1. Set up : Provides guidelines for initial settings
2. Maintenence: Allows you to make changes based on gases, SpO2 and EtCO2
3. Weaning: Allows you to always be thinking about extubating
For an example of a maintenance and weaning protocol click the links provided above. Below is an example of a set up protocol:
Here are the initial vent settings allowed per protocol:
- FiO2: 40%, and increase to main SpO2 >92% (or as specified by physician).
- VT: 6-10 ml/kg IBW (for Acute Lung Injury or ARDS use 6 ml/kg IBW)
- PRVC: 10-14 BPM
- PEEP: 5
- ABG within 30 minutes post set-up
- Automode: per RT discretion
- Maintain cuff pressure >20
- Suction and send sputum to lab
- Perform oral care Q2 hours
- elevate head of bed 40 degrees
Ventilator settings are then managed in accordance with the ventilator management protocol and the extubation protocol.