This is my initial ventilator setup on the Carefusion Avea.

Pressure Assist Control mode copes with almost any non-asthmatic patient.

Simply titrate the Inspiratory Pressure to get a Tidal Volume of 6ml/kg.

And then, over time, down titrate Inspiratory Pressure to keep VT 6ml /kg, down-titrate FiO2 to keep SpO2 91-94%, and decrease the (minimum) Breath Rate to 6 and allow the patient to set their own breathing rate.

That will get most patients through the night.

Rupert Pearce:
Ask first: is this patient hypovolaemic? before you give any fluid.
If you give a patient a fluid challenge, and the stroke volume does not rise, that patient is NOT hypovolaemic.
Volume responsiveness does not denote hypovolaemia, but absence of volume responsiveness excludes hypovolaemia.

Paul Myles,  speaking at SASA 2015, that best immediate management consists of aggressive alpha-agonist administration to raise systemic pressures and maintain right ventricular perfusion. Giving lots of fluid, and giving pulmonary vadodilators,  may make things worse.

Shock management

Shock is a state of haemodynamic failure, where there is inadequate delivery of oxygenated blood to the vital organs, resulting in their failure.
If enough organs fail, the organism dies.
Managing shock states can be complex.
We will explore the types of shock, and some pointers on management, over the next few posts.

Developing system

I am still developing this page.

Best wishes
rpvr

The fourth test.

This comes from my tablet.
73’s
rpvr

The Test Continues
Right, this is a test of Byword. Let us see if it can get messages uploaded to this site.
If you see this, it can.
If you can’t, you would never have to worry about this problem.

73’s
rpvr

Hi

This is not profound.

I am still learning this site.

But a long journey always starts with a single step.

73’s

rpvr

Hi everyone!

This is the first post on vraiida.

My name is Richard Peter von Rahden.

And more will follow.

73’s

rpvr