Search Tag: mechanical ventilation

ICU Management

Effects of Sedatives and Opioids on Patient Ventilator Asynchrony

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

ICU Management

Liberation from Mechanical Ventilation

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

ICU Management

A structural approach for diagnosing weaning failure

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

ICU Management

Sedation with dexmedetomidine in critically ill patients

2019 30 May

Dexmedetomidine is used to sedate patients while maintaining a certain degree of sustainability. The use of dexmedetomidine is known to reduce the duration of mechanical ventilation and delirium among patients in the intensive care unit (ICU). However, its use as the sole sedative agent in patients undergoing mechanical ventilation has not been studied... Read more

ICU Management

How to improve patient-ventilator synchrony

2019 16 Apr

Waveform analysis and optimization of ventilator settings Anita Orlando, MD, Servizio di Anestesia e Rianimazione I, Fondazione IRCCS Policlinico San Matteo, Pavia, IT Background Asynchronies are a frequent issue in ventilated patients.1They represent a mismatch between the inspiratory and expiratory times of patient and ventilator,... Read more

ICU Management

Innovations in ICU ventilation

2019 14 Mar

The future delivered   In this article, we aim to summarise the developments in mechanical ventilation that we believe are shaping the present and will shape the future ahead.   Introduction   Many centuries ago, Socrates stated that “the secret of change is to focus all of your energy, not on fighting the old, but on building the... Read more

ICU Management

Using ultrasound to prevent diaphragm dysfunction

2019 24 Jan

Diaphragm ultrasound is a valuable tool to diagnose and prevent ventilator induced diaphragm dysfunction. This review focuses on the use of ultrasound to assess diaphragm structure and function in ventilated patients. The diaphragm is the primary muscle of inspiration. It is a thin dome-shaped muscle that inserts into the lower ribs, xiphoid... Read more

ICU Management

LIVES2018: Does energy-dense nutrition improve outcomes?

2018 22 Oct

The effect of delivering nutrition at different calorie levels during critical illness is uncertain, and patients typically receive less than the recommended amount. A new randomised trial demonstrates that in patients undergoing mechanical ventilation, increasing energy intake with the administration of energy-dense enteral nutrition did not affect... Read more

ICU Management

Increased expiratory muscle effort plays role in weaning failure

2018 23 May

Respiratory muscle weakness in critically ill patients is associated with difficulty in weaning from mechanical ventilation. New research also indicates that weaning failure is associated with increased effort of the expiratory muscles and impaired neuromechanical efficiency of the diaphragm, but no difference in tonic activity of the diaphragm.... Read more

ICU Management

Volume 18 - Issue 1, 2018

2018 16 Mar

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