Abstract Background Prolonged ventilatory support is associated with poor clinical outcomes. Partial modes, especially pressure ventilation, are frequently used in practice but patient–ventilation asynchrony and deliver fixed levels of assist. Neurally adjusted assist (NAVA), a mode partial that reduces patient–ventilator asynchrony, may be an alternative for weaning. However, the effects NAVA ...

Abstract: The new neonatal ventilation methods have been developed along with utilization of new technological tools.This device is synchronized with the patient’s respiratory efforts. The ideal synchronized breath needs to be synchronous with initiation, size, and termination of the breath without delay in detecting of initial resiratory effort by device .The synchrony of respiration contribut...

BACKGROUND Although the weaning classification based on the difficulty and duration of the weaning process has been evaluated in the different type of intensive care units (ICUs), little is known about clinical outcomes and validity among the three groups in medical ICU. The objectives of this study were to evaluate the clinical relevance of weaning classification and its association with hospi...

Mechanical ventilation (MV) is used clinically to maintain gas exchange in patients that require assistance in maintaining adequate alveolar ventilation. Common indications for MV include respiratory failure, heart failure, drug overdose, and surgery. Although MV can be a life-saving intervention for patients suffering from respiratory failure, prolonged MV can promote diaphragmatic atrophy and...

Introduction During assisted mechanical ventilation, appropriate WOB prevents diaphragm atrophy and fastens weaning. During PSV the ventilator support is fixed, irrespective of the patient’s effort. On the contrary, both the NAVA and PAV + algorithms are designed to amplify patient’s spontaneous effort. [1], [2] Objectives To test if the assist ventilation mode algorithm has an impact on patien...

After its development as a weaning modality in the early 1970s,1 intermittent mandatory ventilation (IMV) quickly became a very popular mode of ventilation. Continuous mandatory ventilation, the prevailing mode in use prior to the introduction of IMV, permitted the patient to determine the number of ventilator breaths by sensing patient inspiratory effort. In contrast, IMV mode delivered a set ...

BACKGROUND It is not clear whether the benefits of tracheostomy remain the same in the population. This study aimed to better examine the effect of tracheostomy on clinical outcome among prolonged ventilator patients. METHODS Data were from the medical claims data in Taiwan. A total of 3880 patients with ventilator use for more than 14 days between 2005 and 2009 were identified. Among them, 6...

Tracheobronchomalacia is a condition with significant morbidity with many etiologies including iatrogenic ones and should be considered in critically ill ventilated trauma patients. We present a case of a multitrauma patient who had difficulty weaning from the ventilator after prolonged intubation followed by tracheostomy tube placement. We describe her presentation, diagnosis, and management p...

AIM To determine if a weaning regimen on flow driver continuous positive airway pressure (CPAP) would decrease the number of ventilator days but increase the number of CPAP days when compared with a rescue regimen. METHODS Fifty eight babies of 24-32 weeks gestation with respiratory distress syndrome (RDS) were studied prospectively. After extubation they were randomly allocated to receive CP...

To avoid the complications associated with endotracheal intubation, noninvasive positive-pressure ventilation (NPPV) has been proposed in the management of ventilator weaning in patients with acute respiratory failure (ARF) of various etiologies. Several studies have been performed to assess the benefit of NPPV in various weaning strategies, including permitting early extubation in patients who...