Wednesday, January 14, 2015

Respiratory View


User Stories

  • User sees a steadily declining pH on ABG and static minute ventilation. makes decision to increase respiratory rate to correct
  • User sees respiratory mechanics (high peak pressures + high airway resistance) and ABG in one easy place and makes decision to increase expiratory time
  • User sees declining SaO2 despite increases in FiO2 and decides to initiate Flolan
  • On rounds, resident gestures at dashboard showing all vent changes from overnight

Selecting Important Data Elements

OxygenationVentilationMechanics
Patient
SaO2+++
Prone++
Minute Ventilation+++
ETCO2++
Labs
PaO2+++
PaCO2+++
pH+++
Sputum Cx++
Vent Settings
Mode+++++
TV+++
RR set/actual+++
TV as mL/kg +++
PEEP+++
Mechanics
Compliance+++
Resistance+++
PIP+++
Pplateau+++
iPEEP+++
Meds
Flolan+++
Inhalers+
Paralytics++++++
Radiology
CXR+++
CT Chest+++

Putting it Together