Guide to APRV for COVID
1:09
emcrit.org
Guide to APRV for COVID
CONTENTS Preamble Parameters Initial settings Monitoring Troubleshooting hypoxemia & acidemia Weaning Weaning initiation Spontaneous Breathing Trial & Extubation pathways Questions & discussion Pitfalls APRV can be a bit scary for folks who aren't used to it. Everyone has slightly different ways of setting the parameters. However, over time I ...
Apr 8, 2020
Airway pressure release ventilation explained
🫁 APRV (Airway Pressure Release Ventilation) 🔹 فكرته: يبقي الرئة مفتوحة بضغط عالي أغلب الوقت (P high)، ويخفض الضغط لفترة قصيرة (P low) حتى يطلع الهوا بسرعة. 🔹 المبدأ: • P high: 20–30 cmH₂O • P low: 0–5 cmH₂O • T high: 4–6 ثواني • T low: 0.3–0.8 ثانية • يسمح للمريض يتنفس تلقائيًا أثناء الضغط العالي. 🔹 الفائدة: يحسن الأوكسجين، يمنع انهيار الحويصلات، ويقلل أذية الرئة. 🔹 العيب: يحتاج خبرة، وقد يسبب احتباس CO₂ إذا Tlow قصيرة جدًا. | قسم التخدير
🫁 APRV (Airway Pressure Release Ventilation) 🔹 فكرته: يبقي الرئة مفتوحة بضغط عالي أغلب الوقت (P high)، ويخفض الضغط لفترة قصيرة (P low) حتى يطلع الهوا بسرعة. 🔹 المبدأ: • P high: 20–30 cmH₂O • P low: 0–5 cmH₂O • T high: 4–6 ثواني • T low: 0.3–0.8 ثانية • يسمح للمريض يتنفس تلقائيًا أثناء الضغط العالي. 🔹 الفائدة: يحسن الأوكسجين، يمنع انهيار الحويصلات، ويقلل أذية الرئة. 🔹 العيب: يحتاج خبرة، وقد يسبب احتباس CO₂ إذا Tlow قصيرة جدًا. | قسم التخدير
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23K views · 271 reactions | When ventilating a 54-year-old patient in cardiac arrest with an advanced airway (ET tube or supraglottic airway), the protocol shifts. Instead of rescue breathing (1 breath every 5-6 sec without an advanced airway), deliver one breath every six seconds, asynchronous with chest compressions. There is no range. #cardiacarrest #advancedairway #ventilation #CPR #EMT #paramedic | Rescue Academy | Facebook
23K views · 271 reactions | When ventilating a 54-year-old patient in cardiac arrest with an advanced airway (ET tube or supraglottic airway), the protocol shifts. Instead of rescue breathing (1 breath every 5-6 sec without an advanced airway), deliver one breath every six seconds, asynchronous with chest compressions. There is no range. #cardiacarrest #advancedairway #ventilation #CPR #EMT #paramedic | Rescue Academy | Facebook
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