Search Tag: mechanical ventilation

ICU Management

Humidification During Mechanical Ventilation: A Systematic Review

2017 07 Jun

Mechanical ventilation (MV) suppresses the mechanisms that heat and moisturise inhaled air; hence, humidification is mandatory during MV. However, a systematic review published in the journal Critical Care finds no clear advantages in terms of clinical outcomes for different humidification devices.Gas delivered during mechanical ventilation must be... Read more

ICU Management

Clinical Trials in ARDS - Challenges and Opportunities

2017 07 Jun

A number of supportive therapies have reduced mortality in acute respiratory distress syndrome (ARDS), including lung-protective mechanical ventilation, neuromuscular blockade, and prone positioning. Fluid-conservative therapy has also increased ventilator-free days in patients with ARDS. However, the lack of success of pharmacological therapies for... Read more

ICU Management

Mechanical Ventilation: Post-extubation Respiratory Support

2017 31 May

A new study, published in Annals of Intensive Care, suggests that high-flow nasal cannula (HFNC) may be a powerful respiratory support in the post-extubation period with multiple physiologic and clinical benefits. The randomised controlled trial compared HFNC versus low-flow oxygen supplied through nasal prongs or facial mask for 24 hours after extubation... Read more

ICU Management

Volume 17 - Issue 2, 2017

2017 28 May

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ICU Management

Airway Pressure Release Ventilation: What's Good About It?

2017 28 May

The use of APRV has many proposed benefits for patients with lung injury. However, quality evidence supporting the use of this technique is limited. This article summarises the purported benefits and limitations of routine use of the technique in the management of ARDS, and critically reviews the evidence supporting its use.   Airway pressure release... Read more

ICU Management

Study: Preventing Ventilator-Associated Events

2017 28 May

Nearly 800,000 hospital patients undergo mechanical ventilation in the U.S. each year due to different illnesses such as stroke, brain injury or pneumonia. Going on a ventilator can often be the difference between life and death for some patients. While a ventilator does provide assistance in breathing, it is also associated with certain risks that... Read more

ICU Management

To Withhold or Withdraw Life-support in the ICU

2017 15 May

New research finds considerable worldwide variability in decisions to withhold or withdraw life-sustaining therapy in the ICU. Notably, researchers found that almost one-third of patients with a decision to withhold/withdraw life-sustaining treatment left the hospital alive. The multicentre study, already available online as an accepted manuscript,... Read more

ICU Management

Mechanical Ventilation: Which Patients Benefit from High PEEP?

2017 21 Mar

Among patients with hypoxaemia after cardiac surgery, the use of an intensive alveolar recruitment strategy compared with a moderate recruitment strategy resulted in less severe pulmonary complications during the hospital stay, according to a randomised clinical trial of postoperative ventilation published in JAMA.See Also: Towards Safer Ventilation... Read more

ICU Management

Failure to Wean a Quality Chasm

2016 30 Sep

Writing in the Journal of Critical Care, Constantine Manthous argues that failure to awaken and wean patients on mechanical ventilation is poor practice. He suggests practical solutions to close the gap.  Manthous notes that the evidence is that mechanical ventilation can be reduced substantially in duration, thereby reducing morbidity and mortality.... Read more