‘Nonal Flow-Volume Loops ‘Nosml Presse Volume Loops: RSS bbb (Scalloped Waveform) ‘These curves show Hine to lng (Naw too low). M beet nerested retrieton from bonchospat, secretions or pt overeating. Try decreasing Lime (increasing Dow), bronchodilator, sstioning,dcresing 1 issue Time Pres ‘Newative Presue 2 Tine 2, Blow-Time Flow ins. op. ‘ime 3. Voume time Youre LA. pressure sensitiv or changing Nowy Gieiaaikdicicatiety (1 heme You] 7 Pest noo toep Pressure xossie elfrtt rigger breath il be shows on any pressure curves or loops Graphic #1 above shows large negative deflection before breaths aken 2nd #2 shows a dep Tisai on he nepaive portion ofthe lop. Presse Volume [Sections or water inte Csuit: rime, bronchodilator, suctioning, changing toa larger ETT Pressure Qvershoot Time as Pressure overshoot ows up as spike atthe bepnning ofthe Pressure Time waveform. This may alo be dv oarway resistance. Solve by irene remove water force, sores ETT, or How ae Te |e Vonmeine Ga Tata in Votone toe oae Here pt effort exceeds flow from machine breath. Solve | by adjusting sensitivity, change modes (PSV, Auto), ss © How more time) or nore less VT “This shons volume going beyond bassline, & shows exp. volume exceeding nap Vole CCtiniel considerations” Auto PEEP, patent sition, 0: pe covghing ne ‘This pate shows a slow rtum to basi. Consider bronchoiltrs, watch for Auto PE and evaluate the need for shore tine ‘hae i som de expracry ‘ante sae | During Pressure Lined Veto, ak ‘otame ep 08 | Silatcw pone Pere Tne Cave The tepandte Volume Sons ep uate eatin resce, resus nop on he Promre RR. oie [som large Lek (Checking or Auo-PEEP ‘When the expiratory flow oes ret to norma ‘baseline before the next breath, ou have Auto-PEEP. On loops, this shows up the sme asifyou havea leak. Once ‘ourule ou a leak, ou Probably have aut-PEEP or AirTrapping (se loops in box tothe eh) “To fix this problem 1 Increase Flow (or decrease 2, Decrease Rate 5 Bronshaitor erapy 4 Try aking PEEP ‘Seung the Opuimal PEEP ‘Note thatthe vlume/peessre lop othe right is set ata PEEP of O but thee is no ‘volume change until a pressure of 10cm 20 {seached. This crates a inten shape tthe | oto ofthe curve When the PEEP increased to 1D eml120, the shape of the uve is now normal. The optimum PEEP foe this pf 10 mti20, Information gathered from various RT Conferences, websites, tetbooks and experiences, and mca to be used «gue oly.