At time zero, a water column of 10 cm H2O was poured above the tested endotracheal tube (ETT) cuffs. At time zero, a water column of 10 cm H2O was poured.

Slides:



Advertisements
Similar presentations
Effect of nasal positive expiratory pressure (PEP) on 6-min walk test (6MWT) distance and pre- to post-exercise increase in lung volumes in each individual.
Advertisements

The patient is being ventilated with 2 types of breaths.
The changes in peak flow and inspiratory time between a minimum rise time (first 2 breaths) and a maximum rise time (last 2 breaths), with the Servo-i.
Trigger pressure-time product (PTP) with zero pressure support, with no leak, medium leak, and large leak. Trigger pressure-time product (PTP) with zero.
Relationship between the recruited volume and the arithmetic mean of the ratios of lung density at PEEP 15 cm H2O to lung density at PEEP 5 cm H2O (μP15/P5)
Spearman rank correlation between absolute humidity and the patient's core temperature with the Humid-Heat device. Spearman rank correlation between absolute.
Matrix used to calculate the kappa statistic.
Lung simulator diagram of airway pressure release ventilation (APRV): volume (yellow), lung pressure (white), and flow (orange)/time curve. Lung simulator.
Trigger delays and leaks.
Picture of bubble PEP devices.
Flow chart of pressure support test and spontaneous breathing trial (SBT). Flow chart of pressure support test and spontaneous breathing trial (SBT). The.
Regression lines for boys and girls obtained in the present study and those already reported by several authors (for both genders). Regression lines for.
Cuff-pressure changes after the addition of 5 mL and 10 mL of air into the cuff of 3 artificial airways, after initial baseline of 30 cm H2O established.
Even though this patient is undergoing positive-pressure mechanical ventilation, the first 4 breaths have a relatively negative pressure (ie, pressure.
An example of delayed cycling during pressure-support ventilation of a patient with COPD, on a Puritan Bennett 7200 ventilator, which has a flow-termination.
Box plots comparing peak inspiratory pressures (PIP) causing the 4 main experimental outcomes: bradycardia, hypotension, asystole, and pneumothorax. Box.
The third breath has a negative deflection (ie, below PEEP) at the end of the mechanical breath (arrow A) associated with a flow increase (arrow B), indicating.
Simulated screenshot of flow starvation in volume control continuous mandatory ventilation. Simulated screenshot of flow starvation in volume control continuous.
Characteristics of a pressure-supported breath.
A: The Parker Flex-Tip tube (left) has a flexible tip pointing toward the center of the distal lumen. A: The Parker Flex-Tip tube (left) has a flexible.
Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value, Area Under the Curve, and 95% CIs for the 0, 10, 25, 50, and 100 SatSeconds.
Representative tracings of transcutaneous CO2 (PtcCO2), Spo2, and heart rate during an apnea test designed to raise Paco2 to 100 mm Hg. At baseline, PtcCO2.
Trigger and synchronization windows.
Top: Stress index (SI) in a patient early in the course of ARDS
A: Axial chest computed tomogram (CT) image with lung-window setting reveals overdistention of the endotracheal tube (arrow head) and a large defect of.
Example of Aerogen Solo Nebulizer before use with a fill volume of 3 mL normal saline (arrow 1) (A); the same nebulizer after random premature cessation.
In supine obese people, the weight of the abdomen pushes against the diaphragm, causing a cranial displacement of the muscle. In supine obese people, the.
Bland-Altman plots with exhaled VT difference plotted against the mean (displayed and pneumotachograph-measured) with and without sensor for method circuit.
Negative pressures calculated with the Rosen and Hillard formula
Schematic representation of the proposed definition of prolonged mechanical ventilation (PMV) in neonates and children. Schematic representation of the.
Change in mean pulmonary arterial pressure after a 5-min inhalation of the Rho kinase inhibitor Y in rats with hypoxic pulmonary hypertension, with.
Three-dimensional computed tomogram reconstruction of the great vessels extending into the neck, documenting a pseudo-aneurysm of the right innominate.
Gap size differences between the fiberoptic bronchoscope and a standard endotracheal tube (ETT) are shown. Gap size differences between the fiberoptic.
Areas under the receiver operating characteristic (ROC) curves for both the training and testing data sets based on a number of hidden-layer perceptrons.
Process control chart of the mean monthly time between emergency department assessment/bronchodilator treatment and emergency department discharge. Process.
A: Optimal cutoff point (circled) at which visual analog scale score categorizes subjects with versus those without bronchial obstruction. A: Optimal cutoff.
A: Scanning electron microscopy image of Bivona TTS silicone tube after 3 months of use. A: Scanning electron microscopy image of Bivona TTS silicone tube.
Blind intubation through a supraglottic airway device (SAD), in this case, the laryngeal mask airway (LMA) Fastrach. Blind intubation through a supraglottic.
Inspiratory time in excess (TIex) with the 10 ventilators tested under 3 conditions: in the absence of leaks and with the NIV algorithm deactivated (L0NIV0),
Negative pressures generated in our airway model.
Using the lambda, mu, sigma method, the sigma and lambda terms allow the 5th percentile lower limit of normal to be independently calculated throughout.
A: Pressure ulcer on the left cheek of a patient after 1 week of prone positioning using a commercially available endotracheal tube (ETT) holder. A: Pressure.
Calculated negative pressure developed in the lung plotted against the outside diameter of the suction catheter to the inside diameter of the airway. Calculated.
Flow, airway pressure, and transversus abdominis electromyogram (EMG) waveforms from a mechanically ventilated patient with COPD receiving pressure-support.
Bland-Altman analysis of the end-tidal carbon dioxide concentration (PETCO2) during resting (A), with mouth closed (B), and during deep breathing (C) while.
FEV1 and FVC for the control group (without noninvasive ventilation [NIV]), NIV with an inspiratory pressure (IPAP) of 15 cm H2O and expiratory pressure.
Pulmonary vascular resistance (PVR; dyn/s/cm) at baseline and after exposure to inhaled nitric oxide (INO; 20 ppm) for 10 min, inhaled epoprostenol (EPO;
Correlation between maximum inspiratory pressure and inspiratory load compensation (ILC) ventilatory variables in the 16 difficult-to-wean subjects, prior.
PaO2/FIO2, leukocyte count, and C-reactive protein during the first 10 days after out-of-hospital cardiac arrest, in subjects with or without early-onset.
Ventilation protocol. Ventilation protocol. The PEEP group raised peak inspiratory pressure (PIP) through 5-cm H2O PEEP increments every 2 min while keeping.
Sequence plot visualizing the development of symptom frequency for the cohort at the individual level between 2006 and Sequence plot visualizing.
The changes in peak flow and inspiratory time between a minimum rise time (first 2 breaths) and a maximum rise time (last 2 breaths), with the Servo-i.
Number of ventilator starts (including both noninvasive ventilation [NIV] and invasive mechanical ventilation subjects) based on age and etiology of ARF.
Representative tidal volume (VT) and breathing frequency (f) patterns of subjects with COPD and normal subjects during cardiopulmonary exercise testing.
Initial protocol for daily dangle
Double lumen endotracheal tube (DLET) with its upper channel dedicated to fiberoptic bronchoscopy (FOB) and lower channel exclusively dedicated to ventilation.
Plot of the surface tension (γ) and area.
Residual volume (RV) upper limit of normal plotted as a percentage of the predicted value. Residual volume (RV) upper limit of normal plotted as a percentage.
For inspiratory load compensation testing, this threshold positive expiratory pressure (PEP) training device was inverted and connected to a respiratory.
Delivery efficiency with different devices, ventilator positions, and ventilator settings. Delivery efficiency with different devices, ventilator positions,
Difference between mid-frequency ventilation (MFV), volume control continuous mandatory ventilation (VC-CMV), and pressure control CMV (PC-CMV) when frequency.
A: Comparison of pediatric lung transplant survival between different age groups. A: Comparison of pediatric lung transplant survival between different.
Average drug doses in the peripheral lung, central lung, and extrathoracic airway; residual drug left in the device; and residual drug that was exhaled.
Percent of extremely-low-birth-weight (ELBW) babies alive and off mechanical ventilation at 7 days, and median days on mechanical ventilation for ELBW.
Computed tomography image demonstrating bilateral mastoid effusions (left complete [red arrow], right partial [blue arrow]) with left middle ear space.
Minute-by-minute means of breathing variables during the spontaneous breathing trial for the groups of subjects with trial success (n = 32) and failure.
Representative waveforms for each of the devices tested from which the oscillatory f was counted. Representative waveforms for each of the devices tested.
Mean nasopharyngeal pressure during high-flow oxygen therapy, with mouth open or closed. Mean nasopharyngeal pressure during high-flow oxygen therapy,
Effects of an automated endotracheal-tube-compensation system on a pressure-support breath. Effects of an automated endotracheal-tube-compensation system.
Presentation transcript:

At time zero, a water column of 10 cm H2O was poured above the tested endotracheal tube (ETT) cuffs. At time zero, a water column of 10 cm H2O was poured above the tested endotracheal tube (ETT) cuffs. The graphics represent the mean ± SD of the residual vertical height of the water column (cm) at incremental times with PEEP 0, 5, 10, and 15 cm H2O. A: Double-layer prototype (guayule latex, cylindrical). B: Microcuff (polyurethane, cylindrical). C: Mallinckrodt SealGuard (polyurethane, conical). D: Mallinckrodt Hi-Lo (PVC, cylindrical). E: Portex Ivory (PVC, cylindrical). F: Mallinckrodt High-Contour (PVC, cylindrical). G: Mallinckrodt TaperGuard (PVC, conical). From Reference 115, with permission. Carl F Haas et al. Respir Care 2014;59:933-955 (c) 2012 by Daedalus Enterprises, Inc.