Conventional Mechanical Ventilation

Tobias, Joseph D.

doi:10.1007/978-0-85729-923-9_12

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…In addition to the potential to result in barotrauma, higher PIPs may result in increased intra-thoracic pressure and impaired venous return resulting in reduced cardiac output. Given these concerns, pressure-limited ventilation should be adjusted to keep the PIP ≤ 30 cm H 2 O. Lengthening the inspiratory time and the use of high respiratory rates may allow for an effective tidal volume and minute ventilation while limiting PIP [8].…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Care During Lateral Thoracic Expansion for Asphyxiating Thoracic Dystrophy

2016

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Jeune syndrome or asphyxiating thoracic dystrophy (JATD) is a rare autosomal recessive disorder with an estimated incidence of 1 in 100,000 to 130,000 live births. The typical phenotype of JATD is osteochondrodysplasia (narrow thorax and shorted ribs) in association with short limb dwarfism. The thoracic dysplasia results in respiratory insufficiency, usually requiring tracheostomy and chronic mechanical ventilation beginning in infancy and childhood. Lateral thoracic expansion is one surgical procedure that has been described in an attempt to enlarge the thoracic cage and alleviate the progressive respiratory failure. In addition to respiratory involvement, patients with JATD may have other co-morbid conditions involving the kidneys, pancreas, liver, and eyes. Given the underlying thoracic dysplasia and other associated comorbid conditions, the intraoperative care of such patients can be challenging. We present two patients with JATD who presented for lateral thoracic expansion. Previous reports of the intraoperative care of such patients are reviewed and options for anesthetic care are discussed.

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Section: Discussionmentioning

confidence: 99%

Anesthetic Care During Lateral Thoracic Expansion for Asphyxiating Thoracic Dystrophy

2016

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“…Respiratory support is a vital technique for temporary compensation of breathing function [8], but it is not always adequate in cases of severe respiratory dysfunction, even with the use of up-to-date respiratory technologies [20].…”

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confidence: 99%

The Effectiveness of Corticosteroid Usage in Complex Therapy for Severe Sepsis and Acute Respiratory Distress Syndrome in Cases of Severe Traumatic Brain Injury

Oliynyk

Pereviznyk

Yemiashev³

et al. 2016

Adv Clin Exp Med

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Comparison of Synchronised Intermittent Mandatory Ventilation with Pressure Support versus Assist Control mode of ventilation on time to extubation

Mathews¹,

Unnikrishnan²

2022

Indian Journal of Respiratory Care

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Introduction: Increased work of breathing causing inspiratory muscle fatigue can delay extubation. Aim: This study compared the time taken for extubation in patients admitted with acute respiratory failure and ventilated with assist control mode (ACV) of ventilation or synchronised intermittent mandatory ventilation and Pressure Support (SIMV-PS). Patients and Methods: This was an observational study conducted in medical and surgical intensive care unit of a tertiary care hospital in South India. Patients receiving invasive mechanical ventilation for more than 24 hours were enrolled into the study. Demographic data, ventilator settings, ABG values after initiation of mechanical ventilation and before extubation, change of initial mode were recorded. The primary outcome was to determine the difference in the time taken for extubation (hours). Result: A total of 34 subjects were enrolled, twenty in SIMV-PS and fourteen subjects in ACV. The median age of the subjects was 53 years, 23 (68%) were males and 11 (32%) were females. The median (interquartile range) of Acute Physiology and Chronic Health Evaluation II (APACHE II) score was 18.5 (14, 29). Majority had a diagnosis of sepsis (23.5%) and pneumonia (17.6%). The median time on mechanical ventilation in SIMV-PS group was 90 h (57, 133) and in ACV group was 131 h (64, 258). There were also no statistical differences in the duration of weaning (p). Conclusion: Mechanical ventilation with assist control mode of ventilation or synchronised intermittent mandatory ventilation and pressure support are comparable in the time to weaning patients off ventilator.

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Conventional Mechanical Ventilation

Cited by 3 publications

References 26 publications

Anesthetic Care During Lateral Thoracic Expansion for Asphyxiating Thoracic Dystrophy

Anesthetic Care During Lateral Thoracic Expansion for Asphyxiating Thoracic Dystrophy

The Effectiveness of Corticosteroid Usage in Complex Therapy for Severe Sepsis and Acute Respiratory Distress Syndrome in Cases of Severe Traumatic Brain Injury

Comparison of Synchronised Intermittent Mandatory Ventilation with Pressure Support versus Assist Control mode of ventilation on time to extubation

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