Search Tag: invasive mechanical ventilation

ICU Management

To Mobilise or Not to Mobilise

2023 24 May

Patients who receive prolonged ventilation are at significant risk of muscle atrophy, severe weakness, long-term disability, and increased mortality. Early mobilisation has been advocated in multiple international guidelines, with widespread support from healthcare professionals.   Early mobilisation is believed to have potential benefits, such... Read more

ICU Management

Functional Outcomes After Invasive Mechanical Ventilation for Older Adults

2023 02 May

Invasive mechanical ventilation can be a life-saving treatment, but it has poor short- and long-term outcomes for patients. In older adults, especially those with pre-existing long-term care needs due to functional and cognitive impairment, it may not be beneficial and could cause more suffering. Therefore, it is important to discuss with patients... Read more

ICU Management

Invasive Mechanical Ventilation and the Pulmonary Microbiota

2022 29 Aug

Healthy lungs are necessary to accomplish O 2 /CO 2 exchange between blood and external air. The pulmonary microbiota is critical for maintaining the functional balance of the lungs and is associated with the development and progression of respiratory diseases, such as asthma, chronic obstructive pulmonary disease, cystic fibrosis (CF), non-CF bronchiectasis,... Read more

ICU Management

RECOVERY Trial: Use of Aspirin in Patients With COVID-19

2021 14 Dec

The use of aspirin has been proposed as a treatment for COVID-19 because of its anti-thrombotic properties. Thrombosis is a key feature of COVID-19, with 5-30% of hospitalised patients having a major venous thromboembolic event and up to 3% having an arterial thromboembolic event.   The Randomised Evaluation of COVID-19 Therapy (RECOVERY) trial is... Read more

ICU Management

Prone Position in Awake, Non-Intubated Patients with ARDS: From Physiology to the Bedside

2021 22 Feb

Prone position (PP) in awake, non-intubated patients with respiratory failure is a physiology-based ventilatory strategy that improves oxygenation and may decrease the need for intubation and invasive mechanical ventilation (IMV). Introduction During the pandemic caused by the SARS-CoV-2 virus, which produces coronavirus disease... Read more

ICU Management

High-flow Nasal Oxygen vs. Invasive Mechanical Ventilation in COVID-19

2021 14 Feb

COVID-19 has caused thousands of cases of acute respiratory failure with a high mortality rate. However, so far, the use of high-flow nasal oxygen (HFNO) has been limited even though it may be an appropriate initial therapy in COVID-19 patients with acute respiratory failure. The use of invasive mechanical ventilation remains the primary treatment... Read more

ICU Management

Use of Non-Invasive Ventilation in Critically Ill Older Adults

2020 24 Oct

In seriously ill older adults or those near the end of life, acute respiratory failure is a common cause of hospitalisation. These hospitalisations are generally complicated by distressful respiratory symptoms and transitions that require the use of high-intensity, high-risk interventions, including invasive mechanical ventilation (IMV) and non-invasive ventilation... Read more

ICU Management

Respiratory Support Strategies For Severe COVID-19

2020 12 Mar

At this moment, over 100,000 people has been diagnosed with COVID-19. The number of confirmed cases outside the Chinese mainland has already reached over 25,000. Countries like Japan, South Korea, Italy and Iran have reported thousands of COVID-19 cases. AS the World Health Organization warned that "the window of opportunity is narrowing" to contain... Read more

ICU Management

Clonidine for Sedation in the Critically Ill

2017 05 Apr

According to a systematic review and meta-analysis, there is insufficient data to support the routine use of clonidine as a sedative in the mechanically ventilated population. See Also : Towards Safer Ventilation in Critically ill Patients without ARDS Patients who are critically ill and on invasive mechanical ventilation (IMV) often require... Read more