Mechanical Ventilation Expert vs Rapid Vent Calculator

Caution! This app is intended for intensive care physicians. If you are NOT a physician and would like to use it anyway, please consult your physician before using this app or making any medical decisions. This app has endorsement for usage in the Russian Federation. Many doctors deal with the treatment of patients with varying degrees of acute respiratory failure (ARF). But the choice of the optimal method and, especially, the timely correction of the parameters of invasive and non-invasive mechanical lung ventilation often cause difficulties, especially for young doctors. Unfortunately, expensive ventilation machines, without their skillful use, are not a guarantee of an improvement in the mortality rate in ARF. This has been especially evident during the COVID-19 pandemic. In international clinical practice, it is customary to determine the degree of ARF by the oxygenation index (the ratio of the partial pressure of oxygen in arterial blood (PaO2) to the fraction of inspired oxygen (FiO2)). This indicator is also included in most "severity of illness" scoring systems (SOFA, APACHE II-III, etc.). However PaO2 estimation is only possible after collecting the arterial blood for laboratory monitoring of blood gases, making it costly and invasive. In 2020-2021 a multicenter research was carried out at five clinical hospitals in Volgograd, Russia, which included 1038 patients with acute lung injury and acute respiratory distress syndrome against the background of viral (COVID-19) and bacterial pneumonia. The goals of the research were firstly, to develop a non-invasive method for determining the oxygenation index (PaO2 / FiO2) based on oxygen saturation (SpO2), and secondly, to define general criteria for correcting the parameters of invasive and non-invasive mechanical ventilation. This application is based on the results of the research. The relationship between SpO2 and PaO2 index values was determined for various FiO2 and types of respiratory support. The app also implements the general principle of oxygen therapy - from less to more invasive. The app allows the user not only to choose the most effective method of respiratory support, but also timely learn about the need for its correction. Every clinician knows that the mortality rate in patients with ARF is greatly influenced by the validity of the beginning and end of Invasive Mechanical Ventilation treatment - and this app solves this problem. The educational effect of this app should also be noted. It will help doctors to quickly master and more competently use expensive ventilation machines, which, of course, will have a beneficial effect on the results of treatment of patients with ARF. The following sources were used to create the app: 1. Brown SM, Grissom CK, Moss M, Rice TW, Schoenfeld D, Hou PC, Thompson BT, Brower RG; NIH/NHLBI PETAL Network Collaborators. Nonlinear Imputation of Pao2/Fio2 From Spo2/Fio2 Among Patients With Acute Respiratory Distress Syndrome. Chest. 2016 Aug;150(2):307-13. doi: 10.1016/j.chest.2016.01.003. Epub 2016 Jan 19. PMID: 26836924; PMCID: PMC4980543. 2. Bilan N, Dastranji A, Ghalehgolab Behbahani A. Comparison of the spo2/fio2 ratio and the pao2/fio2 ratio in patients with acute lung injury or acute respiratory distress syndrome. J Cardiovasc Thorac Res. 2015;7(1):28-31. doi: 10.15171/jcvtr.2014.06. Epub 2015 Mar 29. PMID: 25859313; PMCID: PMC4378672. 3. Yoshida T, Takegawa R, Ogura H. [Ventilatory strategy for ARDS]. Nihon Rinsho. 2016 Feb;74(2):279-84. Japanese. PMID: 26915253. 4. Fan E, Brodie D, Slutsky AS. Acute Respiratory Distress Syndrome: Advances in Diagnosis and Treatment. JAMA. 2018 Feb 20;319(7):698-710. doi: 10.1001/jama.2017.21907. PMID: 29466596. 5. Петров, В. И. Эволюция клинико-фармакологических и терапевтических принципов лечения инфекции COVID-19 / Петров В. И. [и др. ]. - Москва : ГЭОТАР-Медиа, 2021. - 312 с. - DOI: 10.33029/9704-6386-4-ECPC-2021-1-312. - ISBN 978-5-9704-6386-4.

Rapid Vent Calculator is a clinician-focused field guide and reference tool for adult ventilator setting calculations, RSI medication dosing, and quick respiratory care references. Designed for paramedics, EMS clinicians, respiratory therapists, nurses, physicians, transport teams, ER teams, ICU clinicians, and hospital-based critical care providers, Rapid Vent Calculator helps organize common ventilator and airway calculations into a fast, practical workflow. Enter patient sex, height, weight, selected mL/kg, and metabolic acidosis status to generate adult starting-point ventilator values including respiratory rate, tidal volume, and minute ventilation. Calculations use ideal body weight and lung-protective ventilation principles for adult ventilator management. Rapid Vent Calculator also includes RSI medication dosing estimates, normal ventilator values, ABG/VBG blood gas reference charts, RASS reference guidance, dark and light mode, recent session resume, and shareable result snapshots. Whether used by EMS in the field, paramedics during transport, nurses and respiratory therapists in the ER, physicians in the hospital, or ICU clinicians managing ventilators, Rapid Vent Calculator is built to keep key adult ventilation references organized and easy to access. Key features: • Adult ventilator setting calculator • Ideal body weight-based tidal volume estimates • Lung-protective mL/kg selector • Respiratory rate, tidal volume, and minute ventilation results • Metabolic acidosis ventilation mode • RSI medication dosing estimates • Normal ventilator values reference • ABG/VBG blood gas reference charts • RASS reference guide • Shareable results snapshot • Dark and light mode • Clinician-focused workflow for EMS, transport, ER, ICU, hospital, and respiratory care use Rapid Vent Calculator is intended as a clinical reference and calculation aid for licensed healthcare professionals caring for adult patients. It is not a protocol, diagnosis tool, treatment directive, or substitute for clinical judgment. All values are starting-point estimates and must be verified against the patient’s condition, local protocols, institutional policy, and clinician scope of practice.