• Invasive Ventilation
• Can be spontaneous or forced breathing

Indication

critically ill patient

1. Protecting Airway
   • Altered LOC
   • Absent cough & gag reflexes
   • Pulmonary toileting
     • excessive secretion: CF - Cystic Fibrosis, Bronchiectasis
2. Ventilation
   1. !Hypoxemic/Type I RF
3. Increased WOB - Work of Breathing
   • High respiratory drive

Cardiac Arrest

• in !Cardiac Arrest : was not found to improve outcome
• DO NOT allow intubation attempts to cause prolonged interruptions of the CPR.
  • Consider following the first epinephrine dose in both shock/non-shock
• ETT is the first step in the post cardiac arrest algorithm
• Allows monitoring of Carpnography / pETCO2 (35-50)
  • Indicator of the CPR quality and ROSC

Operation

Input

• FiO2 (0.21 - 1)
• RR
• Tidal Volume

*In !ARDS : lung protected ventilation (low pressure to achieve O2 sat of 88%)