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Ventilator Alarm Checklist
1. Ventilator Alarm Checklist
Paw High
(High airway pressures)
Tube in R main bronchus
Bronchospasm
Mucous plugs
Pneumothorax
Air-trapping
Pt cough/biting/gagging on
ETT
Patient-ventilator
dyssynchrony
Pmax set too low
PEEP set too high
Paw Low
(Low airway pressures)
ETT Cuff deflation
Oesophageal intubation
TV set too low
Chest wounds/drains
allowing air to escape
Disconnection in ventilator
circuit
Developed by Kane Guthrie, July 2013
2. Ventilator Alarm Checklist
MV High
(Minute volume high)
Pt initiating own
spontaneous breaths – give
more sedation/paralysis
Tidal volume too high
Minute volume alarm set
too low
MV Low
(Minute volume low)
ETT cuff deflation air leak
Leakage at ETCo2
connection
Tidal volume set too low
Chest wounds allowing air
to escape
Developed by Kane Guthrie, July 2013
3. Ventilator Alarm Checklist
Decreasing Spo2
Check patient & quality of
trace
Ensure probe adequately
attached
Check bilateral chest
expansion
Auscultate chest
Check tube position @ lips
Consider suctioning
Fio2%
Consider PEEP, Tidal Volume
Retake ABG/VBG
ETCO2
High ETCO2 (>45mmHg)
• Acidotic retaining Co2
Set Resp Rate
Tidal volume
Low ETCO2 (<35mmHg)
• Alkalotic blowing of Co2
Set resp rate
Tidal volmue
Developed by Kane Guthrie, July 2013
4. Crashing Ventilatored Patient
Checklist
Step 1 (D.O.P.E.S.)
Indentify problem:
Displaced ET tube/cuff not
inflated.
Obstruction of ET tube
Pneumothorax
Equipment malfunction
Stacking (Breath
stacking/auto peep)
Step 2 (D.O.T.T.S)
Fix Problem:
Disconnect pt from ventilator
Oxygen – Oxygenate patient
with BVM – feel for resistance
Tube position/function – ETT
migration/kinking/plugging
Tweak the vent- check settings
Sonogram- look for
pneumothorax, mainstem
intubation
Developed by Kane Guthrie, July 2013