Search Tag: mechanical ventilation

ICU Management

Volume 18 - Issue 1, 2018

2018 16 Mar

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ICU Management

Optimising patient-ventilator synchronisation

2018 16 Mar

Dr. Lluís Blanch, Dr. Jean-Michel Arnal and Prof. Francesco Mojoli discuss why patient-ventilator synchrony is important, how to detect asynchronies, and technical solutions for optimising synchronisation. Definition and clinical effects Patient-ventilator asynchrony occurs when there is a mismatch between the patient’s inspiratory time and the mechanical... Read more

ICU Management

Shortening ventilator time: physiology is key

2018 28 Feb

Mechanical ventilation is used to decrease work of breathing. However, because complications are axiomatic to mechanical ventilation, it should be discontinued at the earliest possible time, according to a review article published in Annals of the American Thoracic Society.The overriding objective of mechanical ventilation is to decrease work and oxygen... Read more

ICU Management

Finding the best strategy to improve weaning outcomes

2018 14 Feb

Respiratory muscle dysfunction, being a common cause of weaning failure, is strongly associated with prolonged mechanical ventilation (MV) and prolonged stay in intensive care units. Strategies to improve weaning outcomes – i.e., spontaneous breathing trials, noninvasive MV and early mobilisation – can help patients to interrupt MV, according to a review... Read more

ICU Management

Ventilation-induced diaphragm atrophy impacts clinical outcomes

2018 23 Jan

Diaphragm atrophy developing during mechanical ventilation is associated with prolonged mechanical ventilation and ICU admission and an increased risk of complications of acute respiratory failure, according to new research published in the American Journal of Respiratory and Critical Care Medicine. The findings suggest the need for clinicians to target... Read more

ICU Management

Optimal approach to mechanical ventilation after cardiac arrest

2017 05 Dec

Return of spontaneous circulation after cardiac arrest results in a systemic inflammatory state called the post-cardiac arrest syndrome (PCAS), characterised by oxidative stress, coagulopathy, neuronal injury, and organ dysfunction. Further, patients who suffer cardiac arrest are at high risk for pulmonary infection. Meticulous attention to mechanical... Read more

ICU Management

Mechanical ventilation journey continues - an expert look

2017 14 Sep

While mechanical ventilation is widely used and has improved greatly since first used in the 1950s, there is still room for improvement, according to a state-of-the-art review of mechanical ventilation, published in the September 2017 issue of Mayo Clinic Proceedings. Mechanical ventilation experts Tài Pham MD, Laurent Brochard and Arthur Slutsky from... Read more

ICU Management

ICU Costs Higher for Patients Dying Before Discharge

2017 22 Aug

The high cost of critical care has engendered research into identifying influential factors. However, previous studies have not considered patient vital status at ICU discharge. This is what a new study has found: The largest drivers of ICU costs at the patient level are day 1 room occupancy and day 1 mechanical ventilation, and mortality before unit... Read more

ICU Management

5-Year Trends of Critical Care Practice and Outcomes

2017 15 Aug

According to researchers in the U.S., analyses of patients, practices, and outcomes from a large geographically dispersed sample of adult ICUs revealed trends of increasing age and acuity, higher rates of adherence to best practice, use of non-invasive mechanical ventilation and decreased use of antimicrobials, transfusions, and duration of renal replacement... Read more

ICU Management

Finding Ways to Improve Mechanical Ventilation

2017 18 Jul

A review paper published in the journal Critical Care discusses current problems associated with mechanical ventilation and some important suggestions to improve future care. The review focuses primarily on limiting tissue damage, thereby improving the safety of artificial ventilation.   Also, authors say they limited their analysis to acute respiratory distress... Read more