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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 In general, modern ventilator breaths can be initiated (triggered) by patient effort (assisted breaths) or by the machine timer (controlled breaths)...
HN Summary • A major international study led by Scarborough Health Network found that CPAP, high-flow nasal cannula and bilevel non-invasive ventilation can reduce the need for inv...
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 If the BMV using an oropharyngeal airway technique fails to improve hypoxemia, a second-generation supraglottic airway should be used. The devices...
A patient discharged from the ICU on a ventilator may no longer fit the traditional image of “critical care,” but that does not mean the medical complexity disappears. In post-acut...
Category: Critical Care Nursing The flow pattern in mechanical ventilation influences distribution. For example, in obstructive inhomogeneities, slow and constant flows tend to dis...
Category: Critical Care Nursing Avoiding hypoxemia is essential to preserve safe conditions during intubation. If oxygen saturation drops, the first rescue maneuver is the BMV tec...
Category: Critical Care Nursing Use of a tracheostomy tube can aid in weaning from mechanical ventilation, because the direct approach to the trachea (with an internal diameter gre...
Category: Critical Care Nursing In modern ventilators, tidal breaths are generated by metering this gas flow and can be classified by what starts the breath (trigger variable), wha...
Category: Critical Care Nursing Risks associated with emergent intubation in the critically ill include hypoxemia, hemodynamic instability, cardiac arrest and death, underlining t...
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 Intubating supraglottic devices (SGDs) are appropriate primary or rescue strategy devices. SGDs can be placed into the upper airway to reestablish...
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...
A new study in the Journal of Perinatology reports that a multimodal education bundle can help intensive care teams move neurally adjusted ventilatory assist, or NAVA, from a sophi...
Model IV joins Model IVE in Greenheck’s lineup of ventilators that provide 100% outdoor air.
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 Reported complication rates from tracheal intubation in the critically ill patient population can range from 4.2% to 22% and remain unacceptably hi...
Category: Critical Care Nursing Older guidelines recommended tracheostomy after 3 weeks of endotracheal intubation if extubation did not occur by 21 days. Now, it is standard pract...
Category: Critical Care Nursing Rapid-sequence intubation has an inherent delay of 45-90 seconds between medication administration and laryngoscopy. In patients with refractory hy...
Category: Critical Care Nursing Intubation through supraglottic device (SGDs) has proven successful after failed direct laryngoscopy. A number of SGDs provide one-step intubation t...
Category: Critical Care Nursing With flow targeting in ventilation, the ventilator regulates the airway pressure to maintain a clinician-determined flow pattern. In contrast, for p...
by Philippe Meliga, Gregor Roncin, Alejandro Yepes Peñaranda, Elie Hachem Surfactant replacement therapy (SRT) remains clinically limited to neonatal applications, in part because...
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