Podcast 782: Ventilator Management

<p><strong>Contributor: Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Tidal volume is the amount of breath a patient receives in a single ventilation </span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Traditional tidal volume (TV) setting was 10 ml/kg but studies showed lower TV had less incidence of respiratory distress, ARDS, and overall better outcomes </span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">ED ventilation settings may get carried on for hours or days when a patient is admitted, making this an important part of patient care</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Recent large systematic review shows that low TV setting in the ED leads to decreased incidence of ARDS, shorter ICU and hospital length of stay, shorter duration of mechanical ventilation, and decreased mortality </span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Consider an ED low tidal volume ventilation setting at around 6 ml/kg of predicted body weight</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">De Monnin K, Terian E, Yaegar LH, et al. Low Tidal Volume Ventilation for Emergency Department Patients: A Systematic Review and Meta-Analysis on Practice Patterns and Clinical Impact [published online ahead of print, 2022 Feb 7].</span> <em><span style="font-weight: 400;">Crit Care Med</span></em><span style="font-weight: 400;">. 2022;10.1097/CCM.0000000000005459. doi:10.1097/CCM.0000000000005459</span></p> <p><em><span style="font-weight: 400;">Summarized by Kirsten Hughes, MS4 | Edited by John Spartz MS4 & Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1