Ventilation Strategies

Question 1

Lung Protection Strategies

Answer 1

1. Plateau pressure < 30-35
2. Driving Pressure < 15
3. Optimal PEEP
4. Low VT 4-6ml/kg
5. PaO2 55 and SpO2 88%
6. Permissive hypercapnea

Others :
7. Paralysis
8. Prone ventilation
9. Recruitment

Question 2

Asthma Ventilation Strategies

Answer 2

1. Low rate (10-12bpm)
2. Low VT (4-6ml/kg)
3. High Vmax (I time minimum 1second)
4. Long E time (4-5 seconds)
5. Low/Zero (Applied) PEEP
6. Plateau pressure < 20
7. Auto or intrinsic PEEP < 10-12
8. Permissive hypercapnia

Question 3

Level 1 Evidence for NIV

Answer 3

1. COPD
2. Cardiogenic APO
3. Immunocompromised

Question 4

Ventilator Associated Lung Injury

Answer 4

1. Volutrauma
2. Barotrauma
3. Atelectotrauma
4. Biotrauma (Shear injury)