Mechanical Ventilation

Mechanical Ventilation, Respiratory

Revisiting Acute Respiratory Distress Syndrome ventilation management: Time for a paradigm shift focusing on tidal volume

Abstract: Merola and colleagues critically evaluate current Acute Respiratory Distress Syndrome (ARDS) ventilation strategies, emphasizing limitations inherent in universally applying low tidal volume (VT) strategies. They argue for personalized, physiology-driven ventilation approaches that incorporate mechanical power, compliance, and transpulmonary pressures. The authors highlight the complexity and heterogeneity of ARDS, suggesting the inadequacy of global parameters […]

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Revisiting Acute Respiratory Distress Syndrome ventilation management: Time for a paradigm shift focusing on tidal volume Read Post »

Mechanical Ventilation

Neurally adjusted ventilatory assist in critical care patients with and without obesity: a prospective randomized crossover study

đŸ« NAVA vs PSV in Obese ICU Patients: First Evidence of Safety and Benefit Abstract: This randomized crossover study is the first to test Neurally Adjusted Ventilatory Assist (NAVA) in critically ill obese patients. Twenty-one ventilated patients (10 obese, 11 non-obese) underwent 30 minutes of NAVA and PSV each. Researchers assessed safety, patient-ventilator synchrony, oxygenation,

Neurally adjusted ventilatory assist in critical care patients with and without obesity: a prospective randomized crossover study Read Post »

Mechanical Ventilation

Bridging the gap: Enhancing synchrony in mechanical ventilation

Summary This review extensively analyzes the physiological control mechanisms of ventilation and their interaction with mechanical ventilators, highlighting advanced technologies aimed at improving patient-ventilator synchrony. Ventilator dyssynchrony—defined as a mismatch between patient respiratory effort and ventilator support—remains prevalent, contributing significantly to adverse outcomes, including prolonged ventilation, diaphragm dysfunction, extended ICU stays, and increased mortality. The

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Mechanical Ventilation

Development and validation of a machine learning model for real-time prediction of invasive mechanical ventilation weaning readiness

Summary: “Development and validation of a machine learning model for real-time prediction of invasive mechanical ventilation weaning readiness” Abstract Summary: This study aimed to develop and validate a real-time bedside machine learning (ML) decision support tool to predict invasive mechanical ventilation (IMV) weaning readiness using electronic health records. Leveraging extensive data from the MIMIC-IV and

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Development and validation of a machine learning model for real-time prediction of invasive mechanical ventilation weaning readiness Read Post »

Mechanical Ventilation

Monitoring patients with acute respiratory failure during non-invasive respiratory support to minimize harm and identify treatment failure

Summary of “Monitoring patients with acute respiratory failure during non-invasive respiratory support to minimize harm and identify treatment failure” Abstract: This review article emphasizes the importance of monitoring patients with acute respiratory failure (ARF) who are undergoing non-invasive respiratory support (NRS), such as high-flow nasal oxygen (HFNO), continuous positive airway pressure (CPAP), or non-invasive ventilation

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Monitoring patients with acute respiratory failure during non-invasive respiratory support to minimize harm and identify treatment failure Read Post »

Mechanical Ventilation

Expiratory time constants in mechanically ventilated patients: rethinking the old concept—a narrative review

Summary of “Expiratory Time Constants in Mechanically Ventilated Patients: Rethinking the Old Concept—A Narrative Review” Abstract Expiratory time constants (RCEXP) are reexamined in this comprehensive narrative review, offering new insight into their clinical application in mechanical ventilation. Initially a theoretical construct, RCEXP is now being used in advanced bedside assessments and intelligent ventilation systems. The

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Expiratory time constants in mechanically ventilated patients: rethinking the old concept—a narrative review Read Post »

Mechanical Ventilation

Personalized ventilation guided by electrical impedance tomography with increased PEEP improves ventilation-perfusion matching in asymmetrical airway

Summary of “Personalized ventilation guided by electrical impedance tomography with increased PEEP improves ventilation‐perfusion matching in asymmetrical airway closure and contralateral pulmonary embolism during veno‐venous extracorporeal membrane oxygenation: A case report” Abstract This case report describes a novel use of electrical impedance tomography (EIT) to guide personalized PEEP adjustments in a 54-year-old patient on ECMO

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Personalized ventilation guided by electrical impedance tomography with increased PEEP improves ventilation-perfusion matching in asymmetrical airway Read Post »

Mechanical Ventilation

Let’s get in sync: current standing and future of AI-based detection of patient-ventilator asynchrony

Summary of “Let’s get in sync: current standing and future of AI-based detection of patient-ventilator asynchrony” Abstract Patient-ventilator asynchrony (PVA), a frequent mismatch between the patient’s breathing effort and ventilator support, can lead to adverse outcomes such as prolonged ventilation, lung injury, and diaphragm dysfunction. While visual detection is difficult and time-consuming, artificial intelligence (AI)

Let’s get in sync: current standing and future of AI-based detection of patient-ventilator asynchrony Read Post »

Mechanical Ventilation

Advances in achieving lung and diaphragm-protective ventilation

Summary of “Advances in achieving lung and diaphragm-protective ventilation” Abstract Mechanical ventilation, while lifesaving, poses risks to both lung and diaphragm integrity. This review discusses the latest evidence and technologies for monitoring and interventions that support the combined goal of lung- and diaphragm-protective ventilation (LDPV). It emphasizes noninvasive bedside strategies, optimal titration of ventilator support,

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Advances in achieving lung and diaphragm-protective ventilation Read Post »

Mechanical Ventilation

Ten rules for optimizing ventilatory settings and targets in post-cardiac arrest patients

Summary of “Ten rules for optimizing ventilatory settings and targets in post-cardiac arrest patients” Abstract This review proposes ten evidence-based rules to optimize mechanical ventilation in post-cardiac arrest (CA) patients. It focuses on lung-protective strategies, the balance of ventilator settings, and their influence on systemic physiology—especially cerebral function. Emphasizing parameters such as tidal volume, plateau

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Ten rules for optimizing ventilatory settings and targets in post-cardiac arrest patients Read Post »

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