Table 8.
• Assist control mode – volume ventilation | ||||||||||||||
• Reduce tidal volume to 6 mL/kg lean body weight | ||||||||||||||
• Keep inspiratory plateau pressure (Pplat) ≤ 30 cm H2O | ||||||||||||||
– Reduce TV as low as 4 mL/kg predicted body weight to limit Pplat | ||||||||||||||
• Maintain SaO2/SpO2 88–95% | ||||||||||||||
• Anticipated PEEP settings at various FIO2 requirements | ||||||||||||||
FiO2 | 0.3 | 0.4 | 0.4 | 0.5 | 0.5 | 0.6 | 0.7 | 0.7 | 0.7 | 0.8 | 0.9 | 0.9 | 0.9 | 1.0 |
PEEP | 5 | 5 | 8 | 8 | 10 | 10 | 10 | 12 | 14 | 14 | 14 | 16 | 18 | 20–24 |
* Predicted Body Weight Calculation | ||||||||||||||
• Male – 50 + 2.3 (height (inches) – 60) or 50 + 0.91 (height (cm) – 152.4) | ||||||||||||||
• Female – 45.5 + 2.3 (height (inches) – 60) or 45.5 + 0.91 (height (cm) – 152.4) |
TV, tidal volume; SaO2, arterial oxygen saturation; SpO2, pulse oximetry oxyhemoglobin saturation; PEEP, positive end-expiratory pressure