QoW – 2016 – Q3 – 003

mri02

The patient was on the following ventilator parameters in the CTICU :  SIMV-VCV,  RR(set)=8,  Vt(set)=700,  FiO2=50%,  PEEP=5.

The patient will be in the MRI suite for the next 75 minutes.

a) what will the settings be on this ventilator ?

b) how do you set patient trigger ?

c) how do you set Vt(set) on this ventilator (the “cheat sheet” was ripped off of the side of this ventilator).

d) if you use the vent with the settings that are currently dialed in, what will the ventilators translate to in standard ventilator parameters.

 

QoW 2015 – 002 (How is this TRALI patient doing post trache?)

With regards to this TRALI patient post tracheostomy and trache-collar trial in progress for > 12hrs,

a) how do you think the patient is doing?

b) what do you think the physician thinks how this patient is faring?

c) how do you think the physician decided to manage this patient?

d) how would you handle this patient in the next 12hrs?

QoW 2015 – 001 (REALLY understanding a patient using NAVA’s Edi signal).

2015 nov - NAVA - 7 novel cases - j 013

I have heard a  lot of people (if not everyone I have known) tell patients “it is really hard breathing thru that small tube (i.e. ETT) but hang in there and we will have that tube out in a little bit”.

Using the graph of Edi, explain why breathing thru the ETT is actually easier than post extubation.

Hint : compare #3 vs #5 (the assumption is that the higher the microvoltage that the brain sends down to the diaphragm, the more distressed the brain “feels”).

Good luck !

Looking forward to the answers.

(As of Sunday, 11/7, we are starting our first giveaway! Please respond to this week’s QotW here on the post. As long as we get 20 or more responses by next Sunday we will randomly draw a winner. Prize to be announced this week! Sorry, we can only ship within the U.S.A., but please answer the question anyway!)