Ver el código de «Ventilator desaturation»

*Immediately disconnect from ventilator (allows for expiration of stacked breaths)
*"DOPES like DOTTS" Mnemonic

Troubleshoot
*D - Displacement of tube
**Attach end-tidal CO2 to verify and check depth (cm at lip)
*O - Obstruction of tube/circuit
**Use suction catheter to remove mucus plug, or make sure pt not biting down
*P - Pneumothorax
**Verify via US
*E - Equipment failure
**Connect to BVM
*S - Stacked breaths - Auto-PEEP especially in COPD/Asthma pts
**Disconnect from ventilator

Fix
*Disconnect vent and put light pressure on pt chest
*Oxygen 100%
**Bag and take time to evaluate your patient
*Tube Position & Function
**Pass bougie or suction all the way through the tube, OR take a look with DL
*Tweak Vent Settings
**Drop TV, then decrease RR, and then increase flow rate
**Caution as it causes hypercapnia and resp acidosis, which is harmful in pts with increased ICP or tox ingestion
*Sonography

Auto-PEEP (Breath stacking) troubleshooting options
*Bronchodilators if COPD/asthma
*Decrease RR
*Decrease I:E ratio (increase expiratory time)
*Quicker inspiratory flow rate
*Decrease TV
*Increase sedation

==See Also==
*[[Ventilation (Main)]]

[[Category:Critical Care]]
[[Category:Pulm]]