镇静镇痛肌松文献：
... requires MV which should be carried out according to guidelines of international expert forums. That is in accordance with our unexpected observation on negative correlation between duration of MV and fatal outcome. Intensive treatment of these patients, specially MV, can be very prolonged and, ther ...
... requires MV which should be carried out according to guidelines of international expert forums. That is in accordance with our unexpected observation on negative correlation between duration of MV and fatal outcome. Intensive treatment of these patients, specially MV, can be very prolonged and, ther ...
... when inhaling at 60 L·min-1 rather than 30 L·min-1. Studies in children have indicated that, above the age of 5 yrs, most children can generate PIFs above 30 L·min-1 when inhaling through the Turbuhaler®, but that below this age PIFs above 30 L·min-1 are less common [14]. Despite this, clinical stud ...
Pdf version
... CONCLUSIONS Team expertise in NIV and identification of the risk factors for NIV failure may allow to treat patients with more severe hypercapnic exacerbations of COPD during and improve treatment success rates. INTRODUCTION Noninvasive ventilation (NIV) ...
... CONCLUSIONS Team expertise in NIV and identification of the risk factors for NIV failure may allow to treat patients with more severe hypercapnic exacerbations of COPD during and improve treatment success rates. INTRODUCTION Noninvasive ventilation (NIV) ...
FLUTTER® Mucus Clearance Device Instructions for Use
... therapy, and experience has shown that successful clearing of the airways for most patients will occur in approximately 5 to 15 minutes. Generally, morning and late afternoon or evening sessions are recommended. Patients can avoid becoming overly tired by adding a session instead of extending any on ...
... therapy, and experience has shown that successful clearing of the airways for most patients will occur in approximately 5 to 15 minutes. Generally, morning and late afternoon or evening sessions are recommended. Patients can avoid becoming overly tired by adding a session instead of extending any on ...
Gas Exchange - OpenStax CNX
... Two important aspects of gas exchange in the lung are ventilation and perfusion. Ventilation is the movement of air into and out of the lungs, and perfusion is the ow of blood in the pulmonary capillaries. For gas exchange to be e cient, the volumes involved in ventilation and perfusion should be c ...
... Two important aspects of gas exchange in the lung are ventilation and perfusion. Ventilation is the movement of air into and out of the lungs, and perfusion is the ow of blood in the pulmonary capillaries. For gas exchange to be e cient, the volumes involved in ventilation and perfusion should be c ...
Unusual applications of noninvasive ventilation REVIEW N. Ambrosino*
... potentially resulting in increased work of breathing (WOB), oxygen desaturation, respiratory complications and cardiac arrhythmias [6, 7]. Hypoxaemia is worsened by local anaesthetics or saline solution into the lower airways, and even more by performing bronchoalveolar lavage (BAL) [8]. Hypoxaemiaa ...
... potentially resulting in increased work of breathing (WOB), oxygen desaturation, respiratory complications and cardiac arrhythmias [6, 7]. Hypoxaemia is worsened by local anaesthetics or saline solution into the lower airways, and even more by performing bronchoalveolar lavage (BAL) [8]. Hypoxaemiaa ...
Respiratory Emergencies
... Primary Assessment As part of your primary assessment of a patient in respiratory distress, you should determine where he or she falls on the spectrum that runs from normal breathing to respiratory distress to respiratory failure and finally respiratory arrest. ...
... Primary Assessment As part of your primary assessment of a patient in respiratory distress, you should determine where he or she falls on the spectrum that runs from normal breathing to respiratory distress to respiratory failure and finally respiratory arrest. ...
Slide 1 - NHS Lambeth CCG
... Medicines are the most common therapeutic intervention in healthcare, but their use is often suboptimal for a variety of reasons and this can lead to medicines not being used as intended and ‘waste’ in the health economy. ...
... Medicines are the most common therapeutic intervention in healthcare, but their use is often suboptimal for a variety of reasons and this can lead to medicines not being used as intended and ‘waste’ in the health economy. ...
Guidelines for acute oxygen therapy for Western Australian hospitals
... Simple nasal cannulae can be used to deliver low and medium dose oxygen concentrations (2240%). The actual inspired oxygen concentration varies between patients because of differences in the pattern of breathing. Mouth breathing does not appear to reduce the efficacy of nasal cannulae (Wettstein et ...
... Simple nasal cannulae can be used to deliver low and medium dose oxygen concentrations (2240%). The actual inspired oxygen concentration varies between patients because of differences in the pattern of breathing. Mouth breathing does not appear to reduce the efficacy of nasal cannulae (Wettstein et ...
Guidelines For Acute Oxygen Therapy For Western Australian
... save lives when used appropriately and to cause harm if used inappropriately. Indications for oxygen The main indication for acute oxygen therapy is the presence of tissue hypoxia. This may occur because of: 1. Arterial hypoxaemia (inadequate arterial oxygen content) or 2. Failure of the oxygen-haem ...
... save lives when used appropriately and to cause harm if used inappropriately. Indications for oxygen The main indication for acute oxygen therapy is the presence of tissue hypoxia. This may occur because of: 1. Arterial hypoxaemia (inadequate arterial oxygen content) or 2. Failure of the oxygen-haem ...
Inhaled all-trans retinoic acid in an individual with severe emphysema LETTERS
... performance in daily life and he was able to spend several hours without oxygen supplementation on weekends. Analysis of lung function before therapy and at the end of the study period showed an improvement in FEV1 and blood gases. In addition, there was a strong increase in the standard 6MWT (table ...
... performance in daily life and he was able to spend several hours without oxygen supplementation on weekends. Analysis of lung function before therapy and at the end of the study period showed an improvement in FEV1 and blood gases. In addition, there was a strong increase in the standard 6MWT (table ...
1 Competency Acquired before entry or after entry according to the
... 2. Perform pediatric advanced life support (PALS) according to American Heart Association (AHA) guidelines and neonatal resuscitation program (NRP) according to the American Academy of Pediatrics. 3. Maintain knowledge and skills necessary to retain certification as per associated guidelines as stat ...
... 2. Perform pediatric advanced life support (PALS) according to American Heart Association (AHA) guidelines and neonatal resuscitation program (NRP) according to the American Academy of Pediatrics. 3. Maintain knowledge and skills necessary to retain certification as per associated guidelines as stat ...
Condensation Causes and Control
... (a) Note that where power attic vents are used, they should provide at least 0.7 cfm per square foot of attic area (15% more for dark roofs), and air intake of one square foot of free opening should be provided for each 300 cfm of fan capacity. Although intended to exhaust warm summer air, power ven ...
... (a) Note that where power attic vents are used, they should provide at least 0.7 cfm per square foot of attic area (15% more for dark roofs), and air intake of one square foot of free opening should be provided for each 300 cfm of fan capacity. Although intended to exhaust warm summer air, power ven ...
weaning protocol
... and feedback from our pulmonologists is that RT’s are being more aggressive with the weaning process. We have noticed that patients who are ready to wean are on a PS of 5 and ABG results back before pulmonologists even make their AM rounds, eliminating the need to get orders for weaning and then wa ...
... and feedback from our pulmonologists is that RT’s are being more aggressive with the weaning process. We have noticed that patients who are ready to wean are on a PS of 5 and ABG results back before pulmonologists even make their AM rounds, eliminating the need to get orders for weaning and then wa ...
LECO Simulating Earth to Air Heat Exchangers
... In Copenhagen, the number of hours spent defrosting decreased from 556 to 0. While in Kiruna, the number of hours with reduced efficiency caused by defrosting decreased from 3884 to 3001. The bypass for the ETAHE was simulated through various temperature intervals. As can be seen from table 1, the i ...
... In Copenhagen, the number of hours spent defrosting decreased from 556 to 0. While in Kiruna, the number of hours with reduced efficiency caused by defrosting decreased from 3884 to 3001. The bypass for the ETAHE was simulated through various temperature intervals. As can be seen from table 1, the i ...
Closed Chest Drainage
... The recommended method to secure all closed-chest drainage system tubing connections is to use waterproof tape in the manner pictured above. 1. First ensure that the connector is firmly pushed into the chest tube and PleurEvac tubing (creech tube). 2. Next, place a long length of waterproof tape to ...
... The recommended method to secure all closed-chest drainage system tubing connections is to use waterproof tape in the manner pictured above. 1. First ensure that the connector is firmly pushed into the chest tube and PleurEvac tubing (creech tube). 2. Next, place a long length of waterproof tape to ...
The Illustrated Guide to Ventilation
... For example, motorised windows are often a packaged subcontract item, which includes the suppliers’ dedicated wall-mounted override controls. These are often generic controls that are rarely tailored to a specific context. Result: the controls are not discussed by the architect’s or services enginee ...
... For example, motorised windows are often a packaged subcontract item, which includes the suppliers’ dedicated wall-mounted override controls. These are often generic controls that are rarely tailored to a specific context. Result: the controls are not discussed by the architect’s or services enginee ...
- Uniformed Services Society of Anesthesiologists
... locations where reliable supplies of compressed medical gases or electricity may be absent. In place of electricity, pneumatically controlled ventilators use compressed gas to power timing circuitry and actuate valves. We sought to determine the total O2 consumption and ventilator gas consumption (d ...
... locations where reliable supplies of compressed medical gases or electricity may be absent. In place of electricity, pneumatically controlled ventilators use compressed gas to power timing circuitry and actuate valves. We sought to determine the total O2 consumption and ventilator gas consumption (d ...
Respiratory Rate during Acute Asthma
... The present study was designed to see whether we could reconcile these conflicting opinions. We wanted to know whether or not the respiratory rate was increased in asthma and whether the routine monitoring of it might be useful. We therefore assessed breathing following ...
... The present study was designed to see whether we could reconcile these conflicting opinions. We wanted to know whether or not the respiratory rate was increased in asthma and whether the routine monitoring of it might be useful. We therefore assessed breathing following ...
Noninvasive Ventilation and Lung Volume Reduction
... hypercapnic ventilatory response (HCVR), or pressure change during the first 100 milliseconds of inspiration (P0.1).28–30 Patients with COPD with chronic hypercapnia fail to increase levels of drive in response to further CO2 stimulus.29 This reduction in central chemosensitivity is thought to be a ...
... hypercapnic ventilatory response (HCVR), or pressure change during the first 100 milliseconds of inspiration (P0.1).28–30 Patients with COPD with chronic hypercapnia fail to increase levels of drive in response to further CO2 stimulus.29 This reduction in central chemosensitivity is thought to be a ...
High Body Mass Index and Long Duration of Intubation Increase
... air leakage between the endotracheal tube and the trachea. Prior to the test, the patient was placed on the assist control mode with a tidal volume (VT) of 7 ml/kg. The endotracheal, oral and supraglottic secretions were then suctioned. The operator-selected inspiratory VT and the first six expirato ...
... air leakage between the endotracheal tube and the trachea. Prior to the test, the patient was placed on the assist control mode with a tidal volume (VT) of 7 ml/kg. The endotracheal, oral and supraglottic secretions were then suctioned. The operator-selected inspiratory VT and the first six expirato ...
Modeling Ventilation in Multifamily Buildings
... and low-rise buildings. Thus, in order to comply with these standards, for a similar size dwelling unit, high-rise buildings must have a significantly higher ventilation rate than low-rise buildings. Multifamily buildings are especially impacted by this discrepancy since two seemingly identical buil ...
... and low-rise buildings. Thus, in order to comply with these standards, for a similar size dwelling unit, high-rise buildings must have a significantly higher ventilation rate than low-rise buildings. Multifamily buildings are especially impacted by this discrepancy since two seemingly identical buil ...
figure 1 - Association of Surgical Technologists
... ing or blunt trauma to the chest, due to an accu mulation of blood within the pericardial sac. The most common penetrating cause of cardiac tamponade is a stab wound to the mid-chest; while blunt compressive forces to the anterior heart cause rupture of the right atrium. Due to the injury, blood fil ...
... ing or blunt trauma to the chest, due to an accu mulation of blood within the pericardial sac. The most common penetrating cause of cardiac tamponade is a stab wound to the mid-chest; while blunt compressive forces to the anterior heart cause rupture of the right atrium. Due to the injury, blood fil ...
309 Helium Oxygen Therapy 309 / Page 1 of 12
... breathing indicated by a significant reduction in VCO2 associated with: a fall in FRC; a decrease in PaCO2; and an increase in expiratory flow rates without significant changes in breathing pattern. Ishikawa et al (12) showed a reduction in minute ventilation, tidal volume, VO2 and VCO2 in seven sub ...
... breathing indicated by a significant reduction in VCO2 associated with: a fall in FRC; a decrease in PaCO2; and an increase in expiratory flow rates without significant changes in breathing pattern. Ishikawa et al (12) showed a reduction in minute ventilation, tidal volume, VO2 and VCO2 in seven sub ...
Bag valve mask
A bag valve mask, abbreviated to BVM and sometimes known by the proprietary name Ambu bag or generically as a manual resuscitator or “self-inflating bag”, is a hand-held device commonly used to provide positive pressure ventilation to patients who are not breathing or not breathing adequately. The device is a required part of resuscitation kits for trained professionals in out-of-hospital settings (such as ambulance crews) and is also frequently used in hospitals as part of standard equipment found on a crash cart, in emergency rooms or other critical care settings. Underscoring the frequency and prominence of BVM use in the United States, the American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care recommend that ""all healthcare providers should be familiar with the use of the bag-mask device."" Manual resuscitators are also used within the hospital for temporary ventilation of patients dependent on mechanical ventilators when the mechanical ventilator needs to be examined for possible malfunction, or when ventilator-dependent patients are transported within the hospital. Two principal types of manual resuscitator exist; one version is self-filling with air, although additional oxygen (O2) can be added but is not necessary for the device to function. The other principal type of manual resuscitator (flow-inflation) is heavily used in non-emergency applications in the operating room to ventilate patients during anesthesia induction and recovery.Use of manual resuscitators to ventilate a patient is frequently called ""bagging"" the patient and is regularly necessary in medical emergencies when the patient's breathing is insufficient (respiratory failure) or has ceased completely (respiratory arrest). Use of the manual resuscitator force-feeds air or oxygen into the lungs in order to inflate them under pressure, thus constituting a means to manually provide positive-pressure ventilation. It is used by professional rescuers in preference to mouth-to-mouth ventilation, either directly or through an adjunct such as a pocket mask). The full-form of AMBU is Artificial Manual Breathing Unit.