Weinmann MEDUMAT Standard2 - Page 9

Adjusting the ventilation mode in the case of hypoxemic ARI
Mode: ................................................................... CPAP (without pressure support)
Initial PEEP:
..................................................................................................5 mbar
Initial FiO
2
: .................................................................................................... 100%
Target:
........................................................... SpO
2
> 94 % (with COPD 88 – 92 %)
Reduce the FiO
2
accordingly in the case of a more pronounced SpO
2
increase
Increase PEEP in the case of insufcient SpO
2
increase: .......................... 7 – 10 mbar
In the case of insufcient tidal volume:
Pressure support:
.................................5 mbar (increase gradually where applicable)
Inspiratory trigger:
.......................................................................As low as possible
Adjusting the ventilation mode in the case of hypercapnic ARI
Mode: ....................................................................... CPAP (with pressure support)
Initial PEEP:
................................................................................................. 5 mbar
Initial pressure support:
............................................................................... 5 mbar
Inspiratory trigger:
..................................................................... As low as possible
Expiratory trigger:
..................................................................... As high as possible
Initial FiO
2
: ...................................................................................... 40% or AirMix
Aim:
.............................................................................................. SpO
2
88 – 92 %
Reduce the FiO
2
accordingly in the case of a more pronounced SpO
2
increase
In the case of insufcient tidal volume:
Pressure support: ....................................... Increase gradually (up to max. 20 mbar)
In the case of pronounced ventilatory insufciency:
................... Change to BiLevel-
ventilation if necessary
Success criteria
Decrease in dyspnea, respiratory and heart rate, increase in SpO
2
, improved
vigilance, reduced etCO
2
where applicable.
Caution
• Close clinical observation, stop if condition deteriorates
• Do not delay pharmacological/interventional therapy
• Be ready to intubate at all times when using NIV, above all in the case of relative
contraindications
• Timely advance information to the receiving hospital