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Full Text Journal Articles about
Mechanical Ventilation

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Healthcare associated Clostridioides difficile infection in adult surgical and medical patients hospitalized in tertiary hospital in Belgrade, Serbia: a seven years prospective cohort study.

Vesna Šuljagić, Bojana Milenković, Aneta Perić, Dragutin Jovanović, Vesna Begović-Kuprešanin, Srđan Starčević, Aleksandar Tomić, Sandra Vezmar Kovačević, Viktorija Dragojević-Simić,

Introduction: Clostridioides difficile (C. difficile) infection (CDI) is one of the most common healthcare-associated (HA) infections in contemporary medicine. The risk factors (RFs) for HA CDI in medical and surgical patients are poorly investigated in countries with a limited resource healthcare system. Therefore, the aim of the study was to ... Read more >>

Libyan J Med (The Libyan journal of medicine)
[2020, 15(1):1708639]

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Clinical observation and management of COVID-19 patients.

Taisheng Li, Hongzhou Lu, Wenhong Zhang,

Three leading infectious disease experts in China were invited to share their bedside observations in the management of COVID-19 patients. Professor Taisheng Li was sent to Wuhan to provide frontline medical care. He depicts the clinical course of SARS-CoV-2 infection. Furthermore, he observes the significant abnormality of coagulation function and ... Read more >>

Emerg Microbes Infect (Emerging microbes & infections)
[2020, 9(1):687-690]

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High-dose ulinastatin to prevent late-onset acute renal failure after orthotopic liver transplantation.

Haijin Lv, Xuxia Wei, Xiaomeng Yi, Jianrong Liu, Pinglan Lu, Mi Zhou, Yuling An, Huimin Yi,

Purpose: To compare the efficacy and safety of two distinct doses of ulinastatin on late-onset acute renal failure (LARF) following orthotopic liver transplantation (OLT).Methods: The high-risk recipients that underwent OLT were divided into two groups according to ulinastatin dose: low-dose (LD) ulinastatin group, 0.8 million U/d; high-dose (HD) ulinastatin group, ... Read more >>

Ren Fail (Renal failure)
[2020, 42(1):137-145]

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The dawn of physiological closed-loop ventilation—a review.

Philip von Platen, Anake Pomprapa, Burkhard Lachmann, Steffen Leonhardt,

The level of automation in mechanical ventilation has been steadily increasing over the last few decades. There has recently been renewed interest in physiological closed-loop control of ventilation. The development of these systems has followed a similar path to that of manual clinical ventilation, starting with ensuring optimal gas exchange ... Read more >>

Crit Care (Critical care (London, England))
[2020, 24:]

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Outcomes after long-term mechanical ventilation of cancer patients.

Kelly Haviland, Kay See Tan, Nadja Schwenk, Manju V Pillai, Diane E Stover, Robert J Downey,

BACKGROUND:The probability of weaning and of long-term survival of chronically mechanically ventilated cancer patients is unknown, with incomplete information available to guide therapeutic decisions. We sought to determine the probability of weaning and overall survival of cancer patients requiring long-term mechanical ventilation in a specialized weaning unit. METHODS:A single-institution retrospective ... Read more >>

BMC Palliat Care (BMC palliative care)
[2020, 19(1):42]

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Monitoring Patient Respiratory Effort During Mechanical Ventilation: Lung and Diaphragm-Protective Ventilation.

Michele Bertoni, Savino Spadaro, Ewan C Goligher,

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2020. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2020. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901. ... Read more >>

Crit Care (Critical care (London, England))
[2020, 24(1):106]

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Neurally Adjusted Ventilatory Assist versus Pressure Support Ventilation in Difficult Weaning: A Randomized Trial.

Ling Liu, Xiaoting Xu, Qin Sun, Yue Yu, Feiping Xia, Jianfeng Xie, Yi Yang, Leo Heunks, Haibo Qiu,

BACKGROUND:Difficult weaning frequently develops in ventilated patients and is associated with poor outcome. In neurally adjusted ventilatory assist, the ventilator is controlled by diaphragm electrical activity, which has been shown to improve patient-ventilator interaction. The objective of this study was to compare neurally adjusted ventilatory assist and pressure support ventilation ... Read more >>

Anesthesiology (Anesthesiology)
[2020, :]

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Mechanical ventilation and the daily cost of ICU care.

Klaus Kaier, Thomas Heister, Jan Wolff, Martin Wolkewitz,

Intensive care units represent one of the largest clinical cost centers in hospitals. Mechanical ventilation accounts for a significant share of this cost. There is a relative dearth of information quantifying the impact of ventilation on daily ICU cost. We thus determine daily costs of ICU care, incremental cost of ... Read more >>

BMC Health Serv Res (BMC health services research)
[2020, 20(1):267]

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AANA Journal Course: Update for Nurse Anesthetists-Optimizing Mechanical Ventilation During General Anesthesia.

G Troy Wright, Lonny Ashworth, Scot Pettey,

Optimal mechanical ventilatory support is a vital component of intraoperative anesthesia care, lung protection, and minimizing postoperative pulmonary sequela. Although concepts surrounding ventilation can be multifaceted and ambiguous, a pragmatic approach coupled with contemporary evidence and skilled assessments will facilitate ideal intraoperative management. Effective mechanical ventilation is dependent on obtaining ... Read more >>

AANA J (AANA journal)
[2020, 88(2):149-157]

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Serum ionised calcium and the risk of acute respiratory failure in hospitalised patients: a single-centre cohort study in the USA.

Charat Thongprayoon, Wisit Cheungpasitporn, Api Chewcharat, Michael A Mao, Kianoush B Kashani,

OBJECTIVES:The objective of this study was to evaluate the risk of acute respiratory failure in all hospitalised patients based on admission serum ionised calcium. DESIGN:A retrospective cohort study. SETTING:A tertiary referral hospital in Rochester, Minnesota, USA. PARTICIPANTS:All hospitalised patients who had serum ionised calcium measurement within 24 hours of hospital admission ... Read more >>

BMJ Open (BMJ open)
[2020, 10(3):e034325]

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The application of non-invasive and invasive mechanical ventilation in the first episode of acute respiratory failure.

Cheng-Chi Huang, Chih-Hsin Muo, Tain-Fung Wu, Tung-Yun Chi, Te-Chun Shen, Te-Chun Hsia, Chuen-Ming Shih,

Acute respiratory failure (RF) is a life-threatening syndrome. This study investigated the application of two major clinical strategies, non-invasive mechanical ventilation (NIV) and invasive mechanical ventilation (IMV), in the first episode of acute RF. Data from the longitudinal health insurance database, which included 1,000,000 insured citizens, were used. The NIV ... Read more >>

Intern Emerg Med (Internal and emergency medicine)
[2020, :]

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Diagnostic Accuracy of Diaphragm Ultrasound in Detecting and Characterizing Patient-Ventilator Asynchronies during Noninvasive Ventilation.

Emmanuel Vivier, Anne Fleur Haudebourg, Philippe Le Corvoisier, Armand Mekontso Dessap, Guillaume Carteaux,

BACKGROUND:Management of acute respiratory failure by noninvasive ventilation is often associated with asynchronies, like autotriggering or delayed cycling, incurred by leaks from the interface. These events are likely to impair patient's tolerance and to compromise noninvasive ventilation. The development of methods for easy detection and monitoring of asynchronies is therefore ... Read more >>

Anesthesiology (Anesthesiology)
[2020, :]

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Nosocomial Tuberculosis Transmission from 2006 to 2018 in Hospital, China

Wenjuan Nie, ZHONGYAO XIE, NING ZHOU, YUQING CHI, GUOFANG HUANG, JINGPING WANG, HUI GAO, NA XIE, QIANHUI MA, NAN YANG, NAIHUI CHU,

<title>Abstract</title> <p> Background: Strong evidence is lacking to support effectiveness of currently implemented tuberculosis infection prevention control (TB-IPC) measures for preventing nosocomial tuberculosis (TB) transmission. This 13-year analysis is the longest follow-up investigation to date to identify risk factors underlying nosocomial TB transmission. Methods: We monitored all staff ... Read more >>

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Effect of Early Tracheostomy on Clinical Outcomes in Patients with Prolonged Acute Mechanical Ventilation: A Single-Center Study.

Yewon Kang, Wanho Yoo, Youngwoong Kim, Hyo Yeong Ahn, Sang Hee Lee, Kwangha Lee,

BACKGROUND:The purpose of this study was to investigate the effect of early tracheostomy on clinical outcomes in patients requiring prolonged acute mechanical ventilation (≥96 hours). METHODS:Data from 575 patients (69.4% male; median age, 68 years), hospitalized in the medical intensive care unit (ICU) of a university-affiliated tertiary care hospital March ... Read more >>

Tuberc Respir Dis (Seoul) (Tuberculosis and respiratory diseases)
[2020, 83(2):167-174]

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Esophageal pressure monitoring during mechanical ventilation in critically ill adult patients: A systematic review and meta-analysis.

L I Garegnani, P Rosón Rodriguez, J V A Franco, C Escobar Liquitay,

OBJECTIVE:To evaluate the effects of esophageal pressure monitoring in adult patients with mechanical ventilation requirements in the Intensive Care Unit. DESIGN:A systematic review (PROSPERO Register CRD42018118583) was carried out. SETTING:Intensive therapy. Critical care. PATIENTS OR PARTICIPANTS:Adults with mechanical ventilation requirement in the Intensive Care Unit. INTERVENTIONS:Esophageal pressure monitoring. OUTCOMES OF ... Read more >>

Med Intensiva (Medicina intensiva)
[2020, :]

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Noninvasive Oxygenation Strategies in Adult Patients with Acute Respiratory Failure: A Protocol for a Systematic Review and Network Meta-analysis

Bruno Ferreyro, Federico Angriman, Laveena Munshi, Lorenzo Sorbo, Niall Ferguson, Bram Rochwerg, Michelle Ryu, Refik Saskin, Hannah Wunsch, Bruno Costa, Damon Scales,

<title>Abstract</title> <p> Background: Acute hypoxemic respiratory failure is one of the leading causes of intensive care unit admission and associated with high mortality. Non-invasive oxygenation strategies such as high flow nasal cannula, standard oxygen therapy and non-invasive ventilation (delivered by either face mask or helmet interface) are widely ... Read more >>

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Less invasive surfactant administration: best practices and unanswered questions.

Egbert Herting, Christoph Härtel, Wolfgang Göpel,

PURPOSE OF REVIEW:The purpose of this review is to describe current concepts in the field of Less Invasive Surfactant Administration (LISA). The use of continuous positive airway pressure (CPAP) has become standard for the treatment of premature infants with respiratory problems throughout the world. However, if CPAP fails, technologies like ... Read more >>

Curr. Opin. Pediatr. (Current opinion in pediatrics)
[2020, 32(2):228-234]

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The long term survival of successfully weaned prolonged mechanical ventilation patients

Chienhsiu Huang,

<title>Abstract</title> <p> Background Over six years, five hundred and seventy-four patients were admitted to the respiratory care center. Three hundred and ninety-one patients were successfully weaned from the ventilator. How is the long term outcome of these successfully weaned prolonged mechanical ventilation patients? Very few articles were discussing ... Read more >>

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Lung-Protective Mechanical Ventilation Strategies in Pediatric Acute Respiratory Distress Syndrome.

Judith Ju Ming Wong, Siew Wah Lee, Herng Lee Tan, Yi-Jyun Ma, Rehana Sultana, Yee Hui Mok, Jan Hau Lee,

OBJECTIVES:Reduced morbidity and mortality associated with lung-protective mechanical ventilation is not proven in pediatric acute respiratory distress syndrome. This study aims to determine if a lung-protective mechanical ventilation protocol in pediatric acute respiratory distress syndrome is associated with improved clinical outcomes. DESIGN:This pilot study over April 2016 to September 2019 ... Read more >>

Pediatr Crit Care Med (Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies)
[2020, :]

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Assisted mechanical ventilation promotes recovery of diaphragmatic thickness in critically ill patients: a prospective observational study.

Alice Grassi, Daniela Ferlicca, Ermes Lupieri, Serena Calcinati, Silvia Francesconi, Vittoria Sala, Valentina Ormas, Elena Chiodaroli, Chiara Abbruzzese, Francesco Curto, Andrea Sanna, Massimo Zambon, Roberto Fumagalli, Giuseppe Foti, Giacomo Bellani,

BACKGROUND:Diaphragm atrophy and dysfunction are consequences of mechanical ventilation and are determinants of clinical outcomes. We hypothesize that partial preservation of diaphragm function, such as during assisted modes of ventilation, will restore diaphragm thickness. We also aim to correlate the changes in diaphragm thickness and function to outcomes and clinical ... Read more >>

Crit Care (Critical Care)
[2020, 24(1):85]

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Emerging concepts in ventilation-induced lung injury

Purnema Madahar, Jeremy Beitler,

Ventilation-induced lung injury results from mechanical stress and strain that occur during tidal ventilation in the susceptible lung. Classical descriptions of ventilation-induced lung injury have focused on harm from positive pressure ventilation. However, injurious forces also can be generated by patient effort and patient–ventilator interactions. While the role of global ... Read more >>

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Mechanical ventilation weaning issues can be counted on the fingers of just one hand: part 2.

Luigi Vetrugno, Alessandro Brussa, Giovanni Maria Guadagnin, Daniele Orso, Francesco De Lorenzo, Gianmaria Cammarota, Erminio Santangelo, Tiziana Bove,

Assessing heart and diaphragm function constitutes only one of the steps to consider along the weaning path. In this second part of the review, we will deal with the more systematic evaluation of the pulmonary parenchyma-often implicated in the genesis of respiratory failure. We will also consider the other possible ... Read more >>

Ultrasound J (The ultrasound journal)
[2020, 12(1):15]

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Mechanical ventilation weaning issues can be counted on the fingers of just one hand: part 1.

Luigi Vetrugno, Giovanni Maria Guadagnin, Alessandro Brussa, Daniele Orso, Eugenio Garofalo, Andrea Bruni, Federico Longhini, Tiziana Bove,

Although mechanical ventilation may be a patient's vital ally during acute illness, it can quickly transform into an enemy during chronic conditions. The weaning process is the fundamental phase that enables the resumption of physiological respiratory function; however, it is also associated with a number of life-threatening complications, and a ... Read more >>

Ultrasound J (The ultrasound journal)
[2020, 12(1):9]

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Effect of oxygen therapy on the risk of mechanical ventilation in emergency acute pulmonary edema patients.

Michael Yat Sun Chu, Wenjia Guo, Kwee Kwang Lim, Beng Leong Lim,

OBJECTIVE:We investigated the effects of hyperoxemia on morbidity and mortality in acute cardiogenic pulmonary edema (ACPE). METHODS:We conducted a retrospective cohort study of patients in our emergency department (ED) with ACPE who received arterial blood gases. Patients were classified based on the first PaO2 as hypoxemic (<75 mmHg), normoxemic (75-100 ... Read more >>

Eur J Emerg Med (European journal of emergency medicine : official journal of the European Society for Emergency Medicine)
[2020, 27(2):99-104]

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The COVID-19 Intubation and Ventilation Pathway (CiVP); a Commentary.

Muhammad Akbar Baig,

Arch Acad Emerg Med (Archives of academic emergency medicine)
[2020, 8(1):]

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