Mechanical ventilation

Mechanical ventilation is required in up to 50% of all critically ill patients during their hospital course. Ventilator-associated pneumonia (VAP) is defined as pneumonia that develops 48 hours after a patient has been placed on mechanical ventilation. It is most commonly caused by bacterial infections including fungi and viral epidemics and it is usually found in the sterile lower respiratory tract. Early diagnosis and the appropriate use of antibiotics will help to avoid the emergence of multi-drug resistant organisms. This can be cured with appropriate antibiotic treatment along with strategies preventing the transmission of pathogenic organisms to patients receiving mechanical ventilation. The failure to prescribe the correct type of antibiotic increases the mortality rates. Common risk factors known for VAP are back rest elevation, maintaining endotracheal tube cuff pressure, selection of endotracheal tube…

To cope with these changes, it is necessary to prepare and train healthcare workers to improve employees' knowledge and the quality of care. Limited clinical experience with mechanical ventilation approach, like high frequency oscillatory ventilation (HFOV), makes its implementation difficult in the real critical care world. The authors investigated the effectiveness of technology- enhance simulation with debriefing in improving participants’ confidence level, cognitive knowledge and psychomotor…

made in respiratory care, it leaves us with a number of different therapies and equipment available to suit the needs of patients from any age, disease, and demographic. Though these different options are accessible to most acute care hospitals, there is not enough education being done for the proper implementation of these resources or protocols to help drive them. In terms of neonatal non-invasive ventilation, there are several methods of helping ventilate or fix an oxygenation issue to…

Neurally Adjusted Ventilatory Assist (NAVA) is a new mode of ventilation that is becoming more popular in pediatric hospital intensive care units as a method of weaning patients from mechanical ventilation. It is also aimed at improving patient ventilator synchrony. I plan to explain NAVA and the research of the use of this mode in the pediatric and neonatal units and find if it is more beneficial than other ventilator weaning modes. In the beginning, there was only what was called…

by being on a mechanical ventilator. Cutler and Sluman (2013) describe pneumonia as an inflammatory illness within the lungs that is due to some type of infectious agent. That infectious agent could be viral, bacterial, or from an environmental fungal source (Cutler & Sluman, 2013). A mechanical ventilator is a type of hospital device that effectively and efficiently maintains breathing. A ventilator essentially breathes for the patient in cases where the patient is not capable of breathing on…

Open lung biopsy in acute respiratory distress syndrome patients confirms the diagnosis of diffuse alveolar disease (DAD) typical of the condition 24 • lmmunocompromised hosts are especially susceptible to mortality from acute respiratory distress syndrome (e.g., children who have undergone stem cell transplant)29 9 11 • Low volume mechanical ventilation with positive end-expiratory pressure is primary therapy for acute respiratory distress syndrome 15 • Ventilatory-induced lung injury (VILI)…

and enlist the help of a professional if necessary. For this implementation institution being a hospital, it lays a good foundation with the right environment crucial for evolving evidence based practice (EBP), and application for change Description of current deficit and Issue Requiring Change During the observation for the last few years, it has been concluded that the deficit or lack of knowledge on the transmission of ventilator associated pneumonia (VAP) on critical ill patients in…

Introduction What is noninvasive ventilation? If you are a person who googles everything, then you will be redirected to the article Noninvasive Ventilation written by Guy Soo Hoo that states “Noninvasive ventilation (NIV) refers to the administration of ventilatory support without using an invasive artificial airway (endotracheal tube or tracheostomy tube).” Now if you are a person that likes to look at books to get the answer, then David W. Chang wrote in Clinical Application of Mechanical…

Mechanical Ventilation and the Effects on the Cardiopulmonary and Renal Systems Amanda K. Godshall West Chester University Abstract The important objective of this paper is to explore mechanical ventilation and the many effects it has on a patient’s organ systems. The cardiovascular system can be affected along with the pulmonary and renal systems. Cardiovascular side effects depend upon the previous underlying cardiopulmonary status of each patient. Conditions pertaining to…

Mandatory Minute volume Ventilation or MMV is an advance mode commonly found in Dräger ventilators, including Evita XL ventilator. Some of the common names for MMV include Minimum Minute Ventilation (MMV), Augmented Minute Volume (AMV) and Extended Mandatory Minute Ventilation (EMMV). MMV can be categorized as volume controlled (VC)-IMV with adaptive and set-point targeting schemes. This mode guarantees the patient will receive a minimum minute volume based the set respiratory rate and tidal…