1. Ventilator Settings in Pediatric Patients Wanida Paoin Thammasat Hospital,Thammasat University

2. Types of mechanical ventilation Modes of mechanical ventilation Initial settings - full ventilatory support Weaning Extubation Ventilator Settings in Pediatric Patients

3. Volume control ventilator Pressure control ventilator Infant Ventilator Types of mechanical ventilation

4. Volume control ventilator V P V

5. V P V Pressure control ventilator

6. Infant Ventilator - Time cycle, pressure limit V P V 20

7. Which Type?

8. Expiratory to inspiratory phase Inspiratory phase Inspiratory to expiratory phase Expiratory phase Phases of mechanical ventilation

9. Control Assist/Contr ol IMV/SIMV PSV CPAP Modes of mechanical ventilation

10. Cont rol P 360

11. Modes of mechanical ventilation Assist/C ontrol P 360

12. Modes of mechanical ventilation IM V P 360

13. ITP -> venous return -> CO -> LV afterload Aware hyperinflation:Lowest PEEP, Optimal Te, Optimal PIP WOB: flow pattern, trigger Detrimental hemodynamic effects

14. Type Mode Flow Tidal volume T I Initial settings Rate FiO 2 PIP PEEP Trigge r

15. Type - Volume control Mode - A/C Flow Tidal volume T I Initial settings Rate FiO 2 PIP PEEP Trigge r 5-10 ml/kg 0.5-1 sec

16. Type - Pressure control Mode - A/C Flow Tidal volume T I Initial settings Rate FiO 2 PIP PEEP Trigge r

17. Type - Infant ventilator Mode - A/C, IMV Flow Tidal volume T I Initial settings Rate FiO 2 PIP PEEP Trigge r 0.3-0.6 sec

18. Oxygen ation Ventilati on Aims Tidal volume T I Rate FiO 2 PIP PEEP

19. Oxygen ation Ventilati on Aims Tidal volume T I Rate FiO 2 PIP PEEP

20. Modes IMV PSV CPAP T-tube Weanin g Tidal volume T I Rate FiO 2 PIP PEEP

21. Extubatio n CALM S Conscious Airway Lung Muscle Secretion SIMV 5-8 PS 5-10 FiO 2 < 0.4 PEEP < 5

22. Types of mechanical ventilation Modes of mechanical ventilation Initial settings - full ventilatory support Weaning Extubation Ventilator Settings in Pediatric Patients

23. Acute lung injury Oxygen toxicity Volutrauma Shear stress