Although severe patient-ventilator asynchrony is frequent during invasive and non-invasive mechanical ventilation, diagnosing such asynchronies usually requires the presence at the bedside of an experienced clinician to assess the tracings displayed on the ventilator screen, thus explaining why evaluating patient-ventilator interaction remains a challenge in daily clinical practice. In the prev...

Purpose Cardiomyopathy is becoming the leading cause of death in patients with Duchenne muscular dystrophy because mechanically assisted lung ventilation and assisted coughing have helped resolve respiratory complications. To clarify cardiopulmonary function, we compared cardiac function between the home ventilator-assisted and non-ventilator-assisted groups. Methods We retrospectively review...

Mechanical ventilation is a life-saving intervention for patients in respiratory failure. Unfortunately, prolonged ventilator support results in diaphragmatic atrophy and contractile dysfunction leading to diaphragm weakness, which is predicted to contribute to problems in weaning patients from the ventilator. While it is established that ventilator-induced oxidative stress is required for the ...

Patient selection Today no literature exists that provides evidence that NAVA improves survival, length of ICU stay or time spent on the ventilator. However, compared to other ventilatory modes, ventilator support in NAVA more closely resembles normal respiratory physiology. Several studies have demonstrated improved patient-ventilator synchrony in NAVA compared to Pressure Support ventilation....

Epidemiology Incidence of Ventilator-associated Pneumonia Mortality Morbidity and Cost Etiologic Agents Pathogenesis Risk Factors Diagnosis Clinical Evaluation Combined with Microscope Examination and Culture of Tracheal Secretions Microbiologic Diagnosis of Ventilator-associated Pneumonia Using Nonbronchoscopic Techniques Microbiologic Diagnosis of Ventilator-associated Pneumonia Using Broncho...

The Nuffield 200 ventilator was compared with a new valveless ventilator (CW 200) in 20 children undergoing general anaesthesia for paediatric surgery. The new ventilator incorporates design features which overcome the main disadvantages of the Nuffield 200 and make it an inherently safer machine. At identical ventilator settings it produced a significantly greater tidal volume with a reduction...

Introduction Surveillance for Ventilator Associated Pneumonia (VAP) is problematic. The CDC published a new surveillance framework [1] with two main goals. • Broaden focus of surveillance beyond VAP to include other common ventilator-associated complications (VACs). • Produce objective surveillance definitions using quantitative data based on changes in ventilator settings. It introduces a hier...