Page 223 - 2023 SMOG Digital

Ventilator Exchange Checklist
Two person procedure- One for airway, one for ventilator.

• All persons in the room/area in full PPE
• All equipment gathered and field prepped
• Transport ventilator preset / staged in sequence with circuit-
EtCO 2- *Filter-Inline Suction
• Temporarily hyper-oxygenate with 100% FiO 2 prior to
exchange
• Allow patient to inhale
• Clamp tube at end of inhalation (ensure use of smooth
clamps or pad ET tube)
• Place primary/in use ventilator in Stand-by (ex. T1) or
disconnect inspiratory limb from ventilator side- ensuring to
minimize contamination from in-use vent and circuit
• Break the circuit
• Place transport ventilator on patient
• Unclamp ET Tube (ensure tube is open)
• Verify Ventilation

* HME/viral filters should be placed as close to patient as possible
and in accordance with manufacturer guidelines

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