RT134 Oxygen Modalities
This flashcard covers nasal cannula use in infants, set at ¼–2 L/min without fully occluding the nares, primarily for patients recovering from chronic lung disease.
Indications and Set up for N/C
¼-2 Lpm (infant) (Remember not to Occlude the Nares – about ½ only)
Use to treat patients recovering from Chronic lung disease
Key Terms
Indications and Set up for N/C
¼-2 Lpm (infant) (Remember not to Occlude the Nares – about ½ only)
Use to treat patien...
What are the indications for HFNC.
What are the liter flows for HFNC
What is HFNC able to do?
o Indications:
Alternative form of O2 support for apenic neonates
o 1-20 LPM
o For oxygenation: Possible Peep...
What are the indications for CPAP (Bubble or Nasal)
4 indications
• Bubble CPAP or Nasal CPAP
o Indications:
Apnea of ...
What are the indications for intubation for neonates and peds?
6 indications
o On CPAP with Pa02 <50 with Fi02 >60
o Frequent apnea despite being on CPAP and ...
Indications for Airway clearance Therapies
Inability to clear own secretions
o Acute Lobar Atalectasis Secondary to Mucous Pluggin...
What are contraindications to airway clearance therapies?
Hemopysis
Untreated Tension Pneumo
Complications and Hazards to Airway clearance therapy
• Hypoxemia
o Position Changes
o Percussion leading ch...
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| Term | Definition |
|---|---|
Indications and Set up for N/C | ¼-2 Lpm (infant) (Remember not to Occlude the Nares – about ½ only) Use to treat patients recovering from Chronic lung disease |
What are the indications for HFNC. | o Indications: |
What are the indications for CPAP (Bubble or Nasal) 4 indications | • Bubble CPAP or Nasal CPAP o Indications: Apnea of Prematurity Premie with Minimal RDS after delivery After intubation with surfactant administration RDS after extubation |
What are the indications for intubation for neonates and peds? | o On CPAP with Pa02 <50 with Fi02 >60 o Frequent apnea despite being on CPAP and medcations o Prolonged apnea events o Deteriorating gas exchange o Administration of surfactant o General Anesthesia |
Indications for Airway clearance Therapies | Inability to clear own secretions o Acute Lobar Atalectasis Secondary to Mucous Plugging o CF (No one modality is superior to the other, Choose what works best with the patient except when GERD is an issue) o NMD Hyperinflation Therapy Cough Assist IPV o Lung Abscess |
What are contraindications to airway clearance therapies? |
|
Complications and Hazards to Airway clearance therapy | • Hypoxemia o Position Changes o Percussion leading changes in mucous positions altering gas exchange o Atelectasis pushing out of FRC or causing large pressure changes in the lungs o Bronchospasm o Increased O2 consumption o GERD Airway Obstruction from foreign body entering the lungs Intracranial Complications/ IVH in newborns Rib Fracturing and Bruising Airway Trauma |
Selection Criteria for ECMO UCSF | • UCSF selection criteria for ECMO o Gestational age >34 weeks o Weight >1.8 kg o Reversible disease o Vent <14 days o Failure of Maximal medical management o Predicted mortality of >80% by historical criteria |
Exclusion criteria for ECMO UCSF | • Exclusion criteria o Major intracranial Hemorage o Lethal malformation o Uncontrollable Coagulapathy o Syndrome with poor prognosis o Severe neurological injury |
Clinical Indications for ECMO UCSF | • Clinical indications for ECMO o Oxygen index 40 or greater in 2 or more ABG’s o Intractable metabolic acidosis o Intractable shock -Progressive, intractable pulmonary or cardiac failure -Inability to come off cardiopulmonary bypass at operation |