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),

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 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.

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.

Model of relationship between ventilation and perfusion.

Picture of bubble PEP devices.

A ventilator and TTL test lung were used to simulate spontaneous breathing. A ventilator and TTL test lung were used to simulate spontaneous breathing.

Noninvasive ventilation-neurally adjusted ventilatory assist (NIV-NAVA) where each patient effort is captured but support is insufficient (maximum electrical.

A: Pressure (green) and volume (black)/time curve in airway pressure release ventilation (APRV). A: Pressure (green) and volume (black)/time curve in airway.

Likert-scale agreement ratings regarding the use of extubation readiness parameters by pediatric critical care physicians. Likert-scale agreement ratings.

Simulated screenshot of flow starvation in volume control continuous mandatory ventilation. Simulated screenshot of flow starvation in volume control continuous.

Indications for ventilation in adults

Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value, Area Under the Curve, and 95% CIs for the 0, 10, 25, 50, and 100 SatSeconds.

Ultrasonographic assessment of diaphragm thickness.

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.

Comparison of airway pressure release ventilation (APRV) (blue curve) and biphasic positive airway pressure (BIPAP) (black curve). Comparison of airway.

Trigger and synchronization windows.

Whisker plot of expiratory pressure-time product: Direct comparison of expiratory pressure-time product (PTPEXP) in face mask versus helmet in all tested.

Typical pressure-time curves during forced expiration against an occluded airway in cystic fibrosis (CF) patients and healthy controls. Typical pressure-time.

Pressure, flow, volume, and electrical activity of the diaphragm (EAdi) waveforms from a patient on pressure support ventilation, and the presumed pressure.

Algorithm of the typical evolution of disease in patients with progressive neuromuscular disorders (gray boxes) and assessments and interventions that.

In this tracing of 30 seconds, 4 breaths are ineffectively triggered (arrows IT) and 7 are effectively triggered. In this tracing of 30 seconds, 4 breaths.

Ineffective efforts and operation of apnea ventilation during pressure control continuous spontaneous ventilation (PC-CSV). Ineffective efforts and operation.

Asynchrony index (%) during invasive and noninvasive ventilation (NIV) relative to leak level. Asynchrony index (%) during invasive and noninvasive ventilation.

Asynchrony index (%) during invasive and noninvasive ventilation (NIV) relative to body weight. Asynchrony index (%) during invasive and noninvasive ventilation.

Work rate as a function of pressurization rate and cycling-off threshold, during pressure-support ventilation of (A) patients with acute lung injury (ALI),

Bland-Altman plots with exhaled VT difference plotted against the mean (displayed and pneumotachograph-measured) with and without sensor for method circuit.

Flow, esophageal pressure, airway pressure, and transpulmonary pressure can be used to calculate respiratory system compliance, chest-wall compliance,

We connected the supplemental oxygen supply at 3 places: near the ventilator, near the exhalation valve, and on the nasal mask port. We connected the supplemental.

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.

Process control chart of the mean monthly time between emergency department assessment/bronchodilator treatment and emergency department discharge. Process.

Study protocol. Study protocol. Subjects with hemodynamic, respiratory, and neurologic stability and positive predictive index were randomized to 3 groups.

Alveolar dead space. Alveolar dead space. A: An ideal unit (top) receives nearly equal amounts of ventilation and perfusion. B: When perfusion drops (and.

Control circuit for a servo targeting scheme (eg, Proportional Assist Ventilation). Control circuit for a servo targeting scheme (eg, Proportional Assist.

This figure is an example of a 14-year-old child with obstructive lung disease due to cystic fibrosis. This figure is an example of a 14-year-old child.

Change in trigger delay during invasive (A) and noninvasive ventilation (B) with variable leak. Change in trigger delay during invasive (A) and noninvasive.

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.

Kaplan-Meier curve for the probability of noninvasive ventilation (NIV) failure relative to continuous use of NIV and stratified for Acute Physiology and.

The cause of asynchrony during volume-targeted ventilation and total asynchrony index. The cause of asynchrony during volume-targeted ventilation and total.

SpO2 at baseline, pre- and post-intubation.

Mean inspiratory work of breathing during assisted breaths and spontaneous breaths across the spectrum of ventilatory support continuous mandatory ventilation.

Schematic of mechanisms behind the better recruitment of alveoli with spontaneous breathing. Schematic of mechanisms behind the better recruitment of alveoli.

Bland-Altman analysis of the end-tidal carbon dioxide concentration (PETCO2) during resting (A), with mouth closed (B), and during deep breathing (C) while.

Components of a patient-triggered mechanical breath.

FEV1 and FVC for the control group (without noninvasive ventilation [NIV]), NIV with an inspiratory pressure (IPAP) of 15 cm H2O and expiratory pressure.

Indications for ventilation in children and adolescents

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.

Inspiratory load compensation responses before and after inspiratory muscle strength training (IMST) in the unweaned versus weaned subjects, with a 10.

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.

Plot of the surface tension (γ) and area.

An artificial neural network: a multilayer perceptron.

Progression of spontaneous breathing trials administered during inspiratory muscle strength training study interventions. Progression of spontaneous breathing.

Boundary graph for prescription flow (Qp) and supply flow (Qs).

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,

Lung model expiratory CO2 (or PETOv2) representing simulated alveolar CO2 at baseline (no high-flow nasal cannula) and effect on expiratory CO2 at different.

Cerebral magnetic resonance imaging of our patient performed at ∼7

Percent of extremely-low-birth-weight (ELBW) babies alive and off mechanical ventilation at 7 days, and median days on mechanical ventilation for ELBW.

Minute-by-minute means of breathing variables during the spontaneous breathing trial for the groups of subjects with trial success (n = 32) and failure.

Setup of the BiPAP Synchrony with an inspiratory filter and single-limb passive circuit, with the filter placed over the fixed leak to collect aerosol.

Time taken to perform the Glittre activities of daily living (Glittre ADL) test by severity of COPD obstruction according to Global Initiative for Chronic.

Presentation transcript:

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), in the presence of leaks and with the NIV algorithm deactivated (L+NIV0), and in the presence of leaks and with the NIV algorithm activated (L+NIV+). 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), in the presence of leaks and with the NIV algorithm deactivated (L+NIV0), and in the presence of leaks and with the NIV algorithm activated (L+NIV+). All results are pooled. Histogram bars mean ± SD. * P < .05 vs L0NIV0; † P < .05 vs L+NIV0 (analysis of variance). Note that the Leoni Plus could be tested only with an expiratory trigger setting of 25%. Laurence Vignaux et al. Respir Care 2014;59:1463-1475 (c) 2012 by Daedalus Enterprises, Inc.