Mechanical Ventilation Flashcards

1
Q

What are the two types of mechanical ventilation?

A

Volume Cycled Ventilation (VCV)

Pressure Cycled Ventilation (PCV)

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2
Q

Volume Cycled Ventilation delivers a preset…

A

Tidal Volume and Flow

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3
Q

Pressure Cycled Ventilation delivers …

A

Air for a preset inspiratory time, and until set pressure is reached

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4
Q

What are the invasive methods of delivery/intubation of ventilation?

A

Endotracheal tube
Nasotracheal tube
Tracheostomy tube

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5
Q

What are the invasive modes of ventilation

A

Control Ventilation
Assist Control Ventilation
Synchronised Intermittent Mandatory Ventilation
Pressure Support Ventilation

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6
Q

In Assist Control Ventilation, what happens when the patient initiates a breath?

A

The ventilators will deliver breath

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7
Q

In Assist Control Ventilation, what happens if the patient doesn’t breathe?

A

The ventilator will trigger AND deliver breaths

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8
Q

In SIMV (Synchronised Intermittent Mandatory Ventilation) if the patient doesn’t trigger a breath, the ventilator will give a ________ breath

If the patient takes a spontaneous breath, the ventilator gives ________ ___________

A

if the patient doesn’t trigger a breath, the ventilator will give a “CONTROL” breath

If the patient takes a spontaneous breath, the ventilator gives “PRESSURE SUPPORT”

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9
Q

In SIMV (Synchronised Intermittent Mandatory Ventilation), what happens if the patient does a spontaneous breath during another breath?

A

The ventilator will modify the breath delivered to prevent breath stacking

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10
Q

In Pressure Support Ventilation, the patient is ______________ breathing

A

“SPONTANEOUSLY” breathing

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11
Q

In pressure support ventilation, the ventilator will detect what and do what?

A

It will detect the patient’s respiratory effort and deliver and a +ve pressure to assist the patient’s breath

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12
Q

In Assist Control Ventilation, is the patient spontaneously breathing?

A

Doesn’t matter, can be spontaneously breathing or not

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13
Q

In control ventilation, is spontaneous breathing required?

A

No it is not required

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14
Q

In control ventilation, the patient’s efforts are _____

A

Ignored

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15
Q

Prolonged use of Control Ventilation can lead to what with prolonged use?

A

Respiratory muscle atrophy with prolonged use

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16
Q

What can result if the patient is able to trigger in Control Ventilation?

A

Patient-Ventilator Dysynchrony

17
Q

What is PIP?

A

Peak Inspiratory Pressure; the maximum pressure that is reached during inspiration

(note: we want to keep it below 40 as high PIP can result in barotrauma)

18
Q

In volume cycled ventilation, why will pressure in lungs vary?

A

Depending on lung compliance and resistance

19
Q

In pressure cycled ventilation, why will volume in lungs vary?

A

Depending on airway resistance and lung compliance (stiffer lungs -> smaller volumes)