Ventilation modes for emergency department trauma care
It is essential to calculate the ideal weight of the patient (all calculations of tidal volume must be done with the IDEAL WEIGHT and not the ACTUAL weight.
The IDEAL WEIGHT is calculated using the measured size of the patient and the patient's gender.
Enter the size of the patient here: _______________________ cm
Men: Ideal Body Weight (kg) = 50 + (0.91 x (height in cm - 152.4)) = __________________________
Women: Ideal Body Weight (kg) = 45.5 + (0.91 x (height in cm - 152.4)) = _________________________
NB: With the C2 fan Hamilton Medical, just simply measure the size of the patient and enter into the ventilator settings. The ventilator's computer will calculate the ideal weight according to the formula.a
NB: Remember that you can lower the to PEEP = 0 to 3 if the patient is hypovolemic and hypotensive to promote venous return pending the complete volume resuscitation.
Patient with normal lung compliance (these are the majority of intoxicated patients, isolated head trauma, coma)
Three possible modes
VAC: Volume Assist/ Controlled
Tidal volume (Vt) (suggestion 8-10 cc / kg): ______________
Frequency (suggestion 10-15/min): ______________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP) ____________
FI02: _______________________
venous gas (arterial or capillary) to perform 30 minutes after the last parameter change
ASV Adaptive Support Ventilation
(Note: only available on the Hamilton Medical C2)
(Note: you do not need to prescribe a Vt or frequency for this mode, only a % of minute ventilation calculated according to the size measured by the respiratory therapist for the patient. ASV mode automatically ventilates patients between 6 and 8 cc / kg. For the % of MV, you can choose between 100% and 200%.)
Percentage of minute ventilation (% VM) (suggestion 100-120%): _____________________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP): _____________
FI02: _______________________
venous gas (arterial or capillary) to 30 minutes after the last parameter change
SIMV: Synchronized intermittent mandatory ventilation
tidal volume (Vt) (suggestion 8-10 cc / kg): __________________
Frequency (suggestion 10-15/min): ______________________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP): ___________
Ventilatory support for spontaneous breaths (AI suggestion of 7-25 to target Vt 8-10 cc / kg): _______
FI02: _______________________
venous gas (arterial or capillary) to 30 minutes after the last parameter change
COPD patient / status asthmaticus
Three possible modes
VAC: Volume Assist/ Controlled
Tidal volume (Vt) (suggestion 8-10 cc / kg): ______________
Frequency (suggestion 8-12/min): ______________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP) ____________
FI02: _______________________
venous gas (arterial or capillary) to 30 minutes after the last parameter change
ASV Adaptive Support Ventilation
(Note: only available on the Hamilton Medical C2)
(Note: you do not need to prescribe or Vt frequency for this mode, only a % of minute ventilation calculated according to the size measured by the respiratory therapist. ASV mode automatically ventilates patients between 6 and 8 cc / kg. You can choose between 100% and 200%.)
Percentage of minute ventilation (% VM) (suggestion 100-120%): _____________________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP): _____________
FI02: _______________________
venous gas (arterial or capillary) to 30 minutes after the last parameter change
SIMV: Synchronized intermittent mandatory ventilation
tidal volume (Vt) (suggestion 8-10 cc / kg): __________________
Frequency (suggestion 8-12/min): ______________________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP): ___________
Ventilatory support for spontaneous breaths (AI suggestion of 7-25 to target Vt 8-10 cc / kg):
FI02: _______________________
venous gas (arterial or capillary) to 30 minutes after the last parameter change
Patient with hypoxemia and decreased respiratory compliance (pulmonary edema)
Three possible modes
VAC: Ventilation Assisted / Controlled
Tidal volume (Vt) (suggestion 6-8 cc / kg): ______________
Frequency (suggestion 10-15/min): ______________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP) ____________
FI02: _______________________
venous gas (arterial or capillary) to 30 minutes after the last parameter change
ASV Adaptive Support Ventilation
(Note: only available on the Hamilton Medical C2)
(Note: you do not need to prescribe or Vt frequency for this mode, only a% of minute ventilation calculated according to the size measured by the respiratory therapist to the patient. ASV mode automatically ventilated patients between 6 and 8 cc / kg.% You can choose between 100% and 200%.)
Percentage of minute ventilation (% VM) (suggestion 100-120%): _____________________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP): _____________
FI02: _______________________
venous gas (arterial or capillary) to 30 minutes after the last parameter change
SIMV: Synchronized intermittent mandatory ventilation
tidal volume (Vt) (suggestion 6-8 cc / kg): __________________
Frequency (suggestion 10-15/min): ______________________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP): ___________
Ventilatory support for spontaneous breaths (AI suggestion of 7-25 to target Vt 6-8 cc / kg):
FI02: _______________________
venous gas (arterial or capillary) to 30 minutes after the last parameter change
Patient with hypoxemia and respiratory compliance severely diminished (ARDS, severe pneumonia, chest trauma)
Two possible modes
VAC: Ventilation Assisted / Controlled
Tidal volume (Vt) (suggestion 4-8 cc / kg): ______________
Frequency (suggestion 15-20/min): ______________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP) ____________
FI02: _______________________
venous gas (arterial or capillary) to 30 minutes after the last parameter change
ASV Adaptive Support Ventilation
(Note: only available on the Hamilton Medical C2)
(Note: you do not need to prescribe or Vt frequency for this mode, only a% of minute ventilation calculated according to the size measured by the respiratory therapist to the patient. ASV mode automatically ventilated patients between 6 and 8 cc / kg.% You can choose between 100% and 200%.)
Percentage of minute ventilation (% VM) (suggestion 100-120%): _____________________
PEEP (suggestion: start and increase by 5 checklist to select the PEEP): _____________
FI02: _______________________
venous gas (arterial or capillary) to 30 minutes after the last parameter change