ANESTHESIA
from Mechanical Ventilation: What Strategies Do Randomized Controlled Trials Recommend?
GCS = Glasgow coma scale; Hgb = hemoglobin; HR = heart rate. Adapted from MacIntyre NR, Cook DJ, Ely EW Jr, et al. Evidence-based guidelines for weaning and discontinuing ventilatory…
Prone Ventilation
The physiology is as follows: when a patient is moved right and left through an arc, injurious cytokines are distributed diffusely throughout the lungs. The blood flow can shift around…
Ventilation and Cardiovascular Support: The Heart-Lung Connection
Returning to the case study mentioned at the beginning of this article, the patient presented initially received PPV and then was extubated to spontaneous ventilation. Thus, the patient’s already depressed…
Ventilation in Neurologically Ill Patients
Neuromuscular weakness from spinal cord injury, peripheral nerve disease processes such as Guillain-Barré syndrome, the neuromuscular junction like myasthenia gravis, or myopathy can be assessed with a negative inspiratory force…
Lung Injury: Implications for Clinical Practice
PEEP, positive end-expiratory pressure; ARDS, acute respiratory distress syndrome; LIS, lung injury score; ALI, acute lung injury; PAOP, pulmonary artery occlusion pressure; LV, left ventricle. aSum scores from each domain…
Synchrony: Triggering, Flow Delivery, and Cycling—What’s New
See text for explanations of points a, b, c, and d. PAW = airway pressure; Pes = esophageal pressure. Another triggering problem can be caused by air trapping. When the…
of Mechanical Ventilation
See text for explanations of points a, b, c, and d. PAW = airway pressure; Pes = esophageal pressure. With the pressure breath, neither volume nor flow is being set….
Ventilation for Acute Hypoxic Respiratory Failure
Significant reduction in intubation rate.11–16 NPPV = noninvasive positive-pressure ventilation. Reprinted with permission from Intensive Care Med.17 NIV and Acute Hypoxic Respiratory Failure (AHRF): Post extubation Respiratory Failure Given that…
