Basic Mechanical Ventilation - FINAL

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Basics of Basics of Mechanical VentilationMechanical Ventilation

Alain Broccard, MDAlain Broccard, MDJohn Marini, MDJohn Marini, MD

University of MinnesotaRegions HospitalSt Paul, MN

Objectives

To understand:How positive pressure ventilation helps

•Reduce the work of breathing•Restore adequate gas exchange

The basics of

•Invasive positive pressure ventilation (IPPV)•Noninvasive positive pressure ventilation (NIPPV)

The principles of bedside monitoring

•Pressure and volume alarms•Flow and pressure time curves

Physiopathology of Respiratory Failure30Physiopathology of Respiratory Failure30



Resistance

AW



Compliance

R

∆

VA/Q



Work of BreathingFatigueHypercapniaNeuromusculardisorders



VE



VO

2



VCO

2



pH

Hypoxemia

AW=Airrway; R=respiratroy system; VE = minute ventilation, VO2 = Oxygen consumption, VCO2=carbon dioxide production

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