Hello,
This is a equipment questions as well as a patient care questions. Currently on my paramedic practicum and they carry a Genesis II ventilator. We had a one day 2hr session on ventilators in class so my knowledge is basic and I only understand basic setup. I want to become comfortable with utilizing the genesis but I'm unable to find any literature even product manuals for this unit. Does anyone have any resources for me? Or know where I can find them?
Second questions, based on the 6-8ml/kg ARDS protocol and the ideal body weight formula the 5 setting are restrictive to patient 25kg-35kg, 50kg-65kg, 80kg-105kg and 130kg and up. Is it appropriate for the in between weights to round the tidal volumes up? Or down? If to round down would PEEP need to be increased? Would this change anything from 5-10 mm H2O? I want to do the best to avoid volutrauma and causing atelectasis for my patients. On top of all of that we only carry ETCO2 so the ventilator will be titrated to those values.
What would be safer for these patients with in between weights, to BVM them during transport?
Thanks