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3 Cards in this Set

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  • 3rd side (hint)

What are the causes of high airway pressure?

ARDS


Pneumonia


Pulmonary oedema


Pneumothorax


Bronchospasm


Mucous plug


Foreign body in airway


Herniation on of ETT cuff


Kink in ETT


Secretions in ETT


HME filter blocked with secretions


Kink in breathing circuit


Secretions or foreign body in circuit


APL valve closed in spontaneously breathing patient

Work from Alveoli to machine

What are the complications of high airway pressures?

Volutrauma/ Barotrauma


Pneumothorax


Pneumomediastinum


Haemodynamic changes( reduced venous return = Hypotension= Cardiac arrest )


Inadequate ventilation

How would you treat bronchospasm for an intubated pt?

•100% Oxygen, Call for help, ABC


• Stop Stimulation


•Deepen Anaesthesia with volatile agents


•Magnesium Sulphate 30mg/kg slow infusion


•Ketamine bolus2mg/kg


•Hydrocortisone 200mg ivi


•Adrenaline 10mcg ivi blouses


•In-line Nebulization(Salbutamol 6-8 puffs via ETT adaptor ) or ipratropium 0.5mg nebulized


•Aminophylline 250mg/min( do not give of patient uses it)