Ventilator weaning. Medical search

Mechanical devices used to produce or assist pulmonary ventilation.

Techniques for effecting the transition of the respiratory-failure patient from mechanical ventilation to spontaneous ventilation, while meeting the criteria that tidal volume be above a given threshold (greater than 5 ml/kg), respiratory frequency be below a given count (less than 30 breaths/min), and oxygen partial pressure be above a given threshold (PaO2 greater than 50mm Hg). Weaning studies focus on finding methods to monitor and predict the outcome of mechanical ventilator weaning as well as finding ventilatory support techniques which will facilitate successful weaning. Present methods include intermittent mandatory ventilation, intermittent positive pressure ventilation, and mandatory minute volume ventilation.

Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2).

RESPIRATORY MUSCLE contraction during INHALATION. The work is accomplished in three phases: LUNG COMPLIANCE work, that required to expand the LUNGS against its elastic forces; tissue resistance work, that required to overcome the viscosity of the lung and chest wall structures; and AIRWAY RESISTANCE work, that required to overcome airway resistance during the movement of air into the lungs. Work of breathing does not refer to expiration, which is entirely a passive process caused by elastic recoil of the lung and chest cage. (Guyton, Textbook of Medical Physiology, 8th ed, p406)

A method of mechanical ventilation in which pressure is maintained to increase the volume of gas remaining in the lungs at the end of expiration, thus reducing the shunting of blood through the lungs and improving gas exchange.

The volume of air inspired or expired during each normal, quiet respiratory cycle. Common abbreviations are TV or V with subscript T.

Failure to adequately provide oxygen to cells of the body and to remove excess carbon dioxide from them. (Stedman, 25th ed)

The capability of the LUNGS to distend under pressure as measured by pulmonary volume change per unit pressure change. While not a complete description of the pressure-volume properties of the lung, it is nevertheless useful in practice as a measure of the comparative stiffness of the lung. (From Best & Taylor's Physiological Basis of Medical Practice, 12th ed, p562)

Body ventilators that assist ventilation by applying intermittent subatmospheric pressure around the thorax, abdomen, or airway and periodically expand the chest wall and inflate the lungs. They are relatively simple to operate and do not require tracheostomy. These devices include the tank ventilators ("iron lung"), Portalung, Pneumowrap, and chest cuirass ("tortoise shell").

The physical or mechanical action of the LUNGS; DIAPHRAGM; RIBS; and CHEST WALL during respiration. It includes airflow, lung volume, neural and reflex controls, mechanoreceptors, breathing patterns, etc.

Methods of creating machines and devices.

Serious INFLAMMATION of the LUNG in patients who required the use of PULMONARY VENTILATOR. It is usually caused by cross bacterial infections in hospitals (NOSOCOMIAL INFECTIONS).

Application of positive pressure to the inspiratory phase when the patient has an artificial airway in place and is connected to a ventilator.

A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia.

Events that overwhelm the resources of local HOSPITALS and health care providers. They are likely to impose a sustained demand for HEALTH SERVICES rather than the short, intense peak customary with smaller scale disasters.

The hospital unit in which patients with respiratory conditions requiring special attention receive intensive medical care and surveillance.

Respiratory support system used primarily with rates of about 100 to 200/min with volumes of from about one to three times predicted anatomic dead space. Used to treat respiratory failure and maintain ventilation under severe circumstances.

A syndrome characterized by progressive life-threatening RESPIRATORY INSUFFICIENCY in the absence of known LUNG DISEASES, usually following a systemic insult such as surgery or major TRAUMA.

The total volume of gas inspired or expired per unit of time, usually measured in liters per minute.

The number of times an organism breathes with the lungs (RESPIRATION) per unit time, usually per minute.

Hospital units providing continuous surveillance and care to acutely ill patients.

Physiologically, the opposition to flow of air caused by the forces of friction. As a part of pulmonary function testing, it is the ratio of driving pressure to the rate of air flow.

Failure of equipment to perform to standard. The failure may be due to defects or improper use.

That part of the RESPIRATORY TRACT or the air within the respiratory tract that does not exchange OXYGEN and CARBON DIOXIDE with pulmonary capillary blood.

Techniques for administering artificial respiration without the need for INTRATRACHEAL INTUBATION.

A condition of the newborn marked by DYSPNEA with CYANOSIS, heralded by such prodromal signs as dilatation of the alae nasi, expiratory grunt, and retraction of the suprasternal notch or costal margins, mostly frequently occurring in premature infants, children of diabetic mothers, and infants delivered by cesarean section, and sometimes with no apparent predisposing cause.

Devices that cover the nose and mouth to maintain aseptic conditions or to administer inhaled anesthetics or other gases. (UMDNS, 1999)

The exchange of OXYGEN and CARBON DIOXIDE between alveolar air and pulmonary capillary blood that occurs across the BLOOD-AIR BARRIER.

Ventilatory support system using frequencies from 60-900 cycles/min or more. Three types of systems have been distinguished on the basis of rates, volumes, and the system used. They are high frequency positive-pressure ventilation (HFPPV); HIGH-FREQUENCY JET VENTILATION; (HFJV); and high-frequency oscillation (HFO).

Surgical formation of an opening into the trachea through the neck, or the opening so created.

The visual display of data in a man-machine system. An example is when data is called from the computer and transmitted to a CATHODE RAY TUBE DISPLAY or LIQUID CRYSTAL display.

The act of BREATHING in.

Lung damage that is caused by the adverse effects of PULMONARY VENTILATOR usage. The high frequency and tidal volumes produced by a mechanical ventilator can cause alveolar disruption and PULMONARY EDEMA.

The force per unit area that the air exerts on any surface in contact with it. Primarily used for articles pertaining to air pressure within a closed environment.

A system in which the functions of the man and the machine are interrelated and necessary for the operation of the system.

The continuous measurement of physiological processes, blood pressure, heart rate, renal output, reflexes, respiration, etc., in a patient or experimental animal; includes pharmacologic monitoring, the measurement of administered drugs or their metabolites in the blood, tissues, or urine.

Care of patients with deficiencies and abnormalities associated with the cardiopulmonary system. It includes the therapeutic use of medical gases and their administrative apparatus, environmental control systems, humidification, aerosols, ventilatory support, bronchopulmonary drainage and exercise, respiratory rehabilitation, assistance with cardiopulmonary resuscitation, and maintenance of natural, artificial, and mechanical airways.

A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)

HYPOVENTILATION syndrome in very obese persons with excessive ADIPOSE TISSUE around the ABDOMEN and DIAPHRAGM. It is characterized by diminished to absent ventilatory chemoresponsiveness; chronic HYPOXIA; HYPERCAPNIA; POLYCYTHEMIA; and long periods of sleep during day and night (HYPERSOMNOLENCE). It is a condition often related to OBSTRUCTIVE SLEEP APNEA but can occur separately.

The closeness of a determined value of a physical dimension to the actual value.

Coordination of nursing services by various nursing care personnel under the leadership of a professional nurse. The team may consist of a professional nurse, nurses' aides, and the practical nurse.

Conveying ill or injured individuals from one place to another.

The removal of secretions, gas or fluid from hollow or tubular organs or cavities by means of a tube and a device that acts on negative pressure.

The maximum volume of air that can be inspired after reaching the end of a normal, quiet expiration. It is the sum of the TIDAL VOLUME and the INSPIRATORY RESERVE VOLUME. Common abbreviation is IC.

The act of BREATHING out.

Freedom of equipment from actual or potential hazards.

Helium. A noble gas with the atomic symbol He, atomic number 2, and atomic weight 4.003. It is a colorless, odorless, tasteless gas that is not combustible and does not support combustion. It was first detected in the sun and is now obtained from natural gas. Medically it is used as a diluent for other gases, being especially useful with oxygen in the treatment of certain cases of respiratory obstruction, and as a vehicle for general anesthetics. (Dorland, 27th ed)

Continuous recording of the carbon dioxide content of expired air.

Computer systems utilized as adjuncts in the treatment of disease.

The presence of an infectious agent on instruments, prostheses, or other inanimate articles.

Complete or severe weakness of the muscles of respiration. This condition may be associated with MOTOR NEURON DISEASES; PERIPHERAL NERVE DISEASES; NEUROMUSCULAR JUNCTION DISEASES; SPINAL CORD DISEASES; injury to the PHRENIC NERVE; and other disorders.

A general term encompassing lower MOTOR NEURON DISEASE; PERIPHERAL NERVOUS SYSTEM DISEASES; and certain MUSCULAR DISEASES. Manifestations include MUSCLE WEAKNESS; FASCICULATION; muscle ATROPHY; SPASM; MYOKYMIA; MUSCLE HYPERTONIA, myalgias, and MUSCLE HYPOTONIA.

Application of positive pressure to the inspiratory phase of spontaneous respiration.

A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals.

A measure of the amount of WATER VAPOR in the air.

An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration.

The evaluation of incidents involving the loss of function of a device. These evaluations are used for a variety of purposes such as to determine the failure rates, the causes of failures, costs of failures, and the reliability and maintainability of devices.

The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration (= OXYGEN CONSUMPTION) or cell respiration (= CELL RESPIRATION).

Surgical incision of the trachea.

Devices that cause a liquid or solid to be converted into an aerosol (spray) or a vapor. It is used in drug administration by inhalation, humidification of ambient air, and in certain analytical instruments.

Health care provided to a critically ill patient during a medical emergency or crisis.

Measurement of oxygen and carbon dioxide in the blood.

Three-dimensional representation to show anatomic structures. Models may be used in place of intact animals or organisms for teaching, practice, and study.

An infant during the first month after birth.

Mechanical ventilation delivered to match the patient's efforts in breathing as detected by the interactive ventilation device.

Injury following pressure changes; includes injury to the eustachian tube, ear drum, lung and stomach.

Hospital units providing continuous surveillance and care to acutely ill infants and children. Neonates are excluded since INTENSIVE CARE UNITS, NEONATAL is available.

Treatment of food with physical methods such as heat, high pressure, radiation, or electric current to destroy organisms that cause disease or food spoilage.

Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.

Inhalation of oxygen aimed at restoring toward normal any pathophysiologic alterations of gas exchange in the cardiopulmonary system, as by the use of a respirator, nasal catheter, tent, chamber, or mask. (From Dorland, 27th ed & Stedman, 25th ed)

A disease or state in which death is possible or imminent.

These include the muscles of the DIAPHRAGM and the INTERCOSTAL MUSCLES.

Devices that control the supply of electric current for running electrical equipment.

A clinical manifestation of abnormal increase in the amount of carbon dioxide in arterial blood.

Paired but separate cavity within the THORACIC CAVITY. It consists of the space between the parietal and visceral PLEURA and normally contains a capillary layer of serous fluid that lubricates the pleural surfaces.

Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood.

A respiratory support system used to remove mucus and clear airway by oscillating pressure on the chest.

A transient absence of spontaneous respiration.

Severe or complete loss of motor function in all four limbs which may result from BRAIN DISEASES; SPINAL CORD DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; or rarely MUSCULAR DISEASES. The locked-in syndrome is characterized by quadriplegia in combination with cranial muscle paralysis. Consciousness is spared and the only retained voluntary motor activity may be limited eye movements. This condition is usually caused by a lesion in the upper BRAIN STEM which injures the descending cortico-spinal and cortico-bulbar tracts.

Damage to any compartment of the lung caused by physical, chemical, or biological agents which characteristically elicit inflammatory reaction. These inflammatory reactions can either be acute and dominated by NEUTROPHILS, or chronic and dominated by LYMPHOCYTES and MACROPHAGES.

A human infant born before 37 weeks of GESTATION.

Measurement of the various processes involved in the act of respiration: inspiration, expiration, oxygen and carbon dioxide exchange, lung volume and compliance, etc.

Any hindrance to the passage of air into and out of the lungs.

Barriers used to separate and remove PARTICULATE MATTER from air.

Colloids with a gaseous dispersing phase and either liquid (fog) or solid (smoke) dispersed phase; used in fumigation or in inhalation therapy; may contain propellant agents.

The outer margins of the thorax containing SKIN, deep FASCIA; THORACIC VERTEBRAE; RIBS; STERNUM; and MUSCLES.

Hospital units providing continuing surveillance and care to acutely ill newborn infants.

Application of a life support system that circulates the blood through an oxygenating system, which may consist of a pump, a membrane oxygenator, and a heat exchanger. Examples of its use are to assist victims of smoke inhalation injury, respiratory failure, and cardiac failure.

The musculofibrous partition that separates the THORACIC CAVITY from the ABDOMINAL CAVITY. Contraction of the diaphragm increases the volume of the thoracic cavity aiding INHALATION.

Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.

Pulmonary injury following the breathing in of toxic smoke from burning materials such as plastics, synthetics, building materials, etc. This injury is the most frequent cause of death in burn patients.

Elements of limited time intervals, contributing to particular results or situations.

A respiratory distress syndrome in newborn infants, usually premature infants with insufficient PULMONARY SURFACTANTS. The disease is characterized by the formation of a HYALINE-like membrane lining the terminal respiratory airspaces (PULMONARY ALVEOLI) and subsequent collapse of the lung (PULMONARY ATELECTASIS).

Measurement of the amount of air that the lungs may contain at various points in the respiratory cycle.

Apparatus for removing exhaled or leaked anesthetic gases or other volatile agents, thus reducing the exposure of operating room personnel to such agents, as well as preventing the buildup of potentially explosive mixtures in operating rooms or laboratories.

A specialty concerned with the study of anesthetics and anesthesia.

Any infection which a patient contracts in a health-care institution.

Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.

Infection of the lung often accompanied by inflammation.

Non-therapeutic positive end-expiratory pressure occurring frequently in patients with severe airway obstruction. It can appear with or without the administration of external positive end-expiratory pressure (POSITIVE-PRESSURE RESPIRATION). It presents an important load on the inspiratory muscles which are operating at a mechanical disadvantage due to hyperinflation. Auto-PEEP may cause profound hypotension that should be treated by intravascular volume expansion, increasing the time for expiration, and/or changing from assist mode to intermittent mandatory ventilation mode. (From Harrison's Principles of Internal Medicine, 12th ed, p1127)

Supplying a building or house, their rooms and corridors, with fresh air. The controlling of the environment thus may be in public or domestic sites and in medical or non-medical locales. (From Dorland, 28th ed)

The pressure that would be exerted by one component of a mixture of gases if it were present alone in a container. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)

The period of confinement of a patient to a hospital or other health facility.

Burns of the respiratory tract caused by heat or inhaled chemicals.

Ratings that express, in numerical values, the degree of impairment or abnormality in the function of specific organs.

A technique of respiratory therapy, in either spontaneously breathing or mechanically ventilated patients, in which airway pressure is maintained above atmospheric pressure throughout the respiratory cycle by pressurization of the ventilatory circuit. (On-Line Medical Dictionary [Internet]. Newcastle upon Tyne(UK): The University Dept. of Medical Oncology: The CancerWEB Project; c1997-2003 [cited 2003 Apr 17]. Available from: http://cancerweb.ncl.ac.uk/omd/)

An accumulation of air or gas in the PLEURAL CAVITY, which may occur spontaneously or as a result of trauma or a pathological process. The gas may also be introduced deliberately during PNEUMOTHORAX, ARTIFICIAL.

Pathological processes involving any part of the LUNG.

The posture of an individual lying face down.

Washing out of the lungs with saline or mucolytic agents for diagnostic or therapeutic purposes. It is very useful in the diagnosis of diffuse pulmonary infiltrates in immunosuppressed patients.

Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment.

Inhalation anesthesia where the gases exhaled by the patient are rebreathed as some carbon dioxide is simultaneously removed and anesthetic gas and oxygen are added so that no anesthetic escapes into the room. Closed-circuit anesthesia is used especially with explosive anesthetics to prevent fires where electrical sparking from instruments is possible.

Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as for the type of care provided.

A state of prolonged irreversible cessation of all brain activity, including lower brain stem function with the complete absence of voluntary movements, responses to stimuli, brain stem reflexes, and spontaneous respirations. Reversible conditions which mimic this clinical state (e.g., sedative overdose, hypothermia, etc.) are excluded prior to making the determination of brain death. (From Adams et al., Principles of Neurology, 6th ed, pp348-9)

Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.

A central respiratory stimulant with a brief duration of action. (From Martindale, The Extra Pharmocopoeia, 30th ed, p1225)

Any disorder marked by obstruction of conducting airways of the lung. AIRWAY OBSTRUCTION may be acute, chronic, intermittent, or persistent.

Inflammation of the lung parenchyma that is caused by bacterial infections.

Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.

The right of the patient or the patient's representative to make decisions with regard to the patient's dying.

The administration of drugs by the respiratory route. It includes insufflation into the respiratory tract.

Absence of air in the entire or part of a lung, such as an incompletely inflated neonate lung or a collapsed adult lung. Pulmonary atelectasis can be caused by airway obstruction, lung compression, fibrotic contraction, or other factors.

The cartilaginous and membranous tube descending from the larynx and branching into the right and left main bronchi.

Disorders affecting the organs of the thorax.

The act of blowing a powder, vapor, or gas into any body cavity for experimental, diagnostic, or therapeutic purposes.

Nursing care given to an individual in the home. The care may be provided by a family member or a friend. Home nursing as care by a non-professional is differentiated from HOME CARE SERVICES provided by professionals: visiting nurse, home health agencies, hospital, or other organized community group.

Evaluation, planning, and use of a range of procedures and airway devices for the maintenance or restoration of a patient's ventilation.

A chronic lung disease developed after OXYGEN INHALATION THERAPY or mechanical ventilation (VENTILATION, MECHANICAL) usually occurring in certain premature infants (INFANT, PREMATURE) or newborn infants with respiratory distress syndrome (RESPIRATORY DISTRESS SYNDROME, NEWBORN). Histologically, it is characterized by the unusual abnormalities of the bronchioles, such as METAPLASIA, decrease in alveolar number, and formation of CYSTS.

Antibacterial used topically in burn therapy.

Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract.

Devices in which blood and oxygen are separated by a semipermeable membrane, generally of Teflon or polypropylene, across which gas exchange occurs. The membrane may be arranged as a series of parallel plates or as a number of hollow fibers; in the latter arrangement, the blood may flow inside the fibers, which are surrounded by gas, or the blood may flow outside the fibers and the gas inside the fibers. (Dorland, 28th ed)

Physiological processes and properties of the RESPIRATORY SYSTEM as a whole or of any of its parts.

The restoration to life or consciousness of one apparently dead. (Dorland, 27th ed)

A reduction in the amount of air entering the pulmonary alveoli.

Programs of disease surveillance, generally within health care facilities, designed to investigate, prevent, and control the spread of infections and their causative microorganisms.

Agents that cause an increase in the expansion of a bronchus or bronchial tubes.

Evaluation of biomedical technology in relation to cost, efficacy, utilization, etc., and its future impact on social, ethical, and legal systems.

A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol.

The ratio of alveolar ventilation to simultaneous alveolar capillary blood flow in any part of the lung. (Stedman, 25th ed)

Continuous care and monitoring of newborn infants with life-threatening conditions, in any setting.

Endoscopic examination, therapy or surgery of the bronchi.

Time period from 1701 through 1800 of the common era.

A type of lung inflammation resulting from the aspiration of food, liquid, or gastric contents into the upper RESPIRATORY TRACT.

Changes in occlusion pressure (P0.1) and breathing pattern during pressure support ventilation. (1/415)

BACKGROUND: The purpose of this study was to investigate changes in breathing pattern, neuromuscular drive (P0.1), and activity of the sternocleidomastoid muscles (SCM) during a gradual reduction in pressure support ventilation (PSV) in patients being weaned off controlled mechanical ventilation. METHODS: Eight non-COPD patients recovering from acute respiratory failure were included in this prospective interventional study. All patients were unable to tolerate discontinuation from mechanical ventilation. Each patient was evaluated during a period of spontaneous breathing and during PSV. Four successive levels of PSV were assessed in the following order: 20 cm H2O (PS20), 15 cm H2O (PS15), 10 cm H2O (PS10), and 5 cm H2O (PS5). RESULTS: When pressure support was reduced from PS20 to PS10 the respiratory rate (f) and the rapid shallow breathing index (f/VT) significantly increased and tidal volume (VT) significantly decreased. These parameters did not vary when pressure support was reduced from PS10 to PS5. Conversely, P0.1 varied negligibly between PS20 and PS15 but increased significantly at low PSV levels. P0.1 values were always greater than 2.9 cm H2O (4.1 (1.1) cm H2O) when SCM activity was present. When contraction of the SCM muscles reappeared the P0.1 was the only parameter that changed significantly. CONCLUSIONS: In postoperative septic patients the value of P0.1 seems to be more useful than breathing pattern parameters for setting the optimal level of pressure assistance during PSV. (+info)

Clinical evaluation of a computer-controlled pressure support mode. (2/415)

We have designed a computerized system providing closed-loop control of the level of pressure support ventilation (PSV). The system sets itself at the lowest level of PSV that maintains respiratory rate (RR), tidal volume (VT), and end-tidal CO(2) pressure (PET(CO(2))) within predetermined ranges defining acceptable ventilation (i.e., 12 < RR < 28 cycles/min, VT > 300 ml [> 250 if weight < 55 kg], and PET(CO(2)) < 55 mm Hg [< 65 mm Hg if chronic CO(2) retention]). Ten patients received computer-controlled (automatic) PSV and physician-controlled (standard) PSV, in random order, during 24 h for each mode. An estimation of occlusion pressure (P(0.1)) was recorded continuously. The average time spent with acceptable ventilation as previously defined was 66 +/- 24% of the total ventilation time with standard PSV versus 93 +/- 8% with automatic PSV (p < 0.05), whereas the level of PSV was similar during the two periods (17 +/- 4 cm H(2)O versus 19 +/- 6 cm H(2)O). The time spent with an estimated P(0.1) above 4 cm H(2)O was 34 +/- 35% of the standard PSV time versus only 11 +/- 17% of the automatic PSV time (p < 0.01). Automatic PSV increased the time spent within desired ventilation parameter ranges and apparently reduced periods of excessive workload. (+info)

A single-center 8-year experience with percutaneous dilational tracheostomy. (3/415)

OBJECTIVE: To determine surgical, postoperative, and postdischarge complications associated with percutaneous dilational tracheostomy (PDT) in an 8-year experience at the University of Kentucky. SUMMARY BACKGROUND DATA: There are known risks associated with the transport of critically ill patients to the operating room for elective tracheostomy, and less-than-optimal conditions may interfere with open bedside tracheostomy. PDT has been introduced as an alternative to open tracheostomy. Despite information supporting its safety and utility, the technique has been criticized because advocates had not provided sufficient information regarding complications. METHODS: A prospective database was initiated on all patients who underwent PDT between September 1990 and May 1998. The database provided indication, procedure time, duration of intubation before PDT, and intraoperative and postoperative complications. Retrospective review of medical records and phone interviews provided long-term follow-up information. RESULTS: In the 8-year period, 827 PDTs were performed in 824 patients. Two patients were excluded because PDT could not be completed for technical reasons. There were 519 male and 305 female patients. Mean age was 56 years. Prolonged mechanical ventilatory support was the most common indication. Mean procedure time was 15 minutes, and the average duration of intubation before PDT was 10 days. The intraoperative complication rate was 6%, with premature extubation the most common complication. The procedure-related death rate was 0.6%. Postoperative complications were found in 5%, with bleeding the most common. With a mean follow-up of greater than 1 year, the tracheal stenosis rate was 1.6%. CONCLUSIONS: On the basis of this large, single-center study, the authors conclude that when performed by experienced surgeons, PDT is a safe and effective alternative to open surgical tracheostomy for intubated patients who require elective tracheostomy. (+info)

Predictors of weaning outcome in chronic obstructive pulmonary disease patients. (4/415)

Several threshold values for predicting weaning outcome from mechanical ventilation have been proposed. These values, however, have been obtained in nonhomogeneous patient populations. The aim of the present study was to determine the threshold values in chronic obstructive pulmonary disease (COPD) patients and compare them to those reported for nonhomogeneous patient populations. The initial weaning trial included 81 COPD patients. Fifty-three of them underwent a successful weaning trial, whereas 28 failed it. The latter were enrolled into the present investigation, and were restudied during a subsequent successful trial. The weaning indices used were those reported in the literature. The threshold values obtained were within 10% of those reported for a nonhomogeneous patients population only for tidal volume and effective compliance. The classification error was <20% for maximal inspiratory pressure (MIP), occluded inspiratory pressure swing (deltaPI)/MIP, rapid and shallow breathing (respiratory frequency/tidal volume), and compliance, rate, oxygenation, pressure index (CROP), whereas the area under the receiver operating characteristic curves was >0.9 only for deltaPI/MIP and CROP. In conclusion, the threshold values obtained in chronic obstructive pulmonary disease patients who failed the first weaning attempt differed from those previously reported. Although a gold standard weaning index is not available for chronic obstructive pulmonary disease patients, the occluded inspiratory pressure swing/ maximal inspiratory pressure and compliance, rate, oxygenation, pressure index may be candidates for such a role. (+info)

Comparison of the pressure time product during synchronous intermittent mandatory ventilation and continuous positive airway pressure. (5/415)

OBJECTIVE: To compare the effect of continuous positive airway pressure (CPAP) with synchronous intermittent mandatory ventilation (SIMV) during weaning, by measurement of the pressure time product (PTP). The PTP is an estimate of the metabolic work or oxygen consumption of the respiratory muscles. PATIENTS: Forty children, median age 14 months (range 1 month to 17 years) were studied immediately prior to extubation. METHODS: The PTP, derived from airway pressure changes, was measured while the child received SIMV (with or without pressure support) and then CPAP. A pneumotachograph was placed between the endotracheal tube and ventilator circuit. Its flow signal was used to indicate the beginning and end of inspiration. Airway pressure was measured from the pneumotachograph and the area subtended by the pressure curve (PTP) calculated using a modified Labview programme. RESULTS: The median PTP was significantly lower on SIMV (17.1 cm H(2)O/sec/min, range 0.4 to 60. 5) compared to on CPAP (32.6 cm H(2)O/sec/min, range 0.1 to 116.7), p < 0.001. CONCLUSION: These results suggest SIMV, rather than CPAP, may be the more efficacious weaning mode in children, and that the time spent on CPAP during weaning should be minimised. (+info)

Respiratory effects of dexmedetomidine in the surgical patient requiring intensive care. (6/415)

STATEMENT OF FINDINGS: The respiratory effects of dexmedetomidine were retrospectively examined in 33 postsurgical patients involved in a randomised, placebo-controlled trial after extubation in the intensive care unit (ICU). Morphine requirements were reduced by over 50% in patients receiving dexmedetomidine. There were no differences in respiratory rates, oxygen saturations, arterial pH and arterial partial carbon dioxide tension (PaCO2) between the groups. Interestingly the arterial partial oxygen tension (PaO2) : fractional inspired oxygen (FIO2) ratios were statistically significantly higher in the dexmedetomidine group. Dexmedetomidine provides important postsurgical analgesia and appears to have no clinically important adverse effects on respiration in the surgical patient who requires intensive care. (+info)

Weaning from mechanical ventilation. (7/415)

Practice guidelines on weaning should be based on the results of several well-designed randomized studies performed over the last decade. One of those studies demonstrated that immediate extubation after successful trials of spontaneous breathing expedites weaning and reduces the duration of mechanical ventilation as compared with a more gradual discontinuation of ventilatory support. Two other studies showed that the ability to breathe spontaneously can be adequately tested by performing a trial with either T-tube or pressure support of 7 cmH2O lasting either 30 or 120 min. In patients with unsuccessful weaning trials, a gradual withdrawal for mechanical ventilation can be attempted while factors responsible for the ventilatory dependence are corrected. Two randomized studies found that, in difficult-to-wean patients, synchronized intermittent mandatory ventilation (SIMV) is the most ineffective [corrected] method of weaning. (+info)

Carbon dioxide kinetics and capnography during critical care. (8/415)

Greater understanding of the pathophysiology of carbon dioxide kinetics during steady and nonsteady state should improve, we believe, clinical care during intensive care treatment. Capnography and the measurement of end-tidal partial pressure of carbon dioxide (PETCO2) will gradually be augmented by relatively new measurement methodology, including the volume of carbon dioxide exhaled per breath (VCO2,br) and average alveolar expired PCO2. Future directions include the study of oxygen kinetics. (+info)

McConville JF, Kress JP (Dec 2012). "Weaning patients from the ventilator". N Engl J Med. 367 (23): 2233-9. doi:10.1056/ ... The rapid shallow breathing index (RSBI) or Yang Tobin index is a tool that is used in the weaning of mechanical ventilation on ... The RSBI is defined as the ratio of respiratory frequency to tidal volume (f/VT). People on a ventilator who cannot tolerate ... Yang KL, Tobin MJ (May 1991). "A prospective study of indexes predicting the outcome of trials of weaning from mechanical ...

https://en.wikipedia.org/wiki/Rapid_shallow_breathing_index

V = ventilator; P = patient) Respiratory therapy Esteban A, Alía I, Ibañez J, Benito S, Tobin MJ (1994). "Modes of mechanical ... ventilation and weaning. A national survey of Spanish hospitals. The Spanish Lung Failure Collaborative Group". Chest. 106 (4 ...

https://en.wikipedia.org/wiki/Table_of_modes_of_mechanical_ventilation

"Acute Ventilator Management and Weaning in Individuals with High Tetraplegia". Topics in Spinal Cord Injury Rehabilitation. ... The center is known for ventilator weaning after catastrophic neurological injury. The center is notable for clinical research ...

https://en.wikipedia.org/wiki/Rehabilitation_Trauma_Center

"Dr Rajasekhar Weaned Off Non-invasive Ventilator and Is Stable: Hospital". News18. 27 October 2020. Archived from the original ...

https://en.wikipedia.org/wiki/Magaadu_(1990_film)

Barlow's TIPS Ventilator Weaning Protocol / Ventilator Weaning: Barlow Respiratory Hospital is recognized for a ventilator ... The Barlow TIPS Ventilator Weaning Protocol was developed by Barlow board-certified pulmonologists based on years of ... The Barlow team of health care professional helps patients previously unable to be liberated or "weaned" from the ventilator at ... The hospital treats approximately 900 patients a year and specializes in ventilator weaning. The hospital serves an ethnically ...

https://en.wikipedia.org/wiki/Barlow_Respiratory_Hospital

... of its patients weaned from a ventilator (after failing vent weaning in a short term acute care hospital) compared with a ... they may come directly from a community hospital's intensive care unit for ventilator weaning. They receive intensive services ... Bethesda Hospital has vent weaning success rates that consistently exceed national industry benchmarks, with 65% ...

https://en.wikipedia.org/wiki/Bethesda_Hospital_(Saint_Paul,_Minnesota)

After being weaned off the ventilator, Robinson was transported back to England via air ambulance. He spent an additional 5 ...

https://en.wikipedia.org/wiki/George_Robinson_(actor)

A variety of aggressive weaning protocols to limit the amount of time a person spends intubated have been proposed. One ... "Pneumonia (Ventilator-associated [VAP] and non-ventilator-associated Pneumonia [PNEU]) Event" (PDF). Centers for Disease ... "Inhaled antibiotic therapy for ventilator-associated tracheobronchitis and ventilator-associated pneumonia: an update". ... Ventilator-associated tracheobronchitis may be a risk factor for VAP, though not all cases of VAT progress to VAP. Recent ...

https://en.wikipedia.org/wiki/Ventilator-associated_pneumonia

CIP/CIM can lead to difficulty weaning a person from a mechanical ventilator, and is associated with increased length of stay ... CIP/CIM is often not identified until a patient is unable to be successfully weaned from a mechanical ventilator. Early ... 2007). "Impact of intensive insulin therapy on neuromuscular complications and ventilator dependency in the medical intensive ... This can prolong the time it takes to wean a person off of a breathing machine (mechanical ventilation) by as much as 7 - 13 ...

https://en.wikipedia.org/wiki/Critical_illness_polyneuropathy

After the operation, her surgeons had trouble weaning her off the ventilator and she had a psychotic breakdown requiring ... and was unable to wean herself off them despite experiencing side effects. She died unexpectedly at the age of 45 on August 15 ...

https://en.wikipedia.org/wiki/Linda_Laubenstein

IMV is frequently paired with additional strategies to improve weaning from ventilator support or to improve cardiovascular ... in terms of mortality or weaning success, and has been shown to result in longer weaning times when compared to t-piece trials ... The ventilator varies the tidal volume and pressure based on the patients work of breathing, the amount it delivers is ... Proportional assist ventilation is a mode in which the ventilator guarantees the percentage of work regardless of changes in ...

https://en.wikipedia.org/wiki/Intermittent_mandatory_ventilation

... before they can be weaned from the ventilator, i.e. return to normal breathing. The weaning process depends closely on the ... Briefly move the tubing supply from the ventilator to continuous supply oxygen ("wall oxygen") Reduce pressure support to 5 cm ... A prospective study of indexes predicting the outcome of weaning from mechanical ventilation. N Engl J Med 1991;324:1445-1450 ( ... patient's pathology, but the final common pathway to ventilator independence always includes at least one trial of spontaneous ...

https://en.wikipedia.org/wiki/Spontaneous_breathing_trial

MMV is an optimal mode for weaning in neonatal and pediatric populations and has been shown to reduce long term complications ... is different per ventilator brand and model, but generally there is a window of time being monitored and a smaller window being ... A new concept in weaning from mechanical ventilation". Anaesthesia. 32 (2): 163-9. doi:10.1111/j.1365-2044.1977.tb11588.x. PMID ... which requires the operator to determine what the appropriate minute ventilation for the patient should be and the ventilator ...

https://en.wikipedia.org/wiki/Mandatory_minute_ventilation

... ventilator weaning MeSH E02.912.400.300 - hemodiafiltration MeSH E02.912.800.200 - hemodiafiltration MeSH E02.912.800.300 - ...

https://en.wikipedia.org/wiki/List_of_MeSH_codes_(E02)

Australian darts player Weaning, a diet process to give an infant human or another mammal other kinds of suitable food while ... is the term used when the medical team is trying to encourage a patient on cardiopulmonary bypass or a mechanical ventilator, ...

https://en.wikipedia.org/wiki/Weening

After the baby was weaned off constant ventilator support, the mother agreed to move the child to a nursing facility, but the ... Stephanie remained on ventilator support for six weeks while Fairfax searched for another hospital to transfer her to, but no ... At trial, several experts testified that providing ventilator support to an anencephalic infant went beyond the accepted ... Court for the Eastern District of Virginia decided that the hospital caring for Keene must put her on a mechanical ventilator ...

https://en.wikipedia.org/wiki/Baby_K

... and was being weaned from a ventilator. Thomas died at Montefiore Medical Center on April 23, 2020, due to complications of ...

https://en.wikipedia.org/wiki/Fred_the_Godson

... in newborns Reduce ventilator weaning time by titrating FiO2 faster and reduce arterial blood gas measurements in the Intensive ... "More reliable oximetry reduces the frequency of arterial blood gas analysis and hastens oxygen weaning following cardiac ...

https://en.wikipedia.org/wiki/Masimo

Surgery patients whose medical record contained an order for a ventilator weaning program (protocol or clinical pathway) [1] ... Patients diagnosed with postoperative ventilator-associated pneumonia (VAP) during index hospitalization SCIP-Resp-3: Number of ...

https://en.wikipedia.org/wiki/Surgical_Care_Improvement_Project

Common positive-pressure mechanical ventilators include: Transport ventilators-These ventilators are small and more rugged, and ... Martin J. Tobin of Loyola University Medical Center) is one of the best studied and most commonly used weaning predictors, with ... There are manual ventilators such as bag valve masks and anesthesia bags that require the users to hold the ventilator to the ... Mechanical ventilators typically require power by a battery or a wall outlet (DC or AC) though some ventilators work on a ...

https://en.wikipedia.org/wiki/Mechanical_ventilation

... slow weaning from the ventilator without pain relief or being sent to a hospice, both of which she refused. Ms B's request was ... "Miss B dies peacefully after ventilator is switched off". HeraldScotland. Retrieved 22 June 2020. Singer, P. (1 August 2002). " ... "Miss B dies peacefully after ventilator is switched off". HeraldScotland. Retrieved 21 June 2020. correspondent, Clare Dyer ... to the hospital caring for her after doctors refused her requests to be taken off the ventilator that was keeping her alive. Ms ...

https://en.wikipedia.org/wiki/Ms_B_v_An_NHS_Hospital_Trust

... built for focusing on difficult-weaning patients' ventilator weaning. Moreover, after 5 years of experience in hospital, ... providing around the clock support for home ventilators and other equipment for conditions like sleep apnea. In the clinic or ... ventilation weaning, cardiac and pulmonary rehab, respiratory therapy outpatient clinics and community respiratory therapy. The ...

https://en.wikipedia.org/wiki/Respiratory_therapist

... environmental aids weaning from ventilator (when appropriate) patient-family teaching muscle strengthening community living ... Ventilator Services Ventilator services at Magee are designed to increase the independence of SCI survivors whose breathing ... The Ventilator Program team works with patients and families in the following areas: mobility (using standard or power ... The Ventilator Program includes the latest in medicine, allied health, medical and assistive technology, patient education and ...

https://en.wikipedia.org/wiki/Magee_Rehabilitation_Hospital

... training patients weaning the ventilator, aerosol therapy, inhaled Nitric oxide therapy, artery blood gas analysis and ... Some of these patients had been treated using the few available negative pressure ventilators, but these devices (while helpful ... Other ICU needs include airway or ventilator support due to respiratory compromise. The cumulative effects of multiple organ ... At this time, Carl-Gunnar Engström had developed one of the first artificial positive-pressure volume-controlled ventilators, ...

https://en.wikipedia.org/wiki/Intensive_care_medicine

A breath is assisted if the ventilator does work on the patient. An assisted breath is one for which the ventilator does some ... and reduce weaning time. In the ASV mode, every breath is synchronized with patient effort if such an effort exists, and ... The term passive refers to the ventilator's non-forced expiratory system. In a HFV-P scenario, the ventilator uses pressure to ... Volume guarantee an additional parameter available in many types of ventilators that allows the ventilator to change its ...

https://en.wikipedia.org/wiki/Modes_of_mechanical_ventilation

... ventilator weaning and spinal cord and orthopedic rehabilitation. Originally built as the Missouri State Sanatorium in 1907, ...

https://en.wikipedia.org/wiki/University_of_Missouri_Health_Care

... such as the warming of burn unit and surgical suites and the weaning of patients from ventilators. Ferrannini E."The ... Interface with a Ventilator (Intensive Care settings): In case the patient is mechanically ventilated, an indirect calorimeter ... can still measure breath by breath inhaled/exhaled O2 and CO2 if interfaced with the ventilator through the endotracheal tube. ...

https://en.wikipedia.org/wiki/Indirect_calorimetry

The sternum and chest can usually be closed within a few days; however, the chest tubes, pacemaker, ventilator, and drugs may ... The patient is fitted with chest tubes, temporary pacemaker leads, and ventilated before weaning from the HLM is begun. ...

https://en.wikipedia.org/wiki/Arterial_switch_operation

Afterwards, his spokeswoman said that he was in a coma and on a ventilator in the hospital. She also said that Navalny only ... The patient has been removed from his medically induced coma and is being weaned off mechanical ventilation. He is responding ... "Navalny Taken Off Ventilator as Novichok Recovery Continues - German Hospital". The Moscow Times. 14 September 2020. Archived ... the Charité hospital said that Navalny was taken off the ventilator and that he is able to get out of bed. For the first time, ...

https://en.wikipedia.org/wiki/Poisoning_of_Alexei_Navalny

The patient initiates every breath and the ventilator delivers support with the preset pressure value. With support from the ... reducing the work of breathing during weaning". Dimensions of Critical Care Nursing. 12 (6): 282-90, quiz 294. doi:10.1097/ ... "Pressure support ventilation advisory system provides valid recommendations for setting ventilator". Respir Care. 56 (3): 271-7 ... ventilator, the patient also regulates his own respiratory rate and tidal volume. In Pressure Support, the set inspiratory ...

https://en.wikipedia.org/wiki/Pressure_support_ventilation

... in the Little Havana area of Miami as a potential location for a planned ventilator hospital project called Michael Jackson ... could help the singer wean himself off Demerol. The treatment was successful. During his treatment, Jackson traveled multiple ...

https://en.wikipedia.org/wiki/Alimorad_Farshchian

... and ventilators) were due to vancomycin- and ampicillin-resistant E. faecium. The rapid increase of VRE has made it difficult ... "Enterococcus faecium NCIMB 10415 supplementation affects intestinal immune-associated gene expression in post-weaning piglets ...

https://en.wikipedia.org/wiki/Enterococcus_faecium

Common approaches include avoidance of steroids, reduced exposure to calcineurin inhibitors, and other means of weaning drugs ... are people who have been declared brain-dead and whose organs are kept viable by ventilators or other mechanical mechanisms ...

https://en.wikipedia.org/wiki/Organ_transplantation

Ryoncil was tested in a March 2020 pilot study at Mount Sinai Hospital in New York City on late-stage, ventilator-assisted ... 50% of patients with MPC therapy achieved temporary weaning from LVAD compared to 20% of the control group at 90days. On ...

https://en.wikipedia.org/wiki/Mesoblast

Heliox has also found utility in the weaning of patients off mechanical ventilation, and in the nebulization of inhalable drugs ... Nitric oxide is used together with a mechanical ventilator to treat respiratory failure in premature infants. In medicine, ...

https://en.wikipedia.org/wiki/Medical_gas_therapy

... for doing nothing to wean the United States off imported oil as chairman of a House subcommittee on energy and power. In ... and did so two days later when visiting a ventilator production facility. In late June 2020, as coronavirus cases were spiking ...

https://en.wikipedia.org/wiki/Mike_Pence

The fact that "as many as a third of patients who had been on ventilators for more than 21 days were weaned from them as soon ... "With pressure support, however, the ability to judge whether the patient could be weaned is clouded because the ventilator is ... Cite this: Ventilator Weaning Faster With Tracheostomy Collar - Medscape - Jan 25, 2013. ... "Any day a patient is spared from the ventilator is a benefit.... The risk of ventilator-associated pneumonia increases about 1 ...

http://www.medscape.com/viewarticle/778230

Rehabilitation-based ventilator weaning units play an important role in the spectrum of medical care necessary in population ... A community-based regional ventilator weaning unit: development and outcomes Chest. 1997 Apr;111(4):1024-9. doi: 10.1378/chest. ... The highest weaning success was seen in patients with ventilator dependence from postoperative causes (58%) and acute lung ... Conclusions: Rehabilitation-based ventilator weaning units play an important role in the spectrum of medical care necessary in ...

https://pubmed.ncbi.nlm.nih.gov/9106584/?dopt=Abstract

ROSARIO, Isabela Ferreira do et al. Predictors of ventilator weaning in pediatrics. Cad. Pós-Grad. Distúrb. Desenvolv. [online ... The sample was divided on Success Group (SG) and Failure Group (FG) of the weaning process. We used the U test of Mann-Whitney ... When MV is extended, it may cause several problems, this been said the weaning from mechanical ventilation (WMV) must be brief ...

http://pepsic.bvsalud.org/scielo.php?script=sci_abstract&pid=S1519-03072017000200004&lng=en&nrm=is&tlng=en

https://www.staging.medscape.com/viewarticle/778230

The NHSN definition of a ventilator is, "Any device used to support, assist or control respiration (inclusive of the weaning ... Home Ventilators. Q24. My facility/unit takes care of adult patients who are on home mechanical ventilators, or who are on a ... Ventilator Data. Q23. How does one use ventilator data obtained in pre-hospital or Emergency Department (ED) settings, or in ... When ventilator data are available from a transferring facility, you may use the ventilator data from the 2 calendar days prior ...

https://www.cdc.gov/nhsn/faqs/faq-vae.html

... , ... WHAT DO WE MEAN BY WEANING?. Weaning from ventilator comprises 2 separate aspects:. *Liberation from the ventilator and the ... WHAT IS THE BEST VENTILATOR MODE TO WEAN ON?. Esteban et al compared 4 modes for weaning in patients who experienced ... Evidence-Based Practice of Weaning from Ventilator: A Review. Saikat Sengupta1†, Chandrashish Chakravarty2, A. Rudra3 ...

https://resources.wfsahq.org/atotw/evidence-based-practice-of-weaning-from-ventilator-a-review/

Ventilator/Weaning Breath Sounds Rate and Work of Breathing Arterial Blood Gases (ABG) ...

https://form.jotform.com/202194202250440

The baby is weaned from the ventilator. The baby may continue to get oxygen by a mask or nasal tube for several weeks or months ... If your baby is on breathing support, ask the provider how soon your baby can be weaned from the ventilator. ... Infants who have breathing problems are often put on a ventilator. This is a breathing machine that sends pressure to the ... Some infants have long-term lung damage and require oxygen and breathing support, such as with a ventilator. Some infants with ...

https://medlineplus.gov/ency/article/001088.htm

Additionally, severely ill patients who cannot be weaned from the heart-lung machine directly after surgery have to be put on ...

https://www.researchgate.net/profile/Ralf-Bensberg

If the ventilator weaned multiple times, VFDs is the sum of the days without ventilator support. ... Monitored by ventilator in one inspiration pause, measured 4 times a day. Record the average value of the day. unit-cmH20 ... oxygenation index, ventilator parameters, lung injury biomarkers and clinical outcomes as secondary outcomes will be analyzed. ... Monitored by ventilator and recorded per hour, obtain the average value of the day. unit-cmH20 ...

https://clinicaltrials.gov/show/NCT03608592

Best Practices: Ventilator Weaning Protocols Delivering the best possible care to patients on mechanical ventilation mea... ... Understanding Ventilator Graphics The best techniques and interpretations, so that you are sure to be at the... ...

https://www.aarc.org/exhibitor-giveaway-helped-respiratory-therapist-save-a-life/

Patient fear or anxiety, inadequate strength, or drowsiness and disorientation can interfere with a weaning plan. Encouraging ... Today, many ventilator patients survive with good quality of life,4 even though ~10% of all ICU patients become ventilator- ... 3 Having a patient remain on a ventilator for more than 1 day increases the risk of ventilator-associated pneumonia (VAP), ... With VAPs cumulative incidence of 1% to 3% per day, translating to its occurrence in up to 30% of ventilator-dependent ...

https://www.pharmacytimes.com/view/2006-07-5696

He gradually recovered and was weaned off the ventilator on day 62. After a week of mobilization and physiotherapy, he was ...

https://wwwnc.cdc.gov/eid/article/28/2/21-0555_article

Order r/t Respiratory weaning. Gradual removal of ventilator, Tube, Oxygen. Indications r/t Tube weaning. Pt can breathe ... Most commonly used Positive-pressure ventilator. Volume-cycled ventilator. Volume-cycled ventilator r/t O delivery. Volume of ... Prevent atelectasis and retention of secretions r/t Ventilators. Periodic sighs. Permits talking r/t Mechanical ventilation. ... Examples r/t Noninvasive Positive-pressure Ventilators. Nasal cannula and all masks. ...

https://www.studystack.com/flashcard-123035

Once stabilized, the patient is rapidly weaned from the ventilator and the pressors. The chosen combination depends on the ... Programs that use steroids typically start with oral prednisone at a dosage of 2 mg/kg/day and then wean over the first 3 ...

https://emedicine.medscape.com/article/1011927-medication

While at Kindred they were successful at weaning him off of the ventilator. He still currently has the trach and feeding tube ...

https://www.gofundme.com/f/rich-henry-stroke-recovery-fund

Partial support and weaning from ventilator. Lab practice with advanced modes and trouble-shooting. ... Ventilator modes, sensitivities and interactions with patients. Neonatal ventilation and other special needs; selecting correct ... Ethical considerations of life support; indications for and essential steps leading to ventilator commitment. ...

https://nmu.edu/bulletin/mechanical-ventilation-ii-14

... prediction of ventilator weaning., Ieee Transactions on Bio Medical Engineering, vol. 61 no. 3 (March, 2014), pp. 736-744, ISSN ...

http://fds.duke.edu/db/aas/math/faculty/ingrid/publications.html

A Kaplan-Meier curve was calculated and plotted to assess the days until successful weaning from the ventilator. Furthermore, a ... Weaning and extubation procedures. In both groups daily screening was performed as a precondition for carrying out a ... Tidal hyperinflation [3, 4, 22], and cyclic recruitment/derecruitment [23, 24] are important mechanisms leading to ventilator- ... Post-hoc analysis: probability of successful weaning in patients presenting with PaO2/FIO2 ≤150 versus ,150 (only surviving ...

https://link.springer.com/article/10.1007/s00134-012-2787-6

The outcomes including ventilator weaning rate, ICU and overall survival were described. Most patients (11 out of 16 (68.7%)) ... who were successfully weaned were significantly better than those of patients who were not weaned from their ventilators. ... we showed that some of these critical patients could be liberated from their ventilators and further discharged from the ICU ... were withdrawn from the ventilator and survived after airway Ultraflex stenting. Five patients were finally discharged from ...

https://erj.ersjournals.com/content/36/1/204

And then well wean them off of the ECMO and then theyll be on the ventilator afterwards and just have routine ICU care at ... And it just takes another, you know, three to seven days or so to wean them off the ventilator. And then, you know, get them ... And so it may be quite some time while theyre on the ventilator. And a lot of that too they are - have critical illness, maybe ... We put them on typical ventilator settings AC or SIMV just average settings. But we do, do lung protective settings with our ...

https://emergency.cdc.gov/coca/transcripts/2016/call-transcript-063016.asp

Data for determination of CV is readily attainable from modern mechanical ventilators. ... Tidal coefficient of variation as a predictor of weaning success [abstract] Abstract Overview abstract * Background: ... During the graded PS ventilation, the variability of RR, MV, and RSBI also appear to be less useful as indications of weaning ... Increased and maintained variability of Vt during PS ventilation appears to discriminate successful from failed weaning trials ...

https://www.healthpartners.com/knowledgeexchange/display/document-rn23009

They are slowly weaned from the mechanical ventilator. Their lungs usually improve over the first two years of life. But some ... Babies with PPHN often need a mechanical ventilator to help them breathe. They may be given a gas called nitric oxide through a ... An infant with breathing problems may be given medicines, a mechanical ventilator to help him breathe, or a combination of ... They sometimes need a mechanical ventilator to help them breathe. Some babies treated for RDS may develop symptoms of BPD, ...

https://www.marchofdimes.org/find-support/topics/neonatal-intensive-care-unit-nicu/common-conditions-treated-nicu

Over the next days, her urine output increased and her PEEP and FiO2 requirements were weaned. By day 18, voriconazole was ... She was restarted on antibiotics (vancomycin/piperacillin-tazobactam) for possible ventilator-associated pneumonia and received ... demanding constant adjustments to the ventilator settings. Early neuromuscular blockade was achieved with rocuronium for ...

https://www.hindawi.com/journals/cricc/2020/8877641/

And lastly, Salmas respiratory therapist along with our consultant paediatricians gradually weaned her off the ventilator. She ...

https://gulfnews.com/uae/abu-dhabi-helps-a-girl-with-rare-genetic-disorder-to-become-more-independent-1.92018745

Bach JR, Goncalves M. Ventilator weaning by lung expansion and decannulation. Am J Phys Med Rehabil. 2004;83(7):560-568.. 16. ... ventilator-associated pneumonia). These systems have been demonstrated5,6 to decrease incidence of ventilator-associated ... Little emphasis is placed on airway clearance despite the prevalence of ventilator-associated pneumonia. ... Ventilator-associated pneumonia is an exceedingly common problem in intensive care units (ICUs), occurring in as many as 27% of ...

https://rtmagazine.com/disorders-diseases/chronic-pulmonary-disorders/asthma/airway-clearance-in-the-icu/

Ventilator Weaning 29% * Cardiovascular Physiological Phenomena 28% * Ventilator-Induced Lung Injury 28% ...

https://abdn.pure.elsevier.com/en/publications/emerging-modes-of-ventilation-in-the-intensive-care-unit/fingerprints/

A Frame-based Representation for a Bedside Ventilator Weaning Protocol. Journal of Biomedical Informatics, 41(3), 461-468. ... Potential Acceptability of a Pediatric Ventilator Management Computer Protocol. Pediatr Crit Care Med. 2017 Nov;18(11):1027- ... Potential Acceptability of a Pediatric Ventilator Management Computer Protocol. Pediatric critical care medicine : a journal of ...

https://faculty.utah.edu/u0059963-Katherine_Sward,_PhD,_RN/research/index.hml

Dr. Jubran said the tracheostomy collar helps give clinicians confidence when making the decision to take a patient off ventilation, which could explain why these patients were generally weaned faster. (medscape.com)
Although the 316 patients randomized did not tolerate the procedure, 184 - more than a third - were successfully weaned from ventilation within a few days of arrival. (medscape.com)
When MV is extended, it may cause several problems, this been said the weaning from mechanical ventilation (WMV) must be brief. (bvsalud.org)
Many studies show that a spontaneous breathing trial (SBT) is a good method of identifying patients ready to be weaned from mechanical ventilation. (wfsahq.org)
Acute respiratory distress syndrome is characterized by damage to the lung caused by various insults, including ventilation itself, and tidal hyperinflation can lead to ventilator induced lung injury (VILI). (springer.com)
Due to advances in airway stents and insertion techniques, interventional bronchoscopic procedures have been reported to facilitate weaning from mechanical ventilation 4 . (ersjournals.com)
We examined the CV of respiratory rate (RR), minute ventilation (MV), tidal volume (Vt), and rapid shallow breathing index (RSBI) both prior to and during partial ventilatory support to evaluate the discriminatory value of variability in predicting weaning success. (healthpartners.com)
Increased and maintained variability of Vt during PS ventilation appears to discriminate successful from failed weaning trials (figure). (healthpartners.com)
Variability trends for RR and MV during controlled mechanical ventilation do not appear to be strong indicators of weaning success. (healthpartners.com)
During the graded PS ventilation, the variability of RR, MV, and RSBI also appear to be less useful as indications of weaning success. (healthpartners.com)
Conclusion: Although data collection is ongoing, increased and maintained variability during graded reduction in pressure support ventilation, assessed by coefficient of variation, appears to be a useful predictor of weaning success. (healthpartners.com)
Open versus closed suction systems have been studied 5,6 in patients receiving mechanical ventilation, with the idea that a closed system would reduce contamination of the lower airways (and, thereby, ventilator-associated pneumonia). (rtmagazine.com)
ATS 2015, DENVER--Patient-selected music during weaning from prolonged mechanical ventilation could benefit patients by decreasing their heart rate and anxiety, according to a study presented at the 2015 American Thoracic Society International Conference. (eurekalert.org)
Patients on prolonged mechanical ventilation may feel stress or insecurity during daily weaning trials because they do not have support from the ventilator. (eurekalert.org)
Subjects included in the study were on mechanical ventilation for more than 4 days, were undergoing daily weaning trials, had no hearing impairment, were at least 21 years old, and had no evidence of delirium. (eurekalert.org)
For patients on prolonged mechanical ventilation (PMV), daily weaning trials can be stressful due to insecurity from not having support from the ventilator. (eurekalert.org)
CIP/CIM prolongs weaning from mechanical ventilation and physical rehabilitation since both limb and respiratory muscles can be affected. (biomedcentral.com)
Therefore, the MRC sum score can be used only after awakening (for example, at the onset of weaning from mechanical ventilation). (biomedcentral.com)
To determine the time to wean from mechanical ventilation and time spent off the ventilator per day after tracheotomy in critically ill patients in a 28-bed mixed medical and surgical intensive care unit (ICU) in Amsterdam, Netherlands. (rcjournal.com)
OBJECTIVE: To compare subjective experience of comfort associated with various commonly used supportive modes of mechanical ventilation for weaning in the intensive care unit (ICU). (who.int)
The subjects were randomly made to experience breathing via anatomical facemask through ventilator circuit with synchronized intermittent mandatory ventilation (SIMV), assisted spontaneous breathing (ASB), biphasic positive airway pressure (BiPAP), and continuous positive airway pressure (CPAP) modes of ventilation with parameters set at intermediate level of respiratory support. (who.int)
Hence, no single supportive mode should be used in all patients during weaning from mechanical ventilation. (who.int)
Relations between ventilator-controlled variables (shaded circles) and pulmonary mechanics (unshaded circles) that determine minute ventilation during pressure-limited time-cycled ventilation. (medscape.com)
The clinical course of the patient's illness was characterized by serious hemodynamic instability and difficulty in weaning from mechanical ventilation. (cdc.gov)
They've taken part in a new international study, that found high death rates in weaning intensive care patients from ventilation. (connachttribune.ie)
What are the Factors that Affect Patient Ventilator Interaction, Success and Failure in Noninvasive Mechanical Ventilation? (turkiyeklinikleri.com)
At weeks 2-4, oxygen supplementation, ventilator support, or both are often increased to maintain adequate ventilation and oxygenation. (medscape.com)

Mechanically ventilated patients should have a daily assessment relating to their ability to be weaned from ventilatory support. (wfsahq.org)
The lack of sinus rhythm created difficulties with his ability to be weaned from the ventilator. (ispub.com)

The risk of ventilator-associated pneumonia increases about 1% per day each day a patient is on the ventilator, and the mental stress a patient endures is huge," said Dr. Jubran. (medscape.com)
3 Having a patient remain on a ventilator for more than 1 day increases the risk of ventilator-associated pneumonia (VAP), gastrointestinal (GI) bleeding, and altered glucose metabolism. (pharmacytimes.com)
Little emphasis is placed on airway clearance despite the prevalence of ventilator-associated pneumonia. (rtmagazine.com)
Ventilator-associated pneumonia is an exceedingly common problem in intensive care units (ICUs), occurring in as many as 27% of patients. (rtmagazine.com)
2,3 Despite the many reports and reviews on ventilator-associated pneumonia, little emphasis is placed on airway clearance. (rtmagazine.com)
A new emphasis on early extubation, coupled with the use of noninvasive ventilatory support, has been demonstrated 4 to decrease the incidence of ventilator-associated pneumonia. (rtmagazine.com)
These systems have been demonstrated 5,6 to decrease incidence of ventilator-associated pneumonia, as well as bacterial cross-contamination between the gastric and respiratory tracts. (rtmagazine.com)
Since then, her pneumonia has resolved, but she is currently still on a ventilator, with failed attempts of weaning her off. (newsnowwarsaw.com)
Cases of nosocomial ventilator-associated pneumonia have also been reported in Germany ( 1 ). (cdc.gov)
We report a case of ventilator-associated pneumonia caused by MRSA ST398 in a patient in Palermo, Italy. (cdc.gov)
On the 14th day in the ICU, clinical signs of ventilator-associated pneumonia developed in the patient. (cdc.gov)

Description of the development of a community-based weaning unit and the outcomes from that unit. (nih.gov)
oxygenation index, ventilator parameters, lung injury biomarkers and clinical outcomes as secondary outcomes will be analyzed. (clinicaltrials.gov)
The outcomes including ventilator weaning rate, ICU and overall survival were described. (ersjournals.com)
Working together, they proudly deliver the best ventilator weaning outcomes of the tri-state area and beyond. (passy-muir.com)
Galway Bay fm newsroom - Researchers at the University of Galway are aiming to improve outcomes for patients on ventilators. (connachttribune.ie)

Data for determination of CV is readily attainable from modern mechanical ventilators. (healthpartners.com)
Mechanical ventilators do the breathing for babies whose lungs are too immature to let them breathe on their own. (childrensdayton.org)

Most patients (11 out of 16 (68.7%)) were withdrawn from the ventilator and survived after airway Ultraflex stenting. (ersjournals.com)
As Alvin's oxygen levels continued to drop, he learned he would need to be intubated, a process that opens the airway to make breathing easier for a patient who requires ventilator care. (centrastate.com)
Patients who require tracheotomy only for airway protection wean sooner than other patients. (rcjournal.com)
Benefits of a speaking valve besides voice include restoring positive airway pressure, improving secretion management, improved swallowing, may reduce the risk of aspiration, quicker decannulation, in-line ventilator use, improved olfaction, improved oxygenation. (tracheostomyeducation.com)
Effects of flow amplitudes on intraprong pressures during bubble versus ventilator-generated nasal continuous positive airway pressure in premature infants. (uams.edu)

When a patient is on a tracheostomy collar, he is getting no assistance at all from the ventilator - he is breathing entirely on his own - and the clinician watching the patient gets a clear view of how much respiratory work the patient is doing," she explained. (medscape.com)
they teach patients, families, and caregivers everything that they need to know (GT feeding, ventilator/tracheostomy care, suctioning, wound care, CPR, etc.) so that their child can (one day) return home. (nursesnotes.blog)
Deskin had been born in the 24th week of gestation and spent nearly 10 months in the hospital before being released with a tracheostomy tube, ventilator and oxygen. (healthpolicytoday.org)

Some infants have long-term lung damage and require oxygen and breathing support, such as with a ventilator. (medlineplus.gov)
The study's outcome measures were mean blood pressure, heart rate, respiratory rate, blood oxygen saturation level (SpO2), anxiety, dyspnea, and weaning time (hours) during daily weaning trials. (eurekalert.org)
Most babies are weaned from extra oxygen by the end of their first year. (childrensdayton.org)
Ventilators keep oxygen going to the brain, the heart and the kidneys. (frapier.net)
The ventilator delivers more oxygen into the lungs at pressure high enough to open up the stiffened lungs. (frapier.net)
Our boy, who had been almost totally weaned off of oxygen, needing just 1/16 of a liter per minute, now needed four liters per minute. (healthpolicytoday.org)

Although there were no significant differences in mortality between the 2 groups at 1 year, the importance of 4 fewer days on a ventilator is profound, lead investigator Amal Jubran, MD, professor of medicine and section chief of the division of pulmonary and critical care at the Edward Hines Jr. Veterans Administration Hospital in Illinois, told Medscape Medical News . (medscape.com)
The Department's expertise include pulmonary rehabilitation, ventilator weaning, facility transport team and family/caregiver education. (blythedale.org)
Their pulmonary and vent weaning programs are directed by well-respected, board certified pulmonologists who work hand-in-hand with the compassionate and experienced staff. (passy-muir.com)

The coefficient of variation (CV) of routinely measured respiratory variables may be one convenient indicator of readiness to be weaned. (healthpartners.com)
And lastly, Salma's respiratory therapist along with our consultant paediatricians gradually weaned her off the ventilator. (gulfnews.com)
When researchers compared the three music days with the three nonmusic days, there were significant decreases in respiratory rate, anxiety, dyspnea, and a significant increase in daily weaning time, but not heart rate, SpO2, or mean blood pressure. (eurekalert.org)
Blythedale's modern respiratory support technology includes critical care ventilators, portable ventilators, BiPAP, CPAP, bubble CPAP and high flow nasal. (blythedale.org)
His nurses, respiratory therapists, and doctors encouraged him as he was transferred out of the Critical Care Unit and weaned off the ventilator. (centrastate.com)
Another recent paper, from Wuhan, China, described how 13 of 88 patients hospitalized with severe acute respiratory syndrome, or 14.8 percent, experienced "impaired consciousness" after being removed from ventilators. (frapier.net)

For all the talk of ventilator capacity, what was in shortest supply during the Delta surge was something called ECMO, or extracorporeal membrane oxygenation. (medscape.com)

They took turns holding my hands while a ventilator pushed air in and out of my lungs, and my body swelled from the flood of fluids and antibiotics. (cdc.gov)

Additionally, severely ill patients who cannot be weaned from the heart-lung machine directly after surgery have to be put on ECLS for furt. (researchgate.net)

The primary outcome was the 28-days and 60-days ventilator-free days (VFD). (springer.com)
Outcome measures included MBP, HR, RR, SpO2, anxiety and dyspnea (visual analog scale, 0 [None] - 100 [extremely anxious or short of breath]) and weaning time (hours). (eurekalert.org)

0.01) of patients who were successfully weaned were significantly better than those of patients who were not weaned from their ventilators. (ersjournals.com)
After the stent was implanted successfully, we showed that some of these critical patients could be liberated from their ventilators and further discharged from the ICU and hospital. (ersjournals.com)
Data for each selected pressure support level (12 à 10 à 8 à 7 à 5) was obtained until the patient was successfully extubated or failed the weaning attempt. (healthpartners.com)

Multiple criteria have been used to assess readiness to wean. (wfsahq.org)

An infant with breathing problems may be given medicines, a mechanical ventilator to help him breathe, or a combination of these two treatments. (marchofdimes.org)
They sometimes need a mechanical ventilator to help them breathe. (marchofdimes.org)
Babies with PPHN often need a mechanical ventilator to help them breathe. (marchofdimes.org)
Babies get intense care in the hospital, usually in a neonatal intensive care unit (NICU) , until they can breathe well on their own, without a mechanical ventilator. (childrensdayton.org)
She spent six months in the hospital, where she was put in a giant metal tank - a ventilator informally called an iron lung - to help her breathe. (wypr.org)
After tracheotomy, the majority of patients were quickly able to breathe spontaneously without assistance of the mechanical ventilator for several hours per day. (rcjournal.com)

Patients on ventilators consume about 37% of intensive care unit costs, and the expense associated with long-term acute care hospitals exceeds $1 billion. (medscape.com)

Researchers recruited 28 subjects from a long-term acute care hospital and randomized subjects into two music intervention orders for 6 days during their weaning trials. (eurekalert.org)
Having patients listen to their choice of music during daily weaning trials may be a simple means of reducing stress and therefore hastening extubation. (eurekalert.org)
Using a prospective crossover pre-post repeated measures design, 28 subjects were recruited from a long term acute care hospital (LTACH) and randomized into 2 music intervention orders for 6 days during their scheduled weaning trials: 1) Order 1 = music (Day 1), no music (Day 2), music (Day 3), etc. and 2) Order 2 = no music (Day 1), music (Day 2), no music (Day 3) etc. (eurekalert.org)

If the patient can maintain gas exchange at minimal levels of pressure support (usually 5 to 10 cm H 2 O) or when on the T-piece, the feasibility of weaning from mechanical ventilatory support can be assessed. (wfsahq.org)
She was immediately transferred to the ICU, requiring vasopressors and ventilatory support, demanding constant adjustments to the ventilator settings. (hindawi.com)

Liberation from the ventilator and the mechanical support that it offers. (wfsahq.org)
If your baby is on breathing support, ask the provider how soon your baby can be weaned from the ventilator. (medlineplus.gov)
The days without invasive ventilator support(at least 2 consecutive calendar days) in 28 days. (clinicaltrials.gov)
If the ventilator weaned multiple times, VFDs is the sum of the days without ventilator support. (clinicaltrials.gov)
Partial support and weaning from ventilator. (nmu.edu)

In July 2022, a specialty hospital succeeded in weaning Ryan off the ventilator that had served as his life-sustaining treatment. (texasrighttolife.com)

5. Intuitive and consistent user interfaces that make it easy to set up and operate ventilators in clinical and nonclinical settings. (infectioncontroltoday.com)

Any day a patient is spared from the ventilator is a benefit. (medscape.com)
it's hard to eyeball the patient to determine just how much he is doing and how much the ventilator is doing. (medscape.com)
They confirm that it's really our figuring out whether the patient is ready to come off the ventilator that can slow things down. (medscape.com)
then applied a headset with patient selected/preferred music for 60 minutes during the weaning trial (total 90 minutes). (eurekalert.org)
At CareOne, they emphasize the team approach in working towards optimal health, and this is especially true when working to wean a patient from the ventilator. (passy-muir.com)
Innovative gas exchange and metabolics technologies for optimizing the patient's nutrition, work of breathing and ventilator settings in order to help the patient in the healing and weaning process. (georgiananesthesia.com)

He contacted researchers at Imperial's Department of Bioengineering and the team have worked flat-out since to develop the ventilator design. (imperial.ac.uk)

In the technique of manual hyperinflation, 8 a rebreathing or self-inflating circuit is used to insufflate the chest slowly to a tidal volume at least 50% greater than that provided by the ventilator, followed by an inspiratory pause and then chest-wall vibrations during the expiratory phase. (rtmagazine.com)

The many attempts to wean India from the nipple of her outdated pastoral culture have all failed. (bharatexpedition.com)

They are slowly weaned from the mechanical ventilator. (marchofdimes.org)

The importance of 4 fewer days on a ventilator is profound. (medscape.com)
The fact that "as many as a third of patients who had been on ventilators for more than 21 days were weaned from them as soon as they left the ICU and were under the care of someone else should cause us to take another look at how we are handling these patients," Dr. Tisherman told Medscape Medical News . (medscape.com)
Today, many ventilator patients survive with good quality of life, 4 even though ~10% of all ICU patients become ventilator-dependent for more than 21 days. (pharmacytimes.com)
For all the patients, the median time to wean after tracheotomy was 5 days (interquartile range 2-11 d). (rcjournal.com)

The average time from admission to weaning fell within each diagnostic category throughout the study period. (nih.gov)
After Alvin received emergency approval to begin the medication, his condition improved significantly within 48 hours, and he was able to come off of the ventilator a week after his admission into the hospital. (centrastate.com)

Rehabilitation-based ventilator weaning units play an important role in the spectrum of medical care necessary in population centers. (nih.gov)
To ensure impeccable care, many ICUs and ventilator units use Joint Commission on the Accreditation of Healthcare Organizations-endorsed 'ventilator bundles'?a set of performance improvement measures more comprehensive than any isolated measure. (pharmacytimes.com)
More than 160 multidisciplinary stakeholders brought their expertise, personal experiences, and wisdom to the AAMI/FDA Summit on Ventilator Technology, which was held Sept. 16-17, 2014, in Herndon, Va. Participants and presenters at the summit shaped a vision of a safer and more effective environment of care for patients who depend on ventilators-remarkable, life-saving equipment that could be even better. (infectioncontroltoday.com)
3. Clinicians who are consistently trained, competent, and certified to care for ventilated patients and operate the ventilators they use. (infectioncontroltoday.com)
Performed all aspects of ventilator care to include, but not limited to setting up the ventilator and verifying function using specialized ventilator modes to manage the patients disease process. (qwikresume.com)

indications for and essential steps leading to ventilator commitment. (nmu.edu)

Review of admissions, classified by etiology of ventilator dependence, with attention to disposition, length of stay, and time to wean. (nih.gov)
The ventilator technology event marked the sixth time that AAMI and the FDA have collaborated on a summit focusing on an important issue in healthcare technology. (infectioncontroltoday.com)
A low Glasgow coma scale score was associated with shorter time to wean. (rcjournal.com)
Time to wean from after tracheotomy differed among the subgroups in our ICU. (rcjournal.com)
We celebrate the small victories, like tolerating weaning from the ventilator for extended periods of time, or slow decreases in morphine doses for infants who were born from a drug addicted mother. (nursesnotes.blog)

BPD can also occur in infants who were on a breathing machine ( ventilator ). (medlineplus.gov)
Infants who have breathing problems are often put on a ventilator. (medlineplus.gov)
A few may need breathing help from a ventilator for several years. (childrensdayton.org)
Within two months, Ryan had improved enough to be discharged from the hospital to return to his parents' home with the required medical equipment, including the ventilator that was assisting his breathing. (texasrighttolife.com)

The sample was divided on Success Group (SG) and Failure Group (FG) of the weaning process. (bvsalud.org)
Further study is indicated to test benefits in a larger sample and earlier in the weaning process. (eurekalert.org)
They recognize the importance and benefits of including the Passy Muir ® Valve as a step in the weaning process. (passy-muir.com)

Covid-19 patients are put into a medically induced coma before being placed on a ventilator. (frapier.net)
ORLANDO, Fla. - Michael Kevin Rathel has been in a medically-induced coma on a ventilator at Orlando Health battling COVID-19 since April 4. (frapier.net)
What Doctors Are Learning From Autopsy Findings of Coronavirus (COVID-19) Patients - … Eddie Case was infected with coronavirus to the extent that he was put on both a respirator and a ventilator before undergoing a medically induced coma … "They were adamant about not covering the long-term ICU," she said. (frapier.net)

While at Kindred they were successful at weaning him off of the ventilator. (gofundme.com)

A low cost, high performance emergency ventilator to help patients with coronavirus has been designed by a team at Imperial College London. (imperial.ac.uk)

The next day, he was taken to a larger Springfield hospital that was overflowing with patients and placed on a ventilator. (medscape.com)
The project was started by Imperial medic Dr Jakob Mathiszig-Lee , who was treating COVID-19 patients at the Royal Brompton hospital and watching the tragedy unfold around the world and recognised there would be an urgent, overwhelming need for ventilators worldwide. (imperial.ac.uk)

Noninvasive techniques include various external devices such as tight-fitting face masks connected to ventilators. (pharmacytimes.com)

Provided for an appropriate monitoring of these patients and provide appropriate weaning techniques. (qwikresume.com)

Testing of the prototype has shown that it can perform to MHRA specifications and can carry out the critical functions of ICU ventilators for COVID-19 patients. (imperial.ac.uk)
We aimed to produce a device that could perform all of the critical functions of ICU ventilators, using simple components outside of the medical supply chain. (imperial.ac.uk)

Anatomy6

Diseases33

Chemicals and Drugs8

Analytical, Diagnostic and Therapeutic Techniques and Equipment66

Psychiatry and Psychology2

Phenomena and Processes21

Disciplines and Occupations1

Anthropology, Education, Sociology and Social Phenomena2

Technology, Industry, Agriculture5

Humanities1

Information Science4

Named Groups2

Health Care26

Changes in occlusion pressure (P0.1) and breathing pattern during pressure support ventilation. (1/415)

Clinical evaluation of a computer-controlled pressure support mode. (2/415)

A single-center 8-year experience with percutaneous dilational tracheostomy. (3/415)

Predictors of weaning outcome in chronic obstructive pulmonary disease patients. (4/415)

Comparison of the pressure time product during synchronous intermittent mandatory ventilation and continuous positive airway pressure. (5/415)

Respiratory effects of dexmedetomidine in the surgical patient requiring intensive care. (6/415)

Weaning from mechanical ventilation. (7/415)

Carbon dioxide kinetics and capnography during critical care. (8/415)

Ventilators, Mechanical

Ventilator Weaning

Respiration, Artificial

Work of Breathing

Positive-Pressure Respiration

Tidal Volume

Respiratory Insufficiency

Lung Compliance

Ventilators, Negative-Pressure

Respiratory Mechanics

Equipment Design

Pneumonia, Ventilator-Associated

Intermittent Positive-Pressure Ventilation

Intubation, Intratracheal

Mass Casualty Incidents

Respiratory Care Units

High-Frequency Jet Ventilation

Respiratory Distress Syndrome, Adult

Pulmonary Ventilation

Respiratory Rate

Intensive Care Units

Airway Resistance

Equipment Failure

Respiratory Dead Space

Noninvasive Ventilation

Respiratory Distress Syndrome, Newborn

Masks

Pulmonary Gas Exchange

High-Frequency Ventilation

Tracheostomy

Data Display

Inhalation

Ventilator-Induced Lung Injury

Air Pressure

Man-Machine Systems

Monitoring, Physiologic

Respiratory Therapy

Pressure

Obesity Hypoventilation Syndrome

Dimensional Measurement Accuracy

Nursing, Team

Transportation of Patients

Suction

Inspiratory Capacity

Exhalation

Equipment Safety

Helium

Capnography

Therapy, Computer-Assisted

Equipment Contamination

Respiratory Paralysis

Neuromuscular Diseases

Intermittent Positive-Pressure Breathing

Carbon Dioxide

Humidity

Oxygen

Equipment Failure Analysis

Respiration

Tracheotomy

Nebulizers and Vaporizers

Critical Care

Blood Gas Analysis

Models, Anatomic

Infant, Newborn

Interactive Ventilatory Support

Barotrauma

Intensive Care Units, Pediatric

Pasteurization

Home Care Services

Oxygen Inhalation Therapy

Critical Illness

Respiratory Muscles

Electric Power Supplies

Hypercapnia

Pleural Cavity

Lung

Chest Wall Oscillation

Apnea

Quadriplegia

Lung Injury