ER Vent Settings
Initial Target Settings:
- Mode:PRVC SIMV
- Tidal Volume:8/kg
- Peep:normally 5, will increase if having trouble oxygenating on 100% FiO2
- Pressure Support:10
- I-time:set to zero flow
- Looking at flow wave form for flow to return to base line at end inspiration
- Respiratory rate: using age based normal ranges set a respiratory rate based on patient condition and ETCO2
- Birth to 1 year: normal 30 to 60; set RR at 30-40
- 1 to 3 years: normal 24 to 40; set RR at 24-35
- 3 to 6 years: normal 22 to 34; set RR at 20-30
- 6 to 12 years: normal 18 to 30; set RR at 15- 25
- 12 to 18 years: normal 12 to 16; set RR at 12-16
- Check for auto peep
- Look at flow wave form for flow to return to base line with expiration
To determine a Target End Tidal
- If x-ray looks normal, normal ETCO2
- If obvious lung issues, assume bigger VQ mismatch, target lower et number. The worse the lungs, the lower the ETCO2 should be