Search Tag: mechanical ventilation

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

ICU Management

Outcomes after 1 week of mechanical ventilation for patients and families

2017 15 Sep

We review recent findings on outcomes in adults after mechanical ventilation for one week or more in the intensive care unit, exploring both patients and their family perspectives.   Critical illness survivorship carries a burden of physical and neuropsychological disabilities (Griffiths and Jones 1999; Herridge and Cameron 2013). These determine... Read more

ICU Management

Ultrasound-guided mechanical ventilation

2017 15 Sep

Point-of-care ultrasound (POCUS) is now a tool used worldwide, integrating clinical assessment of the critically ill. In this review, we focus on lung, diaphragm and cardiac ultrasound in the management of the mechanically ventilated patient. Ultrasound provides useful information to assess and monitor lung aeration, to set mechanical ventilation... Read more

ICU Management

Targeted Therapeutic Mild Hypercapnia After Cardiac Arrest

2017 28 May

Cardiac arrest (CA) causes ischaemic brain injury and persistent cerebral hypoperfusion and cerebral hypoxia during the early post-resuscitation period. PaCO2 is the major physiological regulator of cerebral blood flow, is a modifiable component of care and mild hypercapnia may lead to improved neurological outcomes for resuscitated CA survivors.... Read more