Control of breathing in mechanically ventilated patients

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Control of breathing in mechanically ventilated patients.

During mechanical ventilation, the respiratory system is under the influence of two pumps, the ventilator pump and the patient's own respiratory muscles. Depending on the mode of mechanical ventilatory support, ventilation may be totally controlled by the ventilator or may be determined by the interaction between patient respiratory effort and ventilator function. In either case, compared to sp...

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Breathing cardiovascular variability and baroreflex in mechanically ventilated patients.

Heart rate and blood pressure variations during spontaneous ventilation are related to the negative airway pressure during inspiration. Inspiratory airway pressure is positive during mechanical ventilation, suggesting that reversal of the normal baroreflex-mediated pattern of variability may occur. We investigated heart rate and blood pressure variability and baroreflex sensitivity in 17 mechan...

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Bronchoscopy in Mechanically Ventilated Patients

The origins of bronchoscopy date back to 1897 when Gustav Killian, considered “the father of bronchoscopy”, performed the first airway examination with a rigid esophagoscope to a farmer extracting a piece of bone that had lodged in the main stem bronchus. Shigeto Ikeda in 1964 revolutionized the field of bronchoscopy with the introduction of a flexible instrument that could be introduced to sub...

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Predictors of mortality in mechanically ventilated patients.

OBJECTIVES There are scarce data from India validating scoring systems used to predict outcome in patients requiring mechanical ventilation. This study prospectively compared the organ system failure (OSF), the acute physiology and chronic health evaluation (APACHE) II, and the APACHE III, scores on patients requiring mechanical ventilation in the medical intensive care unit, to predict outcome...

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Safety of thoracentesis in mechanically ventilated patients.

As practicing intensivists, we frequently diagnose pleural effusions in mechanically ventilated patients and routinely perform thoracentesis even when the patient is on positive end-expiratory pressure (PEEP). In light of a recent report, we have reviewed our experience. It is of interest that all thoracenteses were performed with patients in the lateral decubitus position.

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ژورنال

عنوان ژورنال: European Respiratory Journal

سال: 1996

ISSN: 0000-0000,0903-1936

DOI: 10.1183/09031936.96.09102151