coding a vented patient

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How does one proceed with CPR on a vented patient? Do you let the ventilator do the work still? Does it depend on what mode and settings? Do you crank up the Fi02? Just do compressions?

need some help here...thanks!

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Specializes in SICU, EMS, Home Health, School Nursing.

When we have a patient that is on the vent that is coding, we take them off the vent and bag them with 100% O2, but thats just us... I really don't know if there are actual guidelines for that.

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Specializes in icu/er.

for the most part we take the patient off the vent and bag them, this offers the airway guy alittle control over how many breaths the pt gets, cause the patient very well just might have been on a very low rate and tv without anyother vent support. plus the dang vent will be screaming every few seconds cause of low numbers. we have before just turned the vent on cmv on 100% but you still have to break the circut for sxn and the vent gets in the way. best just to disconnect place the machine on standby, roll it out of the way and bag the patient.

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Specializes in cardiac/critical care/ informatics.

ACLS Guidelines say to take them off the vert and bag with 100% 02.

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Specializes in ICU.
How does one proceed with CPR on a vented patient? Do you let the ventilator do the work still? Does it depend on what mode and settings? Do you crank up the Fi02? Just do compressions?

need some help here...thanks!

Disconnect the vent, and bag them on 100% O2.

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Specializes in Cardiac.

Same here, start bagging at 100% and start compressions...

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Specializes in NICU.

Same with the babies. There is some research out there about bagging with whatever FiO2 the pt was vented at, but it's early days, and not recommended yet.

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Agree with bagging pt with 100% O2 and ACLS states 6-8/min.

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Specializes in Trauma, ER, ICU~CCRN,CNRN.

Just don't forget to let go and step back when you hear the word, "CLEAR!"...:Reindeer:

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Specializes in ER/ICU, CCRN, SRNA (class of 2010).

Definately bag with o2, if the vent gives a breath during your compressions they will be ineffective. A big asynchronis mess hence the ACLS guidelines.

-Smiley

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Specializes in Emergency/Trauma/Education.
Definately bag with o2, if the vent gives a breath during your compressions they will be ineffective. A big asynchronis mess hence the ACLS guidelines.

-Smiley

I'm not sure of the point you're trying to make.

Ventilations via BVM are ineffective if given asynchronously during compressions. But the ACLS guidelines recommend asynchronous compressions/ventilations when the patient is intubated.

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Specializes in ER/ICU, CCRN, SRNA (class of 2010).
I'm not sure of the point you're trying to make.

Ventilations via BVM are ineffective if given asynchronously during compressions. But the ACLS guidelines recommend asynchronous compressions/ventilations when the patient is intubated.

Asynchrony in the timing need for proper CPR to maximize blood flow and oxygenation of the body. This is dependent upon both the depth of compression and the pressures in the chest to allow blood to move out of the heart to the body. I hear what your saying, I am not saying that you have to stop compressions to give breaths but giving a breath while a compression is being delivered will not go in or the compression will be altered. There still needs to be synchrony (proper timing) to maximize the effect of CPR.

-Smiley

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