Closed Loop Ventilation
|
|
- Bonnie Griffith
- 6 years ago
- Views:
Transcription
1 Closed Loop Ventilation Ken Hargett MHA RRT RCP FAARC FCCM Society of Critical Care Medicine
2 Perceived Need Growing Number of Mechanically Ventilated Patients Limited Workforce Evidence Based Practice Adherence (automated protocol) Facilitate Liberation from Ventilator
3 Current and Projected Workforce Requirements for Care of the Critically Ill and Patients With Pulmonary Disease: Can We Meet the Requirements of an Aging Population? JAMA. 2000;284(21): doi: /jama Angus, D. Kelley, M. Schmitz, R. Committee on Manpower for Pulmonary and Critical Care
4 Increasing Number of Ventilated Patients Needham CCM 2005 Needham Projected Incidence of mechanical ventilation in Ontario to Critical Care Medicine 33(3):
5 6000 Houston Methodist Ventilated Patients Proj
6 AUTOMODE
7 NAVA Colombo D, Cammarota G, Bergamaschi V, et al: Physiologic response to varying levels of pressure support and neurally adjusted ventilatory assist in patients with acute respiratory failure. Intensive Care Med 2008;34: Spahija J, De Marchie M, Albert M, et al: Patient-ventilator interaction during pressure support ventilation and neurally adjusted ventilatory assist. Crit Care Med 2010;38: Brander L, Leong-Poi H, Beck J, et al: Titration and implementation of neurally adjusted ventilatory assist in critically ill patients. Chest 2009;135: Beck J, Reilly M, Grasselli G, et al. Patient ventilator interaction during neurally adjusted ventilatory assist in low birth weight infants. Pediatr Res 2009;65:663-8.
8 PAV Sinderby C, Beck J: Proportional assist ventilation and neurally adjusted ventilatory assist better approaches to patient-ventilator synchrony? Clin Chest Med 2008;29: Xirouchaki N, Kondili E, Vaporidi K, et al: Proportional assist ventilation with load-adjustable gain factors in critically ill patients: comparison with pressure support. Intensive Care Med 2008;34: Younes M: Proportional assist ventilation, a new approach to ventilatory support. Theory. Am Rev Respir Dis 1992; 145: Bosma K, Ferreyra G, Ambrogio C, et al: Patient-ventilator interaction and sleep in mechanically ventilated patients: pressure support versus proportional assist ventilation. Crit Care Med 2007;35: Alexopoulou C. Sleep during proportional-assist ventilation with loadadjustable gain factors in critically ill patients. Intensive Care Med 2007;33:
9 SmartCare Lellouche F et al. A Multicenter Randomized Trial of Computer-driven Protocolized Weaning from Mechanical Ventilation. Am J Respir Crit Care Med Vol 174. pp , 2006 Schädler. Dirk,. Engel, Christoph, Elke, Gunnar. Automatic Control of Pressure Support for Ventilator Weaning in Surgical Intensive Care Patients. American Journal of Respiratory and Critical Care Medicine, Vol. 185, No. 6 pp Burns, K.. Meade, Lessard, M,. Hand, l. et al. Wean Earlier and Automatically with New Technology (the WEAN Study). A Multicenter, Pilot Randomized Controlled Trial, American Journal of Respiratory and Critical Care Medicine, Vol. 187, No. 11 (2013), pp
10 ASV Lellouche F, Bouchard PA, Simard S, L'Her E, Wysocki M Evaluation of fully automated ventilation: a randomized controlled study in postcardiac surgery patients Intensive Care Med Mar;39(3): Arnal JM, Garnero A, Novotni D, Demory D, Ducros L, Berric A, Donati SY, Corno G, Jaber S, Durand-Gasselin J. Feasibility study on full closed-loop control ventilation (INTELLiVENT-ASV) in ICU patients with acute respiratory failure: a prospective observational comparative study Crit Care Sep 11;17(5):R196 Arnal JM, Wysocki M, Novotni D, Demory D, Lopez R, Donati S, Granier I, Corno G, Durand-Gasselin J Safety and efficacy of a fully closed-loop control ventilation (INTELLiVENT-ASV) in sedated ICU patients with acute respiratory failure: a prospective randomized crossover Study. Intensive Care Med May;38(5):781-7
11 ASV Beijers AJ, Roos AN, Bindels AJ. Fully automated closed-loop ventilation is safe and effective in post-cardiac surgery patients Intensive Care Med May;40(5):752-3 Jouvet P, Eddington A, Payen V, Bordessoule A, Emeriaud G, Gasco RL, Wysocki M A pilot prospective study on closed loop controlled ventilation and oxygenation in ventilated children during the weaning phase. Crit Care May 16;16(3):R85
12 ASV STUDIES 25 clinical studies 6 abstracts 3 bench studies 5 reports the expiratory time constant
13 Some Study EndPoints OF CLOSED LOOP Decreased Vent Length of Stay Increased Time at Optimal Ventilation Reduced Caregiver Interactions Decreased Alarm Activations
14 Prolonged High SpO2 and excessive oxygen concentrations Suzuki, S. Eastwood, G. Peck L. et al: Current oxygen management in mechanically ventilated patients: a prospective observational study. J Ctic Care 28: de Graaff A., Dongelmans, D. et al. Clinician s response to hyperoxia in ventilated pateintsin a Dutch ICU depends on the FiO2. Intensive Care med 37:
15 Rachmale S, Li G, Wilson G, et al: Practice of excessive F(IO(2)) and effect on pulmonary outcomes in mechanically ventilated patients with acute lung injury. Respir Care 2012; 57: de Graaff AE, Dongelmans DA, Binnekade JM, et al: Clinicians response to hyperoxia in ventilated patients in a Dutch ICU depends on the level of FiO2. Intensive Care Med 2011; 37:46 51 Suzuki S, Eastwood GM, Peck L, et al: Current oxygen management in mechanically ventilated patients: A prospective observational cohort study. J Crit Care 2013; 28:
16 Adoption of Closed Loop 33% of Houston Methodist patient on ASV patients/day 3 years of training (RT, Nursing,MD) Annual Course (Simulation, Case Studies, Animal Model) Understanding of Algorithms Understanding of Interface
This bibliography is a literature reference for users and represents selected relevant publications, without any claim to completeness.
Bibliography INTELLiVENT-ASV This bibliography is a literature reference for users and represents selected relevant publications, without any claim to completeness. Table of Contents 1 Closed-loop ventilation
More informationThis bibliography is a literature reference for users and represents selected relevant publications, without any claim to completeness.
Bibliography INTELLiVENT-ASV This bibliography is a literature reference for users and represents selected relevant publications, without any claim to completeness. Table of Contents 1 Closed loop ventilation
More informationAVAS trial. Automated control of mechanical ventilation during general anaesthesia. Study protocol. A bicentric prospective observational trial
AVAS trial Automated control of mechanical ventilation during general anaesthesia A bicentric prospective observational trial Study protocol AVAS trial study protocol version 3 Page 1 of 11 General information
More informationW J R. World Journal of Respirology. Automated weaning from mechanical ventilation. Abstract EDITORIAL. Mirko Belliato
W J R World Journal of Respirology Submit a Manuscript: http://www.wjgnet.com/esps/ Help Desk: http://www.wjgnet.com/esps/helpdesk.aspx DOI: 1.53/wjr.v6.i2.49 World J Respirol 16 July 28; 6(2): 49-53 ISSN
More informationINTELLiVENT -ASV insight. Alexandra Geiger CAS, Dr. Marc Wysocki, Head of Medical Research Hamilton Medical
INTELLiVENT -ASV insight Alexandra Geiger CAS, Dr. Marc Wysocki, Head of Medical Research Hamilton Medical First Automation of HAMILTON MEDICAL 1998 Adaptive Support Ventilation (ASV) ASV optimize VT and
More informationNew Modes to Enhance Synchrony & Dietrich Henzler MD, PhD, FRCPC Division of Critical Care
New Modes to Enhance Synchrony & Dietrich Henzler MD, PhD, FRCPC Division of Critical Care Disclosure Conflicts of Interest 2001-2011 Research Grants & Payments (cost reimbursements, speaker fees) Draeger
More informationProportional Assist Ventilation (PAV) (NAVA) Younes ARRD 1992;145:114. Ventilator output :Triggering, Cycling Control of flow, rise time and pressure
Conflict of Interest Disclosure Robert M Kacmarek Unconventional Techniques Using Your ICU Ventilator!" 5-5-17 FOCUS Bob Kacmarek PhD, RRT Massachusetts General Hospital, Harvard Medical School, Boston,
More informationIMPLEMENTATION AT THE BEDSIDE
CLINICAL EVIDENCE GUIDE IMPLEMENTATION AT THE BEDSIDE Puritan Bennett PAV+ Software Utilization of the PAV+ software has been demonstrated to reduce asynchrony and improve respiratory mechanics. 2 Yet,
More informationUsing NAVA titration to determine optimal ventilatory support in neonates
The University of Toledo The University of Toledo Digital Repository Master s and Doctoral Projects Using NAVA titration to determine optimal ventilatory support in neonates Stacey Leigh Fisher The University
More informationPotential Conflicts of Interest
Potential Conflicts of Interest Patient Ventilator Synchrony, PAV and NAVA! Bob Kacmarek PhD, RRT Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 4-27-09 WSRC Received research
More informationNonconventional ventilation techniques
REVIEW C URRENT OPINION Nonconventional ventilation techniques Ricardo Luiz Cordioli a,b, Evangelia Akoumianaki a, and Laurent Brochard a,c,d Purpose of review Mechanical ventilation is one of the most
More informationProportional assist ventilation versus pressure support ventilation in weaning ventilation: a pilot randomised controlled trial
Proportional assist ventilation versus pressure support ventilation in weaning ventilation: a pilot randomised controlled trial John Botha, Cameron Green, Ian Carney, Kavi Haji, Sachin Gupta and Ravindranath
More informationBMJ Open. Secondary Subject Heading: Respiratory medicine, Surgery, Patient-centred medicine
Automated control of mechanical ventilation during general anesthesia study protocol of a bicentric observational study (AVAS study) Journal: Manuscript ID bmjopen-0-0 Article Type: Protocol Date Submitted
More informationCritical Care This Provisional PDF corresponds to the article as it appeared upon acceptance. Copyedited and fully formatted PDF and full text (HTML) versions will be made available soon. Feasibility study
More informationWEANING READINESS & SPONTANEOUS BREATHING TRIAL MONITORING
CLINICAL EVIDENCE GUIDE WEANING READINESS & SPONTANEOUS BREATHING TRIAL MONITORING Weaning readiness and spontaneous breathing trial monitoring protocols can help you make the right weaning decisions at
More informationBreathing: Conventional. Matter?
Breathing: Conventional Ventilation Does the Mode Matter? Brian K. Walsh, RRT NPS, FAARC Director of Respiratory Care Children s Medical Center Dallas Disclosure Research relationships: Maquet NAVA GE
More informationInnovations in Neonatal Ventilation
Innovations in Neonatal Ventilation NAVA Neurally Adjusted Ventilatory Assist Howard Stein, M.D. Director Neonatology, Promedica Toledo Children s Hospital Clinical Professor of Pediatrics, University
More information1. Screening to identify SBT candidates
Karen E. A. Burns MD, FRCPC, MSc (Epid) Associate Professor, Clinician Scientist St. Michael s Hospital, Toronto, Canada burnsk@smh.ca Review evidence supporting: 1. Screening to identify SBT candidates
More informationComparison of automated and static pulse respiratory mechanics during supported ventilation
Comparison of automated and static pulse respiratory mechanics during supported ventilation Alpesh R Patel, Susan Taylor and Andrew D Bersten Respiratory system compliance ( ) and inspiratory resistance
More informationWeaning children from mechanical ventilation with a computer-driven protocol: a pilot trial
Intensive Care Med (2013) 39:919 925 DOI 10.1007/s00134-013-2837-8 PEDIATRIC ORIGINAL Philippe A. Jouvet Valérie Payen France Gauvin Guillaume Emeriaud Jacques Lacroix Weaning children from mechanical
More informationSERVO-i ventilator One system, multiple options
SERVO-i ventilator One system, multiple options This document is intended to provide information to an international audience outside of the US. One system, multiple options At Maquet, part of Getinge
More informationAutomated versus non-automated weaning for reducing the duration of mechanical ventilation for critically ill adults and children (Review)
Automated versus non-automated weaning for reducing the duration of mechanical ventilation for critically ill adults and children Rose, L., Schultz, M. J., Cardwell, C., Jouvet, P., McAuley, D. F., & Blackwood,
More informationMT Custom Weaning Protocol for your Ventilator Patients SMARTCARE /PS
MT-0913-2008 Custom Weaning Protocol for your Ventilator Patients SMARTCARE /PS 02 SmartCare /PS automates weaning The problem however is that no matter how good the written protocol is, physicians and
More informationServo-i Ventilator. One system, multiple options. This document is intended to provide information to an international audience outside of the US.
Servo-i Ventilator One system, multiple options This document is intended to provide information to an international audience outside of the US. One system, multiple options At Getinge we ve been developing
More informationAbstract. Arnal et al. Critical Care 2013, 17:R196
RESEARCH Open Access Feasibility study on full closed-loop control ventilation (IntelliVent-ASV ) in ICU patients with acute respiratory failure: a prospective observational comparative study Jean-Michel
More informationMT Custom Weaning Protocol for your Ventilator Patients SMARTCARE /PS
MT-0913-2008 Custom Weaning Protocol for your Ventilator Patients SMARTCARE /PS 02 SmartCare /PS automates weaning The problem however is that no matter how good the written protocol is, physicians and
More informationIntelligent ventilation in the intensive care unit
ARTICLE Intelligent ventilation in the intensive care unit Sigal Sviri, Abed Bayya, Phillip D Levin, Rabia Khalaila, Ilana Stav, David M Linton Medical Intensive Care Unit, Hadassah-Hebrew University Medical
More informationPAEDIATRIC RESPIRATORY FAILURE. Tang Swee Fong Department of Paediatrics University Kebangsaan Malaysia Medical Centre
PAEDIATRIC RESPIRATORY FAILURE Tang Swee Fong Department of Paediatrics University Kebangsaan Malaysia Medical Centre Outline of lecture Bronchiolitis Bronchopulmonary dysplasia Asthma ARDS Bronchiolitis
More informationMechanical Ventilation 1. Shari McKeown, RRT Respiratory Services - VGH
Mechanical Ventilation 1 Shari McKeown, RRT Respiratory Services - VGH Objectives Describe indications for mcvent Describe types of breaths and modes of ventilation Describe compliance and resistance and
More informationCurrent oxygen management in mechanically ventilated patients: A prospective observational cohort study
Journal of Critical Care (2013) 28, 647 654 Ventilation Current oxygen management in mechanically ventilated patients: A prospective observational cohort study Satoshi Suzuki MD, PhD a, Glenn M. Eastwood
More informationFaculty Disclosure. Off-Label Product Use
Faculty Disclosure X No, nothing to disclose Yes, please specify: Company Name Honoraria/ Expenses Consulting/ Advisory Board Funded Research Royalties/ Patent Stock Options Equity Position Ownership/
More informationPublished in: Critical Care. Document Version: Publisher's PDF, also known as Version of record
Automated versus non-automated weaning for reducing the duration of mechanical ventilation for critically ill adults and children: a cochrane systematic review and meta-analysis Rose, L., Schultz, M. J.,
More informationCrit Care Nurs Q Vol. 35, No. 1, pp Copyright c 2012 Wolters Kluwer Health Lippincott Williams & Wilkins
Crit Care Nurs Q Vol. 35, No. 1, pp. 27 38 Copyright c 2012 Wolters Kluwer Health Lippincott Williams & Wilkins Advanced Ventilator Modes and Techniques Carl F. Haas, MLS, RRT, FAARC; Kimberly A. Bauser,
More informationAdaptive support ventilation for faster weaning in COPD: a randomised controlled trial
Eur Respir J 2011; 38: 774 780 DOI: 10.1183/09031936.00081510 CopyrightßERS 2011 Adaptive support ventilation for faster weaning in COPD: a randomised controlled trial C. Kirakli*, I. Ozdemir #, Z.Z. Ucar*,
More informationIs ARDS Important to Recognize?
Is ARDS Important to Recognize? Lorraine B. Ware MD Vanderbilt University Financial Disclosures: research funding from Boehringer Ingelheim, Global Blood Therapeutics Why diagnose ARDS? -initiate specific
More informationSpontaneous Breathing Trial and Mechanical Ventilation Weaning Process
Page 1 of 5 ASSESSMENT INTERVENTION Patient receiving mechanical ventilation Baseline ventilatory mode/ settings RT and RN to assess criteria 1 for SBT Does patient meet criteria? RT to initiate SBT Does
More informationHyperoxemia in Mechanically Ventilated, Critically Ill Subjects: Incidence and Related Factors
Hyperoxemia in Mechanically Ventilated, Critically Ill Subjects: Incidence and Related Factors Taiga Itagaki MD, Yuuki Nakano, Nao Okuda MD, Masayo Izawa MD, Mutsuo Onodera MD, Hideaki Imanaka MD PhD,
More informationTranspulmonary pressure measurement
White Paper Transpulmonary pressure measurement Benefit of measuring transpulmonary pressure in mechanically ventilated patients Dr. Jean-Michel Arnal, Senior Intensivist, Hopital Sainte Musse, Toulon,
More informationTitration of oxygen therapy in critically ill emergency department patients: a feasibility study
Dobbe et al. BMC Emergency Medicine (2018) 18:17 https://doi.org/10.1186/s12873-018-0169-2 RESEARCH ARTICLE Open Access Titration of oxygen therapy in critically ill emergency department patients: a feasibility
More informationFeasibility and reliability of an automated controller of inspired oxygen concentration during mechanical ventilation
Saihi et al. Critical Care 2014, 18:R35 RESEARCH Open Access Feasibility and reliability of an automated controller of inspired oxygen concentration during mechanical ventilation Kaouther Saihi 1,2, Jean-Christophe
More informationFeasibility Study on Neurally Adjusted Ventilatory Assist in Noninvasive Ventilation After Cardiac Surgery in Infants
Feasibility Study on Neurally Adjusted Ventilatory Assist in Noninvasive Ventilation After Cardiac Surgery in Infants Laurent Houtekie MD, Damien Moerman PT, Amaury Bourleau PT, Grégory Reychler PT PhD,
More informationThe Art and Science of Weaning from Mechanical Ventilation
The Art and Science of Weaning from Mechanical Ventilation Shekhar T. Venkataraman M.D. Professor Departments of Critical Care Medicine and Pediatrics University of Pittsburgh School of Medicine Some definitions
More informationDaniel Hadfield Critical Care Nurse NIHR / HEE Clinical Doctoral Research Fellow King s College Hospital
Daniel Hadfield Critical Care Nurse NIHR / HEE Clinical Doctoral Research Fellow King s College Hospital Baby 2 Moving house Funding??????? Baby 1 NHS support Me My research Baby 2 Moving house Funding???????
More informationRESPIRATORY CARE Paper in Press. Published on February 14, 2017 as DOI: /respcare.05025
Influences of Duration of Inspiratory Effort, Respiratory Mechanics, and Ventilator Type on Asynchrony With Pressure Support and Proportional Assist Ventilation Renata S Vasconcelos MSc, Raquel P Sales
More informationHow to improve patient-ventilator synchrony
White Paper How to improve patient-ventilator synchrony Waveform analysis and optimization of ventilator settings Anita Orlando, MD, Servizio di Anestesia e Rianimazione I, Fondazione IRCCS Policlinico
More informationPatient Ventilator Interactions. Patient-Ventilator Interactions. Assisted vs Controlled MV. Ventilatory Muscle Fatigue Recovery
Patient Ventilator Interactions Patient-Ventilator Interactions Neil MacIntyre MD Duke Uni versity Medi cal Center Durham NC, USA Newer a pproaches to improving intera ctions Assisted vs Controlled MV
More informationLandmark articles on ventilation
Landmark articles on ventilation Dr Shrikanth Srinivasan MD,DNB,FNB,EDIC Consultant, Critical Care Medicine Medanta, The Medicity ARDS AECC DEFINITION-1994 ALI Acute onset Bilateral chest infiltrates PCWP
More informationApplication of Lung Protective Ventilation MUST Begin Immediately After Intubation
Conflict of Interest Disclosure Robert M Kacmarek Managing Severe Hypoxemia!" 9-28-17 FOCUS Bob Kacmarek PhD, RRT Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts I disclose
More informationBy Mark Bachand, RRT-NPS, RPFT. I have no actual or potential conflict of interest in relation to this presentation.
By Mark Bachand, RRT-NPS, RPFT I have no actual or potential conflict of interest in relation to this presentation. Objectives Review state protocols regarding CPAP use. Touch on the different modes that
More informationFeasibility and physiological effects of noninvasive neurally adjusted ventilatory assist in preterm infants
Articles Clinical Investigation nature publishing group Feasibility and physiological effects of noninvasive neurally adjusted ventilatory assist in preterm infants Christopher K. Gibu 1,3, Phillip Y.
More informationOptimize vent weaning and SBT outcomes. Identify underlying causes for SBT failures. Role SBT and weaning protocol have in respiratory care
Optimize vent weaning and SBT outcomes Identify underlying causes for SBT failures Role SBT and weaning protocol have in respiratory care Lower risk of developing complications Lower risk of VAP, other
More informationDisclosure COULD AUTOMATED CONTROL OF OXYGEN LEVELS IMPROVE SURVIVAL AND REDUCE NEC? Oxygen Dependency
COULD AUTOMATED CONTROL OF OXYGEN LEVELS IMPROVE SURVIVAL AND REDUCE NEC? Eduardo Bancalari MD University of Miami Miller School of Medicine Jackson Memorial Medical Center Sydney 206 Disclosure The University
More informationInhaled epoprostenol vs inhaled nitric oxide for refractory hypoxemia in critically ill patients
Journal of Critical Care (2013) 28, 844 848 Inhaled epoprostenol vs inhaled nitric oxide for refractory hypoxemia in critically ill patients Heather Torbic PharmD, BCPS a,, Paul M. Szumita PharmD, BCPS
More informationFAILURE OF NONINVASIVE VENTILATION FOR DE NOVO ACUTE HYPOXEMIC RESPIRATORY FAILURE: ROLE OF TIDAL VOLUME
FAILURE OF NONINVASIVE VENTILATION FOR DE NOVO ACUTE HYPOXEMIC RESPIRATORY FAILURE: ROLE OF TIDAL VOLUME Guillaume CARTEAUX, Teresa MILLÁN-GUILARTE, Nicolas DE PROST, Keyvan RAZAZI, Shariq ABID, Arnaud
More informationAPRV: An Update CHLOE STEINSHOUER, MD PULMONARY & SLEEP CONSULTANTS OF KANSAS 04/06/2017
APRV: An Update CHLOE STEINSHOUER, MD PULMONARY & SLEEP CONSULTANTS OF KANSAS 04/06/2017 Disclosures No conflicts of interest Objectives Attendees will be able to: Define the mechanism of APRV Describe
More informationLiberation from Mechanical Ventilation in Critically Ill Adults
Liberation from Mechanical Ventilation in Critically Ill Adults 2017 ACCP/ATS Clinical Practice Guidelines Timothy D. Girard, MD, MSCI Clinical Research, Investigation, and Systems Modeling of Acute Illness
More informationWeaning and extubation in PICU An evidence-based approach
Weaning and extubation in PICU An evidence-based approach Suchada Sritippayawan, MD. Div. Pulmonology & Crit Care Dept. Pediatrics Faculty of Medicine Chulalongkorn University Kanokporn Udomittipong, MD.
More informationInnovations in Mechanical Ventilation
Innovations in Mechanical Ventilation Richard D Branson MSc RRT FAARC and Jay A Johannigman MD Introduction Closed-Loop Control of Weaning History SmartCare/PS Automated Measurement of Functional Residual
More informationGE Healthcare. Non Invasive Ventilation (NIV) For the Engström Ventilator. Relief, Relax, Recovery
GE Healthcare Non Invasive Ventilation (NIV) For the Engström Ventilator Relief, Relax, Recovery COPD is currently the fourth leading cause of death in the world, and further increases in the prevalence
More informationSleep Apnea and ifficulty in Extubation. Jean Louis BOURGAIN May 15, 2016
Sleep Apnea and ifficulty in Extubation Jean Louis BOURGAIN May 15, 2016 Introduction Repetitive collapse of the upper airway > sleep fragmentation, > hypoxemia, hypercapnia, > marked variations in intrathoracic
More informationNeurally Adjusted Ventilatory Assist After Pediatric Cardiac Surgery: Clinical Experience and Impact on Ventilation Pressures
Neurally Adjusted Ventilatory Assist After Pediatric Cardiac Surgery: Clinical Experience and Impact on Ventilation Pressures Benjamin Crulli MD, Mariam Khebir, Baruch Toledano MD MSc, Suzanne Vobecky
More informationAnalyzing Lung protective ventilation F Javier Belda MD, PhD Sº de Anestesiología y Reanimación. Hospital Clinico Universitario Valencia (Spain)
Analyzing Lung protective ventilation F Javier Belda MD, PhD Sº de Anestesiología y Reanimación Hospital Clinico Universitario Valencia (Spain) ALI/ARDS Report of the American-European consensus conference
More informationHigh Flow Oxygen Therapy in Acute Respiratory Failure. Laurent Brochard Toronto
High Flow Oxygen Therapy in Acute Respiratory Failure Laurent Brochard Toronto Conflicts of interest Our clinical research laboratory has received research grants for clinical research projects from the
More informationWeaning: Neuro Ventilatory Efficiency
Weaning: Neuro Ventilatory Efficiency Christer Sinderby Department of Critical Care Keenan Research Center at the Li Ka Shing Knowledge Institute of St. Michael's Hospital Faculty of Medicine, University
More informationOriginal Article. Introduction. Babak Ali Kiaei, Parviz Kashefi, Seyed Taghi Hashemi, Daryoush Moradi, Ahmad Mobasheri 1
Original Article The Comparison Effects of Two Methods of (Adaptive Support Ventilation Minute Ventilation: 110% and Adaptive Support Ventilation Minute Ventilation: 120%) on Mechanical Ventilation and
More informationUpdate in Critical Care Medicine
Update in Critical Care Medicine Michael A. Gropper, MD, PhD Professor and Executive Vice Chair Department of Anesthesia and Perioperative Care Director, Critical Care Medicine UCSF Disclosure None Update
More informationConcerns and Controversial Issues in NPPV. Concerns and Controversial Issues in Noninvasive Positive Pressure Ventilation
: Common Therapy in Daily Practice Concerns and Controversial Issues in Noninvasive Positive Pressure Ventilation Rongchang Chen Guangzhou Institute of Respiratory Disease as the first choice of mechanical
More informationCaring For the ICU Boarder. Kami M. Hu, MD Depts of Emergency & Internal Medicine University of Maryland SOM
Caring For the ICU Boarder Kami M. Hu, MD Depts of Emergency & Internal Medicine University of Maryland SOM I have no relevant financial relationships with the manufacturer(s) of any commercial product(s)and/or
More informationSmart Care versus respiratory physiotherapy driven manual weaning for critically ill adult patients: a randomized and controlled trial
Critical Care This Provisional PDF corresponds to the article as it appeared upon acceptance. Fully formatted PDF and full text (HTML) versions will be made available soon. Smart Care versus respiratory
More informationBeyond the Golden Hour: Caring for the ICU Boarder
Beyond the Golden Hour: Caring for the ICU Boarder Kami M. Hu, MD Dept. of Emergency Medicine Dept. of Pulmonology & Critical Care University of Maryland SOM I have no relevant financial relationships
More informationSERVO EDUCATION NAVA in neonatal settings Study Guide
x SERVO EDUCATION Table of Contents TABLE OF CONTENTS 1 2 3 4 5 6 Introduction and background facts Invasive ventilation with NAVA Non invasive ventilation with NAVA NAVA and NIV NAVA features and management
More informationNeurally Adjusted Ventilatory Assist Mode in Pediatric Intensive Care Unit and Pediatric Cardiac Care Unit
Review Article Neurally Adjusted Ventilatory Assist Mode in Pediatric Intensive Care Unit and Pediatric Cardiac Care Unit Monika Gupta 1,2,3*, Maria Bergel 1,3, Nicole Betancourt 1,3 and Vicki L. Mahan
More informationVentilator Dyssynchrony - Recognition, implications, and management
Ventilator Dyssynchrony - Recognition, implications, and management Gavin M Joynt Dept of Anaesthesia & Intensive Care The Chinese University of Hong Kong Dyssynchrony Uncoupling of mechanical delivered
More informationCover Page. The handle holds various files of this Leiden University dissertation
Cover Page The handle http://hdl.handle.net/1887/46692 holds various files of this Leiden University dissertation Author: Zanten, Henriëtte van Title: Oxygen titration and compliance with targeting oxygen
More informationAdaptive Support Ventilation (ASV)
Bibliography Adaptive Support Ventilation (ASV) This bibliography is a literature reference for users and represents selected relevant publications, without any claim to completeness. Table of Contents
More informationBiPAPS/TVAPSCPAPASV???? Lori Davis, B.Sc., R.C.P.T.(P), RPSGT
BiPAPS/TVAPSCPAPASV???? Lori Davis, B.Sc., R.C.P.T.(P), RPSGT Modes Continuous Positive Airway Pressure (CPAP): One set pressure which is the same on inspiration and expiration Auto-PAP (APAP) - Provides
More informationVentilatory Management of ARDS. Alexei Ortiz Milan; MD, MSc
Ventilatory Management of ARDS Alexei Ortiz Milan; MD, MSc 2017 Outline Ventilatory management of ARDS Protected Ventilatory Strategy Use of NMB Selection of PEEP Driving pressure Lung Recruitment Prone
More informationA decision with a future DRÄGER EVITA INFINITY V500
D-76317-2013 A decision with a future DRÄGER EVITA INFINITY V500 2 How do I ensure staying prepared for the future? D-76319-2013 D-76325-2013 Decision for high quality ventilation therapy There is no singular
More information5/11/2018. Refining your Therapist Driven Protocols & Clinical Guidelines of Care. Objectives
Refining your Therapist Driven Protocols & Clinical Guidelines of Care Tom Malinowski, MSc, RRT, FAARC Director, Pulmonary Diagnostics, Respiratory Therapy Services University of Virginia Health System
More informationProvide guidelines for the management of mechanical ventilation in infants <34 weeks gestation.
Page 1 of 5 PURPOSE: Provide guidelines for the management of mechanical ventilation in infants
More informationAdaptive Support Ventilation for Faster Weaning in COPD: A Randomized Controlled
ERJ Express. Published on March 15, 2011 as doi: 10.1183/09031936.00081510 Adaptive Support Ventilation for Faster Weaning in COPD: A Randomized Controlled Trial Cenk Kirakli, MD 1, Ilker Ozdemir, MD 2,
More informationStaging Sepsis for the Emergency Department: Physician
Staging Sepsis for the Emergency Department: Physician Sepsis Continuum 1 Sepsis Continuum SIRS = 2 or more clinical criteria, resulting in Systemic Inflammatory Response Syndrome Sepsis = SIRS + proven/suspected
More informationPhysiologic response to varying levels of pressure support and neurally adjusted ventilatory assist in patients with acute respiratory failure
Intensive Care Med (2008) 34:2010 2018 DOI 10.1007/s00134-008-1208-3 ORIGINAL Davide Colombo Gianmaria Cammarota Valentina Bergamaschi Marta De Lucia Francesco Della Corte Paolo Navalesi Physiologic response
More informationRecognizing and Correcting Patient-Ventilator Dysynchrony
2019 KRCS Annual State Education Seminar Recognizing and Correcting Patient-Ventilator Dysynchrony Eric Kriner BS,RRT Pulmonary Critical Care Clinical Specialist MedStar Washington Hospital Center Washington,
More informationEffect of Ventilatory Variability on Occurrence of Central Apneas
Effect of Ventilatory Variability on Occurrence of Central Apneas Stephane Delisle RRT MSc PhD FCSRT, Nicolas Terzi MD PhD, Paul Ouellet RRT, Patrick Bellemare MD, Jean-Pierre Tétrault MD MSc, and Pierre
More informationPro: Early use of VV ECMO for ARDS
Pro: Early use of VV ECMO for ARDS Kyle J. Rehder, MD, FCCP Associate Professor Division of Pediatric Critical Care Medicine Department of Pediatrics Duke Children s Hospital The ventilator is slowly killing
More informationNAVA-korzyści dla noworodka
DISCLOSURE No conflict of interest related to this topic NAVA-korzyści dla noworodka Jan Mazela Poznan University of Medical Sciences Poznan, Poland EUROPE POZNAŃ and WIELKOPOLSKA REGION POLAND WIELKOPOLSKA
More informationMartin R Cowie Professor of Cardiology, National Heart & Lung Institute Imperial College London (Royal Brompton Hospital)
Treatment of Sleep-Disordered Breathing With Predominant Central Sleep Apnoea by Adaptive Servo Ventilation in Patients With Heart Failure and Reduced Ejection Fraction (SERVE-HF) Martin R Cowie Professor
More informationWean Earlier and Automatically with New Technology (The WEAN Study): A Multicentre, Pilot Randomized Controlled Trial
Wean Earlier and Automatically with New Technology (The WEAN Study): A Multicentre, Pilot Randomized Controlled Trial Karen E. A. Burns MD, MSc, Maureen O. Meade MD, MSc, Martin R. Lessard MD, Lori Hand
More informationASL 5000 Breathing Simulator Software 3.5 Patient Models References
ASL 5000 Breathing Simulator Software 3.5 Patient Models References Adolescent_Normal 1. Hazinski M. Children are different. In: Hasinki M, ed. Manual of pediatric critical care. St Louis, MO: Mosby-Year
More informationYear in Review. NAVA and Edi monitoring
NAVA and Edi monitoring Year in Review 2013 NAVA and Edi monitoring Year in Review is published on Critical Care News with permission from Jennifer Beck, PhD at www.ventquest.com Maquet Critical Care AB
More informationRandomized controlled trial ASV versus Pressure assist control ventilation. 229 medical ICU patients from intubation to extubation
Adaptive Support Bibliography Ventilation (ASV) A randomized controlled trial comparing the ventilation duration between Adaptive Support Ventilation and Pressure Assist/Control Ventilation in medical
More informationPatient ventilator asynchrony during conventional mechanical ventilation in children
https://doi.org/10.1186/s13613-017-0344-8 RESEARCH Open Access Patient ventilator asynchrony during conventional mechanical ventilation in children Guillaume Mortamet 1,2,3, Alexandrine Larouche 1,3, Laurence
More informationPatient-Ventilator Synchrony and Impact on Outcome
Variables Controlled during Mechanical Ventilation Patient-Ventilator Synchrony and Impact on Outcome 9-30-17 Cox Bob Kacmarek PhD, RRT Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
More informationMonitoring Respiratory Drive and Respiratory Muscle Unloading during Mechanical Ventilation
Monitoring Respiratory Drive and Respiratory Muscle Unloading during Mechanical Ventilation J. Beck and C. Sinderby z Introduction Since Galen's description 2000 years ago that the lungs could be inflated
More informationSpeakers bureau / Clinical research Glaxo Smith Kline Boehringer Ingelheim Forest Breathe Technologies Smith s Medical PneumRx Philips Respironics
Brian W. Carlin, MD Assistant Professor of Medicine Drexel University School of Medicine Sleep Medicine and Lung Health Consultants Pittsburgh, Pennsylvania Kansas Society for Respiratory Care April 2014
More informationPatient Asynchrony and Its Impact on Patient Outcome
Patient Asynchrony and Its Impact on Patient Outcome 5-14-18 CSRC Bob Kacmarek PhD, RRT Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts Conflict of Interest Disclosure Robert
More informationDAILY SCREENING FORM
DAILY SCREENING FORM Patient s initials: Date of admission: Time of admission: Gender: M F Year of Birth: Type of admission: Medical/Surgical/Postoperative (elective) Days Date Mechanical ventilation Lung
More informationDELIRIUM IN ICU: Prevention and Management. Milind Baldi
DELIRIUM IN ICU: Prevention and Management Milind Baldi Contents Introduction Risk factors Assessment Prevention Management Introduction Delirium is a syndrome characterized by acute cerebral dysfunction
More informationPatient ventilator asynchrony and sleep disruption during noninvasive
Review Article Patient ventilator asynchrony and sleep disruption during noninvasive ventilation Michelle Ramsay Lane Fox Unit, St Thomas Hospital, London, UK Correspondence to: Dr. Michelle Ramsay, MRCP
More information