Ventilator Use and Management in Critical Care Air Transport
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Questions and Answers

Which of the following is NOT one of the objectives discussed in this lecture?

  • Discussing physiological challenges related to change in altitude for vented patients (correct)
  • Explaining additional safety measures required for patient care in-flight
  • Discussing the unique environment of inflight medical care
  • Explaining obstacles to care of vented patients for prolonged flights
  • What is the main focus of this lecture?

  • Ventilator use in critical care air transport
  • Physiological challenges related to altitude change for all patients
  • Safety measures required for patient care in-flight
  • Management of vented patients in critical care air transport (correct)
  • What is one of the obstacles to care of vented patients for prolonged flights?

  • Difficulty in administering medication during flight
  • Lack of medical equipment on the aircraft
  • Risk of infection during flight (correct)
  • Inability to monitor patient vital signs during flight
  • Which of the following is a recommended method for securing an ET tube in patients with burns or facial trauma?

    <p>Securing the tube to the upper central incisor using silk suture or wire</p> Signup and view all the answers

    What should be done to prevent lung de-recruitment when exchanging an ET tube pre-flight in a patient requiring >10cm H20 PEEP?

    <p>Clamp the ETT prior to circuit disconnect</p> Signup and view all the answers

    What is the purpose of securing the ET tube using a dedicated securing device?

    <p>To prevent damage to the tube</p> Signup and view all the answers

    Study Notes

    Lecture Objectives

    • Secure the airway
    • Ventilate patients with respiratory failure
    • Manage patients requiring positive end-expiratory pressure (PEEP)
    • Transport patients with complex needs

    Lecture Focus

    • Management of airway and ventilation during prolonged flights

    Obstacles to Care

    • Limited resources on long-haul flights
    • Difficulty maintaining ventilation
    • Ensuring patient comfort and safety

    Securing ET Tubes

    • Burns or Facial Trauma: Use oral intubation, nasotracheal intubation, or surgical airway, instead of traditional methods with a standard tube.
    • Secure with dedicated securing devices: These devices are specifically designed for difficult airway situations and offer greater stability.

    Preventing Lung De-recruitment

    • Use high-frequency ventilation: This helps maintain lung expansion and minimizes the risk of de-recruitment.
    • Use a closed-circuit system: An alternative to open-circuit ventilation, which can help maintain the PEEP level.
    • Preserve lung volume: Keep the lung volume and PEEP level maintained throughout the ET exchange process.

    Purpose of Secure ET Devices

    • Prevent accidental extubation: This is crucial for patient safety, especially during turbulent flights.
    • Maintain airway patency: Ensures a clear airway, which is vital for adequate ventilation.
    • Minimize discomfort for the patient: Improves overall patient comfort by offering greater stability to the ET tube, especially during long flights.

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    Description

    Test your knowledge on ventilator use and management of vented patients in critical care air transport. This quiz will cover topics such as the unique environment of inflight medical care, physiological challenges related to altitude changes, obstacles to care for prolonged flights, and additional safety measures required for patient care.

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