A 6-foot 3-inch male patient was involved in a MVC (motor vehicle crash) arrives

Question

A 6-foot 3-inch male patient was involved in a MVC (motor vehicle crash) arrives in the ED with chest and facial injuries. Because of the nature of the facial injuries, he is intubated with a size 8.0 mm endotracheal tube. Following resuscitative measures, he is transferred to the ICU.

1. What type of ventilator support would this patient require initially?

2. What ventilator mode would you use when this patient wakes, has the desire to breathe spontaneously, and has a PaO2 of 58 mm Hg with the FIO2set at 0.50?

Explanation / Answer

Endotracheal tube (ETT) is used quite often medical field in patient requiring MV i.e mechanical ventilation of invasive type.

This might be for a short period of time for example: in general anaesthesia or more prolonged periods such as in patients who needs MV in intensive care unit (ICU).

There are several primary indications for intiating mechanical ventilation including hypercarbic respiratory faliure ,hypoxemic respiratory failure, to stabilize chest wall, òr to ensure airway protection.

PaO2 rises with increase in FiO2.

Inadequate or decrease oxygen exchange decreases the ratio.

Normal PaO2 /FiO2 is >400 mm Hg.

The mechanical ventilation are of two forms - invasive and non- invasive.

There are some situations in which invasive modes of mechanical ventilation are necessary and other situations in which patients can be supported by non - invasive means.

The patient should be given the trial of non - invasive ventilation.

It he becomes unresponsive or uncooperative he will require intubation and invasive mechanical ventilation.

Related Questions

Navigate

• Browse (All)
• Browse A
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.