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Category: Critical Care Nursing Positive-pressure mechanical ventilatory support is an essential component in the life support of patients with respiratory failure. However, it is...
Category: Critical Care Nursing Mechanically ventilated patients are at an increased risk of pulmonary infections. The natural protective mechanism of glottic closure is compromise...
Category: Critical Care Nursing Mechanical ventilation complications include lung injury, cardiac compromise, oxygen toxicity and patient discomfort. Applying support requires trad...
Category: Critical Care Nursing The major goals of mechanical ventilation with positive pressure are to unload the ventilatory muscles and to optimize ventilation-perfusion matchin...
Category: Critical Care Nursing Mechanically ventilated patients are at an increased risk of pulmonary infections. One reason is that the ICU environment, with its heavy antibiotic...
Category: Critical Care Nursing Mechanically ventilated patients are at an increased risk of pulmonary infections. One reason is that the endotracheal tube impairs the cough reflex...
A new review in Intensive Care Medicine maps how high-flow nasal cannula, CPAP, and helmet ventilation can safely keep ARDS patients off breathing tubes—provided clinicians monitor...
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 In patients with respiratory failure on VV-ECMO, right ventricular failure can occur due to pulmonary fibrosis and increased pulmonary vascular resi...
Category: Critical Care Nursing In mechanical ventilation, premature triggering (double triggering) may be derived from circuit motion artifacts, premature breath cycling or the re...
When someone is put on a ventilator, it can be a struggle to come off one, local doctors said.
Category: Critical Care Nursing In mechanical ventilation, flow dyssynchrony occurs when the ventilator’s flow delivery algorithm is not well matched to the patient's effort and is...
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 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 In VV ECMO, the native heart must deliver oxygenated flow to the systemic circulation. VV requires adequate cardiac function. Venous blood is divert...
Category: Critical Care Nursing In addition to affecting ventilation, intrathoracic pressure changes resulting from positive-pressure ventilation can affect cardiovascular function...
Category: Critical Care Nursing Other positive-pressure ventilation regional injuries include: Pericardium (pneumopericardium), subcutaneous tissue (subcutaneous emphysema), pleura...
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 In mechanical ventilation, managing dyssynchronies can be challenging. Careful adjustments of flow magnitude, timing and patterns (especially the us...
Category: Critical Care Nursing In veno-venous ECMO, deoxygenated blood is removed from the venous system and sent via an external pump to the membrane lung where oxygen is added a...
Category: Critical Care Nursing With ECMO in venoarterial mode, deoxygenated blood is removed from the venous system and pumped to a membrane lung, which removes carbon dioxide and...
Category: Critical Care Nursing Excessive alveolar stretch (i.e., beyond physiologic limits) can produce significant lung injury even without frank alveolar rupture (ventilator-ind...
Category: Critical Care Nursing In mechanical ventilation, subtle dyssynchronies are of little clinical relevance. However, significant dyssynchronies that produce severe patient d...
Category: Critical Care Nursing Extracorporeal membrane oxygenation modes are named for the sites from which the blood is drained and returned. There are two major types, venoarter...
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