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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Uncategorized

Timing of mechanical ventilation and its association with in-hospital outcomes in patients with cardiogenic shock following ST-elevation myocardial infarction: a multicentre observational study

Summary: Timing of mechanical ventilation and its association with in-hospital outcomes in patients with cardiogenic shock following ST-elevation myocardial infarction: a multicentre observational study Abstract Summary: This multicentre observational study by Arabi and colleagues investigates the impact of mechanical ventilation (MV) timing on outcomes in 672 patients with STEMI complicated by cardiogenic shock (CS). The

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Timing of mechanical ventilation and its association with in-hospital outcomes in patients with cardiogenic shock following ST-elevation myocardial infarction: a multicentre observational study Read Post »

Pulmonary

Incidence and risk factors of weaning-induced pulmonary oedema: results from a multicentre, observational study

Summary of “Incidence and risk factors of weaning-induced pulmonary oedema: results from a multicentre, observational study” Abstract This multicenter observational study evaluated the incidence and risk factors of weaning-induced pulmonary oedema (WIPO) in critically ill patients during spontaneous breathing trials (SBTs). Conducted across 13 ICUs in France, Italy, and India, the study revealed that WIPO

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Incidence and risk factors of weaning-induced pulmonary oedema: results from a multicentre, observational study 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

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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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 »

Mechanical Ventilation

First Stabilize and then Gradually Recruit: A Paradigm Shift in Protective Mechanical Ventilation for Acute Lung Injury

Summary of “First Stabilize and then Gradually Recruit: A Paradigm Shift in Protective Mechanical Ventilation for Acute Lung Injury” Citation: Nieman GF, Kaczka DW, Andrews PL, et al. J Clin Med. 2023;12(14):4633. doi:10.3390/jcm12144633 Abstract The article introduces a new paradigm in mechanical ventilation for acute lung injury, emphasizing a “Stabilize Lung Approach” (SLA) over traditional

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First Stabilize and then Gradually Recruit: A Paradigm Shift in Protective Mechanical Ventilation for Acute Lung Injury Read Post »

Mechanical Ventilation

Mechanical Power in Pressure-Controlled Ventilation: A Simple and Reliable Bedside Method

Summary of Mechanical Power in Pressure-Controlled Ventilation: A Simple and Reliable Bedside Method Snoep JWM, Rietveld PJ, van der Velde-Quist F, de Jonge E, Schoe A. Crit Care Explor. 2025. Abstract This study presents a newly proposed equation for calculating mechanical power (MP) in pressure-controlled ventilation (PCV) that is both simple and accurate for bedside

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Mechanical Power in Pressure-Controlled Ventilation: A Simple and Reliable Bedside Method Read Post »

Mechanical Ventilation

Setting the ventilator with AI support: challenges and perspectives

Mechanical ventilation (MV) is a cornerstone of intensive care medicine. However, when used inappropriately, it can cause additional harm, including a condition known as ventilator-induced lung injury (VILI) [1]. To mitigate this risk, lung-protective ventilation strategies are of utmost importance. It is, however, essential to note that lung-protective ventilation is also currently evolving from “standard

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