Inadvertent ventilator triggering can occur for various reasons. Leaks in the ventilator circuit, endotracheal tube leaks, tracheal cuff leaks, cardiac oscillations, water condensate causing oscillations in the circuit tubing, ventilator expiratory valve integrity, and overly sensitive triggering mechanism settings may precipitate this phenomena. We present a case of inadvertent ventilator trig...

OBJECTIVES The "Pneumonia Zero" project is a nationwide multimodal intervention based on the simultaneous implementation of a comprehensive evidence-based bundle measures to prevent ventilator-associated pneumonia in critically ill patients admitted to the ICU. DESIGN Prospective, interventional, and multicenter study. SETTING A total of 181 ICUs throughout Spain. PATIENTS All patients ad...

INTRODUCTION The aim of this study was to validate an automated, objective and standardized algorithm for quantifying and displaying patient-ventilator interaction. METHODS Using a new method to detect patient-ventilator synchrony, the present study re-analyzed previously acquired and published data from 24 mechanically ventilated adult patients (Colombo et al., Crit Care Med. 2011 Nov;39(11)...

BACKGROUND The battery life (BL) of portable home ventilator batteries is reported by manufacturers. The aim of this study was to evaluate the effects of ventilator mode, breathing frequency, PEEP, and leaks on the BL of 5 commercially available portable ventilators. METHODS The effects of the ventilator mode (volume controlled-continuous mandatory ventilation [VC-CMV] vs pressure support ven...

Ventilator associated pneumonia currently in vogue seems to have some pitfalls as far as the nomenclature is concerned and thus it imparts an erroneous impression to the reader. As the driving force is in fact the ventilator, the phraseology should preferably be changed to ventilator induced pneumonia to convey the in depth meaning of the term thus evading the terminology currently in practice....

BACKGROUND Small endotracheal tubes (ETTs) and neonatal ventilators can impact gas exchange, work of breathing, and lung-mechanics measurements in infants, by increasing the expiratory resistance (R(E)) to gas flow. METHODS We tested two each of the Babylog 8000plus, Avea, Carestation, and Servo-i ventilators. In the first phase of the study we evaluated (1) the imposed R(E) of an ETT and ven...

1 DO MECHANICAL AND HUMAN FACTORS COMBINE TO OVERVENTILATE TRANSPORTED INFANTS? A. Leslie (1,2) J. Behrsin (1,2), A. Kage (1,2) Gareth Penman (2) (1) CenTre Neonatal Transport Servic; (2) University Hospitals of Leicester NHS Trust, UK Introduction A recent audit from our service demonstrated hypocarbia (pCO2<4KPa) at the end of transport in 12.5% of ventilated transports1. The Baby-pac ventila...