scholarly journals The lived experience of patients on mechanical ventilation

2002 ◽  
Vol 7 (4) ◽  
Author(s):  
Portia J Jordan ◽  
Dalena Van Rooyen ◽  
Johanita Strümpher
Keyword(s):  
Mechanical Ventilation ◽  
Lived Experience ◽  
Full Text ◽  
Mechanical Ventilator

Patients connected to a mechanical ventilator have to endure various experiences and emotions, which are unique to each patient. Opsomming Pasiënte wat aan ‘n meganiese ventilator gekoppel is, moet verskeie emosies en ervarings deurmaak, wat aan elke persoon uniek is. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Multiple Mechanical Ventilation: historical review and cost analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yina Faizully Quintero-Gamboa ◽  
Carlos Andrés Aguirre-Rodríguez ◽  
Aradeisy Ibarra-Picón ◽  
Edwin Rua-Ramírez ◽  
Edwin Gilberto Medina-Bejarano
Keyword(s):  
Public Health ◽  
Mechanical Ventilation ◽  
Cost Analysis ◽  
Historical Review ◽  
Medical Community ◽  
Mechanical Ventilator ◽  
Mechanical Ventilators ◽  
The Subject ◽  
Flow Division ◽  
Flow Splitter

In times of crisis in public health where the resources available in the hospital network are scarce and these must be used to the fullest, innovative ideas arise, which allow multiplying the use of existing resources, as artificial mechanical ventilators can be. These can be used in more than one patient, by attaching a device to distribute the mixture of air and oxygen from the ventilator being used simultaneously (multiple mechanical ventilation). This idea, although innovative, has generated controversy among the medical community, as many fear for the safety of their patients, because attaching such devices to the ventilator loses control over the mechanical ventilation variables of each patient and can only maintain general vigilance over the ventilator. These misgivings about the device have led several researchers to take on the task of verifying the reliability of this flow splitter connector. It is for this reason that this article presents a thorough review of the studies carried out on the subject and additionally shows an analysis of comparative costs between the acquisition of a mechanical ventilator and the flow division system.

scholarly journals Impacts in the Respiratory Mechanics of the Ventilator Hyperinsuflation in the Flow Bias Concept: a Narrative Review

2019 ◽  
Vol 21 (3) ◽  
pp. 250
Author(s):  
Jéssica Dos Santos Pereira da Rosa Gonçalves ◽  
Walkiria Shimoya-Bittencourt ◽  
Viviane Martins Santos ◽  
Michel Belmonte
Keyword(s):  
Mechanical Ventilation ◽  
Respiratory Mechanics ◽  
Ventilatory Support ◽  
Lung Compliance ◽  
Narrative Review ◽  
Mechanical Ventilator ◽  
Multiprofessional Team ◽  
Central Direction ◽  
Relevant Role ◽  
Expiratory Flow

AbstractPatients who require invasive ventilatory support are subject to the deleterious effects of this, mainly ventilator-associated pneumonia (VAP). The physiotherapist, a member of the multiprofessional team, assists the patient with the purpose of promoting the recovery and preservation of the functionality, being able to minimize / avoid secondary complications. This study aims to identify the repercussions of mechanical ventilation hyperinflation (MVH) in the flow bias concept in respiratory mechanics. This study is a narrative review. MVH is an important resource commonly used in clinical practice that involves the manipulation of mechanical ventilator configurations to provide larger pulmonary volumes, and the generated airflow gradient may play a relevant role in mucus transport, with the concept of flow bias the main factor responsible for its direction. For the mobilization of the mucus towards the cephalic direction to occur, there must be a predominant expiratory flow, guaranteeing the peak ratio of expiratory flow / inspiratory flow peak (EFP / IFP) greater than 1.11. Maintenance of mechanical ventilation assures the patient to maintain the positive end expiratory pressure (PEEP) and the oxygen inspired fraction, avoiding the deleterious effects of the mechanical ventilator disconnection. MVH is able to improve lung compliance without, however, increasing airway resistance. MVH in the cephalic flow bias concept is effective for the mucus mobilization in the central direction, being able to improve pulmonary compliance and peripheral oxygen saturation.Keywords: Respiration, Artificial. Intensive Care Units. Physical Therapy Department, Hospital.ResumoOs pacientes internados que necessitam de suporte ventilatório invasivo estão sujeitos aos efeitos deletérios deste, principalmente a pneumonia associada à ventilação mecânica (PAV). O fisioterapeuta, integrante da equipe multiprofissional, assiste o paciente com a finalidade de promover a recuperação e preservação da funcionalidade, podendo minimizar/evitar complicações secundárias. Este estudo consiste em identificar as repercussões da hiperinsuflação com ventilador mecânico (HVM) no conceito flow bias na mecânica respiratória. O presente estudo trata-se de uma revisão narrativa. A HVM é um importante recurso comumente utilizado na prática clínica que envolve a manipulação das configurações do ventilador mecânico para fornecer maiores volumes pulmonares, e o gradiente de fluxo de ar gerado pode desempenhar um papel relevante no transporte do muco, sendo o conceito de flow bias cefálico o principal fator responsável pelo direcionamento deste. Para que a mobilização do muco em direção cefálica ocorra, deve existir um fluxo expiratório predominante, garantindo a razão pico de fluxo expiratório/pico de fluxo inspiratório (PFE/PFI) maior do que 1,11. A manutenção da assistência ventilatória mecânica assegura ao paciente a manutenção da pressão positiva ao final da expiração (PEEP) e a fração inspirada de oxigênio (FiO2), evitando os efeitos deletérios da desconexão do ventilador mecânico. A HVM é capaz de melhorar a complacência pulmonar sem, no entanto, aumentar a resistência das vias aéreas. A HVM no conceito flow bias cefálico é eficaz para a mobilização do muco em direção central, sendo capaz de melhorar a complacência pulmonar e saturação periférica de oxigênio (SpO2).Palavras-chave: Respiração Artificial. Unidades de Terapia Intensiva. Serviço Hospitalar de Fisioterapia.

scholarly journals Meaning-making of a group of South Africans in their experience of living with HIV: a phenomenological study

2005 ◽  
Vol 10 (1) ◽  
Author(s):  
H G Pretorius ◽  
N Goldstein ◽  
A D Stuart
Keyword(s):  
Lived Experience ◽  
Full Text ◽  
Phenomenological Study ◽  
Meaning Making ◽  
South Africans ◽  
Primary Focus ◽  
Living With Hiv ◽  
Disease Specific ◽  
Hiv Aids

With the primary focus of disease specific studies on the medical and biological transmission and progression of HIV/AIDS, the lived experience and meaning-making of individuals who live with this disease, is a literary scarcity. Opsomming Met die primêre fokus van siektespesifieke studies op die mediese en ook biologiese oordrag en progressie van MIV/VIGS, is daar ‘n literêre skaarste oor die geleefde ondervinding en betekenisgewing van individue wat met hierdie siekte leef. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Cerebral Arterial Air Embolism Associated with Mechanical Ventilation and Deep Tracheal Aspiration

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
S. Gursoy ◽  
C. Duger ◽  
K. Kaygusuz ◽  
I. Ozdemir Kol ◽  
B. Gurelik ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Ct Scan ◽  
Respiratory Activity ◽  
Cerebral Arteries ◽  
Air Embolism ◽  
Mechanical Ventilator ◽  
Pulmonary Barotrauma ◽  
Cranial Ct ◽  
Tracheal Aspiration

Arterial air embolism associated with pulmonary barotrauma has been considered a rare but a well-known complication of mechanical ventilation. A 65-year-old man, who had subarachnoid hemorrhage with Glasgow coma scale of 8, was admitted to intensive care unit and ventilated with the help of mechanical ventilator. Due to the excessive secretions, deep tracheal aspirations were made frequently. GCS decreased from 8–10 to 4-5, and the patient was reevaluated with cranial CT scan. In CT scan, air embolism was detected in the cerebral arteries. The patient deteriorated and spontaneous respiratory activity lost just after the CT investigation. Thirty minutes later cardiac arrest appeared. Despite the resuscitation, the patient died. We suggest that pneumonia and frequent tracheal aspirations are predisposing factors for cerebral vascular air embolism.

scholarly journals Efektivitas Ventilator dalam Proses End of Life dan Tinjauannya Menurut Pandangan Islam

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Yulya Mauliddina ◽  
Ferryal Basbeth ◽  
Muhammad Arsyad
Keyword(s):  
Intensive Care Unit ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Respiratory Failure ◽  
Medical Record ◽  
Medical Records ◽  
Respiratory Function ◽  
Sampling Techniques ◽  
Mechanical Ventilator ◽  
Probability Sampling

Background: A mechanical ventilator is a device used to help with respiratory function. Its use is indicated for patients with hypoxemia, severe hypercapnia and respiratory failure. Mechanical ventilator is one of the important and widely used aspects for critical patient care in the Intensive Care Unit (ICU). Methods: This research was conducted with non-probability sampling techniques. Non-probability sampling techniques was determined by purposive method, which is to determine the criteria first, then the samples are taken according to predetermined criteria. Results: As much as 98 medical records taken from the Juwita Bekasi Hospital ICU from  2013-2017  showed  that 3 patients showed effective results for ventilator installation and 95 patients showed ineffective results. Conclusion: Based on medical record in Juwita Bekasi Hospital from 2013 to 2017, The mechanical ventilation installation was not effective and only has 1% effectivity.

scholarly journals 10D: Feasibility Study of a Novel Low-cost Brazilian Emergency Mechanical Ventilator

2020 ◽  
Author(s):  
Uri Adrian Prync Flato ◽  
Patricia C. dos Santos ◽  
Fábio Manhoso ◽  
Fernanda Mesquita Serva ◽  
Jeferson Dias ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Low Cost ◽  
Pulmonary Ventilation ◽  
Animal Experiments ◽  
Mechanical Ventilator ◽  
Mechanical Ventilators ◽  
Group I ◽  
Emergency Transport ◽  
The Mean ◽  
Group Ii

Abstract Background: The current need for pulmonary mechanical ventilation related to COVID-19 exceeds the ability of health systems worldwide to acquire and produce mechanical ventilators. The major cause of mortality in patients with this disease is hypoxemia secondary to an inflammatory storm in the lungs associated with thrombotic events. A partnership was established between the university and the private engineering and industrial automation sector to concept and design novel a low-cost emergency mechanical ventilator that could be rapidly available for use in emergency, transport or low-resource health care system, and attend the urgent demand of artificial respiratory system that is need worldwide. It was evaluated the viability of oxygenation and pulmonary ventilation with an emergency mechanical ventilation device called 10D-EMV in animal experiments. A two-stage sequential adaptive study was conducted in 10 sheep, divided into group I (PEEP valve close to the device) and group II (PEEP valve distal to the device). Each animal underwent mechanical ventilation for a total of 120 minutes. Results: The mean oxygenation in group I and group II were 368 mmHg and 366 mmHg, respectively, while the mean partial pressure of carbon dioxide was 58 mmHg and 48 mmHg. Conclusion: This study demonstrates the viability of the 10D device as a novel proposed emergency mechanical ventilator, in order to attend the pandemics demand. Further clinical studies in humans are needed to assess its safety and efficacy.

scholarly journals Benefits of wireless technology in mechanically-ventilation to navigate through the COVID- 19 crisis

2020 ◽  
Vol 1 (2) ◽  
pp. 52-54
Author(s):  
Robert Cabbat ◽  
Helen Chen
Keyword(s):  
Mechanical Ventilation ◽  
Critically Ill ◽  
Protective Equipment ◽  
Mechanical Ventilator ◽  
Wireless Technology ◽  
Laptop Computer ◽  
Contact Precautions ◽  
Telecommunication Technology ◽  
Wireless Telecommunication ◽  
And Control

With COVID-19 cases rising quickly at alarming rates across the U.S. and globally, the pandemic crisis has exposed the importance and accelerated the need for wireless telecommunication technology in the intensive care unit. Many of these critically ill COVID-19 patients in the ICU require mechanical ventilation. Moreover, due to their underlying diagnosis, these patients are required to be in isolated rooms and under contact precautions. Often times, immediate and emergency access to the mechanical ventilator are delayed or stalled by the hurdle to properly gown up with personal protective equipment before entering the room. Wireless telecommunication to access and control ventilator settings promptly from outside the isolation room, for example from a laptop computer, would overcome this barrier and time obstacle. Additionally, will save the already limited equipment and save money. Thus, the development of such technology is quite urgent as more and more critically ill COVID-19 patients are ending up on mechanical ventilation. Keywords: Remote control, Wireless, COVID-19

Weaning from Mechanical Ventilation: A Method for Assessment and Planning

1991 ◽  
Vol 2 (3) ◽  
pp. 372-387 ◽  
Author(s):  
Suzanne M. Burns ◽  
Sharon A. Fahey ◽  
David M. Barton ◽  
Deborah Slack
Keyword(s):  
Mechanical Ventilation ◽  
Critical Care ◽  
Ventilator Weaning ◽  
Critical Care Nurses ◽  
Care Planning ◽  
Mechanical Ventilator ◽  
Weaning From Mechanical Ventilation ◽  
Single Factor ◽  
Assessment Program ◽  
Planning Strategies

Weaning patients from mechanical ventilator assistance is difficult and often requires the input of experts. Though researchers have identified numerous factors that impede weaning and continue to develop criteria to determine ability to wean, no single factor or set of criteria have yet emerged to guide clinicians. In an effort to design a tool that assists critical care nurses in forwarding the wean process, the authors developed a comprehensive, integrated, computerized ventilator weaning program that stimulates the thinking and care planning strategies of experts. The Burns Wean Assessment Program also teaches complex concepts and tracks the progress of the weaning patient

scholarly journals Time spent in prior hospital stay and outcomes for ventilator patients in long-term acute care hospitals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Berna Demiralp ◽  
Lane Koenig ◽  
Jing Xu ◽  
Samuel Soltoff ◽  
John Votto
Keyword(s):  
Mechanical Ventilation ◽  
Endotracheal Intubation ◽  
Acute Care ◽  
Prolonged Mechanical Ventilation ◽  
Acute Care Hospitals ◽  
Care Hospital ◽  
Mechanical Ventilator ◽  
Ventilated Patients ◽  
Ventilator Patients

Abstract Background Long-term acute care hospitals (LTACHs) treat mechanical ventilator patients who are difficult to wean and expected to be on mechanical ventilator for a prolonged period. However, there are varying views on who should be transferred to LTACHs and when they should be transferred. The purpose of this study is to assess the relationship between length of stay in a short-term acute care hospital (STACH) after endotracheal intubation (time to LTACH) and weaning success and mortality for ventilated patients discharged to an LTACH. Methods Using 2014–2015 Medicare claims and assessment data, we identified patients who had an endotracheal intubation in STACH and transferred to an LTACH with prolonged mechanical ventilation (defined as 96 or more consecutive hours on a ventilator). We controlled for age, gender, STACH stay procedures and diagnoses, Elixhauser comorbid conditions, and LTACH quality characteristics. We used instrumental variable estimation to account for unobserved patient and provider characteristics. Results The study cohort included 13,622 LTACH cases with median time to LTACH of 18 days. The unadjusted ventilator weaning rate at LTACH was 51.7%, and unadjusted 90-day mortality rate was 43.7%. An additional day spent in STACH after intubation is associated with 11.6% reduction in the odds of weaning, representing a 2.5 percentage point reduction in weaning rate at 18 days post endotracheal intubation. We found no statistically significant relationship between time to LTACH and the odds of 90-day mortality. Conclusions Discharging ventilated patients earlier from STACH to LTACH is associated with higher weaning probability for LTACH patients on prolonged mechanical ventilation. Our findings suggest that delaying ventilated patients’ discharge to LTACH may negatively influence the patients’ chances of being weaned from the ventilator.

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