When patients depend on ventilators for a long period of time, it will increase the risk complexity and death. Thus, medical professionals try to help wean off from ventilator as soon possible minimize adverse effects respiratory machine. This study analyzed historical clinical data evaluate improve weaning protocol in operation. adopted retrospective approach by collecting 1,014 cases Taiwan 2...

Patient-ventilator asynchrony/dysynchrony is a mismatch between the patient and ventilator's delivered breaths ability of ventilator to meet demands. Any factor that alters harmony these two components produces asynchrony, which can cause discomfort an increase in patient's work breathing. Delayed cycling occurs when neural time less than mechanical ventilator. Keywords: ventilator, delayed cyc...

BACKGROUND Bronchodilators are increasingly being used in patients undergoing mechanical ventilation. There are multiple factors that affect bronchodilator delivery during mechanical ventilation. These factors can be classified into three categories: ventilator-related factors, circuit-related factors and device-related factors. AIMS The purpose of this paper is to review in depth each of the...

background ventilator-associated pneumonia (vap) develops in mechanically ventilated patients 48 hours after putting the patients on the ventilator. vap is the second most common nosocomial infection in neonatal intensive care units (nicu). objectives the current study was conducted to determine the rate, microbiological characteristics and outcome of vap in neonates admitted in the nicu of sho...

Ventilator-associated pneumonia is a severe complication among patients undergoing cardiac surgery. Although hospital-acquired bacterial pathogens, often multidrug resistant, are the most frequent cause, non-bacterial atypical and opportunistic agents traditionally associated with immunocompromise are increasingly recognized. We describe ventilator-associated pneumonia due to Pneumocystis jirov...

Most ~r,~eSTI~TISTS use some modification of the T-piece technique with endotracheal intubation for infants and small children. The principles have been clearly defined for spontaneous respiration by Mapleson, 1 but there is very little in the literature on the performance of this system with controlled respiration, which is far more commonly indicated, particularly in the infant. The work of H...

Historically, the relationship between the ventilator circuit and pulmonary infection was accepted as fact, without any scientific evidence. Hence the term, "ventilator"-associated pneumonia. Recent evidence, however, has demonstrated that the major sources of pneumonia in the ventilated patient are colonization of the gastrointestinal tract, with subsequent aspiration around the endotracheal t...

conclusions the result of this study indicated that nephrotoxicity rate among patients treated with vancomycin is under the influence of the poisoning by nephrotoxicants. higher vancomycin trough level was associated with increasing nephrotoxicity rate. results one hundred and fifty-four vap patients’ profiles were reviewed, of whom 110 were eligible. the median age was 33.50 (12 to 94) years a...

Patient–ventilator asynchrony can often be corrected by ventilator adjustment rather than sedation.