Search Tag: mechanical ventilation

ICU Management

#LIVES2019: Findings from the NONSEDA Study

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

ICU Management

Nutrition

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

ICU Management

Energy Balance in Obese, Mechanically Ventilated Patients in ICU

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

ICU Management

Noninvasive Ventilation in Early Stage Mild ARDS

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

IMAGING Management

Vaping and Lung Injury

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

ICU Management

Personalised Mechanical Ventilation - The LIVE Study

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

ICU Management

Mechanical Ventilation Effects on Neurocognitive Functions

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

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