Oxygenation and Ventilation for the Critical Care Provider
OXYGENATION AND VENTILATION FOR THE CRITICAL CARE PROVIDER
Kate Passow CCEMT-P kpassow@
HOW DO WE BREATHE?
Ventilation Mechanics to make it happen Oxygenation Getting oxygen to the end point
RESPIRATORY SYSTEM
Gas Exchange System ~10,000 liters of air are filtered, warmed and humidified daily Oxygen diffused into blood Carbon dioxide excreted from the body
COMPONENTS OF "BREATHING"
Ventilation Oxygenation Respiration (Diffusion) Perfusion
VENTILATION
Physiology of Ventilation Requires neurologic initiation (brainstem)
Nerve conduction pathways between brainstem and muscles of respiration
Intact & patent Upper and Lower airways
Intact & non-collapsed alveoli
RESPIRATION
Physiology of Respiration Simple diffusion process at the pulmonary-capillary bed Diffusion Requirements
Intact, non-thickened alveolar walls Minimal interstitial space & without additional fluid Intact, non-thickened capillary walls
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