Keep your eyes on Vent. waveform, you might need to change the tube despite theraputic anticoagulation.
Commonly seen in #COVID19 patients.
#CriticalCare #Ventilators #ICU
Commonly seen in #COVID19 patients.
#CriticalCare #Ventilators #ICU
For those who are interested to know how to figure it out. It is by evaluation of the over all clinical picture but to simplify it:
1- disproportionate increase in peak airway pressure with accepted platue pressure (that's will give you a hint about increase airway resistance..
1- disproportionate increase in peak airway pressure with accepted platue pressure (that's will give you a hint about increase airway resistance..
.. while the lung mechanic is fine)
2- a reduction in the volume at the same time.
3- you might find an abnormal flow wave form just like if the patient is trying to suck more air.
4- a suction catheter that is not passing smoothly through the ETT
2- a reduction in the volume at the same time.
3- you might find an abnormal flow wave form just like if the patient is trying to suck more air.
4- a suction catheter that is not passing smoothly through the ETT
5- some clot particles could be there with the suction
6- unexplained increase FiO2 requirement will the general condition is improving +/- non worsening X-ray infiltrate
6- unexplained increase FiO2 requirement will the general condition is improving +/- non worsening X-ray infiltrate
Definitely you do not need to find them all, but these are the most triggering things you should keep in your mind.
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