Day 36 - Meet PIP & PEEP
Thursday, February 4, 2021
Morning: James had more of an eventful night than we anticipated. His oxygen and carbon dioxide levels increased higher than desired. Even though his X-ray looked good, the doctors felt it would be appropriate to put James on the JET Oscillator (I’ll debrief this shortly) to help with his lungs. His FIO2 went from 45% to 60% and his CO2 went from the 50s to the 70s. His blood still looks good, so no need for a transfusion still. His bowel movement is good, so his feed has increased to 22 ML for today.
What’s the JET?: We are FAR FROM EXPERTS on this new machine, so this will be an elementary, and possibly slightly off explanation, but we shall see....
The JET gives James the lung support he needs due to the chronic lung disease he has. It designed to open up the tiny air sacs in the lungs called the alveoli. The alveoli are where the lungs and the blood exchange oxygen and carbon dioxide during the process of breathing in and breathing out. This allows the JET to distribute air evenly to James’s lungs.
Essentially, this JET paired with the ventilator gives James precisely the support he needs. It’s slightly more advanced than the previous oscillator that he was on and should help. In fact, within his first few hours, James was able to get his CO2 back down to the 50s and FIO2 down to 55%.
PEEP and PIP: These are our new measurements to look at on the JET.
The PIP is the Peak inspiratory pressure and is the highest level of pressure applied to the lungs during inhalation. Right now is 32.5.
The PEEP is Positive end-expiratory pressure and is the pressure in the lungs above atmospheric pressure that exists at the end of expiration. This is the constant pressure going to James. Right now is 10.5.
The Rate is the vibrations and oscillations happening for James. Right now is 360.
The ventilator is providing James his “yawns” per minute. Right now is 2.
Chillin with his foot out
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