Care Fusion 3100B Pocket Manual page 40

Indications
Power/amplitude and mP have been optimized with no net improvement in PaCO .
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2
Frequency has been lowered to four Hz or less with no improvement in PaCO .
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Inspiratory Time % has been increased with no improvement in PaCO .
2
Procedure
1. With a syringe attached to the endotracheal tube pilot balloon, withdraw air.
2. Reduce the inflation of the cuff until you see a drop in the mP by
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approximately 5 cmH O.
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3. Increase the bias flow to correct to the desired mP level.
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Monitoring for cuff leak patency
If mP increases, suction hypopharynx and reassess. If mP is lower than desired,
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reassess and re-adjust the cuff air pressure to the target mP level desired. Mean
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airway pressure may change after patient position changes; reassessment should be
done after the change.
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