scholarly journals Successful experience of using adaptive support ventilation (ASV) in the patient with viral interstitial pneumonia.

2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Dmytro Dmytriiev ◽  
Olga Kostiv ◽  
Mykola Melnychenko ◽  
Sviatoslav Kostiv ◽  
Kostiantyn Dmytriiev
Keyword(s):  
Clinical Case ◽  
Protective Ventilation ◽  
Viral Pneumonia ◽  
Infusion Therapy ◽  
Ventilation Mode ◽  
Early Weaning ◽  
X Ray ◽  
Adaptive Support Ventilation ◽  
Early Intubation ◽  
Adaptive Support

An interesting clinical case of viral pneumonia in a patient with diabetes mellitus is considered in the article. This case deserves attention of anesthesiologists, especially today, during the COVID-19 epidemic. An important role in timely diagnosis belongs to the CT scan, as the X-ray does not always diagnose viral pneumonia. In our case, we adhered to the principles of restrictive infusion therapy, early intubation, protective ventilation and early weaning of the patient from the respirator. The article describes the successful experience of using the ASV intelligent ventilation mode – from intubation to extubation. We recommend you to use ASV in patients with viral pneumonia to achieve protective ventilation, rapid weaning, and low risk of complications.

scholarly journals Adaptive Support Ventilation versus Conventional Ventilation during Hypoxemic Respiratory Failure: A Meta-analysis of Randomized Controlled Trials

2020 ◽  
Author(s):  
Wei Zhang ◽  
Xiaoli Liu ◽  
Can Jin ◽  
Longju Zhang ◽  
Zong’an Liang
Keyword(s):  
Mechanical Ventilation ◽  
Respiratory Failure ◽  
Conventional Ventilation ◽  
Ventilation Mode ◽  
Hypoxemic Respiratory Failure ◽  
Acute Hypoxemic Respiratory Failure ◽  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Randomized Controlled ◽  
Adaptive Support

Abstract Background The purpose of the study is to examine whether the adaptive support ventilation (ASV) mode compared with conventional ventilation reduces the duration of mechanical ventilation (MV) in patients with acute respiratory failure. Methods We searched PubMed, the Cochrane Library Central Register of Controlled Trials, EMBASE and Web of Science databases from inception through July 27, 2019. We considered all the randomized controlled studies (RCTs) that examined the efficacy of ASV in comparison with conventional ventilation in mechanically ventilated adults. The primary outcomes were (1) the length of MV, (2) weaning duration and (3) length of stay (LOS) in ICU. Results We included three RCTs for the analysis enrolling a total of 374 patients. Patients treated with ASV had a lower weaning duration than patients treated with conventional ventilation (MD -28.98 [95% CI -42.42, -15.54, p˂0.0001]). Then, 28-day mortality was not different between the two groups (OR 0.95 [95%CI 0.6, 1.52, p=0.83; I2=0%, p=0.96]). The incidence of ventilator-associated pneumonia and sedation level was not included into the quantitative analysis. Conclusions The study showed that a lower number of duration of MV and a shorter number of weaning duration in acute hypoxemic respiratory failure patients treated with ASV than conventional ventilation. Keywords: pulmonary infection; critically ill patients; adaptive support ventilation; hypoxemic respiratory failure Background Acute hypoxemic respiratory failure is a severe disorder of the respiratory system to maintain oxygenation or eliminate carbon dioxide (CO2), leading to a series of metabolic disorders and physiological dysfunction. Mechanical ventilation (MV) serve as a lifesaving therapy is widely employed in intensive care units (ICU) for treating clinical symptoms related to critically illness.[1,2] Employment of mechanical ventilation in patients could help effectively to replace, control and change spontaneous breathing, reduce or eliminate respiratory muscle oxygen consumption, increasing ventilation and improving ventilation[3], removing the residual mucous in airway.[4] The choice of ventilation mode is such a very important issue in ICU that clinicians capable to choose the ventilation mode and adapt the ventilator controls according to the patient's respiratory mechanics.

Application Of Adaptive Support Ventilation In Korean Patients With Acute Lung Injury

2010 ◽  
Author(s):  
Wou Young Chung ◽  
Keu Sung Lee ◽  
Joo Hun Park ◽  
Seung Soo Sheen ◽  
Sung Chul Hwang ◽  
...  
Keyword(s):  
Acute Lung Injury ◽  
Lung Injury ◽  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Korean Patients ◽  
Adaptive Support

scholarly journals Adaptive Support Ventilation as a Sole Mode of Mechanical Ventilation-An Observational Study

2017 ◽  
Vol 1 (1) ◽  
pp. 8-12
Author(s):  
L.K. Rajbanshi ◽  
M. Dali ◽  
S.B. Karki ◽  
K. Khanal ◽  
B. Aryal ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Observational Study ◽  
Ventilatory Support ◽  
Control Mode ◽  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Adaptive Support ◽  
The Mean

Introduction Adaptive support ventilation (ASV) is a close loop dual control mechanical ventilation mode. This mode can automatically change its parameters to weaning mode once the patient is actively breathing converting volume targeted pressure control mode to volume targeted pressure support mode. We aimed to observe the outcome of the patients ventilated with ASV as a sole mode in terms of duration of mechanical ventilation, duration of weaning from the ventilatory support and length of Intensive care unit (ICU) stay.Methodology We conducted a prospective observational study for the duration of six months (Sept 2015 to Feb 2016) to assess the clinical outcome of the patients ventilated by ASV as a sole mode of ventilation. The study conducted observation of 78 patients without chronic respiratory, renal, hepatic and neurological disease who were admitted in our intensive care unit for invasive ventilatory support.Results Out of the 187 patients who required invasive and noninvasive ventilation, only 78 patients fulfilled the criteria to be included in the study. It was observed that the mean duration of mechanical ventilation was 5.4 days while weaning as well as tracheal extubation was successful within 13 hours of initiation of weaning. The mean duration of ICU stay was found to be 6.3 days.Conclusion We concluded that the patient ventilated by ASV mode were effectively weaned without the need of changing the ventilator mode. However, the safety of ASV mode needs to be established by large randomized control trail in a wide spectrum of patients.Birat Journal of Health Sciences 2016 1(1): 8-12

Adaptive support ventilation

2001 ◽  
Vol 7 (3) ◽  
pp. 425-440 ◽  
Author(s):  
R CAMPBELL ◽  
R BRANSON ◽  
J JOHANNIGMAN
Keyword(s):  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Adaptive Support

Evaluation of Adaptive Support Ventilation in Paralysed Patients and in a Physical Lung Model

2004 ◽  
Vol 27 (8) ◽  
pp. 709-716 ◽  
Author(s):  
M. Belliato ◽  
A. Palo ◽  
D. Pasero ◽  
G.A. Iotti ◽  
F. Mojoli ◽  
...  
Keyword(s):  
Lung Model ◽  
Adaptive Support Ventilation ◽  
Support Ventilation ◽  
Adaptive Support ◽  
Physical Lung Model

scholarly journals A rare case of a maxillary fourth molar: Case report

2019 ◽  
Vol 29 (1) ◽  
pp. 125-128
Author(s):  
Valdelias Xavier Pereira ◽  
Alan Patricio Da Silva ◽  
Juliana Spat Carlesso ◽  
Marcelo Ferraz Campos
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Tooth Extraction ◽  
Clinical Case ◽  
Supernumerary Teeth ◽  
Impacted Tooth ◽  
X Ray ◽  
Dental Anomaly ◽  
Molar Teeth ◽  
Distomolar Teeth

Introduction: The objective of this clinical case report is to describe the presence of bilateral fourth molars. The occurrence of supernumerary teeth (ST) is a relatively unusual dental anomaly., It is even more unusual to find patients with distomolar teeth also denominated fourth molar teeth. Presentation of the case: This article describes a clinical case of a 24-year-old patient presenting with a maxillary fourth molar, who was diagnosed by dental x-ray, and surgical resolution of the case. Conclusion: Tooth extraction surgery was the clinical procedure chosen to treat the impacted tooth.

scholarly journals The First Clinical Use of Augmented Reality to Treat Salivary Stones

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Anna Lysenko ◽  
Alexandra Razumova ◽  
Andrey Yaremenko ◽  
Rustam Mirzakhmedov ◽  
Anna Zubareva ◽  
...  
Keyword(s):  
Augmented Reality ◽  
Clinical Case ◽  
Surgical Intervention ◽  
Model Fitting ◽  
Nasal Intubation ◽  
Visualization Method ◽  
X Ray ◽  
Cast Model ◽  
Augmented Reality Technology ◽  
Preoperative Procedures

In this study, we report our first experience of applying the concretion visualization method using augmented reality technology. A clinical case of a new surgical intervention on the parotid salivary gland with the localization of salivary stone in its parenchyma is considered. During additional diagnostics, it was found that the size of the concretion exceeds 5 mm which did not allow us to use the endoscopic technologies. That was the reason for the choice of surgical intervention external access using salivary stone visualization with the help of augmented reality. The preoperative procedures included making the upper jaw cast model, fitting the model and individual mouthguard with an X-ray contrast marker and marker slot. In addition to this, computed tomography of the head and neck using a mouthguard was made. During surgery under general anesthesia with nasal intubation, the mouthguard together with the marker is installed in the patient’s mouth and the surgeon puts on the glasses to visualize the stone image in place of its localization. This method enables to visualize the salivary stone on all surgery stages no matter what type of approach is used or performing hydropreparation. That is why using the augmented reality appears promising and is to be studied further.

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