Precision vent management | Sara Crager at TBS23
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Precision vent management A talk by Sara Crager at TBS23
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Precision vent management | Sara Crager at TBS23
- 1. PRECISION VENT MANAGEMENT Sara Crager, MD Assistant Professor, Division of Critical Care Department of Anesthesia & Department of Emergency Medicine University of California Los Angeles
- 10. NEW & IMPROVED ALGORITHM?
- 12. Steve Green & David Schriger Annals of Emergency Medicine 2017;70(2):158-160 ~ “…the illusory sense of psychological order provided by a seemingly precise tool”
- 15. WHAT IS THE RIGHT TOOL?
- 17. (The more things that have gone wrong, the more things that will go wrong…) MURPHY’S LAW OF CRITICAL CARE
- 18. YOUR CRITICALLY ILL PATIENT IS A SNOWFLAKE
- 20. MORE ALGORITHMS NOT NECESSARILY THE ANSWER?
- 21. Albert Einstein ~ “Everything should be made as simple as possible, but no simpler”
- 26. :
- 28. Problems
- 29. Targets Problems
- 31. Targets Strategies Problems The things you need to fix
- 32. Framing the right question is sometimes the hardest part
- 34. Targets Strategies Problems The things you need to fix
- 35. Targets Strategies Problems The things you need to fix How you know you’re fixing the problems
- 38. “Measure what is important, don’t make important what you can measure” Robert McNamara ~
- 40. Targets Strategies Problems The things you need to fix How you know you’re fixing the problems
- 41. Targets Strategies Problems The things you need to fix How you know you’re fixing the problems How you go about fixing the problems
- 49. Targets Strategies Problems The things you need to fix How you know you’re fixing the problems
- 50. Targets Strategies Problems The things you need to fix How you know you’re fixing the problems How you go about fixing the problems
- 51. ORGANIZED PROBLEM SOLVING APPROACH TO VENTILATORS
- 54. The lungs do not exist in a vacuum
- 59. The lungs Live inside the Thoracic Cavity
- 65. The Injured brain has trouble with autoregulation
- 68. Ventilators are to lungs as crutches are to ankles
- 72. Too much of a good thing…
- 75. CO2 IS ALL ABOUT THE CLINICAL CONTEXT
- 76. Targets Strategies Problems Pulmonary Thoracic Hemodynamic Metabolic Neurologic Oxygenation CO2 pH
- 82. HOW BADLY DO YOU NEED A MENTAL STATUS?
- 86. You can’t have everything you want All at the same time…
- 88. Targets Strategies Problems Pulmonary Thoracic Hemodynamic Metabolic Neurologic Oxygenation CO2 pH Lung Protection Mental Status PEEP
- 90. PREVENT ATELECTRAUMA WHILE AVOIDING ALVOELAR OVER-DISTENTON
- 91. Targets Strategies Problems Pulmonary Thoracic Hemodynamic Metabolic Neurologic Oxygenation CO2 pH Lung Protection Mental Status PEEP Minute Ventilation
- 92. pH CO2
- 93. Targets Strategies Problems Pulmonary Thoracic Hemodynamic Metabolic Neurologic Oxygenation CO2 pH Lung Protection Mental Status PEEP Minute Ventilation I:E Ratio
- 94. I:E RATIO
- 95. Targets Strategies Problems Pulmonary Thoracic Hemodynamic Metabolic Neurologic Oxygenation CO2 pH Lung Protection Mental Status PEEP Minute Ventilation I:E Ratio V-Q Matching
- 96. V-Q MISMATCH
- 97. Targets Strategies Problems Pulmonary Thoracic Hemodynamic Metabolic Neurologic Oxygenation CO2 pH Lung Protection Mental Status PEEP Minute Ventilation I:E Ratio V-Q Matching Synchrony
- 98. SLEDGEHAMMER APPROACH NOT ROUTINELY REQUIRED
- 103. Targets Strategies Problems Pulmonary Thoracic Hemodynamic Metabolic Neurologic Oxygenation pH CO2 Lung Protection Mental Status PEEP Minute Ventilation I:E Ratio V-Q Matching Synchrony
- 104. The End