Noninvasive Mechanical Ventilation in Difficult Weaning in Critical Care: A Rationale Approach

Oct 12, 2016 by in CRITICAL CARE Comments Off on Noninvasive Mechanical Ventilation in Difficult Weaning in Critical Care: A Rationale Approach

Spontaneous breathing trial (SBT) failure Clinical assessment subjective tools Agitation and anxiety Depressed mental status Cyanosis, diaphoresis Evidence of increased breathing effort  Nasal flaring  Excessive use of accessory muscles of…

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High-Flow Nasal Cannula Oxygen in Acute Respiratory Post-extubation Failure in Pediatric Patients: Key Practical Topics and Clinical Implications

Oct 12, 2016 by in CRITICAL CARE Comments Off on High-Flow Nasal Cannula Oxygen in Acute Respiratory Post-extubation Failure in Pediatric Patients: Key Practical Topics and Clinical Implications

Fig. 52.1 Mechanism by which HFO therapy obtains better oxygen concentrations in relation to low-flow systems 52.3 Mechanism of Action [3] HFO accomplishes washout of nasopharyngeal dead space. The extrathoracic…

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Home Mechanical Ventilation in Ventilator-Dependent Children: Criteria, Outcome, and Health Organization

Oct 12, 2016 by in CRITICAL CARE Comments Off on Home Mechanical Ventilation in Ventilator-Dependent Children: Criteria, Outcome, and Health Organization

and Punkaj Gupta1 (1) Department of Pediatrics Divison of Pediatric, Pulmonology and Sleep Medicine, University Of Arkansas for Medical Sciences, Little Rock Arkansas, USA   KeywordsNeuromuscular diseasePediatricsNoninvasive ventilationMechanical ventilationNoninvasive weaning Abbreviations…

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Organization of a Weaning Unit

Oct 12, 2016 by in CRITICAL CARE Comments Off on Organization of a Weaning Unit

Fig. 46.1 Bedside attended session of muscular active training involving the upper limbs Fig. 46.2 An advanced recovery phase: patient’s flat walking using a rollator but still needing the ventilatory…

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Rational Bases and Approach of Noninvasive Mechanical Ventilation in Difficult Weaning: A Practical Vision and Key Determinants

Oct 12, 2016 by in CRITICAL CARE Comments Off on Rational Bases and Approach of Noninvasive Mechanical Ventilation in Difficult Weaning: A Practical Vision and Key Determinants

Before extubation: 1. Patient selection and timing of extubation:  Age and body mass index (BMI)  Nutritional status (both over- and underweight)  Underlying diseases (cardiac and pulmonary conditions), previous use of…

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Noninvasive Ventilation and Weaning Outcome

Oct 12, 2016 by in CRITICAL CARE Comments Off on Noninvasive Ventilation and Weaning Outcome

Fig. 55.1 Roles for NIV in the weaning and peri-extubation period. COPD chronic obstructive pulmonary disease, CPE cardiogenic pulmonary edema, SBT spontaneous breathing failure In 2001, an International Consensus Conference…

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Noninvasive Positive Pressure Ventilation by Means of a Nasal Mask May Avoid Recannulation After Decannulation in Pediatric Patients: Key Practical Aspects and Implications

Oct 12, 2016 by in CRITICAL CARE Comments Off on Noninvasive Positive Pressure Ventilation by Means of a Nasal Mask May Avoid Recannulation After Decannulation in Pediatric Patients: Key Practical Aspects and Implications

Fig. 53.1 Necker hospital decannulation flow chart The patient should be in a stable condition for at least 1 month. This delay depends on the child’s age and also on…

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