Search Tag: mechanical ventilation

ICU Management

Introducing-hamilton-medicals-ventrainer-a-mobile-application-redefining-ventilation-training

2023 05 Dec

Ventilation management is a critical aspect of patient care, and staying at the forefront of this discipline is paramount for healthcare professionals. Hamilton Medical recognizes this need for innovative training tools and is excited to introduce the VenTrainer app, which enables new training opportunities in the world of mechanical ventilation....Read more

ICU Management

Individualisation-of-mechanical-ventilation-in-obstructive-lung-disease-not-all-patients-have-ards

2023 13 Oct

Chronic obstructive pulmonary disease and asthma are pathologies par excellence with an obstructive pattern. It is important to understand the fundamentals of mechanical ventilation management in these patients. Therefore, it is crucial to perform proper measurement of respiratory mechanics in patients with obstructive pathology     Introduction...Read more

ICU Management

Seven-myths-of-mechanical-ventilation-in-paediatric-and-neonatal-patients

2023 13 Oct

In this article, we will examine clinical concepts that have persisted over time, despite advancements in our understanding of physiology and technological innovations that have demonstrated their inapplicability in the routine clinical care of paediatric patients requiring respiratory support. These enduring beliefs have effectively transformed...Read more

ICU Management

Time-definition-of-reintubation

2023 03 Oct

Mechanical ventilation is crucial for supporting critically ill patients, and a timely extubation strategy is essential for improved patient outcomes. Despite standard weaning procedures, a significant percentage of patients (3-20%) require reintubation. Post-extubation respiratory failure can cause respiratory fatigue, requiring additional mechanical...Read more

ICU Management

Mechanical-ventilation-in-patients-with-acute-brain-injury

2023 13 Jun

Acute brain injury (BI) affects millions of patients each year, with high mortality rates and significant disability. Invasive mechanical ventilation is often required for the most severe cases of BI. These patients frequently experience respiratory complications, such as ventilator-associated pneumonia and acute respiratory distress syndrome, which...Read more

ICU Management

Imaging-the-critically-ill-patient-echocardiography

2022 08 Dec

Current applications and limitations of critical care echocardiography in the critical care context and its use in guiding the care of the critically ill patient. Echocardiography in the ICU Echocardiography is currently considered an essential diagnostic tool at the disposal of the intensivist – a significant change from less than two decades...Read more

ICU Management

Surge-mechanical-ventilation-during-covid-19

2022 09 Aug

During the COVID-19 pandemic, many hospitals in the U.S. exceeded their mechanical ventilation capability. As COVID-19 spread to communities with limited immunity, challenges associated with providing surge mechanical ventilation were reported. Hospitals, healthcare systems, and jurisdictional authorities purchased more ventilators. But the fear that the...Read more

ICU Management

Sex-differences-in-treatment-of-icu-patients

2022 24 May

Sex imbalance in the ICU has been consistently reported. Worldwide, fewer women are admitted to the ICU than men. Several studies have reported systematic differences in the treatment men and women receive in ICUs. Studies from Europe, North America, and Asia all show women are less likely to receive invasive mechanical ventilation than men. Studies...Read more

ICU Management

Va-lrti-infections-in-covid-19

2022 19 Apr

COVID-19 continues to create a strain on healthcare systems around the world. Approximately 10-30% of COVID-19 patients admitted to the hospital need ICUs, and 15-20% of these patients require ventilatory support. The available data shows an increased risk of ventilator-associated pneumonia (VAP) and ventilator-associated lower respiratory tract infections...Read more

ICU Management

Findings-from-the-covid-vent-trial

2022 08 Mar

Many patients with COVID-19-associated acute respiratory failure fulfil the criteria of acute respiratory distress syndrome (ARDS) and require invasive mechanical ventilation. Therefore, it is important to understand the features of gas exchange abnormalities, respiratory mechanics and lung recruitability in these patients to provide an appropriate...Read more

ICU Management

Volume-22-issue-1-2022

2022 17 Feb

Change content default valueRead more

ICU Management

Post-hoc-analysis-of-the-nonseda-trial

2022 25 Jan

In recent years, there has been an increase in awareness of minimising sedation in the ICU. Several benefits of avoiding heavy sedation have been reported in clinical studies, and clinical guidelines also encourage less sedation.   Findings from the NONSEDA trial were published in 2020. In this trial, 700 critically ill patients were randomised to...Read more

ICU Management

Indirect-calorimetry-in-mechanically-ventilated-patients-to-assess-nutritional-targets

2021 23 Nov

An overview of the physiological aspects of indirect calorimetry, its limitations in use, the available literature and future prospects for tailored nutrition. Introduction Medical nutrition therapy (MNT) is an essential part of patient care in the intensive care unit (ICU) setting. Similar to mechanical ventilation and haemodynamic...Read more

ICU Management

Rapid-trial-therapeutic-heparin-vs-prophylactic-heparin-in-covid-19-patients

2021 19 Oct

A study was conducted to evaluate the effects of therapeutic heparin compared with prophylactic heparin among moderately ill patients with COVID-19 admitted to the hospital.   Heparin has anticoagulant properties, anti-inflammatory effects and potential antiviral effects and may also improve endothelial function. Early initiation of therapeutic heparin...Read more

ICU Management

Survival-of-mechanically-ventilated-covid-19-patients

2021 12 Oct

Approximately 14 to 17% of COVID-19 patients admitted to the hospital require transfer to the ICU. However, there is insufficient evidence regarding the long-term survival and predictive factors for mortality in patients with acute hypoxaemic respiratory failure due to COVID-19 and undergoing invasive mechanical ventilation.   A study was conducted...Read more

ICU Management

Mitigating-the-risk-of-harm-during-the-transition-from-controlled-to-assisted-mechanical-ventilation-1

2021 30 Sep

Monitoring the strength of the patient´s breathing effort, titrating the sedation, and selecting the correct mode of ventilation is vital when transitioning from controlled to assisted ventilation. Assessing The Transition From Fully Controlled to Assisted Ventilation One of the key issues with mechanical ventilation is the transition...Read more

ICU Management

Outcomes-of-mechanically-ventilated-covid-19-patients

2021 17 Aug

Millions of people worldwide have been infected with COVID-19, with many requiring hospitalisation. Approximately 30% of hospitalisaed patients with COVID-19 are started on invasive ventilation for several pneumonia. Invasive ventilation portend a poor prognosis as approximately 40% of these patients do not survive hospitalisation. Even those who survive...Read more

ICU Management

Practical-strategies-in-mechanical-ventilation-for-patients-with-covid-19-acute-respiratory-failure

2021 24 Jun

COVID-19 represents a challenge in respiratory therapy. Evidence-guided protective mechanical ventilation is essential to reduce mortality. “Only a set of well-directed strategies can combat a formidable enemy.” Introduction The SARS-CoV-2 virus responsible for the COVID-19 pandemic has a wide variety of clinical presentations. Age...Read more

ICU Management

Prone-positioning-and-survival-in-mechanically-ventilated-covid-19-patients

2021 22 Jun

Coronavirus disease is still fairly new for clinicians who are constantly searching for therapies for patients with respiratory failure from COVID-19. Early implementation of prone positioning ventilation has been shown to improve survival in patients with ARDS. However, data on the effect of probing on survival in patients with COVID-19 is still scarce....Read more

ICU Management

Protective-ventilation-and-outcomes-in-patients-with-covid-19

2021 15 Jun

The coronavirus pandemic continues to be a global health issue. Clinical outcomes data of patients from China, Europe and the U.S. show high mortality among critically ill patients with COVID-19, especially those who required mechanical ventilation.   Among patients with COVID-19, approximately 5% develop respiratory failure that requires ventilatory...Read more

ICU Management

Effects-of-ventilatory-rescue-therapies-in-mechanically-ventilated-covid-19-patients

2021 23 Mar

Several publications have highlighted the features of COVID-19-associated acute respiratory distress syndrome (ARDS). Patients with COVID-19 ARDS have a form of injury that resembles ARDS unrelated to COVID-19. International guidelines recommend adherence to evidence-based management strategies, including lung-protective mechanical ventilation and...Read more

ICU Management

Cognitive-impairment-brain-insult-after-mechanical-ventilation

2021 16 Mar

Mechanical ventilation is an essential treatment strategy in the ICU. It is a life-support tool that is often needed in critically ill patients. However, mechanical ventilation is known to cause injury to distal organs such as the lungs, diaphragm and brain. A systematic review was conducted to identify publications that assessed the link between...Read more

ICU Management

Volume-21-issue-1-2021-1

2021 24 Feb

Change content default valueRead more

ICU Management

How-to-ventilate-covid-19-patients-1

2021 22 Feb

TwinStream ®  ICU with p-BLV ®  (Pulsatile Bilevel Ventilation) T he Austrian critical care ventilator TwinStream ®  ICU was designed with the explicit purpose of saving critically respiratory-distressed patients. In particular those patients with severe lung diseases (e.g. ARDS) who can no longer be supported with conventional ventilation. ...Read more

ICU Management

20-lessons-from-2020

2021 22 Feb

The COVID-19 pandemic has had a significant impact on ICUs and critical care healthcare providers all across the globe. As of this week, 110 million people have been infected with the virus worldwide, and 2.4 million have died. Many of the infected patients need hospitalisation and admission to the ICU. A high percentage of severely ill patients with...Read more

ICU Management

Ventilator-associated-events-in-mechanically-ventilated-patients

2021 06 Feb

Critically ill patients in the ICU often require life-saving mechanical ventilation. For many, this is an unavoidable intervention, despite the multiple complications associated with it. Ventilator-associated event (VAE) surveillance was proposed in 2013 by a working group of the Centers for Disease Control and Prevention (CDC). Three tiers of VAEs...Read more

ICU Management

Ea20-ethics-and-triage-in-covid-19

2020 01 Dec

In an extremely informative session at the Euroanaesthesia 2020 this week, Caterina Aurilio of Naples, Italy, discussed triage in COVID-19 - who should be ventilated? Prof. Aurilio highlighted the fact that guidelines had been developed by different health systems across the globe to provide treatments in the ICU and to reduce the burden on doctors...Read more

ICU Management

Intensive-care-ventilators-a-primary-option-for-treatment-of-covid-19-patients-in-the-icu

2020 06 Nov

Summary &   recommendations regarding ventilators   Intensive care ventilators are normally found in the hospital Intensive Care Unit. This category of ventilators support lung protective ventilation recommended by several international guidelines and the World Health Organization (WHO). An intensive care ventilator must be considered as the...Read more

ICU Management

Getinge-launches-nicci-the-latest-innovation-in-advanced-hemodynamic-monitoring

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