Natural ventilation

defined anatomic boundaries, can occur in 10% of patients.1 Extend this to the 10- to 12-cm circumference around the typical PV antrum, and the importance of uniform transmural lesions is apparent. Article see p 63 It was recognized early that the Achille’s heal to AF ablation was early PV reconnection after ablation.2 Although temperature rises and limited power delivery may have limited lesion depth using early 4-mm-tip catheters, the development of irrigated tip catheters has improved our…

(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 “controlled mechanical ventilation”, which was…

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…

Easy pediatric nasal intubation Abstract: Background: Pediatric anesthesiologists use Magill forceps commonly during nasotracheal intubation but often have difficultly during advancing the nasotracheal tube into the trachea, differences in pediatric airway structure relative to adults are thought to be the reason of this problem. The modified pediatric Magill forceps (modified by Farrukh and his colleagues) added anteroposterior firm grasping of the nasotracheal tube enables us for…

Statistics on the website show that ventilator associated pneumonia occurs in 22.8% of patients on mechanical ventilation; and that 86% of patients that are on some type of ventilator support also contract nosocomial pneumonia. The website also revealed that the mortality rate due to ventilator associated pneumonia can range from 27% to 43% depending if the causative…

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 Ventilation that…

Delirium Prevention Efficacy within Care Bundle in ICU Settings Delirium is classified as an “etiologically nonspecific organic cerebral syndrome characterized by concurrent disturbances of consciousness and attention, perception, thinking, memory, psychomotor behaviour, emotion, and the sleep-wake schedule” (World Health Organization, 1992). Delirium is a common occurrence among patients in ICU, and is estimated that up to 80% of the ICU patients experience delirium during their stay (Hsieh,…

Sequence Induction involves pre-oxygenation, administration of hypontics and muscle relaxants to allow for quick intubation (Eich et al., 2009). It involves the loss of consciousness during cricoid pressure followed by intubation without facemask ventilation (Sinclair & Luxton, 2005). The purpose of the…

An eighty-five year old female came in with lower abdominal pain that had persisted for a few days. This patient has a history of hypertension, gastroesophageal reflux disease (GERD), dyslipidemia, glaucoma, deep venous thrombosis prophylaxis, and is a former smoker that quit 10 years ago. She has not been diagnosed with COPD or any other respiratory problems and had not had any significant surgeries. When she came into the emergency department her vitals were as follows: blood pressure 121/57,…

to be on mechanical ventilation longer, it may affect the length of the patient’s hospital stay, and it can increase the costs for the hospital (Andrews, 2014). Andrews (2014) also explains that VAP is a form of hospital-acquired pneumonia, or nosocomial pneumonia, and is mostly prevalent in ICU patients who are mechanically ventilated. Being on a ventilator for forty-eight hours or more can increase a patient’s risk of developing VAP (Andrews, 2014). The mechanical ventilation can be performed…