2022-05-10-troubleshooting-vents.md (661B)
1 # troubleshooting vents 2 3 Scott McCall 4 5 ## high peak pressures 6 7 Start at the machine. 8 9 Make sure the system is working well - 10 check tubes for kinks, 11 follow it all the way from the vent to the patient, 12 look for biting, etc. 13 14 Within the patient, 15 think about mucus plugs at the end of the ETT, 16 single-lung intubation, 17 mainstem intubation, 18 PTX, 19 hemothorax, 20 ARDS. 21 22 Get: CXR, plateau pressure 23 24 ## low minute ventilation 25 26 vent problem vs patient problem 27 28 vent problem (are we actually having high peak pressures?) 29 30 patient problem 31 - is the cuff inflated? 32 - has the patient been intubated for a long time (balloon migration, tube breakdown)? 33 - bronchopleural fistula 34