Abstract
Replies were received from 14 helicopter bases in Switzerland (93%), 25 bases in Austria (89%) and all three bases in Luxembourg. Anaesthesiologists were by far the most frequent attending physicians (68-85%). All except one bases reported to have at least one alternative supraglottic airway device....
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PMID: 21418154
PDF is available here.
Abstract
Double-triggering (DT) is a frequent type of patient-ventilator asynchrony and has potentially severe consequences, such as alveolar overdistention or the generation of intrinsic PEEP. However, the first breath of DT could be patient-triggered (DT-P), auto-triggered (DT-A), or ventilator-triggered (D...
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PMID: 21255492
PDF is available here.
Abstract
I (5 - <10 kg), groups II (10 - <15 kg), groups III (15-20 kg). The Baby EAR circuit was used for general anesthesia with endotracheal tube and spontaneous breathing. Different fresh gas flow of 4, 3.5, 3, 2.5, 2, and 1.5 liter per minute (LPM) was used consecutively The authors recorded end-tidal c...
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PMID: 21114207
PDF is available here.
Abstract
Congenital central hypoventilation syndrome (CCHS) is a life-threatening disorder with apnea and cyanosis during sleep requiring immediate endotracheal intubation during the first day of life. The PHOX2B gene has been identified as the major gene involved in CCHS. This is the first report of a Korea...
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PMID: 20676341
PDF is available here.
Abstract
The delivered FIO2 was highest when oxygen was injected into the ventilator circuit at the patient y-piece using pulse dosing, with the VT corrected. The next highest FIO2 was with continuous flow at the inlet (LTV), and reservoir (Impact). Electrical power consumption was less during pulse dose ope...
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PMID: 20622626
PDF is available here.
Abstract
Short inspiratory rise time decreased inspiratory work load, regardless of the pressure-support level, triggering sensitivity, or inspiratory drive. Inspiratory work load can be maximally lowered by a combination of a short inspiratory rise time, a sharp triggering sensitivity, and a high inspirator...
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PMID: 20587100
PDF is available here.
Abstract
The vibrating-mesh nebulizer, ultrasonic nebulizer, and pMDI with spacer were most efficient in position 2 with both non-humidified (30.2 +/- 1.0%, 24.7 +/- 4.4%, and 27.8 +/- 3.3%, respectively) and heated/humidified circuits (16.8 +/- 2.6%, 16.5 +/- 4.3%, and 17 +/- 1.0%, respectively). In contras...
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PMID: 20587094
PDF is available here.
Abstract
NRS is the delivery of ventilatory support without the need for an invasive airway. Two types of NRS are commonly used in the pediatric population: noninvasive continuous positive airway pressure and noninvasive positive pressure ventilation. In general, the evidence to support the use of NRS in chi...
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PMID: 20440111
PDF is available here.
Abstract
Deaths and injuries related to accidental ventilator disconnection occur in complex ways. A death related to accidental ventilator disconnection is presented from a subacute ventilator facility, and corrective action is discussed. Single-limb ventilators are now equipped with a flow-bypass coupling...
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PMID: 20507663
PDF is available here.
Abstract
The application of pumpless iLA was hemodynamically well tolerated, and allowed for safe procedures in respiratory compromised patients, avoiding the application and consequences of cardiopulmonary bypass or pump-driven extracorporeal membrane oxygenation.
2010 The Society of Thoracic Surgeons. Publ...
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PMID: 20494028
PDF is available here.
Abstract
We describe 3 successfully treated cases of acute exacerbation of bronchial asthma using NPPV by critical care ventilator. In all cases, the ventilator was immediately synchronized with spontaneous breathing, patients were able to avoid endotracheal intubation, and weaned from the ventilator soon. I...
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PMID: 20560439
PDF is available here.
Abstract
The differences in these nasal CPAP systems correlate with the differences in unassisted V(T) due to loading effects. The ventilator imposed the least load, and the AirLife nasal CPAP system imposed the most....
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PMID: 20420723
PDF is available here.
Abstract
When the relative humidity was 20%, the breakthrough times of regenerated cartridges were shorter than that of a new one, but no difference was observed in the breakthrough curves when the relative humidity was greater than 50%. CONCLUSION: The results suggest that the thermal reconditioning of resp...
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PMID: 20179378
PDF is available here.
Abstract
The importance of preventing further injury in mechanical ventilation lies at the heart of the introduction of several new strategies of mechanical ventilation. New modes of ventilation have been developed to provide lung recruitment and alveolar stabilization at the lowest possible pressure. SUMMAR...
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PMID: 20071980
PDF is available here.
Abstract
The most important morbid postoperative pulmonary complication is atelectasis formation, which increases significantly the risk for pneumonia and hypoxic acute respiratory failure. NRS refers to techniques allowing respiratory support without the need for an invasive airway. Two types of NRS are com...
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PMID: 20019602
PDF is available here.
Abstract
Although respiratory infections are not as common as other types of infections that may develop in home care and hospice patients, respiratory infections can result from the use of medical devices and respiratory supplies. These devices can contribute to the home care or hospice patient developing a...
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PMID: 20520261
PDF is available here.
Abstract
Frequent ventilator circuit changes are associated with a high risk of ventilator-associated pneumonia. No routine circuit change is safe and justified. Hospital infection-control policies and bedside practitioners should translate the evidence into clinical practice, if they haven't done so already...
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PMID: 20406515
PDF is available here.
Abstract
The failure of life-critical systems such as mechanical ventilators in the wake of a pandemic or a disaster may result in death, and therefore, state and federal government agencies must have precautions in place to ensure availability, reliability, and predictability through compreh...
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PMID: 21319555
PDF is available here.
Abstract
We gathered multidisciplinary respondents involved in HMV treatment from five hospitals in five different counties to six focus group conversations to explore respondents' views of their experiences systematically. We based the analysis on grounded theory. We found that uneven distribution of ''enth...
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PMID: 20015913
PDF is available here.
Abstract
Airway damage in intensive care unit patients at surgical hospitals is a common manifestation of nosocomial pyoseptic infections. Artificial ventilation (AV) apparatuses used in a therapeutic and diagnostic process are vital to the transmission of their pathogens. The paper shows that various units...
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PMID: 20524335
PDF is available here.
Abstract
Ventilation management is the ongoing process of adjusting ventilator support according to patients' needs. The present article is a review of the published work on the modeling of respiration physiology or the ventilation management process for supporting the critical task of ventilation. The focus...
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PMID: 20932237
PDF is available here.
Abstract
The objective of this study was to analyse and report on the distribution and attributes of intensive care services in Australia and New Zealand for the 2005/2006 financial year A survey was mailed to 155 Australian and 26 New Zealand intensive care units (ICU) listed on the database of the Australi...
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PMID: 20191791
PDF is available here.
Abstract
In Japan, more people require care activities at home. In particular, patients with an invasive mechanical ventilator in the home require extensive care by family caregivers. Collaboration between their nurses and paid caregivers in the provision of care activities, especially tracheal suctioning, i...
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PMID: 19909452
PDF is available here.
Abstract
Invasive mechanical ventilation is a lifesaving intervention for patients with respiratory failure. The most commonly used modes of mechanical ventilation are assist-control, synchronized intermittent mandatory ventilation, and pressure support ventilation. When employed as a diagnostic tool, the ve...
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PMID: 20016432
PDF is available here.
Abstract
This work confirms the presence of autonomous respiratory centers within the caudal medulla oblongata that allows sufficient adequate respiration in coma. Respiration ceases in the presence of a bilateral lesion of this area....
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PMID: 19215659
PDF is available here.
Abstract
We report our attempt to a disaster response for patients receiving home ventilator care. To examine in the event of disaster, specific methods of verifying safety of patients with severe intractable disease and transporting them safely to a shelter, a Discussion Group and the Committee on Intractab...
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PMID: 20443430
PDF is available here.
Abstract
After problem-free induction of narcosis in an 84-year-old female patient an intra-operative drop in sevoflurane and oxygen concentrations occurred during low-flow anesthesia. Although the concentrations of sevoflurane and oxygen in the fresh gas flow were increased no adequate elevation of the insp...
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PMID: 20012245
PDF is available here.
Abstract
In rare cases, when flammable material is introduced into the Spirolog or SpiroLife flow sensor used with Draeger Medical ventilators and anesthesia units, the material could ignite, posing the risk of patient injury or device damage. Users can reduce this risk by carefully inspecting circuit compon...
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PMID: 20853769
PDF is available here.
Abstract
Ineffective triggering is a common problem early in the course of MV and is associated with increased morbidity, including longer MV duration, shorter VFS, longer length of stay, and lower likelihood of home discharge....
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PMID: 19886000
PDF is available here.
Abstract
The ventilator algorithm and the manual calculation underestimated the actual cylinder duration by 12 +/- 3% with each test. The range of differences between calculated and actual cylinder duration was 2-26 min across the 7 conditions. CONCLUSION: Actual cylinder duration averaged 12% longer than th...
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PMID: 19712494
PDF is available here.
Abstract
Performance of MH by certified ICU nurses is far from appropriate. These results emphasize the necessity for clearer guidelines with explicit directions for this frequently applied procedure, if it is decided to practice it in the daily care of intubated and mechanically ventilated patients....
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PMID: 19644419
PDF is available here.
Abstract
I introduce a method to use a respirator after an operation in our institution....
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PMID: 20715681
PDF is available here.
Abstract
The time to achieve an isoflurane concentration of 5.0 ppm decreased in the following order: Group 1 (151 +/- 17 min) > Group 3 (137 +/- 7 min) > Group 4 (122 +/- 11 min) > Group 2 (42 +/- 6 min) (P < 0.01 vs control). Isoflurane concentration increased approximately fivefold when the FGF was reduce...
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PMID: 19399571
PDF is available here.
Abstract
We describe 4 new techniques and attempt to define what is a new invention versus what is innovative-a technique that significantly improves a measurable variable. We describe and review the literature on automated weaning, automated measurement of functional residual capacity, neural triggering, an...
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PMID: 19558743
PDF is available here.