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This Concise Critical Appraisal discusses the major changes to the ventilator liberation guidelines, including completing spontaneous breathing trials before noon but not requiring low-level pressure support ventilation, not increasing fraction of inspired oxygen, and no longer needing a rapid shallow breathing index.
Early active mobilization has been shown to mitigate ICU-acquired weakness, reduce disability and, most importantly, reduce mortality. This Concise Critical Appraisal describes a recent article published in the New England Journal of Medicine about mobilization during mechanical ventilation that reevaluates the effects of sedation minimization and daily physiotherapy on serious adverse events and mortality at 180 days.
Christopher Cox, MD, and Shannon Carson, MD, discuss an article published in the August 2007 issue of Critical Care Medicine, titled "An economic evaluation of prolonged mechanical ventilation."
Richard D. Branson, RRT, FCCM, discusses his two upcoming presentations for the 38th Critical Care Congress, The Modes of Mechanical Ventilation and Mechanical Ventilation Modes: How and When.
Steven B. Leder, PhD, discusses his article, “Dysphagia Testing and Aspiration Status in Medically Stable Infants Requiring Mechanical Ventilation Via Tracheotomy,” published in the July 2010 Pediatric Critical Care Medicine.
Ravi Thiagarajan, MD, MBBS, MPH, discusses his article published in the January Pediatric Critical Care Medicine titled, “Blood Transfusion is Associated with Prolonged Duration of Mechanical Ventilation in Infants Undergoing Reparative Cardiac Surgery.”
Michael S. Weinstein, MD, FACS, FCCP, speaks with Ellen Cowen Meltzer, MD, MSc, about her article published in the May 2012 Critical Care Medicine.
Michael Weinstein speaks with Ewan Goligher, MD, FRCPC, lead author on an article published in the October Critical Care Medicine, “Core Competency In Mechanical Ventilation: Development of Educational Objectives Using the Delphi Technique.”
Michael Weinstein, MD, FACS, FCCP, speaks with Christopher W. Seymour, MD, MSc, lead author on an article published in the October Critical Care Medicine, “Diurnal Sedative Changes During Intensive Care: Impact on Liberation from Mechanical Ventilation and Delirium.”
Margaret Parker, MD, FCCM, speaks with Carl O. Eriksson, MD, MPH, lead author on an article published in the November Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Andrea Wolfler, MD, about the article, “Evolution of Non-Invasive Mechanical Ventilation Use: A Cohort Study Among Italian Pediatric Intensive Care Units,” published in the June 2015 issue of Pediatric Critical Care Medicine.
In a situation where ventilators are in short supply, multiple patients on a single ventilator could be a strategy of last resort. In this podcast, Arthur S. Slutsky, MD, discusses his article "Personalized Ventilation to Multiple Patients Using a Single Ventilator: Description and Proof of Concept" (Han J, et al. Crit Care Explor. 2020;2:e0118).
Each year, approximately 790,000 patients in the United States develop acute respiratory failure that requires intubation and mechanical ventilation. This podcast explores the association between endotracheal tube size and aspiration in acute respiratory failure survivors.
Enteral feed intolerance occurs frequently during enteral nutrition delivery in the critically ill and is associated with lower enteral nutrition delivery and worse clinical outcomes. Host Ludwig H. Lin, MD, is joined by Daren K. Heyland, MD, MSc, FRCPC,to explore this topic.
This Concise Critical Appraisal highlights an article in Pediatric Critical Care Medicine that sought to determine the association between invasive mechanical ventilation—a known predictor of adverse outcomes in children—and subsequent new neurodevelopmental and psychiatric disorders after pediatric intensive care unit hospitalization by reviewing Texas Medicaid Analytic eXtract data.
In this “Breathe Easy Critical Perspective” podcast, Dr. Dominique Pepper interviews Dr. Richard Wunderink They discuss Dr. Wunderink's recent publication in the Blue Journal about bacterial superinfection in patients intubated and mechanically ventilated for COVID-19 pneumonia. Dr. Wunderink is a Professor of Medicine in Pulmonary and Critical Care at Northwestern University in Chicago, Illinois.
In a situation where ventilators are in short supply, multiple patients on a single ventilator could be a strategy of last resort.
Am J Respir Crit Care Med. 2017 May 1;195(9):1253-1263