Author: Micha Sam Brickman Raredon; Clark Fisher; Paul Heerdt; Ranjit Deshpande; Steven Nivison; Elaine Fajardo; Shamsuddin Akhtar; Thomas Raredon; Laura E. Niklason
Title: Pressure-Regulated Ventilator Splitting (PReVentS): A COVID-19 Response Paradigm from Yale University Document date: 2020_4_6
ID: mqj071gp_99
Snippet: Adjusting PIP or Tidal Volume: Assuming the ventilator PIP (Inspiratory Pressure + PEEP) is set at 40 cmH2O, each patient's PIP is set independently by the inspiratory limb pressure gated valve, and it will be equal to 40 minus the valve setting. To adjust this PIP for one patient, make the desired adjustment on the inspiratory limb pressure gated valve (decrease the valve setting to increase PIP and VT, increase valve setting to decrease PIP and.....
Document: Adjusting PIP or Tidal Volume: Assuming the ventilator PIP (Inspiratory Pressure + PEEP) is set at 40 cmH2O, each patient's PIP is set independently by the inspiratory limb pressure gated valve, and it will be equal to 40 minus the valve setting. To adjust this PIP for one patient, make the desired adjustment on the inspiratory limb pressure gated valve (decrease the valve setting to increase PIP and VT, increase valve setting to decrease PIP and VT). Measure this patient's airway pressures to make sure they reflect the desired change. Measure this patient's VTe to make sure it is appropriate. View flow tracings on the ventilator or pressure tracings on the patient monitor to alert you to breath stacking. Adjust alarms to reflect the new settings.
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