Patient-ventilator asynchrony during assisted mechanical ventilation

The presence of nosocomial myiasis reflects a lack of adequate medical attention, due to the physical facilities and/or the health care personnel. Patients requiring special attention are more susceptible, such as those with a loss of consciousness, assisted mechanical ventilation, tracheal tubes, or nasogastric probes. Nosocomial myiasis is a rare event that has a greater occurrence in the hospitals of poor and developing countries. The two cases herein described represent the first report of nosocomial myiasis in Mexico. The causal agents were found to be Lucilia sericata and Sarcophaga spp. The taxonomical identification of the larvae of the second and third instar was based on the morphology of the cephaloskeleton, anterior spiracles, and peritreme plaques.

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Pressure Support and Flow-Cycled, Assisted Mechanical Ventilation in Acute Lung Injury

CHEST Journal ◽

10.1378/chest.98.2.458 ◽

1990 ◽

Vol 98 (2) ◽

pp. 458-462 ◽

Cited By ~ 4

Author(s):

Edward K. McGough ◽

Michael J. Banner ◽

Philip G. Boysen

Keyword(s):

Mechanical Ventilation ◽

Acute Lung Injury ◽

Lung Injury ◽

Pressure Support ◽

Assisted Mechanical Ventilation

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Should We Care about Driving Pressure during Assisted Mechanical Ventilation?

Journal of Intensive and Critical Care ◽

10.21767/2471-8505.100085 ◽

2017 ◽

Vol 03 (02) ◽

Author(s):

Katerina Vaporidi ◽

Nectaria Xirouchaki ◽

Dimitris Georgopoulos

Keyword(s):

Mechanical Ventilation ◽

Driving Pressure ◽

Assisted Mechanical Ventilation

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Effect of assisted mechanical ventilation on arterial carbon dioxide tension of normal anesthetized dogs

Lung ◽

10.1007/bf02714019 ◽

1979 ◽

Vol 156 (1) ◽

pp. 255-264 ◽

Cited By ~ 5

Author(s):

C. S. H. Tan ◽

D. H. Simmons

Keyword(s):

Carbon Dioxide ◽

Mechanical Ventilation ◽

Carbon Dioxide Tension ◽

Arterial Carbon Dioxide Tension ◽

Assisted Mechanical Ventilation ◽

Arterial Carbon Dioxide ◽

Anesthetized Dogs

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The Inspiratory Work of Breathing During Assisted Mechanical Ventilation

Survey of Anesthesiology ◽

10.1097/00132586-198604000-00003 ◽

1986 ◽

Vol 30 (2) ◽

pp. 53

Author(s):

J. J. MARINI ◽

J. S. CAPPS ◽

B. H. CULVER

Keyword(s):

Mechanical Ventilation ◽

Work Of Breathing ◽

Assisted Mechanical Ventilation ◽

Inspiratory Work

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Effect of linagliptin plus insulin in comparison to insulin alone on metabolic control and prognosis in hospitalized patients with SARS-CoV-2 infection

Scientific Reports ◽

10.1038/s41598-021-04511-1 ◽

2022 ◽

Vol 12 (1) ◽

Author(s):

Rodolfo Guardado-Mendoza ◽

Miguel Angel Garcia-Magaña ◽

Liz Jovanna Martínez-Navarro ◽

Hilda Elizabeth Macías-Cervantes ◽

Rodolfo Aguilar-Guerrero ◽

...

Keyword(s):

Mechanical Ventilation ◽

Metabolic Control ◽

Study Groups ◽

Postprandial Glucose ◽

Hospitalized Patients ◽

Double Blind ◽

Average Hospital ◽

Assisted Mechanical Ventilation ◽

Glucose Levels ◽

Insulin Requirements

AbstractTo evaluate the effect of the combination of linagliptin and insulin on metabolic control and prognosis in hospitalized patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and hyperglycemia. A parallel double-blind randomized clinical trial including hospitalized patients with SARS-CoV-2 infection and hyperglycemia, randomized to receive 5 mg linagliptin + insulin (LI group) or insulin alone (I group) was performed. The main outcomes were the need for assisted mechanical ventilation and glucose levels during hospitalization. Subjects were screened for eligibility at hospital admission if they were not with assisted mechanical ventilation and presented hyperglycemia, and a total of 73 patients with SARS-CoV-2 infection and hyperglycemia were randomized to the LI group (n = 35) or I group (n = 38). The average hospital stay was 12 ± 1 vs 10 ± 1 days for the I and LI groups, respectively (p = 0.343). There were no baseline clinical differences between the study groups, but the percentage of males was higher in the LI group (26 vs 18, p = 0.030). The improvements in fasting and postprandial glucose levels were better in the LI group that the I group (122 ± 7 vs 149 ± 10, p = 0.033; and 137 ± 7 vs 173 ± 12, p = 0.017, respectively), and insulin requirements tended to be lower in the LI group than the I group. Three patients in the LI group and 12 in the I group required assisted mechanical ventilation (HR 0.258, CI 95% 0.092–0.719, p = 0.009); 2 patients in the LI group and 6 in the I group died after a follow-up of 30 days (p = 0.139). No major side effects were observed. The combination of linagliptin and insulin in hospitalized patients with SARS-CoV-2 infection and hyperglycemia reduced the relative risk of assisted mechanical ventilation by 74% and improved better pre and postprandial glucose levels with lower insulin requirements, and no higher risk of hypoglycemia.This study is registered at clinicaltrials.gov, number NCT04542213 on 09/03/2020.

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