Duration of mechanical ventilationTrachealCPAPHigh-flow nasalBilevel positiveBiPAPPediatric patientsRapid sequence iOrotrachealNasalIncreased ventilation-perfusionComplicationsUnderwentExtracorporeal membrane oxRespiratory supportNoninvasive positivePressureLaryngoscopyContinuousAlveolarVentilatoryRequire mechanical ventilationIntensive Care UnitsSignificantlyVersusAirway managementNeonates2022OxygenAcuteMechanicallyTracheostomyTidal volumeAdmissionCriticallyExtubationLungCricothyrotomyHypoventilationCardiac surgeryClinical practiceNose
Duration of mechanical ventilation2
- The secondary outcomes will be duration of mechanical ventilation, length of stay in cardiac intensive care unit, reintubation rate, and complication rate. (springer.com)
- duration of mechanical ventilation. (who.int)
Tracheal3
- Tracheal Intubation Most patients requiring an artificial airway can be managed with tracheal intubation, which can be Orotracheal (tube inserted through the mouth) Nasotracheal (tube inserted through the nose). (merckmanuals.com)
- This retrospective cohort study of critically ill children who underwent tracheal intubation (TI) was conducted between 2014 and 2019. (ahrq.gov)
- In 1543, Vesalius reported intubating an animal , the first documented case of a tracheal intubation [1]. (ems1.com)
CPAP9
- Continuous positive airway pressure (CPAP) throughout the ventilation cycle improves alveolar oxygen exchange. (aao.org)
- Early intubation versus use of conventional or high-flow nasal cannula oxygen therapy (COT/HFNC), continuous positive airway pressure (CPAP), and non-invasive ventilation (NIV) has been debated throughout the COVID-19 pandemic. (karger.com)
- Severe cases may require mechanical ventilation with PEEP or continuous positive airway pressure (CPAP), administered by a tightly fitting face mask or, when necessary, endotracheal (ET) intubation. (health-care-clinic.org)
- Although weight reduction, non-invasive ventilation (NIV), and continuous positive airway pressure (CPAP) lead to improvements in long-term clinical outcomes and cardiac function, there is no rapid reversal method in serious situations requiring mechanical ventilation. (bvsalud.org)
- We present our experience on the usage of continuous positive airway pressure (CPAP) therapy and possible indicators of its success in this patient group. (medrxiv.org)
- 37 patients received IMV (Invasive Mechanical Ventilation) without a CPAP trial beforehand. (medrxiv.org)
- 52 patients underwent a CPAP trial, of which 21 patients successfully avoided intubation and ITU admission. (medrxiv.org)
- 5 ) NIPPV can be provided as continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BiPAP). (medrxiv.org)
- High-flow nasal cannula (HFNC), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BPAP) are emerging as important modalities of respiratory support in the management of pediatric respiratory failure. (ebmedicine.net)
High-flow nasal5
- In select circumstances, it may be wise to consider noninvasive positive-pressure ventilation (PPV), when this is permissible, or a high-flow nasal cannula (HFNC). (medscape.com)
- Medical intervention included observation, noninvasive positive pressure ventilation via high flow nasal cannula, and intubation-but was not needed for both patients. (cdc.gov)
- The use of high-flow nasal cannula and noninvasive ventilation has become increasingly common in emergency medicine as a first-line treatment of pediatric patients with respiratory distress secondary to asthma and bronchiolitis. (ebmedicine.net)
- This issue provides evidence-based recommendations for the appropriate use of noninvasive ventilation modalities in pediatric patients including high-flow nasal cannula, continuous positive airway pressure, and bilevel positive airway pressure in the setting of acute respiratory distress. (ebmedicine.net)
- The panel makes a conditional recommendation for interleukin (IL)-6 receptor antagonist monoclonal antibody treatment and high-flow nasal oxygen or continuous positive airway pressure in patients with hypoxaemic respiratory failure. (bvsalud.org)
Bilevel positive2
- A bilevel positive airway pressure (BiPAP or BPAP) machine normalizes breathing by delivering pressurized air Trusted Source Medline Plus MedlinePlus is an online health information resource for patients and their families and friends. (sleepfoundation.org)
- The original objective was to determine whether the use of bilevel positive airway pressure (BiPAP) ventilation would reduce the need for endotracheal intubation, the length of hospital stay, and hospital charges in patients with status asthmaticus. (nih.gov)
BiPAP4
- A BiPAP machine is one type of positive airway pressure (PAP) device . (sleepfoundation.org)
- Patients remaining in status asthmaticus after initial standard treatment with inhaled beta-agonists and steroids were randomized to receive BiPAP ventilation plus standard treatment versus standard treatment alone (non-BiPAP), with intubation for either group as needed. (nih.gov)
- There was a 7.3% increase (95% CI = -22 to +45) in the intubation rate in the non-BiPAP group (n = 2) compared with that for the BiPAP group (n = 1). (nih.gov)
- In this study, BiPAP appeared to have no deleterious effects in patients with status asthmaticus, with a trend toward decreased endotracheal intubation rate, decreased length of hospital stay, and decreased hospital charges. (nih.gov)
Pediatric patients4
- The goal of this study was to investigate whether adverse peri-intubation associated events occur at increased frequency in pediatric patients with hematopoietic cell transplant (HCT) compared with non-HCT oncologic or other pediatric ICU (PICU) patients and therefore might contribute to increased mortality. (ahrq.gov)
- Reserve use of succinylcholine chloride injection in pediatric patients for emergency intubation or instances where immediate securing of the airway is necessary, or for intramuscular use when a suitable vein is inaccessible. (nih.gov)
- A single-center, randomized controlled trial of pediatric patients with acute lung injury after surgery for congenital heart disease who will receive prone position ventilation or usual care (control group). (springer.com)
- Respiratory disease is one of the most common causes of morbidity in pediatric patients, and noninvasive ventilation (NIV) has been used increasingly in the management of pediatric respiratory failure. (ebmedicine.net)
Rapid sequence i3
- A failed airway occurs when a provider has embarked on a certain course of airway management (eg, rapid sequence intubation/induction [RSI]) and has determined that intubation by that method will not succeed and that immediate initiation of a rescue sequence must be implemented. (medscape.com)
- Society of Critical Care Medicine clinical practice guidelines for rapid sequence intubation in the critically ill adult patient. (sccm.org)
- RATIONALE: Controversies and practice variations exist related to the pharmacologic and nonpharmacologic management of the airway during rapid sequence intubation (RSI). (sccm.org)
Orotracheal3
- Under visualization, using either direct laryngoscopy or one of various types of video laryngoscopy, the ET tube is inserted into the mouth and directed into the trachea (orotracheal intubation). (msdmanuals.com)
- Orotracheal intubation was long done using direct laryngoscopy. (msdmanuals.com)
- If orotracheal intubation is not contraindicated, there are no additional contraindications to the use of video assistance. (msdmanuals.com)
Nasal1
- Intervention: We trained this patient in nasal and mouthpiece intermittent positive pressure ventilation (IPPV), manually assisted coughing, and in mechanical insufflation-exsufflation. (doctorbach.com)
Increased ventilation-perfusion1
- Routine methods of preoxygenation are inadequate for many different reasons, including increased ventilation-perfusion (V/Q) mismatch and, sometimes, a leak around the mask (to name only two). (medscape.com)
Complications4
- The goal is to optimize oxygenation and ventilation while minimizing the risk of complications. (medscape.com)
- Noninvasive ventilation has been studied as a means of reducing complications among patients being weaned from invasive mechanical ventilation. (cmaj.ca)
- Although it is effective, invasive ventilation is associated with complications including respiratory muscle weakness, upper airway pathology, ventilator-associated pneumonia 1 and sinusitis. (cmaj.ca)
- This study used a machine learning approach (Restricted Boltzmann Machine) to perform an unsupervised analysis of 991 medication profiles of patients managed in the intensive care unit (ICU) to explore pharmacophenotypes that correlated with ICU complications (e.g., mechanical ventilation) and patient-centered outcomes (e.g., length of stay, mortality). (ahrq.gov)
Underwent2
- Patients with a mean age of 47 years had a mortality rate of 3 to 5%, oxygen therapy was necessary in 42% of these patients, 5% were admitted to the ICU, 2.3% underwent invasive mechanical ventilation (IMV), and of these, 1.4% died 6,7 . (bvsalud.org)
- 4. Patients will be excluded if they were transferred to participating ICUs without a documented intubation time, or underwent a tracheotomy at prior to ICU admission. (who.int)
Extracorporeal membrane ox1
- Our centre followed a stepwise approach, in concordance with German national guidelines, escalating non-invasive modalities prior to invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO), rather than early or late intubation. (karger.com)
Respiratory support2
- This will require hospitalization, intensive care, intubation for respiratory support, and probably lead to pressure to undergo otherwise unnecessary tracheostomy. (doctorbach.com)
- Introduction: Hospitalised patients with coronavirus disease 2019 (COVID-19) as a result of SARS-CoV-2 infection have a high mortality rate and frequently require noninvasive respiratory support or invasive ventilation. (bvsalud.org)
Noninvasive positive1
- The use of noninvasive positive pressure ventilation (NPPV) is often employed for the management of acute respiratory failure as an alternative to endotracheal intubation and mechanical ventilation. (lww.com)
Pressure25
- Initial therapy of acute decompensated heart failure usually includes some combination of a vasodilator such as nitroglycerin, a loop diuretic such as furosemide, and non-invasive positive pressure ventilation (NIPPV). (wikipedia.org)
- Noninvasive pressure support ventilation can be used to deliver increased airway pressure. (aao.org)
- Noninvasive pressure support ventilation is recommended for patients with respiratory failure who are expected to quickly respond to medical therapy. (aao.org)
- the positive pressure acts as a pneumatic splint to maintain airway patency. (aao.org)
- Yu J, Zhou Z, McEvoy RD, Anderson CS, Rodgers A, Perkovic V, Neal B. Association of positive airway pressure with cardiovascular events and deaths in adults with sleep apnea: a systematic review and meta-analysis. (aao.org)
- Bedside ultrasound reveals diffuse B lines consistent with pulmonary edema, and he is placed on non-invasive positive pressure ventilation. (emra.org)
- The Drinker and Shaw tank-type ventilator of 1929 was one of the first negative-pressure machines widely used for mechanical ventilation. (medscape.com)
- Today, negative-pressure ventilation is used in only a few situations. (medscape.com)
- Concepts that the military developed during World War II to deliver oxygen and gas volume to fighter pilots operating at high altitude were incorporated into the design of the modern positive-pressure ventilator. (medscape.com)
- With the development of safe endotracheal tubes with high-volume, low-pressure cuffs, positive-pressure ventilation replaced the iron lung. (medscape.com)
- Intensive use of positive-pressure mechanical ventilation gained momentum during the polio epidemic in Scandinavia and the United States in the early 1950s. (medscape.com)
- The overwhelming manpower needed, coupled with a decrease in mortality rate from 80% to 25%, led to the adaptation of the positive-pressure machines used in the operating room for use in the ICU. (medscape.com)
- Positive-pressure ventilation means that airway pressure is applied at the patient's airway through an endotracheal or tracheostomy tube. (medscape.com)
- The positive nature of the pressure causes the gas to flow into the lungs until the ventilator breath is terminated. (medscape.com)
- That is, they are named after that parameter that signals the termination of the positive-pressure inspiration cycle of the machine. (medscape.com)
- This intervention should not be started without thoughtful consideration because intubation and positive-pressure ventilation are not without potentially harmful effects. (medscape.com)
- I think it's important to note that if you are able to ventilate the patient, but they are not maintaining their airway on their own, non-invasive positive pressure ventilation is an acceptable option. (ems1.com)
- 2000 g and requiring positive pressure ventilation at birth were randomised to resuscitation by LMA or FM. (bmj.com)
- Positive pressure ventilation is the most important component of successful neonatal resuscitation. (bmj.com)
- The fact remains that general anesthesia continues to include induction of unconsciousness and then paralysis of a patient's ventilatory musculature when there is no specific guarantee that intubation of the trachea or even positive pressure ventilation will be possible. (apsf.org)
- The fact remains that general anesthesia still today very often includes induction of unconsciousness and then paralysis of a patient's ventilatory musculature when there is no specific certainty or even assurance that intubation of the trachea or even positive pressure ventilation will be possible. (apsf.org)
- Prone position ventilation promotes lung recruitment and improves gas exchange through its effects on pleural pressure and lung compression [ 2 ]. (springer.com)
- Prone position ventilation can reduce the difference between the dorsal and ventral pleural pressure, thereby improving the uniformity of lung ventilation and reducing alveolar hyperinflation and alveolar collapse. (springer.com)
- 3 ) In cases refractory to oxygen therapy, the view that such patients should undergo early invasive mechanical ventilation (IMV) without the option for less invasive treatments such as non-invasive positive pressure ventilation NIPPV has been suggested. (medrxiv.org)
- As you portrayed it, it was remarkable what they discovered about positive pressure ventilation. (medscape.com)
Laryngoscopy3
- A difficult airway is one for which a preintubation examination identifies attributes that are likely to make laryngoscopy, intubation, bag-mask ventilation (BMV), the use of a supraglottic device, or surgical airway management more difficult than would be the case for a normal airway. (medscape.com)
- However, video laryngoscopy is a useful method of endotracheal intubation because it can provide better visualization of the glottis than direct laryngoscopy. (msdmanuals.com)
- If you've ever wondered why the little hole near the tip of an endotracheal tube is called the Murphy Eye, or who Macintosh was, or even who performed the first intubation, this quick trip through the history of endotracheal tubes and laryngoscopy is for you. (ems1.com)
Continuous1
- ventilators, 4 continuous positive airway authors. (who.int)
Alveolar1
- But a deficiency results in widespread atelectllsis, which leads to inadequate alveolar ventilation with shunting of blood through collapsed areas of lung, causing hypoxia and acidosis. (health-care-clinic.org)
Ventilatory2
- Intubation and standard ventilation are preferred for patients who require total ventilatory support, because the mask may slip, and effective ventilation may cease. (aao.org)
- Desaturation is more pronounced in patients with low ventilation-perfusion ratios and decreased ventilatory drive (blue bloaters) than in those with higher ventilation-perfusion ratios and normal ventilatory drive (pink puffers). (sleepreviewmag.com)
Require mechanical ventilation1
- Patients admitted after elective surgery and who require mechanical ventilation for less than 12 hours (excepting patients who receive non-invasive ventilation). (who.int)
Intensive Care Units1
- Frontline HCWs aged 18 years of age or older, at high risk of SARS-CoV-2 exposure (including staff of emergency departments, intensive care units, intubation teams, COVID-wards, and staff deployed to Long Term Care facilities) of five academic hospitals in downtown Toronto, Canada. (biomedcentral.com)
Significantly4
- Noninvasive weaning had no significant effect on the duration of ventilation related to weaning, but significantly reduced rates of tracheostomy (RR 0.19, 95% CI 0.08 to 0.47) and reintubation (RR 0.65, 95% CI 0.44 to 0.97). (cmaj.ca)
- Both mechanical ventilation and intubation were significantly associated with increased rates of persistent candidemia ( P = 0.044 and 0.004, respectively). (biomedcentral.com)
- Multivariate regression showed that cases that required intubation/ mechanical ventilation had significantly higher odds of being older (aged 60 years) [adjusted odds ratio (aOR) = 3.9] and having hypertension (aOR = 5.7), fever (aOR = 9.8), dyspnoea (aOR = 9.6) or lethargy (aOR = 7.9) than cases that did not require intubation/mechanical ventilation. (who.int)
- The COVID-19 cases in Selangor, Malaysia requiring intubation/mechanical ventilation were significantly older, with a higher proportion of hypertension and symptoms of fever, dyspnoea and lethargy. (who.int)
Versus1
- At times when hospitals are nearing maximum capacity and critically-ill patients with COVID-19 are multiplying, the ability to make a quick and accurate decision means the difference between a negative versus positive patient outcome. (laerdal.com)
Airway management1
- The Laerdal Airway Management Trainer is a lifelike upper torso and head that can be used to simulate intubation, ventilation, and suction techniques. (laerdal.com)
Neonates2
- Aggressive management using mechanical ventilation can improve the prognosis, but a few neonates who survive have bronchopulmonary dysplasia. (health-care-clinic.org)
- Face mask ventilation (FMV) performed by midwives is the usual method of resuscitating neonates in such settings but may not always be effective. (bmj.com)
20221
- Assessment of Clinical Practice of Mechanical Ventilation After COVID-19 Pan-demic Among 57 Countries: A Systematic Analysis for the Global BurdEn of Me-chanIcal VeNtilatIon (GEMINI Study) 2022, From VENTILAGROUP. (who.int)
Oxygen1
- Warm, humidified, oxygen-enriched gases are administered by oxygen hood or, if such treatment fails, by mechanical ventilation. (health-care-clinic.org)
Acute5
- Patients with acute respiratory failure often require endotracheal intubation and mechanical ventilation to sustain life. (cmaj.ca)
- Noninvasive ventilation in acute severe asthma: current evid. (lww.com)
- Due to the precise mechanism of improving oxygenation function, development of pediatric prone ventilation technology has been largely focused on children with acute respiratory distress syndrome. (springer.com)
- The purpose of this study is to evaluate the feasibility and effectiveness of prone position ventilation in infants who develop postoperative acute lung injury after surgery for congenital heart disease. (springer.com)
- This study will investigate the feasibility and effectiveness of prone position ventilation techniques in children who develop postoperative acute lung injury after surgery for congenital heart disease. (springer.com)
Mechanically1
- Although patients receiving mechanically assisted ventilation do not represent a major proportion of patients who have nosocomial pneumonia, they are at highest risk for acquiring the infection. (cdc.gov)
Tracheostomy2
- Ventilation of the patient was accomplished without the placement of a tracheostomy or an endotracheal tube. (medscape.com)
- All consecutive adult patients (= 18 years old) who are admitted to the ICU and require invasive mechanical ventilation (endotracheal tube or tracheostomy) longer than 12 hours. (who.int)
Tidal volume2
- It is recommended to reduce the tidal volume of the ventilation and to increase the frequency of ventilation to compensate. (vin.com)
- Volume-cycled ventilation is the most common form of ventilator cycling used in adult medicine because it provides a consistent breath-to-breath tidal volume. (medscape.com)
Admission2
- We compared comorbidities, clinical features and other predictive factors between COVID-19 patients requiring ICU admission for intubation/mechanical ventilation and all other COVID-19 cases in Selangor, Malaysia. (who.int)
- Multiple logistic regression analysis was performed to identify factors associated with ICU admission requiring intubation/mechanical ventilation among COVID-19 cases. (who.int)
Critically2
- Peri-intubation adverse events in the critically ill child after hematopoietic cell transplant. (ahrq.gov)
- For those critically ill patients, mechanical ventilation (MV) is essential to provide life support during treatment. (techscience.com)
Extubation2
- We included trials comparing extubation and immediate application of noninvasive ventilation with continued invasive weaning in adults on mechanical ventilation. (cmaj.ca)
- Shifting emphasis, the "difficult extubation" was the subject of an entry from Spain and demonstrated a systematic sequential approach first to support extubated patients, and then, when needed, assist ventilation, attempt reintubation, or establish a surgical airway. (apsf.org)
Lung7
- Lung volume and motion during ventilation is interfering during thoracoscopy. (vin.com)
- One-lung ventilation technique with selective intubation of either the left or the right lungs will allow a better exposure of specific area of the thoracic cavity. (vin.com)
- One lung ventilation is strongly recommended when a surgical procedure (i.e., lung lobectomy, vascular ring dissection) have to be performed. (vin.com)
- A bronchial blocker can be used instead of selective intubation to achieve one-lung ventilation. (vin.com)
- When one-lung ventilation is used, the non-ventilated lung is going to collapse. (vin.com)
- Prone position ventilation is a widely used lung protection ventilation strategy. (springer.com)
- Prone position ventilation refers to placement of the patient in the prone position during mechanical ventilation to facilitate lung expansion in the atelectatic area and improve the ventilation-perfusion ratio. (springer.com)
Cricothyrotomy1
- Strategies for topical anesthetization of the airway were featured as well as another exhibit devoted specifically to tools useful when extubating a patient (up to and including transtracheal jet ventilation and cricothyrotomy). (apsf.org)
Hypoventilation1
- Mechanisms of sleep-induced hypoxemia may be related to hypoventilation due to worsening mechanics, worsening ventilation-perfusion mismatching, decreased hypoxic respiratory drive, decreased hypercapnic respiratory drive, respiratory dysrhythmia of rapid-eye-movement (REM) sleep, decreased respiratory muscle activity (especially in REM sleep), increased upper-airway resistance, obstructive sleep apnea (OSA), and decreased functional residual capacity (FRC). (sleepreviewmag.com)
Cardiac surgery1
- There is a paucity of high-quality studies investigating the effects of prone position ventilation after pediatric cardiac surgery. (springer.com)
Clinical practice1
- When implemented in clinical practice, close monitoring of vital signs and ventilation parameters is warranted to identify possible signs of respiratory failure. (ebmedicine.net)
Nose1
- Less commonly, the ET tube is inserted into the nose (nasotracheal intubation). (msdmanuals.com)