Beneficial effects of intrapulmonary percussive ventilation in …
2013年3月19日 · Intrapulmonary percussive ventilation (IPV) is a therapy that is used to clear endobronchial secretions. The IPV ventilator was designed and developed by FM Bird in 1979. The ventilator consists of a phasitron that delivers rapid, high-flow, mini bursts of …
Intrapulmonary percussive ventilation in acute exacerbations of …
2005年6月1日 · Introduction We hypothesized that the use of intrapulmonary percussive ventilation (IPV), a technique designed to improve mucus clearance, could prove effective in avoiding further deterioration in patients with acute exacerbations of chronic obstructive pulmonary disease (COPD) with mild respiratory acidosis. Methods The study was performed …
Safety and effect of intermittent intrapulmonary percussive …
2012年3月20日 · IPV uses a Phasitron, which delivers rapid, high-flow, minibursts of air mixed with oxygen to the patients. We investigated the safety of IPV on hemodynamic values and the effect of IPV on oxygen saturation and respiratory rate.
Utility and safety of draining pleural effusions in mechanically ...
2011年2月2日 · Data from animal studies suggest that pleural effusions reduce respiratory system compliance and increase intrapulmonary shunt with consequent hypoxemia [6–8]. In spontaneously breathing patients, drainage of large pleural effusions by thoracentesis generally produces only minor improvements in lung mechanics and oxygenation but significantly ...
Recently published papers: the Jekyll and Hyde of oxygen, …
2007年2月12日 · Tsuruta and colleagues report the safety and efficacy of superimposing IPV on conventional IPPV, via an endotracheal tube, in a cohort of 10 obese patients with respiratory failure secondary to compression atelectasis, who had failed to improve after optimal IPPV . Although this intervention somewhat mimics standard high-frequency oscillatory ...
Respiratory Management in Patients with Severe Brain Injury
2018年3月20日 · Interest in the respiratory management of brain injury patients has increased recently. In particular, the use of protective ventilation in the early phase of brain injury [8, 9] has been evaluated, and new data regarding the criteria compatible with successful extubation [10, 11, 12] have been gathered. In this chapter, we will focus on the ...
Medicating patients during extracorporeal membrane …
2017年3月21日 · Extracorporeal membrane oxygenation (ECMO), which can support gas exchange or hemodynamics in patients with severe respiratory or cardiac failure, has demonstrated considerable evolution over the last decade [], with a steady rise since 2009 in the number of ECMO‐treated patients and number of centers providing ECMO support [2, 3].
Performance of the cuff leak test in adults in predicting post ...
2020年11月7日 · Background Clinical practice guidelines recommend performing a cuff leak test in mechanically ventilated adults who meet extubation criteria to screen those at high risk for post-extubation stridor. Previous systematic reviews demonstrated excellent specificity of the cuff leak test but disagreed with respect to sensitivity. We conducted a systematic review and meta …
Is this patient really “(un)stable”? How to describe cardiovascular ...
2019年8月6日 · Although widely used among physicians and frequently present in the literature, the words “stable” and “unstable” to describe cardiovascular dynamics in critically ill patients can have different meanings to different people and in different situations, making them confusing word choices that should be avoided.
Positive end-expiratory pressure management in patients with …
2024年8月26日 · The optimal strategy for positive end-expiratory pressure (PEEP) titration in the management of severe acute respiratory distress syndrome (ARDS) patients remains unclear. Current guidelines emphasize the importance of a careful risk–benefit assessment for PEEP titration in terms of cardiopulmonary function in these patients. Over the last few decades, the …