Ventilator Management of Adult Patients in the Emergency Department | Digest
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Ventilator Management of Adult Patients in the Emergency Department

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Points and Pearls Excerpt

  • Initiating best-practice ventilation management in the ED has been shown to decrease duration of ventilation, hospital stay, and mortality.
  • Failure to optimize oxygenation and perfusion prior to intubation and mechanical ventilation has been associated with an increased risk of peri-intubation cardiac arrest.
  • Hyperoxia in acutely ill patients is harmful. Large reviews have demonstrated an increase in mortality with a liberal oxygenation strategy compared to a more conservative approach.
  • Start the newly mechanically ventilated patient at 100% FiO2, but then rapidly titrate down the oxygen until the oxygen saturation is 93%-96%.

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Publication Information
Authors

Ryan Pedigo, MD

Peer Reviewed By

William A. Knight, IV, MD, FACEP, FNCS; Charles Stewart, MD, EMDM, MPH

Publication Date

July 1, 2020

CME Expiration Date

July 2, 2023

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits

Pub Med ID: 32559026

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CME Information

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