Search Tag: mechanical ventilation

Executive Health Management

COVID-19 vs Influenza: Comparative Study

2021 20 Mar

New research compares the epidemiology and clinical characteristics of COVID-19 patients against those of influenza patients to find if hospitalis ations, morbidity and mortality differ for two diseases.   You might also like: WHO has launched a free online course dedicated to the rehabilitation of COVID-19 patients. Learn more... Read more

ICU Management

Early vs Late Tracheostomy and Ventilator-Associated Pneumonia

2021 16 Mar

Surgically opening the windpipe, or trachea, within the first seven days of the start of mechanical ventilation decreases the time patients spend on ventilators, shortens their ICU stay and lowers their risk of ventilator-associated pneumonia, according to a new systematic review. "We analysed the existing medical literature to unravel a question... Read more

ICU Management

Ventilator-Associated Pneumonia in COVID-19 Patients

2021 20 Jan

The coronavirus has a high incidence of patients with severe acute respiratory syndrome (SARS). Many patients infected with COVID-19 need to be admitted to the ICU for invasive ventilation. They are also at a high risk of developing secondary, ventilator-associated pneumonia (VAP). This is because of breach of natural defences by invasive devices,... Read more

ICU Management

Intensive Renal Replacement Therapy and Mechanical Ventilation Duration

2020 11 Oct

Acute kidney injury (AKI) is a global health issue, accounting for approximately two million deaths per year as well as presenting a heavy economic burden on healthcare systems. Hospital-acquired AKI is associated with increased risk of death and prolonged length of hospital stay.   There are no effective treatments beyond supportive care for patients... Read more

ICU Management

Risk Factors for ARDS in Mechanically Ventilated Adults

2019 16 Dec

Acute respiratory distress syndrome (ARDS) is an inflammatory process that could lead to diffuse oedema and hypoxaemic respiratory failure. It is also characterised by increased pulmonary vascular permeability, increased lung weight, and loss of aerated lung. In low and middle-income countries, ARDS mortality ranges from 26 to 58%.  A large majority... Read more

ICU Management

Virtual Reality in the Intensive Care Unit: State of Play and Future Prospects

2019 26 Sep

An overview of the practical uses of virtual reality in the ICU and the benefits it can provide. One way of defining virtual reality (VR) is as the set of techniques and systems required for human beings to enter computer-generated synthetic worlds. VR techniques are based on real-time interaction with an artificial immersive world using behavioural... Read more

ICU Management

When is mechanical ventilation harmful to the lung?

2018 07 Nov

Ventilator-induced lung injury is a multifaceted problem that has progressively become a preoccupation for intensivists and anaesthesiologists. Interestingly, it has taken many years to realise that mechanical ventilation, a life-saving technique, could also induce harm, according to an Editorial article published online in the journal Anesthesiology.... Read more

ICU Management

Vasopressors contribute to ICU-associated weakness

2018 13 Sep

In the ICU setting, nearly 25 percent of patients who receive mechanical ventilation develop muscular weakness severe enough to impair their quality of life. New research shows that mechanically ventilated patients treated with vasopressor medications had a more than three-fold increase in the odds of developing ICU-associated weakness.  Notably,... Read more

ICU Management

Inspiratory muscle training for ICU patients: first practical guide

2018 24 Jul

Inspiratory muscle weakness is a known consequence of prolonged mechanical ventilation, and there is emerging evidence that specific inspiratory muscle training (IMT) can ameliorate this weakness. Australian researchers recommend a multidisciplinary approach to IMT for patients in the intensive care unit (ICU).    "Effective IMT requires a... Read more

ICU Management

Making mechanical ventilation safe for ARDS

2018 08 Jan

The acute respiratory distress (ARDS) lung is usually characterised by a high degree of inhomogeneity. Indeed, the same lung may show a wide spectrum of aeration alterations, ranging from completely gasless regions, up to hyperinflated areas, explain Luciano Gattinoni, Tommaso Tonetti and Michael Quintel in an article published in the journal Critical... Read more