Protective Lung Strategies

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Banned
Posts: 602
Joined: Sun Feb 17, 2008 10:04 pm

Protective Lung Strategies

Post by Banned » Sat Sep 06, 2008 8:09 am

http://www.ards.org/learnaboutards/trea ... egies.html

I had a Minute Ventilation alarm go off once for two nights running while on AVAPS. Does anyone know what a Minute Ventilation is?

As far as lung protection I may not have blown my lungs out yet, but the effect maybe cumulative?

Banned
AVAPS: PC AVAPS, EPAP 15, IPAP Min 19, IPAP Max 25, Vt 520ml, BPM 10, Ti 1.8sec, RT 2 (Garage)
BiPAP Auto SV: EPAP 9, IPAP Min 14, IPAP Max 25, BPM 10, Ti 2sec, RT 2 (Travel Machine)
VPAP Adapt SV: EEP 10.4, Min PS 4.4 (Every Day)
Mask: Quattro

-SWS
Posts: 5301
Joined: Tue Jan 11, 2005 7:06 pm

Re: Protective Lung Strategies

Post by -SWS » Sat Sep 06, 2008 8:38 am

Banned, minute volume is the total volume of air respirated or breathed over a minute. The minute ventilation alarm means minute volume dropped below an acceptable threshold.

My understanding is that protective lung strategies are methods of providing mechanical ventilation (to patients with acute lung injury/illness) such that risk of further lung injury is minimized. Those strategies can entail limiting pressure plateaus, low tidal volumes, minimizing the work of breathing with PEEP, etc. However, the benefits for each of those techniques or strategies must be weighed against any possible detrimental affects of failing to meet the most basic biologic requirements of respiration (e.g. maintaining sufficient blood gases, keeping the airway clear, etc.)

http://www.chestjournal.org/cgi/content/full/128/5/3089