Decision Modeler Report

Initial FIO2 and PEEP Brigham and Womens

Published: 4/14/2020

By: John Svirbely MD

Table of Contents

Initial FIO2 and PEEP Brigham and Womens

Overview

PEEP and FIO2

Decision Requirement Diagram

Elements

Initial FIO2 and PEEP Brigham and Womens

Overview

The initial FIO2 and PEEP for a patient on mechanical ventilation can be based on the ARDS Network recommendations.

PEEP and FIO2

Decision Requirement Diagram

Elements

Initial PEEP in cm H2O (Decision)

Decision Logic (Decision Table)

Initial PEEP in cm H2O

F

Body Mass Index BMI

Initial PEEP in cm H2O

Description

1

<35

5

2

>=35

10


PEEP in cm H2O after adjusted for FIO2 (Decision)

Decision Logic (Decision Table)

PEEP in cm H2O after adjusted for FIO2

P

Body Mass Index BMI

FIO2 required for SpO2 92 to 95 as a decimal fraction

PEEP in cm H2O after adjusted for FIO2

Description

[0.21..1]
"5", "5 to 8", "5 to 14", "8 to 10", "10", "10 to 14", "14", "14 to 18", "14 to 16", "16 to 18", "18 to 24", "20", "22", "22 to 24"

1

<35

[0.21..0.4)

"5"

2

<35

[0.4..0.5)

"5 to 8"

3

<35

[0.5..0.6)

"8 to 10"

4

<35

[0.6..0.7)

"10"

5

<35

[0.7..0.8)

"10 to 14"

6

<35

[0.8..0.9)

"14"

7

<35

[0.9..0.95)

"14 to 18"

8

<35

[0.95..1]

"18 to 24"

9

>=35

[0.21..0.4)

"5 to 14"

10

>=35

[0.4..0.5)

"14 to 16"

11

>=35

[0.5..0.6)

"16 to 18"

12

>=35

[0.6..0.7)

"20"

13

>=35

[0.7..0.8)

"20"

14

>=35

[0.8..0.9)

"22"

15

>=35

[0.9..0.95)

"22"

16

>=35

[0.95..1]

"22 to 24"


References (Knowledge Source)

Description

Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000; 342: 342: 1301-1308.

Attachment

Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.

Body Mass Index BMI (Decision)

Description

To calculate the body mass index(BMI) for a patient in kilograms per square meter.

Semantic Link

Decisions - Body Mass Index BMI

Decision Logic (Literal Expression)

Body Mass Index BMI

Weight in kg/(Height in meters**2)


FIO2 required for SpO2 92 to 95% as a decimal fraction (Input Data)

Semantic Link

Demographics Vitals Pulmonary - FIO2 as a decimal fraction

Height in meters (Input Data)

Semantic Link

Decisions - Height in meters

Weight in kg (Input Data)

Description

A person's body weight in kilograms

Semantic Link

Decisions - Weight in kg