VENT TROUBLESHOOTING: HIGH PEAK PRESSURES ONE onepagericu.

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Pressure Tracing During
High Peak Inspiratory Inspiratory Hold Represents
ΔP ΔP
Pressures (PIP) Maneuver resistance of Resistance = = P -P
lung/vent system Flow plat PEEP
Ppeak
Try in-line Represents
suctioning compliance of VT
ΔV
lung/vent system Compliance = = Pplat - PPEEP
Pplateau ΔP
Perform an inspiratory
hold maneuver
PPEEP

High Ppeak, Normal Pplat High Peak, High Pplat Elevated Baseline
Resistance Problem Compliance Problem PEEP Problem
Elevated peak but Elevated peak &
normal plateau Increased
plateau pressure measured PEEP

• Tubing problems •Parenchymal Problem • Auto-PEEP

• Mucous plugging •Pulmonary Edema
• Bronchospasm •ARDS
•Abdominal Problem
• Chest Wall Problem
•TLSO, Burns,

v1.1 (2020-04-09)
•Fentanyl wooden chest
• Mainstem Intubation
• Pneumothorax