Oscillator Vent - page 2

Hey I was wondering if one of you fabulous experienced PICU nurses could give me some information on the Oscillator vent. I've seen pt's on it and I know its the most powerful vent there is, usually... Read More

  1. by   Ventjock
    Quote from RainDreamer
    Great info!

    Just wanted to add that we rarely ever disconnect the HFOV (for suctioning, respositioning, etc), as it takes hours to RErecruit the alveoli.


    some studies have shown that it can take up to 24hrs to "RE-recruit" the lungs again after disconnecting the ventilator circuit. (this applies to pts on conventional vents as well)
  2. by   RainDreamer
    Quote from Ventjock


    some studies have shown that it can take up to 24hrs to "RE-recruit" the lungs again after disconnecting the ventilator circuit. (this applies to pts on conventional vents as well)
    Recruit as in first recruiting ..... RE-recruiting as in once they have been recruited, disconnected, and need to be recruited again

    Just thought I would throw that out there because a big red flag pops up for me when I see things like "disconnect from the HFOV". Our unit is big on never disconnecting unless absolutely necessasry .... didn't know if that was standard practice.
  3. by   elizabells
    Quote from RainDreamer

    Just thought I would throw that out there because a big red flag pops up for me when I see things like "disconnect from the HFOV". Our unit is big on never disconnecting unless absolutely necessasry .... didn't know if that was standard practice.
    We don't have that as standard on our unit. We're so suction-happy, and don't use inline suction, that a kid's HFOV could get disconnected ten times a shift, if they "need" suctioning that often. We also sometimes do crazy, McGyver-esque things with nebulizers and oscillators. It makes our RTs VERY unhappy, because it ends up ruining an entire circuit. Iloprost can make pretty, pretty crystals all along the wires inside an oscillator circuit...
  4. by   RainDreamer
    The only time we ever disconnect is with the HFJV, as there is no inline suctioning on the jets .... so we have to disconnect.

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