Background: Weaning from mechanical ventilation in the intensive care unit is an important step in the treatment process. More patients in less than 6 hours after cardiac surgery can be separated from mechanical ventilation and extubated. However, 20-40% of patients after cardiac surgery, due to dysfunctional ventilator weaning response (DVWR), still remain under mechanical ventilation. Therefo...

variability of tidal volume and respiratory rate in normally breathing man has long been demonstrated [1]. however because of lack of knowledge and technology primary ventilators could only deliver a fixed tidal volume in a fixed rate the so called volume controlled ventilation (vcv). vcv was volume preset time triggered and cycled and there was no synchronization with patient’s breaths. at tha...

The need for conventional mechanical ventilation (CMV) is a common one in the neonatal intensive care unit (NICU). The goals of CMV are to facilitate adequate gas exchange, minimize the risk of lung injury/damage, decrease the patient's work of breathing, and optimize the patient's comfort. Although time-cycled, pressure-limited ventilation remains the most common CMV modality, volume-cycled ve...

INTRODUCTION We were able to treat a patient with acute exacerbation of chronic obstructive pulmonary disease who also suffered from sleep-disordered breathing by using the average volume-assured pressure support mode of a Respironics V60 Ventilator (Philips Respironics: United States). This allows a target tidal volume to be set based on automatic changes in inspiratory positive airway pressur...

conclusions pressure support ventilation, but not spontaneous breathing, induces a significant redistribution of ventilation towards the ventral region. the sensitivity of the support trigger appears to influence the distribution of ventilation only during the early phase of inspiration. background in supine position, pressure support ventilation causes a redistribution of ventilation towards t...

This is a case report of the effective use of bi-level positive airway pressure support (BPAP) using the volume-assured pressure support feature in a pediatric patient with a congenital myopathy and significant nocturnal hypoventilation. Our patient was started on nocturnal nasal mask BPAP but required high pressures to improve her oxygen saturations and CO2 baseline. She was then trialed on a ...

Efficiency of non-invasive positive pressure ventilation in the treatment of respiratory failure has been shown in many published studies. In this review article, we introduced new modalities of non-invasive ventilation (NIV), clinical settings in which NIV can be used and a practical summary of the latest official guidelines published by the European Respiratory Clinical Practice. Clinical tri...

results sixty patients were involved in this study. in asv mode, values including peak airway pressure (p-peak), end-tidal carbon dioxide (etco2), tidal volume and respiratory dead space were significantly lower than simv mode. although the mean value for dynamic compliance had no significant difference in the two types of ventilation, it was better in asv mode. methods in a crossover study, pa...

TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: Average volume-assured pressure support (AVAPS) is a comparatively newer modality of non-invasive ventilation that incorporates the properties both volume and pressure-control ventilation. Though its benefits were well documented in chronic respiratory failure, studies illustrating usage acute failure are still insub...