A: Tracheostomy timing in Project IMPACT surgical ICUs

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.

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.

HomeLOX liquid oxygen system, which creates oxygen from a concentrator and refrigerates the concentrator gas to a liquid state, which is stored in a small.

The Spectrum mask incorporates the leak port into the circuit, whereas the Mirage mask incorporates the leak port into the mask. The Spectrum mask incorporates.

Picture of bubble PEP devices.

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.

Differences in the distribution of lung densities in a patient with ARDS on a computed tomography scan between supine position (top) and prone position.

Percutaneous dilatational tracheostomy (PDT) should be performed with flexible bronchoscopy guidance to visualize the anterior entry site of the needle,

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.

Example airway pressure and rib-cage impedance in a premature infant supported with the biphasic mode of SiPAP (“sigh” positive airway pressure) from the.

A: Computed tomogram shows bilateral dependent consolidation in a patient with ARDS, as well as ground-glass opacities in the non-dependent lung. A: Computed.

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.

A: Machine-triggered intermittent mandatory ventilation (IMV) with inadequate patient triggering of mandatory breaths. A: Machine-triggered intermittent.

Trigger and synchronization windows.

Illustrated here are several features used to determine that the esophageal balloon is correctly placed in the esophagus. Illustrated here are several.

Top: Stress index (SI) in a patient early in the course of ARDS

Recommendations from the Pre-hospital Trauma Life Support (PHTLS) manual for FIO2 delivery, based on breathing frequency and FIO2 capabilities of devices.

Surgical open tracheostomy.

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.

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.

Schematic drawing of alveolar sizes at upper (A), middle (B), and lower dependent (C) lung regions at end expiration and end inspiration. Schematic drawing.

Effect of respiratory mechanics on cycling of pressure support from inhalation to exhalation. Effect of respiratory mechanics on cycling of pressure support.

Negative pressures calculated with the Rosen and Hillard formula

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.

Control circuit for an adaptive pressure targeting scheme (eg, Pressure Regulated Volume Control). Control circuit for an adaptive pressure targeting scheme.

The curved Macintosh blade and straight Miller blade in standard adult sizes (Macintosh size 3, Miller size 2), with different handle choices available.

Change in mean pulmonary arterial pressure after a 5-min inhalation of the Rho kinase inhibitor Y in rats with hypoxic pulmonary hypertension, with.

Areas under the receiver operating characteristic (ROC) curves for both the training and testing data sets based on a number of hidden-layer perceptrons.

Control circuit for set-point or dual targeting schemes.

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.

Assembly used to convert a standard ventilator to an intermittent mandatory ventilation circuit. Assembly used to convert a standard ventilator to an intermittent.

Breathing frequency and PaCO2: comparison between high-flow nasal cannula oxygen therapy (HFNC) and comparative therapies in 8 studies. Breathing frequency.

Screen shot of test acceptability and reproducibility for spirometry (upper panel) and diffusion capacity of the lung for carbon monoxide (DLCO) (lower.

Venn diagram illustrating how the mode taxonomy can be viewed in terms of discriminating features and defining features. Venn diagram illustrating how.

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.

Ciaglia Blue Dolphin percutaneous technique.

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

Calculated negative pressure developed in the lung plotted against the outside diameter of the suction catheter to the inside diameter of the airway. Calculated.

Survival of subjects listed for heart transplantation with and without spirometry. Survival of subjects listed for heart transplantation with and without.

Flow, airway pressure, and transversus abdominis electromyogram (EMG) waveforms from a mechanically ventilated patient with COPD receiving pressure-support.

Plots of alveolar PO2, hemoglobin saturation, and alveolar PCO2 as a function of alveolar ventilation in a normal subject at sea level (inspired oxygen.

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.

Spirometry test quality, reported as a grade point average, for the pulmonary function technicians, in the first 40 months of the Lung Health Study. Spirometry.

Impact of craniofacial anomaly on face mask-related skin compromise.

Care of chronically ill adult and pediatric patients by location.

Laryngoscopic view grading system as initially developed by Cormack and Lehane.12 A: Grade I, the glottis is completely visible. Laryngoscopic view grading.

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.

A: Work of breathing before and after nebulized terbutaline delivered via standard nebulization method versus delivered during continuous positive airway.

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.

Diametrical differences between percutaneous dilatational tracheostomy loading dilators and percutaneous tracheostomy tubes. Diametrical differences between.

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.

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

With the patient's mouth opened, the tip of the curved blade (Macintosh) is inserted into the right side of the mouth. With the patient's mouth opened,

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,

Enhancing flow synchrony with a variable flow, pressure-targeted breath. Enhancing flow synchrony with a variable flow, pressure-targeted breath. In the.

Relationship between the ΔP0. 1/end-tidal CO2 (ΔP0

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.

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:

A: Tracheostomy timing in Project IMPACT surgical ICUs A: Tracheostomy timing in Project IMPACT surgical ICUs. B: Tracheostomy utilization in Project IMPACT surgical ICUs and Barnes-Jewish Hospital surgical ICUs. Adapted from Reference 40. A: Tracheostomy timing in Project IMPACT surgical ICUs. B: Tracheostomy utilization in Project IMPACT surgical ICUs and Barnes-Jewish Hospital surgical ICUs. Adapted from Reference 40. Nora H Cheung, and Lena M Napolitano Respir Care 2014;59:895-919 (c) 2012 by Daedalus Enterprises, Inc.