BACKGROUND Few studies have investigated the difference in bacterial contamination between conventional reused ventilator systems and disposable closed ventilator-suction systems. The aim of this study was to investigate the bacterial contamination rates of the reused and disposable ventilator systems, and the association between system disconnection and bacterial contamination of ventilator sy...

BACKGROUND The utilization of checklists, bundles, and protocols attempts to provide standardization in the delivery of patient care. Despite important progress obtained in the prevention of hospital-acquired infections, the daily management of mechanical ventilation is still prone to heterogeneity, depending on the number of providers manipulating the ventilator. Whether the number of changes ...

background and objectives: the weaning procedure of mechanical ventilation in many patients is a difficult and long process and increases the time of mechanical ventilation. there are numerous ways to achieve this goal. one common way is using cpap-ventilator. considering the lower price of blender-humidifier compared to cpapof ventilator and the limited number of studies in this field, this st...

abstract background: ventilator-associated pneumonia (vap) is a common side effect in patients with an endotracheal tube. this study aimed to evaluate the effect of an upper respiratory care program on the incidence of vap in mechanically ventilated patients. materials and methods: in this clinical trial, 62 patients with endotracheal tube were selected and randomly allocated to intervention or...

The case of a term, male neonate (birthweight 3785g) with cephalic presentation, Caesarean-section (C-section) delivery, and failure to thrive is reported. The infant presented with generalized hypotonia and respiratory failure immediately following birth. An initial diagnosis of hypoxic-ischemic encephalopathy was made. However, ventilator dependency and slow recovery of generalized tonus over...

∙ Patient surveillance technology can improve adherence to and optimization of ventilator protocols, shorten the time on the ventilator, and reduce the likelihood of acute lung injury. ∙ Patient surveillance technology can aid clinicians in preventing or reducing the incidence of adverse ventilator associated events, including ventilator-associated pneumonia, and ultimately, help improve patien...

1. Systemic inflammation is characterized by exaggerated immune responses to either a sterile or infectious process. The cause of inflammatory activation needs to be addressed to resolve the dysregulated immune state. 2. An understanding of the signaling mechanisms and pathways underlying systemic inflammation can help guide therapeutic interventions in injured and/or septic patients. 3. Manage...

Postoperative pulmonary complications (PPC) are a major cause of morbidity, mortality, prolonged hospital stay, and increased cost of care. Physiotherapy (PT) programs in post-surgical and critical area patients are aimed to reduce the risks of PPC due to long-term bed-rest, to improve the patient's quality of life and residual function, and to avoid new hospitalizations. At this purpose, PT pr...

With current ventilator triggering design, in initiating ventilator breaths patient effort is only a small fraction of the total effort expended to overcome the inspiratory load. Similarly, advances in ventilator pressure or flow delivery and inspiratory flow termination improve patient effort or inspiratory muscle work during mechanical ventilation. Yet refinements in ventilator design do not ...