Ventilator Setup (Overview)

ICU · ICU · 10–20 min

Initial ventilator settings for the intubated patient.

Indications

  • Mechanical ventilation initiation

Equipment

  • Ventilator
  • Circuit
  • HME filter
  • ETT

Positioning

  • As appropriate for the procedure and patient comfort.

Consent

  • Explain indication, benefits, alternatives
  • Explain risks & complications
  • Obtain written/verbal consent as per SOP
  • Document consent

Universal precautions

  • Hand hygiene
  • PPE — gloves, mask, eye protection
  • Aseptic technique
  • Sharps safety
  • Verify patient identity & site

Step-by-step (0/7)

Tap to complete

1. Choose mode

Volume AC or PC-AC; PS if weaning.

2. Tidal volume

3. Rate

4. PEEP

5. FiO2

6. I:E ratio

7. Reassess

Immediate complications

  • Barotrauma
  • Hypotension

Delayed complications

  • VAP
  • Ventilator-induced lung injury

Recognition

  • High plateau
  • Desat

Initial management

  • Reduce Vt; PEEP; sedation

Prevention

  • Lung-protective ventilation
  • VAP bundle

Post-procedure observation

  • Vitals q15min × 1h then hourly

Monitoring

  • Site inspection
  • Symptom review

Documentation

  • Procedure note
  • Consent
  • Findings

Patient instructions

  • Report pain, bleeding, fever, worsening symptoms

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

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WardRound

Clinical Decisions in Seconds