Search Tag: mechanical ventilation
2020 26 Oct
NICCI is Getinge’s latest innovation in Advanced Hemodynamic Monitoring, providing continuous and noninvasive hemodynamic insights to reduce the risk of severe complications for patients with low blood pressure. Blood pressure is one of the most important variables evaluated during almost every surgical intervention, but recent...Read more
2020 19 Oct
Many COVID-19 patients develop severe bilateral viral pneumonia, which evolves into acute respiratory distress syndrome (ARD). High-flow nasal oxygen therapy (HFNO) has been shown to be effective in decreasing the need for endotracheal intubation with patients with acute hypoxaemic respiratory failure (ARF). However, in patients with COVID-19, the recommendation...Read more
2020 19 Oct
Acute respiratory distress syndrome (ARDS) is the clinical expression of acute, non-haemodynamic lung oedema. It is typically diagnosed by hypoxaemia, and bilateral lung infiltrates in the absence of increased capillary hydrostatic pressure. ARDS represents nearly a quarter of the ICU patients who require mechanical ventilation. There is significant...Read more
2020 30 Sep
The clinical effectiveness of Getinge ’s patented Neurally Adjusted Ventilatory Assist (NAVA), which uses the patient’s own respiratory drive to control ventilator assistance, is supported in the NAVIATOR trial. According to the NAVIATOR trial, NAVA significantly increased the number of ventilator-free days and shortened the time of mechanical ventilation...Read more
2020 23 Sep
Getinge is announcing a voluntary medical device recall for the Servo-i ventilator system due to a potentially shorter than specified nebulizer connector. This issue does not affect the functionality of the Servo-i ventilator system. To date, there have been no adverse events reported resulting in serious illness or injuries related to the mentioned...Read more
2020 14 Sep
T he process of ageing cannot be defined by a number. The World Health Organization classifies anyone over the age of 65 as elderly. However, it is important to understand that ageing is a complex process, and we must consider physiological and cognitive vulnerabilities when talking about ageing as they can make some elderly people more prone to...Read more
2020 11 Aug
Nassim Taleb, in his book, "The Black Swan: The Impact of the Highly Improbable," describes the term Black Swan as a rare, unknown event, which with hindsight is rationalised. Taleb talks about the human tendency to always find simplistic explanations for unknown events, what he calls the Black Swan theory. Is COVID-19 a black swan?...Read more
2020 07 Jul
Getinge has received 510(k) clearance from the US Food & Drug Administration (FDA) for the company’s Servo-air® mechanical ventilator, which is part of the Servo family that supports intensive care ventilation ever since the first model was introduced in 1971. "We are happy to be able to help clinicians in their endeavor to save lives by adding...Read more
2020 27 May
There is no specific treatment for COVID-19 patients. For those who develop respiratory failure and are unable to oxygenate with non-invasive methods, critical care doctors are providing supportive therapy. Since the pandemic started, mechanical ventilation has routinely been employed to oxygenate seriously ill COVID-19 patients. Each hospital has...Read more
2020 19 May
Prof. Maurizio Cecconi is the President-Elect of the European Society of Intensive Care Medicine (ESICM). He is also the Head of Anaesthesia and Intensive Care Department at Istituto Clinico Humanitas and a full professor of Anaesthesia and ICU at the Humanitas University. Prof. Cecconi has worked in different healthcare systems, including the...Read more
2020 03 Apr
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is causing rapidly spreading illness, and COVID-19 has now affected thousands of people around the world. Clinicians are in urgent need of guidance to deal with this crisis. A panel of 36 experts from 12 countries proposed 53 questions, reviewed literature for direct and indirect...Read more
2020 24 Mar
The Current Situation and Challenge of COVID-19 Over 170,000 people have been diagnosed with COVID-19. The number of confirmed cases outside the Chinese mainland has already reached over 90,000. On March 11th, WHO officially declared COVID-19 a pandemic. No doubt that mechanical ventilation is one of the most effective therapy strategies...Read more
2020 24 Mar
Life has come to a standstill as critical care doctors continue to battle COVID-19. The pandemic has led to shortages of essential goods and services - from hand sanitizers to masks to beds to ventilators. Today, the healthcare system is facing the prospect of rationing medical goods and services. Mechanical ventilation, in particular, has come...Read more
2020 26 Jan
Approximately 2.5% of adults acutely admitted to an ICU develop upper gastrointestinal bleeding. 70% of these patients are prescribed stress ulcer prophylaxis. Proton pump inhibitors are the most commonly prescribed drugs as they reduce bleeding risk. However, there are some clinicians who prescribe histamine-2 receptor blockers. But this practice...Read more
2020 15 Jan
(I expert, I question, I answer) Have you got something to say? Visit https://healthmanagement.org/c/icu/list/blog or contact [email protected] Jeremy M. Kahn Professor of Critical Care Medicine and Health Policy & Management - University of Pittsburgh School of Medicine and Graduate School of Public Health,...Read more
2019 28 Dec
As we move into 2020, here's a quick recap of our most clicked stories in ICU in 2019: Using Biomarkers for Mortality Prediction in Patients With Sepsis A new study evaluated the prognostic value of six biomarkers at onset of sepsis in adult patients with sepsis or septic shock. Risk Factors for Frailty and Death in the ICU...Read more
2019 14 Nov
Inspiratory effort during mechanical ventilation can have both beneficial and deleterious effects on the patient. Inspiratory effort can increase the tidal volume, but at the same time, also increase global lung stress due to an increased transpulmonary driving pressure, which eventually leads to lung injury. Some studies indicate that the level...Read more
2019 07 Nov
For most patients who are admitted to the ICU and require mechanical ventilation, conventional modes of ventilation usually suffice. However, there are some patients who may require fine adjustments in ventilation so that the work of breathing is minimised, and the patient is still adequately ventilated and oxygenated. Over the years, many...Read more
2019 21 Oct
Patients in the ICU who undergo mechanical ventilation often receive a high fraction of inspired oxygen (FIO 2 ) and have a high arterial oxygen tension. It is believed that conservative oxygen therapy could reduce oxygen exposure and diminish lung and systemic oxidative injury, thus increasing the number of ventilator-free days. A study was...Read more
2019 01 Oct
Palle Toft of Odense University Hospital presented the findings of the “No sedation compared to sedation with a daily wake-up trial. A prospective randomized multicentre study - The NONSEDA-study” @ESICM in Berlin. The NON-SEDA study is a Scandinavian multicentre study conducted in Denmark, Norway, and Sweden that compared non-sedation with light...Read more
2019 26 Sep
The critically ill patient is often unable to feed by mouth. This condition, in some patients, can range from days to months. It is imperative that these patients receive macronutrients either through enteral or parenteral nutrition. If they don't, there is a risk of an energy deficit that could lead to loss of lean body mass and subsequently, other...Read more
2019 10 Sep
Clinical evidence shows that overfeeding critically ill patients is associated with poor outcomes. Obesity is a major challenge in ICU patients because of the comorbidities and anomalies associated with it. Determining an appropriate dose of enteral nutrition is difficult in this patient population and the risk of overfeeding quite high. An...Read more
2019 06 Sep
A recent study assessed the ability of early noninvasive ventilation (NIV) intervention to decrease the need for invasive ventilation in patients with mild forms of acute respiratory distress syndrome (ARDS). This method has already proved successful for acute respiratory failure patients but has not been tested in ARDS. Use of NIV in ARDS patients...Read more
2019 28 Aug
The U.S. Centers for Diseases Control and Prevention (CDC) is currently investigating 193 cases where severe lung injury has been linked to e-cigarettes or ‘vaping’ use across 22 states in America, with one reported death. Vaping has gained significant popularity over the past few years, especially amongst teenagers, as an alternative to traditional...Read more
2019 18 Aug
The effectiveness of personalised mechanical ventilation in patients with acute respiratory distress syndrome (ARDS) is still unclear. A new study was conducted in France to test whether a mechanical ventilation strategy personalised to an individual patient's lung morphology could improve survival compared with the standard of care. For the...Read more
2019 08 Aug
The hypothesis that mechanical ventilation (MV) can cause neurotoxicity in critically ill patients has long been debated. First reported in 1999, MV is thought to trigger chronic cognitive disorders. Brain damage induced by MV can be caused by alveolar stretching, abnormalities in PaO 2 /PaCO 2 , biotrauma and MV causing direct brain inflammation....Read more
2019 09 Jul
Patient-ventilator asynchrony is frequent during invasive mechanical ventilation. If patient-ventilator interaction is poor, it can prolong the duration of mechanical ventilation and can also result in longer ICU and hospital stay as well as increased mortality. It is thus important to optimise patient-ventilator interaction. There are many factors...Read more
2019 20 Jun
Over 1 million people patients throughout the world receive mechanical ventilation for acute respiratory failure. The management of these critically ill patients and liberating them from invasive ventilation is one of the most important decisions clinicians have to make. Liberation from ventilation is also a major dilemma for clinicians because...Read more
2019 30 May
A case from a specialised weaning centre Using a case of a former patient we describe the structured approach of analysis of the cause of weaning failure with corresponding specific therapies used in our Centre for Expertise. Previously, we suggested a structural approach for diagnosing the cause of weaning failure (Heunks and van...Read more