ideal body weight tidal volume chart meters

Synchronized Intermittent Mandatory Ventilation (SIMV).Continuous Mandatory Ventilation (CMV).Vent Mode: What mode of ventilation is being used at the time of observation?Įnter for all patients receiving mechanical ventilation.Įnter 1, 2, or 3 on the data collection tool depending on which type of vent mode is present at the time of observation.Įnter 1 – if the patient’s ventilator is set to one of the following Volume-Cycled Modes:

Do not enter any more information regarding that bed for this date. Enter ' E' if there is no patient in the bed.įor any specific patient, if the patient is not currently intubated/trached AND on mechanical ventilation, STOP.Enter 'N' if the patient is NOT currently intubated/trached and mechanically ventilated.

Enter ' Y' if the patient is currently intubated/trached and mechanically ventilated.

Patients treated with noninvasive ventilation are counted as 'N.'.

Mechanical ventilation is defined as receiving ventilator support via a subglottic secretion drainage endotracheal tube or tracheostomy tube. Intub/Trach & Mech Vent: Is the patient currently receiving mechanical ventilation?Įnter for all patients. ).Įnter all the bed numbers on the tool, whether the patient is on mechanical ventilation or not. DATA FIELDĮnter today’s date as MM/DD/YYYY format (e.g. Please print this data collection tool with the vent modes on page 2 of this document for easier data collection. Patients are considered mechanically ventilated on a specific day if they are mechanically ventilated at the time of observation.Īll of the vent modes are listed on the back of the data collection sheet for your reference. If possible, complete it around the same time each day, ideally during patient rounds. Please complete this tool once a day, every day. High Frequency Oscillatory Ventilation (HFOV)Įxtracorporeal Membrane Oxygenation (ECMO) Pressure Regulated Volume Controlled (PRVC)Ĭontinuous Positive Airway Pressure (CPAP)Īirway Pressure Release Ventilation (APRV) Synchronized Intermittent Mandatory Ventilation (SIMV) Enter the heading number in the Vent Mode column. Select the patient’s ventilator mode from the table below. Plateau Pressure (cm H2O) – Enter value or NKĭoes patient have a risk factor for ARDS?ĪRDS = Acute respiratory distress syndrome E = Empty Intub = Intubation Mech Vent = Mechanically Ventilation N = No NK = Not known PEEP = Positive-end expiratory pressure Trach = Tracheostomy Vent Mode = Ventilator Mode Y = Yes Ventilator Modes Target Tidal Volume (mL) (based on PBW) – Enter value We recommend using the NIH National Heart, Lung, and Blood Institute ARDS Network PBW equation because it is associated with the clinical trial that identified 6 mL/kg PBW as an appropriate target.Hospital_ Unit_ Date _ Fill out for all bedsįill out if patient is mechanically ventilated Studies should adopt a standard PBW equation. Significant differences between PBW equations for both men and women could be important sources of interstudy variation. Actual differences for clinical trial subjects were as high as 15% for men and 24% for women. The largest mathematical differences were present in older, shorter subjects, especially women. Mathematical differences between PBW equations at limits of height and age exceeded 30% in women and 24% in men for ACTUARIAL vs ARDSNet and about 25% for women and 15% for men for STEWART vs ARDSNet. The ACTUARIAL and ARDSNet surfaces for women were the only surfaces that intersected and produced both positive and negative differences. Significant potential differences existed between these PBW predictions. We then used age and height from actual clinical trial subjects to quantify PBW equation differences. We used three-dimensional and two-dimensional surface analysis to compare these PBW equations. We compared National Institutes of Health (NIH) ARDS Network (ARDSNet), actuarial table (ACTUARIAL), and Stewart (STEWART) PBW equations used in clinical trials, across physiologic ranges for age and height. PBW equations use height, age, and sex as input variables. Different PBW equations might introduce important differences in tidal volumes delivered to research subjects and patients. Recent recommendations for lung protective mechanical ventilation include a tidal volume target of 6 mL/kg predicted body weight (PBW).

Ideal body weight tidal volume chart meters