mechanical ventilation (assisted ventilation)

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Indications

Procedure

Modes of Mechanical Ventilation

* volume-controlled continuous mandatory ventilation is the initial mode of choice in patients with respiratory failure

Settings

Positive end-expiratory pressure (PEEP)

* if plateau pressure remains > 30 cm H2O, consider pneumothorax

  • see other complications below

Ventilator Management

Complications

Pressure injury

Other complications of ventilation

Management

General considerations

Weaning from an endotracheal tube

Post-extubation

Tracheostomy

More general terms

More specific terms

Additional terms

References

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  2. 2.0 2.1 Contributions from Peter Baylor, MD, UCSF Fresno
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    Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022
  4. 4.0 4.1 Journal Watch 20(13):101 2000 Kress et al, N Engl J Med 342:1471, 2000
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    Reade MC et al. Effect of dexmedetomidine added to standard care on ventilator-free time in patients with agitated delirium: A randomized clinical trial. JAMA 2016 Apr 12; 315:1460. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26975647
    Ely EW, Pandharipande PP. The evolving approach to brain dysfunction in critically ill patients. JAMA 2016 Apr 12; 315:1455 PMID: https://www.ncbi.nlm.nih.gov/pubmed/26976552
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  13. Mireles-Cabodevila E, Hatipoglu U, Chatburn RL A rational framework for selecting modes of ventilation. Respir Care. 2013 Feb;58(2):348-66. PMID: https://www.ncbi.nlm.nih.gov/pubmed/22710796 Free Article
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    SuDDICU Investigators for the Australian and New Zealand Intensive Care Society Clinical Trials Grouo Effect of Selective Decontamination of the Digestive Tract on Hospital Mortality in Critically Ill Patients Receiving Mechanical Ventilation. A Randomized Clinical Trial. JAMA. Published online October 26, 2022 PMID: https://www.ncbi.nlm.nih.gov/pubmed/36286097 https://jamanetwork.com/journals/jama/fullarticle/2798011
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Patient information

mechanical ventilation patient information