Peak airway pressure. This reflects the pressure required to overcome airway resistance and is the peak pressure during the inspiratory cycle. O above this. If the peak inspiratory pressure increases, you need to consider obstruction in the ET tube, bronchospasm decreased lung compliance, or a pneumothorax from barotrauma. Sedation and neuromuscular paralysis.
Sedation allows better patient compliance with the ventilator as well as rest and anxiety control.
Dosages should be titrated to desired effect, with monitoring of hemodynamic and respiratory status. Neuromuscular paralysis is occasionally necessary if sedation fails, but patients should still be sedated . Monitoring alarms must be functioning because ventilator malfunction is rapidly fatal if the patient is paralyzed. Start 20 to 40 minutes after bolus when there is evidence of spontaneous recovery from bolus. If necessary, a neostigmine-atropine combination can be used to reverse its effects.