Conventional Mechanical Ventilation: Initial Settings

Learning Objectives
Identify the core mechanical ventilation equipment and accessories required immediately after successful endotracheal intubation to support pediatric patients of varying sizes
Explain how ventilator modes and mandatory breath types relate to intubation goals, patient physiology, and initial airway management priorities
Apply appropriate initial ventilator setup following intubation by selecting mode, tidal volume or pressure targets, inspiratory time, and oxygen concentration based on patient characteristics
Analyze ventilator settings after intubation to detect potential risks such as inadequate ventilation, air trapping, or excessive airway pressures, and determine necessary adjustments
Evaluate the safety and effectiveness of post‑intubation ventilator configuration to ensure adequate gas exchange while minimizing ventilator‑induced lung injury
Author(s)
Barry Grenier, RRT-NPS
Coordinator of Learning and Development, Respiratory Care Department | Boston Children's Hospital
Traci Wolbrink, MD, MPH
Co-Director, OPENPediatrics; Co-Director, Center for Educational Excellence and Innovation; Program Director, Pediatric Critical Care Medicine Fellowship; Senior Associate in Critical Care Medicine | Boston Children’s Hospital
Associate Professor of Anaesthesia | Harvard Medical School
Citation
Grenier B, Wolbrink TA. Conventional Mechanical Ventilation: Initial Settings. 1/2015. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3055/conventional-mechanical-ventilation-initial-settings.
