Articles: mechanical-ventilation.
-
Critical care clinics · Jan 2016
ReviewRespiratory Failure and Mechanical Ventilation in the Pregnant Patient.
Fewer than 2% of all peripartal patients need intensive care unit admission. But due to some anatomic and physiologic changes in pregnancy, respiratory failure can be promoted. This article reviews several obstetric and nonobstetric diseases that lead to respiratory failure and the treatment of these. Furthermore, invasive and noninvasive ventilation in pregnancy is discussed and suggestions of medication during ventilation are given.
-
The utilization of checklists, bundles, and protocols attempts to provide standardization in the delivery of patient care. Despite important progress obtained in the prevention of hospital-acquired infections, the daily management of mechanical ventilation is still prone to heterogeneity, depending on the number of providers manipulating the ventilator. Whether the number of changes made on ventilator parameters impacts clinical outcomes remains unknown. ⋯ The number of major ventilator manipulations is associated with rate of tracheostomy and stay on the ventilator.
-
J. Matern. Fetal. Neonatal. Med. · Jan 2016
Oxygen administration at birth in preterm infants: a retrospective analysis.
The aim of the study was to retrospectively investigate the association between initial oxygen concentration in delivery room and short-term outcomes in preterm infants. ⋯ Initial oxygen concentration seems to be associated with increased MV in the NICU. Our observations further stress the need for randomized controlled studies in order to obtain definitive recommendations for the optimal initial oxygen concentration during neonatal resuscitation of preterm infants.
-
Nursing in critical care · Jan 2016
Randomized Controlled TrialNo-sedation during mechanical ventilation: impact on patient's consciousness, nursing workload and costs.
Evidence is growing that less or no-sedation is possible and beneficial for patients during mechanical ventilation. ⋯ Patients receiving no-sedation are more awake during their stay in ICU. There might be a potential economical saving with the use of a 1:1 nurse-patient ratio and no-sedation compared with sedation and a 1:2 nurse-patient ratio.
-
Intensive care medicine · Jan 2016
Multicenter Study Clinical TrialChanging use of noninvasive ventilation in critically ill patients: trends over 15 years in francophone countries.
Over the last two decades, noninvasive ventilation (NIV) has been proposed in various causes of acute respiratory failure (ARF) but some indications are debated. Current trends in NIV use are unknown. ⋯ Increases in NIV use and success rate, an overall decrease in mortality, and a decrease of the adverse impact NIV failure has in de novo ARF suggest better patient selection and greater proficiency of staff in administering NIV.