Instrumental dead space in ventilator management
نویسندگان
چکیده
منابع مشابه
Use of non-partitioned ventilator tubing results in dead-space ventilation hypercarbia.
We present a case of severe postoperative hypercarbia in a patient with severe COPD. Hypercarbia and respiratory acidosis continued to increase despite maximal ventilation, bronchodilator therapy, sedation, and paralysis. Mistaken use of non-partitioned ventilator circuit was the cause of the hypercarbia. The ventilator's self-test function failed to detect the error. We changed to a partitione...
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BACKGROUND Neurally adjusted ventilatory assist (NAVA) is a pneumatically-independent mode of mechanical ventilation controlled by diaphragm electrical activity (EAdi), and has not yet been implemented in very small species. OBJECTIVES The aims of the study were to evaluate the feasibility of applying NAVA in very small species and to compare this to pressure support ventilation (PSV) in term...
متن کاملCorrection for mechanical dead space in the calculation of physiological dead space.
When physiological dead space (Vd(p)) is calculated for a patient who has alveolar dead space, e.g., after pulmonary vascular occlusion, less than the full volume of attached mechanical dead space (Vd(m)) appears in the measured dead space (Vd(n)). Under these conditions the traditional subtraction of Vd(m) from Vd(n) leads to underestimation of Vd(p) and can give a falsely small ratio of Vd(p)...
متن کاملDead space: simplicity to complexity.
CONSIDERABLE UNCERTAINTY existed regarding the magnitude of pulmonary dead space in the immediate post-World War II era. The dead space concept was originated by Bohr (2), who viewed total ventilation as composed of two distinct, but homogeneous, components—alveolar ventilation that participated fully in gas exchange and dead space ventilation in which no respiratory exchange occurred. With kno...
متن کاملEffects of alveolar dead-space, shunt and V/Q distribution on respiratory dead-space measurements.
BACKGROUND Respiratory dead-space is often increased in lung disease. This study evaluates the effects of increased alveolar dead-space (Vd(alv)), pulmonary shunt, and abnormal ventilation perfusion ratio (/) distributions on dead-space and alveolar partial pressure of carbon dioxide (Pa(co(2))) calculated by various methods, assesses a recently published non-invasive method (Koulouris method) ...
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ژورنال
عنوان ژورنال: The Lancet Respiratory Medicine
سال: 2021
ISSN: 2213-2600
DOI: 10.1016/s2213-2600(21)00024-2