxn of autotrack

Answer 9

Auto-adaptive triggering, cycling, and leak compensation (available
in all modes, passive circuit only)

Question 10

fxn of Adjustable flow triggering

Answer 10

1 – 9 l/min (available in all modes and circuit types)

Question 11

can trilogy be used invasively and non-invasively ?

Answer 11

yes

Question 12

what are the patient interfaces for IPPV?

Answer 12

ETT

TT

Question 13

what are the patient interfaces for NIPPV?

Answer 13

• Full Facemask
• Nasal Facemask
• Nasal Pillows
• Total Facemask
• Mouth piece ventilation

Question 14

What are the modes used in acute setting

Answer 14

Volumemode
- Synchronized intermittent mandatory
ventilation (SIMV)
- SIMV with pressure support (SIMV + PS)
- Control ventilation (CV)

Pressure mode

• Pressure control (PC)
• Pressure control-SIMV (PC-SIMV)

Question 15

What are the modes used in chronic setting

Answer 15

Volume 
Assist Control (AC)

Pressure
- Spontaneous ventilation (S)
- Spontaneous ventilation with timed back-up
(S/T)
- Timed ventilation (T)
- Continuous positive airway pressure (CPAP)
- Average volume assured pressure support
(AVAPS) with passive circuit type, S, S/T, PC,
and T modes only

Question 16

fxn of autotrack?

Answer 16

compensate the leak by adjusting baseline so its not hard to trigger