Nonventilatory factors affecting noninvasive mechanical ventilation success in hypercapnic critical care patients

Tracheostomy is a procedure where a conduit is created between the skin and the trachea. Tracheostomy is one of the most frequent procedures undertaken in critically ill patients. Each year, approximately 10% of critical care patients in the United States require a tracheostomy, most often for prolonged mechanical ventilation.

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Residual Neuromuscular Blockade in Critical Care

Critical Care Nurse ◽

10.4037/ccn2012107 ◽

2012 ◽

Vol 32 (3) ◽

pp. e1-e10 ◽

Cited By ~ 4

Author(s):

Jason Wilson ◽

Angela S. Collins ◽

Brea O. Rowan

Keyword(s):

Intensive Care Unit ◽

Mechanical Ventilation ◽

Critical Care ◽

Intensive Care ◽

Neuromuscular Blockade ◽

Upper Airway ◽

Surgical Interventions ◽

Residual Neuromuscular Blockade ◽

Factors Affecting ◽

Anesthesia Time

Neuromuscular blockade is a pharmacological adjunct for anesthesia and for surgical interventions. Neuromuscular blockers can facilitate ease of instrumentation and reduce complications associated with intubation. An undesirable sequela of these agents is residual neuromuscular blockade. Residual neuromuscular blockade is linked to aspiration, diminished response to hypoxia, and obstruction of the upper airway that may occur soon after extubation. If an operation is particularly complex or requires a long anesthesia time, residual neuromuscular blockade can contribute to longer stays in the intensive care unit and more hours of mechanical ventilation. Given the risks of this medication class, it is essential to have an understanding of the mechanism of action of, assessment of, and factors affecting blockade and to be able to identify factors that affect pharmacokinetics.

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Nonpharmacological Interventions to Prevent Delirium: An Evidence-Based Systematic Review

Critical Care Nurse ◽

10.4037/ccn2015423 ◽

2015 ◽

Vol 35 (1) ◽

pp. 39-49 ◽

Cited By ~ 32

Author(s):

Ryan M. Rivosecchi ◽

Pamela L. Smithburger ◽

Susan Svec ◽

Shauna Campbell ◽

Sandra L. Kane-Gill

Keyword(s):

Systematic Review ◽

Mechanical Ventilation ◽

Critical Care ◽

Length Of Stay ◽

Adverse Effects ◽

Hospital Costs ◽

Evidence Based ◽

Inpatient Settings ◽

Stay Hospital ◽

Critical Care Patients

Development of delirium in critical care patients is associated with increased length of stay, hospital costs, and mortality. Delirium occurs across all inpatient settings, although critically ill patients who require mechanical ventilation are at the highest risk. Overall, evidence to support the use of antipsychotics to either prevent or treat delirium is lacking, and these medications can have adverse effects. The pain, agitation, and delirium guidelines of the American College of Critical Care Medicine provide the strongest level of recommendation for the use of nonpharmacological approaches to prevent delirium, but questions remain about which nonpharmacological interventions are beneficial.

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Mortality Associated Factors of Patients with Mechanical Ventilation Treated at the Intensive Care Unit of a Second Level Hospital at Piedras Negras Coahuila Mexico

Journal of Medical - Clinical Research & Reviews ◽

10.33425/2639-944x.1217 ◽

2021 ◽

Vol 5 (6) ◽

Author(s):

Jose Ivan Rodriguez de Molina Serrano

Keyword(s):

Mechanical Ventilation ◽

Critical Care ◽

Hospital Mortality ◽

Quality Indicators ◽

Quantitative Measure ◽

System Quality ◽

Mortality Factors ◽

Saps 3 ◽

Piedras Negras ◽

Critical Care Patients

Introduction: The mechanical ventilation is the cornerstone of treatment for patients with acute respiratory failure and is one of the pivotal therapies in critical care medicine. The epidemiology of mechanical ventilation in México is scarce and usually a transpolated of the information in high specialty centers. The mechanical ventilation has the aim of assisting in the elimination of CO2 (carbon dioxide) and / or favoring the adequate exchange of oxygen while the patient is unable to do so or due to conditions external to the respiratory system. Quality indicators of attention are a quantitative measure that are used to assess important aspects of clinical practice. Objective: Describe the epidemiology and mortality factors in mechanically ventilated patients treated at second level ICU in Piedras Negras, Coahuila México. Material and Methods: retrospective study from December 2016 to December 2019 all patients treated with MV. We collected general demographic characteristics, quality indicators and complications, severity of disease and mortality. Results: 164 patients were enrolled. Female 54.8%, main diagnoses Sepsis 30.5%, and DKA 13.4%, mean age 44.1 SD ± mean SOFA 7.2 SD ± 6.2, mean SAPS3 50.6 SD ± 20.2, ICU LOS 4.5 SD ± 5.1, Hospital LOS 11.7 SD ± 10.2 p<0.0001. ICU and Hospital mortality 14 % and 23.8%. The factors associated with ICU mortality were: Age, MV hours, Respiratory SOFA, and Hepatic SOFA and with Hospital mortality: Age, Neurological SOFA, Unstable at admission, SOFA and SAPS 3. Conclusions: MV is a primordial need of critical care patients, our mortality was reported lower than expected but quality of attention indicators most be improved in order to maintain this trend. This study has several limitations in population and applicability but contributes with primordial information about MV critical care patients treated at México.

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Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care

10.1007/978-3-319-04259-6 ◽

2016 ◽

Keyword(s):

Mechanical Ventilation ◽

Critical Care ◽

Noninvasive Mechanical Ventilation ◽

Difficult Weaning

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Respiratory and Gastrointestinal systems; friends or foes?

Journal of Mechanical Ventilation ◽

10.53097/jmv.10018 ◽

2021 ◽

Vol 2 (1) ◽

pp. 33-33

Author(s):

ehab daoud

Keyword(s):

Mechanical Ventilation ◽

Critical Care ◽

Gastrointestinal Tract ◽

Respiratory System ◽

Gastrointestinal Complications ◽

Critical Care Patients

The article by Obeidat andRandhawain this issue “Gastrointestinal complications in critical care patients and effects of mechanical ventilation on the gastrointestinal tract”1is a great reminder of this important topicand a must read for ICU clinicians. The interaction between the gastro-intestinal system and the respiratory system is a tight yet not fully understoodcomplex one, and unfortunately gets overlooked.

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