VENTILATORY ADJUNCTS
This adjunct requires repositioning of the patient to help improve V/Q mismatch
What is Proning
SILI stands for
What is Self Inflicted Lung Injury
The abbreviation AGP stands for
What is Aerosol Generating Procedure
How many RTs are needed for a COVID intubation in ER, and what are the roles.
What is 3, RT 1 assisting inside room, RT 2 in ante room to pass in equipment, RT 3 outside room documenting/runner
This is the recommended length of time to Prone a patient
What is 16 hours
Plateau pressure minus PEEP equals
What is Driving Pressure
4 examples of high risk AGP include
What is intubation, bronchoscopy, bagging, performing tracheotomy, BIPAP
When using the Apneic CPAP set-up what minimum flow is required to achieve CPAP. Will this be impacted from the flow to the BVM?
What is 5 LPM, NO (Backpressure)
The pressure generated at the airways during the first 100 ms of an inspiratory effort
What is P100 or P0.1
You perform a PV Tool. You notice the delta volume change at a PEEP of 17 is 150 mL, you also notice the delta volume change at a PEEP of 15 is 140 mL and at a PEEP of 13 is 135 mL. The compliance is 50 ml/cmH20 at all 3 of the PEEP levels. Which PEEP would you select as optimal?
What is PEEP 13
This PPE is required for a patient in HAU on Bipap that is low risk for COVID, and is not on any other precautions
What is N95 mask, gown, gloves, faceshield / eye protection
The COVID Intubation bag includes
What is plan A B C
This gas has been shown in recent research to potentially provide anti-bacterial and anti-viral effects
What is Nitric Oxide
Your COVID + patient is on ACVC 30 x 480 +8 40% with a PPlat of 27, PPeak 38, Compliance 40. What is the current driving pressure, and how can it be improved to a safer value? What is a safe value?
What is 19, decrease VT / Increase PEEP, < 15
What is N95 + the works
You are in the ISO room in ER. The COVID intubation process looks like this
What is Pre-Oxygenate, Plan ABC, ETCO2 hooked up in vent and ready to go, suction ready, Apneic CPAP, Cuff Up, ?Clamp, Straight on vent, Confirm etco2
What are normal P100 values and what does a P100 higher than normal represent
What is -2 to -6ish and Excessive respiratory drive/under assistance
This is the process to perform a Recruitment Maneuver on the Monnal T60
What is Look at the quicksheet
You arrive on the wards to assess a low covid risk patient (covid test pending). The patient is on 15L NRB, and is awaiting a bed in HAU. The intensivist from HAU wants you to start Opti-flow on the ward until the bed is ready. The pt is currently in a 4 bed room with 3 other low covid risk pt's. Is it safe to initiate optiflow in this 4 bed room?
What is Yes!
You are in HAU with a Patient on Opti-flow 55 L, 70% O2, RR 35, and SpO2 92%, HR 115, BP 104/70 . The patient has been on this therapy for the past 12 hours. The Intensivist asks you what the ROX index is for this patient. What does this ROX index indicate?
What is 3.76, higher chance of needing intubation (<4.88)