"#$%& '( )()*$)+,-$+& +&)'$.

,'$()

$)$'$,. -&''$)"-




'$'/,'$()-

$0,0 12 0-
Cver 3 mlnuLes, LlLraLe lA/S Lo achleve 1ldal volume of 6ml/kg !"#$% 8ody WelghL



lf afLer 13mlns resplraLory raLe ls >23 breaLhs/mln , !lA Lo !1ldal volume by 1ml/kg
(every 13 mlnuLes) Lo a maxlmum of 8ml/kg
lf Lhere ls a perslsLenL/worsenlng resplraLory acldosls on hourly blood gases (venous pP
<7.30, arLerlal pP <7.33)!lA Lo !1ldal volume by by 1ml/kg every hour Lo a maxlmum of
8ml/kg
lA (LL+S) should noL exceed 20cmP
2
C as gasLrlc lnsufflaLlon llkely

lf paLlenL has had nlv as lnpaLlenL on
pasL admlsslons, Lhe seLLlngs used can be
found ln Lhe LlecLronlc Medlcal 8ecord
When lnLerpreLlng Lhese pressures,
please noLe LhaL some venLllaLors use
dlfferlng nomenclaLure 1o converL,
uLlllze Lhe followlng dlagram
lf paLlenL has noL been on nlv before,
sLarL wlLh
$0,0 3 45 678
9
(
&0,0 3 : 678
9
(
C
2
LlLraLed Lo -;(
9
1< ==*>?@
lf lssues wlLh mask flLLlng, ask resplraLory
unlL sLaff for help

Speclflc paLlenL populaLlons.
(A-'/#B'&% .#)"- C,-'8D,EB(0%FG LA/LL should noL exceed 10cmP
2
C
as lf LL exceeds lnLrlnslc LL, dynamlc hyperlnflaLlon and gas Lrapplng llkely.
lf machlne allows, !l:L raLlo Lo >1:4 and ! lnsplraLory flow raLe Lo > 60L/mln Lo
allow greaLer Llme for exhalaLlon
8H0&/'&)-$+& ,0(G 8oLh 8A and CA are equally effecLlve ln LreaLlng AC.
SLarL eA/LL aL 10cmP
2
C and LlLraLe up whlle rapldly LlLraLlng up hlgh-dose
lv C1n Lo Lhe paLlenL's normal 8. lv dlureLlc only lf paLlenL cllnlcally overloaded.
Avold ln paLlenLs wlLh low 8 (cardlogenlc shock)
,B#'& $)'&/-'$'$,. (0,B$I$B,'$() CD#.'$.(A,/ 0)&#D()$,E,/%-FG llkely
Lo need eA/LL aL 10cmP
2
C. May noL prevenL evenLual resplraLory fallure-
be aware for early lnLubaLlon/ palllaLlon
D(/A$% (A&-$'HG aLlenLs on home CA may be on very hlgh pressures (up Lo
20cmP
2
C- check noLes) Lo acL as upper alrway spllnL prevenLlng apnoeas. 1hls ls
noL Lo asslsL wlLh oxygenaLlon/venLllaLlon whlch may requlre less pressure buL
sLlll llkely Lo be LL >10 cmP
2
C.


0JKLMK NOM6PMM QORS T1P2 61UMPJRLUR O< RSK ;LROKUR SLM
IO(
9
2KVPO2K7KUR WX5@ <12 712K RSLU 9 S1P2M
K0,0E0&&0 W 4567 8
9
5
$0,0E0&&0Y0- W 9567 8
9
5
2KM;O2LR12T L6ON1MOM RSLR OM U1R O7;21ZOU[
;LROKUR OM RO2OU[E ""B-
LM ;LROKUR 7LT \K <LOJOU[ )$+ LUN 7LT 7LNK UKKN
OURP\LRO1U 12 ;LJJOLRO1U

&0,0E0&&0
uecrease llC
2
Lo 30 and LlLraLe LA & llC
2
(8 allowlng) every 3 mlnuLes accordlng Lo Lhe
followlng llC
2
/eA scale Lo achleve SpC
2
of 88-94