In their prospective multicenter randomized controlled trial, Su et al report that noninvasive mechanical ventilation (NIV) used in all patients after extubation did not reduce re-intubation rate, when compared to standard oxygen therapy.1 Nevertheless, we believe that the concept of “preventive” NIV requires not only early application of NIV but also careful selection of patients who are high ...

Both invasive and noninvasive mechanical ventilation techniques are inherent to the care of most patients admitted to intensive care units. Despite the everyday use of mechanical ventilation for thousands of patients and the availability of thousands of reports in the medical literature, there are no clear and consistent guidelines for the use of mechanical ventilation for pediatric patients. I...

INTRODUCTION: Mechanical ventilation (MV), in recent years, has been considered the main alternative to replace, totally or partially, respiratory function of patients pathological conditions, especially cases acute failure (ARF). It consists, basically, use a mechanical device that will artificially provide body with necessary and oxygenation maintain life. Its is send volume air (ventilate), ...

For many decades, the primary treatment of acute respiratory failure has been mechanical ventilation. Intubation and mechanical ventilation carry complications such as upper respiratory system trauma, barotrauma, volutrauma, oxytrauma, atelectrauma, and nosocomial infection, and they increase mortality. Noninvasive mechanical ventilation (NIMV) applied to a specially selected group of patients ...

introduction: tuberculosis (tb), with different types of respiratory tract involvements, has a high rate of mortality all around the world. endobronchial involvement, which is a slightly common tuberculous infection, requires special attention due to its severe complications such as bronchostenosis. aim of study of this study was describes, one type of pulmonary tuberculosis with less diagnosed...

In this issue of RESPIRATORY CARE, Kojicic and colleagues describe long-term survival in patients who underwent tracheostomy for anticipated or prolonged mechanical ventilation (PMV) in Olmsted County, Minnesota.1 The study confirmed that approximately 10% of patients with invasive mechanical ventilation undergo tracheotomy and that overall 1-year mortality in that population is still substanti...

COPD and asthmatic patients use a substantial proportion of mechanical ventilation in the ICU, and their overall mortality with ventilatory support can be significant. From the pathophysiological standpoint, they have increased airway resistance, pulmonary hyperinflation, and high pulmonary dead space, leading to increased work of breathing. If ventilatory demand exceeds work output of the resp...