VIDEO PEMBELAJARAN DASAR2 VENTILASI MEKANIK Pressure Controle

Introduction

This tutorial provides a step-by-step guide on setting up a mechanical ventilator using Pressure Control mode. Understanding this process is crucial for healthcare professionals, particularly in critical care settings, as it helps ensure effective ventilation for patients.

Step 1: Understanding Pressure Control Mode

• Pressure Control mode is designed to deliver breaths at a preset pressure level.
• This mode is useful for patients with compromised lung mechanics, as it prevents excessive airway pressures.
• Familiarize yourself with the ventilator interface and terminology, including:
  • PIP (Peak Inspiratory Pressure)
  • PEEP (Positive End-Expiratory Pressure)
  • Tidal Volume (Vt)

Step 2: Setting Initial Parameters

• Before starting the ventilator, ensure the following initial settings are configured:
  • PIP: Set the desired peak inspiratory pressure based on the patient’s condition.
  • PEEP: Adjust to maintain alveolar recruitment; typical settings range from 5 to 10 cm H2O.
  • Respiratory Rate: Determine an appropriate rate based on the patient's needs, usually between 12 to 20 breaths per minute.
  • Inspiratory Time (Ti): This can be set between 0.5 to 1.5 seconds depending on the required flow and patient comfort.

Step 3: Monitoring Patient Response

• After initiating ventilation, closely monitor the patient's vital signs and ventilatory parameters:
  • Observe for any signs of respiratory distress or discomfort.
  • Regularly check arterial blood gases (ABGs) to ensure adequate oxygenation and ventilation.
• Adjust parameters as needed based on the patient’s response and clinical guidelines.

Step 4: Troubleshooting Common Issues

• Be prepared to troubleshoot potential ventilator alarms or issues:
  • If the ventilator alarms for high pressure, check for obstructions in the airway or ventilator circuit.
  • For low tidal volumes, assess the patient’s lung compliance and consider adjusting settings.

Step 5: Documentation and Communication

• Document the initial settings and any adjustments made during ventilation.
• Communicate clearly with your healthcare team about the patient’s status and any changes in the ventilator settings.

Conclusion

Setting up a ventilator in Pressure Control mode involves understanding the required parameters, closely monitoring the patient, and being prepared to make adjustments. Always ensure thorough documentation and communication with your team to support optimal patient care. For further learning, consider exploring advanced ventilator modes and their clinical applications.