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Category: Critical Care Nursing Surgical cricothyroidotomy is reserved for the emergency airway situation when an extraglottic airway cannot be effectively employed because of uppe...
Category: Critical Care Nursing During general anesthesia or after episodes of acute respiratory failure, patients are usually mechanically ventilated through an orotracheal tube,...
Category: Critical Care Nursing Fourth National Audit Project (NAP4) found that preparation, equipment and communication errors were the most common causes of complications during...
Category: Critical Care Nursing Awake intubation provides the opportunity to preserve spontaneous respiration and prolong the time for intubation attempts. Upright fiber-optic–as...
Category: Critical Care Nursing Rapid-sequence intubation (RSI) is the standard of care in most emergency airway management settings because of its high rate of success. The goal...
Category: Critical Care Nursing Most algorithms recommended a stepwise approach to difficult airway management, using tracheal intubation, face mask ventilation and supraglottic a...
Category: Critical Care Nursing Resource management principles important for an efficient airway management team include explicit role assignments, closed loop communication and st...
Category: Critical Care Nursing Surgical tracheostomy remains the method of choice in critically ill patients presenting with distorted neck anatomy, prior neck surgery, cervical i...
Category: Critical Care Nursing Ventilator-induced lung injury is often a regional phenomenon that occurs when low-resistance/high-compliance units receive a disproportionately hi...
Category: Critical Care Nursing Tracheostomy offers many clinical benefits for patients with respiratory failure or individuals requiring prolonged mechanical ventilation or airway...
Category: Critical Care Nursing Early percutaneous tracheostomy procedure-related complications include hemorrhage with bleeding controlled by local pressure or exploration or desa...
Category: Critical Care Nursing Volume repletion can be used, if appropriate, to maintain cardiac output in the setting of high intrathoracic pressure. Lung distention can increase...
Category: Critical Care Nursing In rapid-sequence intubation, the initial induction agent doses should be reduced by 25%–50% in the elderly and in patients with hypotension, hyp...
Category: Critical Care Nursing Other positive-pressure ventilation regional injuries include: Pericardium (pneumopericardium), subcutaneous tissue (subcutaneous emphysema), pleura...
Category: Critical Care Nursing During a cricothyroidotomy, passing a bougie through the neck incision to serve as an ETT guide has been reported successful. Major complications in...
Category: Critical Care Nursing A positive-pressure tidal breath is distributed among the millions of alveolar units in the lung. Factors affecting this include resistances, compli...
Category: Critical Care Nursing Because of alveolar flooding, exudate and collapse, lung injury usually leads to mismatching and intrapulmonary shunt. In many disease processes, ma...
Category: Critical Care Nursing The lung can be injured when it is stretched excessively by positive-pressure ventilation. Historically, the most well-recognized injury was alveola...
Category: Critical Care Nursing Positive-pressure breaths tend to distribute more towards alveolar units with high compliance and low resistance and away from obstructed or stiff u...
Category: Critical Care Nursing Because parenchymal lung injury is often heterogeneous, appropriate PEEP in one region may be suboptimal in another. Optimizing PEEP is a balance be...
Category: Critical Care Nursing Surgical tracheostomy can be safer when anatomic landmarks are difficult to palpate, the patient presents with a malignancy at the site of insertion...
Category: Critical Care Nursing Because diseased lung units require higher pressures to open than to keep open, additional recruitment can sometimes be provided by the use of recru...
Category: Critical Care Nursing Two basic tracheostomy methods are available: Percutaneous tracheostomy and surgical tracheostomy. The choice of whether to use one or the other dep...
Neonatal medicine has undergone unprecedented progress over recent decades, transforming the survival prospects of infants who, until relatively recently, faced life-threatening co...
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