Showing posts with label ventilation. Show all posts
Showing posts with label ventilation. Show all posts

Wednesday, April 10, 2013

Ventilation

Initiation of mechanical ventilation 

Objective of this station is to familiarize with clinical assessment of the patient before initiation of mechanical ventilation.

 Clinical parameters include:

  • Level of consciousness and patients ability to cooperate
  • Use of accessory muscles of respiration
  • Restlessness, anxiety, sweating and posture preferred by the patient
  • Presence of cyanosis
  • Altered chest wall movements
  • Pulse rate and rhythm disturbances
  • Oxygen saturation
  • Assess for effectiveness of cough reflex and phonation
  • Examination of lungs
Note: The decision to initiate mechanical ventilation should be made considering multiple parameters and not a single parameter. Especially normal saturation does not mean ventilation is normal. (Misnomer of most of clinicians).
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