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EMCrit Lecture – Dominating the Vent: Part I

by emcrit on May 24, 2010

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When I was a resident, every vent lecture either put me to sleep or left me dazed and bewildered. I gave a lecture of that ilk when I started working after fellowship. I had become part of the problem. I decided there must be a way to make vent management more understandable and if not interesting, at least bearable.

This lecture was up on the soon to be defunct EMCrit Lecture site. It offers a path to managing any patient on the ventilator in the ED. I have tried to simplify as much as possible while still maintaining an evidence-based approach.

This is Part I, it deals with the lung injury strategy. Next week, we’ll talk about the strategy for patients with obstructive lung disease.

There are only 4 things you need to remember for a lung injury patient:

Vt (Tidal Volume) = Lung Protection

Flow Rate = Patient Comfort

Resp Rate = Ventilation

FiO2/PEEP = Oxygenation

First Print out this Handout

If you need just the audio [right or cntrl click here]

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{ 1 comment… read it below or add one }

mike wansbrough February 10, 2012 at 10:21

Hi Scott,
great podcast! However- one suggestion- please make it easier to identify the subjects on the download list. I was trying to find the ‘dominating the vent’ on my iPhone, but was unable to locate it as they are listed by podcast episode number. I then went to this site, but it still doesn’t give me a quick way to find out which ‘podcast episode’ I need to go to. I needed it in a hurry to brush up on some of your points on my way to teaching medics, and it would have been nice to have while driving (I was not organized enough to prepare this podcast for listening the night before!). Thanks, Mike

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