Có 20+ tài liệu thuộc chủ đề "Mechanical ventilation"
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from mechanical ventilation in elderly patients. The lung ultrasound score (LUS) and the rapid shallow breathing index (RBSI) were used as indices of diaphragm function to predict the outcome of weaning from mechanical ventilation. Methods: This prospective study included 101 consecutive elderly patients undergoing a trial of extubation in the ICU of Haidian Hospital between June 2017 and July 2020....
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with idiopathic pulmonary fibrosis treated with antifibrotic medications. Background: Idiopathic Pulmonary Fibrosis is a chronic, progressive interstitial lung disease for which there is no cure. Historical outcomes for hospitalized patients with Idiopathic Pulmonary Fibrosis are grim. insurance database, we created a one-to-one propensity score matched cohort of patients with idiopathic pulmonary fibrosis treated and untreated with an antifibrotic who underwent...
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We performed a study to evaluate the prevalence, risk factors, prognosis and potential thromboprophylaxis strategies of DVT in these patients.. There was no difference in the prevalence of DVT between the 41 patients who received thromboprophylaxis and the 49 patients who did not receive thromboprophy- laxis (41.5% vs 46.9%. Conclusions: The prevalence of DVT is high in hospitalized patients with...
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Mechanical power normalized. Background: Mechanical power (MP) of artificial ventilation, the energy transferred to the respiratory system, is a chief determinant of adequate oxygenation and decarboxylation. The aim of the study was to assess MP’s discriminatory performance in predicting successful weaning from prolonged tracheostomy ventilation.. 0.001), further improved by correction for corresponding mechanical ventilation P a CO 2 (termed the...
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Parallel veno-venous and veno-arterial extracorporeal membrane circuits for coexisting refractory hypoxemia and cardiovascular failure: a case report. Background: The complexity of extracorporeal membrane oxygenation (ECMO) techniques continues to evolve.. cardiovascular and pulmonary physiology of the patients. Case presentation: We present the case of a 25-year-old morbidly obese male patient admitted for severe acute respiratory distress syndrome (ARDS) and refractory hypoxemia,...
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The participants were randomly assigned to receive VCV or PCV-VG. The difference in PIP between VCV and PCV-VG was assessed as the primary outcome.. 0.0001), and it was significantly lower in the PCV-VG group than the VCV group at T2, T3, and T4 (all P <. 0.0001), but it was higher in PCV-VG group than in VCV group at T2,...
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Primary outcomes of the study were intraoperative adverse events, the level of cerebral tension at dura opening and the intraoperative control of PaCO 2. No difference in the rate of intraoperative adverse events was found between groups. The rate of postoperative pulmonary and extrapulmonary complications and major clinical outcomes were similar between groups.. 2021 Open Access This article is licensed...
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Mechanical power normalized to predicted body weight is associated with mortality in critically ill patients: a cohort study. Background: Mechanical power (MP), defined as the amount of energy produced by mechanical ventilation and released into the respiratory system, was reportedly a determining factor in the pathogenesis of ventilator-induced lung injury. However, previous studies suggest that the effects of MP were...
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After 4 h ventilation, the right anterior lobe of the lung and bronchoalveolar lavage fluid from the right lung was sampled for pathological and biochemical assays.. Results: PaO 2 in the HMV and HMV + DFO groups were significantly higher, but the PaO 2 /FiO 2 ratio were significantly lower than those of the MV group (all p <. The...
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Intraoperative mechanical ventilation. practice in thoracic surgery patients and its association with postoperative pulmonary complications: results of a multicenter. Thomas Kiss 1 , Jakob Wittenstein 1 , Benjamin Shelley 4 , Helen Scholes 4 , Michael Hiesmayr 5 , Marcos Francisco Vidal Melo 6 , Daniele Sances 7 , Nesil Coskunfirat 8 , Paolo Pelosi 9 , Marcus Schultz 3...
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Predictive risk factors for postoperative pneumonia after heart transplantation. Nevertheless, the risk factors for postoperative pneumonia (POP) are still unknown. The aim of this study was to investigate the predictive risk factors for POP in HTx recipients.. In the multivariate analysis, the risk factors were preoperative mechanical ventilation (OR P <. Plasma exchanges and intravenous administration of immunoglobulins did not...
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Intraoperative ventilation strategies for obese patients undergoing bariatric surgery: systematic review and meta- analysis. Anesthetic induction in obese patients can result in a significant re- duction in respiratory compliance and increase resistance and pressure in the airway [5]. 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0. Full list of...
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Flow-controlled ventilation (FCV) improves regional ventilation in obese patients – a randomized controlled crossover trial. Background: In obese patients, high closing capacity and low functional residual capacity increase the risk for expiratory alveolar collapse. We hypothesized that lung aeration and respiratory mechanics improve in obese patients during FCV.. Methods: We compared FCV and volume-controlled (VCV) ventilation in 23 obese patients...
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Results: The frequencies of the C RS profiles were comparable between the groups. The loss of ventral and dorsal regional ventilation was higher in the control [ventral . than in the intervention group [ventral . 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0. During mechanical ventilation, it is widely...
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Intraoperative ventilator settings and their association with postoperative pulmonary complications in neurosurgical patients:. Schultz 2,15 , Paolo Pelosi 1,14 , FERS for the LAS VEGAS investigators and the PROtective VEntilation Network and the Clinical Trial Network of the European Society of Anaesthesiology. Background: Limited information is available regarding intraoperative ventilator settings and the incidence of postoperative pulmonary complications (PPCs) in...
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Effect of PEEP and I:E ratio on cerebral oxygenation in ARDS: an experimental study in anesthetized rabbit. Background: Although PEEP and inversed I:E ratio have been shown to improve gas exchange in ARDS, both can adversely affect systemic hemodynamics and cerebral perfusion. 0.05), due to a significant reduction in mean arterial pressure and CF without modifying gas exchange. In injured...
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Comparison of volume-controlled. ventilation mode and pressure-controlled ventilation with volume-guaranteed mode in the prone position during lumbar spine surgery. Background: During lumbar spine surgery, patients are placed in the prone position for surgical access. The prone position has various effects on cardiac and pulmonary function, including a decreased cardiac index (CI), decreased dynamic lung compliance (Cdyn), and increased peak inspiratory...
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Positive end-expiratory pressure improves elastic working pressure in anesthetized children. Background: Positive end-expiratory pressure (PEEP) has been demonstrated to decrease ventilator-induced lung injury in patients under mechanical ventilation (MV) for acute respiratory failure. Recently, some studies have proposed some beneficial effects of PEEP in ventilated patients without lung injury. The influence of PEEP on respiratory mechanics in children is not...
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Recently evidence for LPV in general anaesthesia has been accumulated, but it is not yet generally applied by anaesthesiologists in the operating room.. Furthermore, we investigated the changes in the trend for using this form of ventilation during general anaesthesia in the past 10 years.. Anaesthesiologists with knowledge of the concept behind LPV strategies applied a lower tidal volume (median...
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Decannulation of tracheotomized patients after long-term mechanical ventilation – results of a prospective multicentric study in German neurological early rehabilitation hospitals. Background: In the course of neurological early rehabilitation, decannulation is attempted in tracheotomized patients after weaning due to its considerable prognostic significance. relevant neurological and internistic diseases, duration of mechanical ventilation, tracheotomy technique, and nutrition) as well as functional...