To purchase reprints, contact The InnoVision Group, 101 Columbia, Aliso Viejo, CA 92656. Phone, (800) 8092273 or (949) 362-2050 (ext 532); fax, (949) 362-2049; e-mail, [email protected]. administration and a physician champion. As information and data were evaluated, the committee determined that although sedation and restraint were intermittently contributing factors to unplanned extubation, t...

To purchase reprints, contact The InnoVision Group, 101 Columbia, Aliso Viejo, CA 92656. Phone, (800) 8092273 or (949) 362-2050 (ext 532); fax, (949) 362-2049; e-mail, [email protected]. administration and a physician champion. As information and data were evaluated, the committee determined that although sedation and restraint were intermittently contributing factors to unplanned extubation, t...

objective neuromuscular disorders (diseases of the motor unit), can cause respiratory problems such as impaired cough reflex, chest deformity, recurrent pneumonia and acute respiratory failure; these are the worst most common complications of these diseases and the leading cause of death in such patients (1, 2). their management hence, very often, entails admission to the pediatric intensive ca...

OBJECTIVE To derive a clinical prediction rule that uses bedside clinical variables to predict extubation failure (reintubation within 48 h) after a successful spontaneous breathing trial. METHODS This prospective observational cohort study was performed at the Northwestern Memorial Hospital in Chicago, Illinois, which is a large tertiary-care university hospital. Among 673 consecutive patien...

OBJECTIVE To update the state of knowledge on unplanned extubations (UEs) in neonatal ICUs. This review focuses on the following topics: incidence, risk factors, reintubation after UE, outcomes, and prevention. METHODS The MEDLINE, EMBASE, CINAHL, Scielo, Lilacs, and Cochrane databases were searched for relevant publications from January 1, 1950, through January 30, 2012. Fifteen articles wer...

INTRODUCTION After removal of endotracheal tube and artificial ventilation, ventilatory support should be continued, offering oxygen supply to ensure an arterial oxygen saturation close to physiological. OBJECTIVE The aim of this study was to investigate the effects of positive-end expiratory pressure before extubation on the oxygenation indices of patients undergoing coronary artery bypass g...

BACKGROUND Adhesive tape is commonly used to secure the endotracheal tube (ETT) in anesthesia and intensive-care settings. OBJECTIVE To determine the force required to extubate when the ETT is secured with adhesive tape or commercially available ETT holders. METHODS We orally intubated a simulation manikin with a standard 8.0-mm inner-diameter ETT, inflated the cuff to 20 cm H(2)O, and mea...

Introduction Pro: Every Mechanically Ventilated Patient Should Be Monitored With Capnography From Intubation to Extubation Endotracheal Intubation Preventing Mishaps Operating Room Setting Physiology of the Arterial-Versus-End-Tidal CO2 Difference Carbon Dioxide Elimination Management of Positive End-Expiratory Pressure Alveolar V̇E Minimizing the Duration of Mechanical Ventilation Acute Respira...

Weaning from mechanical ventilation represents the period of transition from total ventilatory support to spontaneous breathing. About 70% of intubated mechanically ventilated patients are extubated on the first spontaneous breathing trial (SBT) attempt, whether by disconnection from the ventilator or after breathing at low levels of pressure support for short periods of time, such as 30 to 120...