Category: Critical Care
Posted: 3/26/2013 by Haney Mallemat, MD
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There are several reasons why a mechanically ventilated patient may decompensate post-intubation. Immediate action is often needed to reverse the problem, but it can be difficult to remember where to start as the vent alarm is sounding and the patient is decompensating.
Consider using the mnemonic “D.O.P.E.S. like D.O.T.T.S.” to assist you in first diagnosing the problem (D.O.P.E.S.) and then fixing the problem (D.O.T.T.S.). You can view an entire lecture on the Crashing Ventilated Patient here.
Step 1: Could this decompensation be secondary to D.O.P.E.S.?
Step 2: Fix the problem with D.O.T.T.S.
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