Excessive dynamic airway collapse (EDAC) is a disease entity of excessive reduction of the central airway diameter during exhalation, without cartilage collapse. An 80-year-old female presented with generalized edema and dyspnea at our hospital. The patient was in a state of acute decompensated heart failure due to pneumonia with respiratory failure. We accordingly managed the patient with rena...

Weaning from mechanical ventilation is still a major challenge in critical care units. Prolonged ventilation is clearly associated with poor prognosis and increased mortality. For this reason, in recent years, many studies have aimed to identify which patients are ready to breathe on their own. Despite some controversial conclusions, most of us have included daily interruption of sedation, ligh...

BACKGROUND Respiratory distress syndrome remains a significant problem among premature infants. Mechanical ventilation through an endotracheal tube remains the mainstay of respiratory support but may be associated with lung injury and the development of chronic lung disease of prematurity. Efforts are needed to reduce the duration of mechanical ventilation in favour of less invasive forms of re...

In their prospective multicenter randomized controlled trial, Su et al report that noninvasive mechanical ventilation (NIV) used in all patients after extubation did not reduce re-intubation rate, when compared to standard oxygen therapy.1 Nevertheless, we believe that the concept of “preventive” NIV requires not only early application of NIV but also careful selection of patients who are high ...

Objectives: The aim of this study was to evaluate the effect high-flow nasal cannula (HFNC) after early extubation on children undergoing cardiac surgery. Methods: This randomized controlled clinical trial performed among 92 aged 1 24 months surgery from March 5 August 30, 2020, in a pediatric post-cardiac intensive care unit (ICU). patients were receive either HFNC or conventional oxygen thera...

Methods Observational study performed in a 17 beds medicalsurgical ICU. Time of study was 14 months. Consecutive mechanically ventilated patients with COPD and/or cardiac failure were included. The variables analyzed were age, sex, ICU diagnosis, APACHE II at admission in ICU, fluid balance, ICU length of stay, tracheotomy, rate of reintubation. We distinguish two strategies of extubation based...

doi:10.2223/JPED.1539 One in every three pediatric patients admitted to the PICU requires ventilatory support for a mean time of 5 days.1 Even in the face of the clear and universally accepted benefits of mechanical ventilation (MV) applied to children with respiratory failure, the risks associated with it mean that the critical care team must constantly search for new ways to better understand...

BACKGROUND Pressure Support Ventilation (PSV) is one of the modes of mechanical ventilation that can be used alone as a weaning strategy in neonates. However, studies on the appropriate pressure level for this mode in neonates are limited. OBJECTIVES Because the use of adequate pressure support in this mode, keeping the appropriate neonate's tidal volume, and preventing the respiratory compli...

As evidenced by the recent trials, a large proportion of infants can be adequately managed with CPAP, with comparable rates of BPD to those achieved in mechanically ventilated infants.2,3 These trials also made clear that a significant proportion of infants initially started on CPAP eventually require mechanical ventilation, which was more evident among infants of lower gestational age. In the ...

BACKGROUND Muscle weakness, defined by the Medical Research Council scale, has been associated with delay in mechanical ventilation weaning. In this study, we evaluated handgrip strength as a prediction tool in weaning outcome. METHODS This was a 1-y prospective study in 2 ICUs in 2 university hospitals. Adult patients who were on mechanical ventilation for at least 48 h and eligible for mech...