Anxiety during weaning was present in 0, 9 and 24% patients in the DEX, SOC and SOCDEX groups, respectively. Anxiety after extubation was present in 41, 20 and 34% in the DEX, SOC and SOCDEX groups, respectively. [ncbi.nlm.nih.gov]

• Collapse

  Flexible bronchoscopy was performed, which revealed enlarged airways with expiratory collapse. Furthermore, orifices of tracheal diverticulosis were also detected. [ncbi.nlm.nih.gov]

  Support breathing in certain illnesses, such as pneumonia, emphysema, heart failure, collapsed lung or severe trauma. Remove blockages from the airway. Allow the provider to get a better view of the upper airway. [mountsinai.org]

  Some can be manipulated to a large extent by mechanical ventilation: P A O 2, which in turn can be manipulated by altering: inspired oxygen concentration (F I O 2 ) alveolar pressure ventilation ventilation-perfusion matching - by re-opening collapsed [aic.cuhk.edu.hk]

  (especially dependent lung fields) Most important in shunting of blood past collapsed alveoli (e.g. [fpnotebook.com]

• Falling

  Find Nights Out events in Glasgow Find other events in Glasgow Sponsored Links Popular Events The Hella Mega Tour: Green Day + Fall Out Boy + Weezer - POSTPONED Rock heavyweights Green Day, Fall Out Boy and Weezer are bringing their Hella Mega Tour to [whatsonglasgow.co.uk]

  Bear numbers at the falls have dropped from average hourly counts of 55 bears in 1997 to 22 in 2005. [audubon.org]

  In the meantime, she urged residents to use caution this fall when doing yard work. [pressherald.com]

  Decelerating with same volume Volume waveform Can detect air trapping, leak, tidal volume, dyssynchrony Ventilator adjustments : I (inspiratory) time Set for PRVC and PC, VC on some vents (otherwise set flow) PS: cycles once falls below set % of peak [maryland.ccproject.com]

  When pH falls below 7.20, many physicians choose to administer sodium bicarbonate, Carbicarb, or THAM to maintain blood pH between 7.15 - 7.20. [pulmccm.org]

• Fever

  New onset of fever, purulent sputum, leucocytosis, and desaturation should prompt further investigation. [clinicaladvisor.com]

  Noninvasive ventilation in immunosuppressed patients with pulmonary infiltrates, fever, and acute respiratory failure. N.Engl.J.Med 344 (7):481-487, 2001. MacIntyre N. Improving patient/ventilator interactions. In Vincent J-L. [aic.cuhk.edu.hk]

  VAP should be suspected when a new or changing pulmonary infiltrate in seen in conjunction with fever, leukocytosis, and purulent tracheobronchial secretions. However, many diseases can cause this clinical scenario. [emedicine.com]

• Stridor

  An 86-year-old man developed stridor and acute respiratory failure after being treated for a chronic obstructive pulmonary disease exacerbation and a urinary tract infection that required mechanical ventilation. [ncbi.nlm.nih.gov]

  Extubation Obese patients are particularly at risk of post‐extubation stridor [ 29 ]. [ccforum.biomedcentral.com]

  Difficulty weaning from mechanical ventilation CCC — Weaning from mechanical ventilation hot case CCC — Non-invasive ventilation for weaning CCC — Extubation assessment in ICU CCC — Extubation assessment hot case CCC — Cuff Leak Test CCC — Post-extubation stridor [lifeinthefastlane.com]

  Additionally, NIPPV may be an effective intermediary therapy for children experiencing post-extubation de-recruitment or stridor/stertor. [academic.oup.com]

• Hypercapnic Respiratory Failure

  BACKGROUND: Long-term mechanical ventilation is a treatment for individuals with chronic hypercapnic respiratory failure, primarily caused by neuromuscular diseases, obesity hypoventilation syndrome, chronic obstructive pulmonary and restrictive thoracic [ncbi.nlm.nih.gov]

  NIV is as efficient in patients with obesity hypoventilation syndrome as in patients with chronic obstructive pulmonary disease (COPD), in case of acute hypercapnic respiratory failure [ 17 ]. [ccforum.biomedcentral.com]

  Indications for Mechanical Ventilation Indications for endotracheal (ET) intubation and mechanical ventilation include: respiratory failure; whether hypoxic respiratory failure (type I), or hypercapnic respiratory failure (type II) or both, loss of... [link.springer.com]

  The evidence for use of NIV in COPD patients and those with hypoxic respiratory failure with concomitant hypercapnic respiratory failure is substantially stronger than in other groups. [erj.ersjournals.com]

• Respiratory Disorders

  Introduction Important breakthroughs in neonatology, particularly in prevention and treatment of respiratory disorders, have extended the limits of viability to lower gestational ages. [pedsinreview.aappublications.org]

• Hypertension

  A 41-year-old man presented to the emergency department with swelling of his lips a few days after starting lisinopril for hypertension. [ncbi.nlm.nih.gov]

  According to the RIFLE classification, all patients developed some stage of compromised renal function, and hypertension was the most frequent comorbidity (22.2%). [scielo.br]

  Causes of acute respiratory failure can be extra pulmonary such as intra abdominal sepsis, pancreatitis, or intracranial hypertension; or the cause can be intrapulmonary such as pneumonia, pulmonary contusion, or aspiration. [aast.org]

  Indications PO2 < 60 mm Hg, despite non-interventional efforts (mask, bronchodilators, diuretics and physical therapy); chest wall restriction (kyphoscoliosis, thoracoplasty, COPD); CNS and brainstem disease (central apnoea); primary alveolar hypertension [medical-dictionary.thefreedictionary.com]

• Withdrawn

  METHODS: A total of 135 terminally ill patients who had mechanical ventilation withdrawn between 2013 and 2016 from a single medical center in Taiwan were enrolled. [ncbi.nlm.nih.gov]

  This list does not show Early Day Motions that were tabled by the Member, but subsequently withdrawn. To view these, or to perform a more comprehensive search of Early Day Motions, use the Early Day Motion search. [members.parliament.uk]

  In the iron lung by means of a pump, the air is withdrawn mechanically to produce a vacuum inside the tank, thus creating negative pressure. [en.wikipedia.org]

• Fear

  And the fear is that false hopes will be raised. [nytimes.com]

  Summary: Failure to intubate following RSI in the emergency department is a feared complication. Practitioners must have a predetermined course of action to cope with this event. [doi.org]

• Pneumoperitoneum

  This can manifest as pneumothorax, pneumoperitoneum, subcutaneous emphysema, pneumomediastinum and can sometimes progress to bronchopleural fistula or tension pneumothorax. [clinicaladvisor.com]

  In case of increase in airway resistance (bronchospasm, obstructed tube) or decrease in compliance of the respiratory system (obesity, atelectasis, selective intubation, surgical pneumoperitoneum, pneumothorax …), the tidal volume decreases, leading to [ccforum.biomedcentral.com]

• Hypercapnia

  A subset of patients with ARDS has mixed hypercapnia and hypoxemia despite high-level ventilator support. [ncbi.nlm.nih.gov]

  Hypercapnia and hypoxemia may coexist, although some disorders may affect gas exchange differentially. HYPERCAPNIA Hypercapnia usually is caused by hypoventilation or severe ventilation-perfusion mismatch. [pedsinreview.aappublications.org]

  Permissive Hypercapnia Permissive Hypercapnia in ARDS This single-minded focus on reducing plateau pressures derives from the likely survival benefit from low tidal volume ventilation and low plateau pressures observed in clinical trials (or if you prefer [pulmccm.org]

Asthma is a major cause of morbidity and mortality despite advances in outpatient treatment. Sometimes, children fail to respond to standard treatment and can potentially require mechanical ventilation. [ncbi.nlm.nih.gov]

PMX-DHP may improve the prognosis of severe respiratory failure in patients with AE-IPF. [ncbi.nlm.nih.gov]

Outlook (Prognosis) The outlook will depend on the reason the procedure needed to be done. References Driver BE, Reardon RF. Tracheal intubation. In: Roberts JR, Custalow CB, Thomsen TW, eds. [mountsinai.org]

Bronchiolitis due to respiratory syncytial virus was the main etiology (93.8%) and 31.3% had comorbidities. Measured respiratory pressures were PIP 29 (26-31), PPL 24 (20-26), tPEEP 9 [8-11] cmH2O. [ncbi.nlm.nih.gov]

To determine the etiology, the lower airway tract needs to be sampled. This can be done by endotracheal aspiration, bronchoalveolar lavage or by using a protected specimen brush (during bronchoscopy). [clinicaladvisor.com]

If there are no physical findings suggesting tension pneumothorax, and if ventilation-related causes of hypotension are a possible etiology, pending a portable chest x-ray, the patient may be disconnected from the ventilator and gently bagged manually [msdmanuals.com]

Crit Care Med 2010; 38:1947-1953 Mechanical ventilation : epidemiological insights into current practices. E Goligher, N Ferguson. Curr Opin Crit Care 15:44-51 Epidemiological insights into current practices. E Goligher, N Ferguson. [aast.org]

The epidemiologic characteristics and outcomes of severe trauma patients requiring prolonged mechanical ventilation (PMV) remain unclear. This retrospective study aims to investigate the outcomes of PMV in this specific group. [ncbi.nlm.nih.gov]

He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]

The use of fractional polynomials to model continuous risk variables in epidemiology. Int J Epidemiol 1999 ; 28 : 964 -74. ↵ Sauerbrei W, Meier-Hirmer C, Benner A, Royston P. [bmj.com]

OBJECTIVES: To provide a critical review of the experimental evidence surrounding the pathophysiology of ventilator-induced lung injury and to help clinicians apply the clinical recommendations to individual patients. [ncbi.nlm.nih.gov]

Moreover, it discusses practical approaches for detecting, correcting, and preventing asynchronies. Current evidence suggests that the best approach to managing asynchronies is by adjusting ventilator settings. [ncbi.nlm.nih.gov]