INTRODUCTION Influenza A(H1N1) infection affected Indian population in 2009. Patients needed ICU admission and monitoring. Simple demographic, clinical and radiological variables are described in this article in mechanically ventilated and nonventilated patients. OBJECTIVES To describe and correlate demographic, clinical, radiographic characteristics and comorbidities in mechanically ventilat...

Ventilator associated pneumonia

Tracheal stenosis of ventilator-dependent patient is generally managed via dilation and long trachesostomy tube. This study reports four ventilator patients with tracheal stenosis managed with Montgomery T tube via rigid bronchoscopy. The respiratory symptoms improved in all patients. Three of the patients were weaned from ventilator shortly following treatment.

Twenty four preterm infants (< 27 weeks gestation) were randomised to resuscitation with an anaesthetic rebreathing circuit or a ventilator with volume guarantee. There was no difference in weight or gestation between the groups. End expiratory pressures were higher and less variable with the ventilator. This pilot study shows that very preterm infants can be safely and effectively resuscitated...

INTRODUCTION Delivering synchronous assist during non-invasive ventilation (NIV) is challenging with flow- or pressure-controlled ventilators, especially in patients with chronic obstructive pulmonary disease (COPD). Neurally adjusted ventilatory assist (NAVA) uses diaphragm electrical activity (EAdi) to control the ventilator. We evaluated patient-ventilator interaction in patients with COPD d...

BACKGROUND Perfluorocarbon (PFC) vapour in the expired gases during partial liquid ventilation should be prevented from entering the atmosphere and recovered for potential reuse. This study aimed to determine how much PFC liquid could be recovered using a conventional humidified neonatal ventilator with chilled condensers in place of the usual expiratory ventilator circuit and whether PFC liqui...

BACKGROUND Calculation of physiologic dead space (dead space divided by tidal volume [VD/VT]) using the Enghoff modification of the Bohr equation requires measurement of the partial pressure of mean expired CO2 (PĒCO2) by exhaled gas collection and analysis, use of a metabolic analyzer, or use of a volumetric CO2 monitor. The Dräger XL ventilator is equipped with integrated volumetric CO2 monit...

OBJECTIVE Ventilator-associated pneumonia is an important cause of morbidity and mortality in critically ill patients. Evidence-based clinical practice guidelines for the prevention, diagnosis, and treatment of ventilator-associated pneumonia may improve outcomes, but optimal methods to ensure implementation of guidelines in the intensive care unit are unclear. Hence, we determined the effect o...

Definitions of ventilator-associated pneumonia do not note a preferred daily time for obtaining denominator data. We examined collecting data on the number of ventilator-days at different times of day in 7 intensive care units. Rates of ventilator-associated pneumonia did not significantly differ when denominator data were collected at midnight, 8 am, or 4 pm, supporting standard definitions.