abstract background: ventilator-associated pneumonia (vap) is a common side effect in patients with an endotracheal tube. this study aimed to evaluate the effect of an upper respiratory care program on the incidence of vap in mechanically ventilated patients. materials and methods: in this clinical trial, 62 patients with endotracheal tube were selected and randomly allocated to intervention or...

a 21-year old man with cervical spinal cord damage due to diving was admitted in the icu. tracheostomy was performed due to prolonged mechanical ventilation. left lung atelectasis happened frequently. because of the difficulty of bronchoscopy and failing of recruitment, using a double lumen, two tracheal tubes were guided into the left and right lungs through the tracheostomy stoma site. after ...

∙ Patient surveillance technology can improve adherence to and optimization of ventilator protocols, shorten the time on the ventilator, and reduce the likelihood of acute lung injury. ∙ Patient surveillance technology can aid clinicians in preventing or reducing the incidence of adverse ventilator associated events, including ventilator-associated pneumonia, and ultimately, help improve patien...

With current ventilator triggering design, in initiating ventilator breaths patient effort is only a small fraction of the total effort expended to overcome the inspiratory load. Similarly, advances in ventilator pressure or flow delivery and inspiratory flow termination improve patient effort or inspiratory muscle work during mechanical ventilation. Yet refinements in ventilator design do not ...

OBJECTIVE To test the hypothesis that successful implementation of a care bundle designed to prevent nosocomial airway infection will be associated with decreased incidence of ventilator-associated tracheobronchitis. DESIGN Prospective pre- and post interventional. SETTING PICU at an academic medical center PATIENTS : All patients admitted to the PICU who received invasive mechanical vent...

A variety of asynchronies between the patient’s respiratory efforts and programed ventilatory settings have been categorized. Reverse trigger is described as an inspiratory effort occurring after a ventilator-initiated breath may represent form entrainment. In other words, ventilator triggers muscular efforts. It often appears in repetitive, stereotyped pattern. occurs mechanically ventilated p...

BACKGROUND Mechanical ventilator circuits are commonly changed at 48-h intervals. This frequency may be unnecessary because ventilator-associated pneumonia often results from aspiration of pharyngeal secretions and not from the ventilator circuit. We compared the ventilator-associated pneumonia rates and costs associated with 48-h and 7-day circuit changes. METHODS Ventilator circuits were ch...