background neonatology has evolved with respect to the needs of premature infants for special care. one of the major problems in premature infants is that their lungs are not developed adequately to fulfill newborns’ needs. there is a broad spectrum of strategies for management of respiratory problems in premature infants. in this study, we aimed to determine the best strategies against respira...

Several papers on respiratory and critical care published from March 2012 to February 2013 were reviewed. From these, this study selected and summarized ten articles, in which the findings were notable, new, and interesting: effects of high-frequency oscillation ventilation on acute respiratory distress syndrome (ARDS); safety and efficacy of hydroxyethyl starch as a resuscitation fluid; long-t...

This study was conducted to determine the effects of high pressure interposed ventilations during cardiopulmonary resuscitation (CPR). Cardiac output was measured by a modified indicator dilution technique in eight anesthetized, intubated mongrel dogs. Positive pressure ventilations (12/min, 80% O2) were interposed after every five chest compressions (performed at 62/min) by a mechanical chest ...

A critical step of the resuscitation process is early cardiopulmonary resuscitation (CPR) – i.e., the combination of chest compressions and ventilations. CPR can be started by bystanders and is typically taken over by emergency services. Current resuscitation guidelines highlight the importance of high-quality CPR for ensuring optimal outcomes from cardiac arrest. In this context, several mecha...

To begin to answer the question of whether ventilations are needed during cardiopulmonary resuscitation (CPR), Part I of this newsletter published in September showed that ventilations during cardiac arrests are not performed according to the American Heart Association (AHA) Guidelines. The high rates of ventilation increase intrathoracic pressure, decrease cardiac output and coronary perfusion...

INTRODUCTION Many mechanically ventilated elderly patients in Israel are treated outside of intensive care units (ICUs). The decision as to whether these patients should be treated in ICUs is reached without clear guidelines. We therefore conducted a study with the aim of identifying triage criteria and factors associated with in-hospital mortality in this population. METHODS All mechanically...

BACKGROUND In newborn resuscitation the recommended rate of chest compressions should be 90 per minute and 30 ventilations should be delivered each minute, aiming at achieving a total of 120 events per minute. However, this recommendation is based on physiological plausibility and consensus rather than scientific evidence. With focus on minute ventilation (Mv), we aimed to compare today's stand...

The present study was aimed at evaluating the alterations in the human reflexes brought about by briefly altered ventilations. In 20 healthy young male volunteers, the H reflex and blink reflex were studied during normal ventilation, voluntary hypoventilation and voluntary hyperventilation. The latencies of these reflexes were compared. It was observed that the amount of altered ventilations us...