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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...
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 Because of alveolar flooding, exudate and collapse, lung injury usually leads to mismatching and intrapulmonary shunt. In many disease processes, ma...
The Oxygen Paradox at the End of Surgery: Why a Lifesaving Ritual May Leave Children’s Lungs Collapsed In operating rooms around the world, the last minutes of a child’s anesthesia...
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 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 In ECMO patients with severe respiratory failure who are femoral artery cannulated, differential oxygen saturations of the upper and lower extremiti...
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 Alveoli prevented from collapsing, or “derecruiting,” by PEEP receive several potential benefits. First, alveolar recruitment improves matching and...
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 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 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 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...
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