MOP DIRT In The PICU

Based on my clinical experience we used in the PICU an easy acronym to remember the essential ventilator settings that need to be monitored. We used “MOP DIRT”. However, it is a general rule that might change according to for the mode of ventilation and the patient-specific condition. For instance, if you have a patient on pressure control mode, then you already have a set PIP and PEEP. So, the most significant parameter to be checked is the tidal volume. Ultimately, as an NP you still need to check your patient PIP and PEEP setting to make any adjustments.

M = Mode (AC, SIMV or PC, VC, PRVC)
O= FiO2 (21% Room Air, > 60 Consider toxic)
P= All your pressure (PEEP/ PIP/ PS)
D= Delta pressure (Difference between PIP- PEEP)
I= I:E (Typically