What are some indications for mechanical ventilation?
What are some indications for mechanical ventilation?
Common indications for mechanical ventilation include the following:
- Bradypnea or apnea with respiratory arrest.
- Acute lung injury and the acute respiratory distress syndrome.
- Tachypnea (respiratory rate >30 breaths per minute)
- Vital capacity less than 15 mL/kg.
- Minute ventilation greater than 10 L/min.
What are the indications and contraindications of mechanical ventilation?
Common elective indications for mechanical ventilation are surgical procedures and neuromuscular disorders. There are no direct contraindications for mechanical ventilation as it is a life-saving measure in a critically ill patient, and all patients should be offered the opportunity to benefit from this if needed.
What are the indications for intubation and mechanical ventilation?
Indications for intubation and mechanical ventilation include the following: Apnea or respiratory arrest. Diminishing level of consciousness. Impending respiratory failure marked by significantly rising PCO2 with fatigue, decreased air movement, and altered level of consciousness.
What is a thoracotomy on lung for?
A thoracotomy is a procedure that lets a surgeon see into the thoracic cavity to diagnose an illness or to treat one. The surgeon can see your lungs, heart, aorta, esophagus and possibly your spine. It’s often used to treat lung cancer.
Which of the following is not an indication for mechanical ventilation?
Which of the following is not an indication for mechanical ventilation? | |
---|---|
a. | Myocardial infarction (MI) |
b. | Respiratory failure |
c. | Provide stability of the chest wall after trauma or surgery |
d. | Brain injury requiring a barbituate-induced coma |
When do you initiate mechanical ventilation?
The decision to initiate mechanical ventilation should be based on clinical judgment that considers the entire clinical situation and not simple numeric criteria. However, mechanical ventilation should not be delayed until the patient is in extremis.
When is a thoracotomy indicated?
Thoracotomy is indicated when total chest tube output exceeds 1500 mL within 24 hours, regardless of injury mechanism. THE INDICATIONS for thoracotomy after traumatic injury typically include shock, arrest at presentation, diagnosis of specific injuries (such as blunt aortic injury), or ongoing thoracic hemorrhage.
What is lateral thoracotomy?
Lateral thoracotomies include many different variants with a common pathway, consisting of an intercostal incision. They are the most frequent incisions in daily thoracic procedures.
Which of the following situations would be an indication for performance of a thoracotomy in the emergency room?
Indications for emergency room thoracotomy include: Patients who suffer penetrating cardiac trauma, who have cardiac tamponade identified on the FAST exam, or individuals who are pulseless and received CPR less than 15 minutes after traumatic thoracic injury.
What are the indications for providing mechanical ventilatory support?
These features are designed to address the following clinical problems that constitute the ‘indications’ for providing mechanical ventilatory support: ◆ The need for providing a reliable number of breaths in patients without an appropriate spontaneous ventilatory controller.
What happens during thoracotomy surgery?
During the surgery, the doctors will insert a chest tube on the side of the thoracotomy, which drains excess fluid or air leaking into the chest and helps your lungs to re-inflate. This tube remains in place for a few days.
When is a thoracostomy indicated for pneumothorax?
Tube thoracostomy is indicated for any collection that requires continuous drainage over time. Large or symptomatic simple pneumothoraces, open pneumothoraces, recurrent pleural effusions, empyema, and chylothorax should all be managed with tube thoracostomy.
What thoracotomy is used for an LVAD pump?
In this approach, the left anterolateral thoracotomy is used to place the LVAD pump, but a right anterior minithoracotomy through the second or third intercostal space is used to position the OG. The 4- to 5-cm right anterior mini-thoracotomy is performed close to the sternal margin.