ECMO-/ECLS
While in this mode we can control the amount pressure a newborn lung sees, accepting the fact that the necessary tidal volume ma ...
SIMV with Pressure Support Any breath the infant initiates beyond that which the ventilator is programmed to deliver will be sup ...
as well as maximum pressure limits the ventilator is allowed to deliver the set tidal volume within. The delivery of the breath ...
Increasing Rate: Benefits: (^) Risks: Improves ventilation Inadvertent PEEP Inadequate emptying time Air trapping (^) (^) Increa ...
(^) NON-CONVENTIONAL VENTILATION HIGH-FREQUENCY OSCILLATORY VENTILATION (HFOV) (^) HFOV is an alternative to conventional mechan ...
MAP:Mean Airway Pressure This is the pressure at which the alveoli constantly remain open. Remember, the ventilator can calculat ...
of worsening ventilation. Typically, we place premature babies on Hz of 12babies on Hz of 8-10. - 15, and term (^) (^) HFOV depe ...
Remember, you have no outward way of visualizing chest rise on HFOV, so without a CXR, you have no idea how over/under inflated ...
HELPFUL TIPS: Use appropriate size ET tube to prevent (minimize) air leak Hemodynamic stability should be ensured before starti ...
NONINVASIVE MODES OF RESPIRATORY SUPPORT CPAP Initially delivered via endotracheal tube (now rarely used except as a pre- ex ...
Reduced inspiratory resistance. Better lung compliance with warm and humidified gas. RAM Cannula Used with a ventilator ...
Fewer sedation days. Fewer ventilation days. Aids in weaning to extubation. When not to use NAVA: Patient is not spont ...
RT adjusts levels and follows trends to achieve optimal level. With NAVA, one may see: Increase in PIP Increase in respi ...
Hillman, N., and A. H. Jobe. “Noninvasive Strategies for Management of Respiratory Problems in Neonates.” NeoReviews^ 14.5 (2013 ...
Chapter 5 EXTRACORPOREAL MEMBRANE OXYGENATION/ EXTRACORPOREAL LUNG SUPPORT Samir Gadepalli, MD Ana Ruzic, MD Ronald B. Hirschl, ...
removed. The blood is returned to the patient either via venous or arterial route. There are several “parts” to ECLS: the circui ...
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II. Anatomy A. Priming the circuit Prior to cannulation (placing a patient on ECLS), the circuit must be primed with an isotonic ...
the jugular and carotid vessels. One possible method for cannulation is described [ 5 ][see Figure 2]: The infant is positioned ...
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