Delivery efficiency with different devices, ventilator positions, and ventilator settings. Delivery efficiency with different devices, ventilator positions,

Slides:



Advertisements
Similar presentations
آشنايی با اصول و پايه های يک آزمايش
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.
Mask fit process. Mask fit process. The mask fit process begins with 3-dimensional surface images of the subject's face (A). Three-dimensional scans are.
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.
Trigger delays and leaks.
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.
Several potential sources of error in esophageal manometry are illustrated in this transverse section of the thorax. Several potential sources of error.
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.
Noninvasive ventilation-neurally adjusted ventilatory assist (NIV-NAVA) where each patient effort is captured but support is insufficient (maximum electrical.
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.
A 13-month-old subject had a deep tissue injury on the nose bridge when a nasal mask was used as a full face mask. A 13-month-old subject had a deep tissue.
Simulated screenshot of flow starvation in volume control continuous mandatory ventilation. Simulated screenshot of flow starvation in volume control continuous.
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.
During this tracing of 30 seconds, the ventilator displays that the patient rate is 16 breaths/min. During this tracing of 30 seconds, the ventilator displays.
Comparison of airway pressure release ventilation (APRV) (blue curve) and biphasic positive airway pressure (BIPAP) (black curve). Comparison of airway.
A: Machine-triggered intermittent mandatory ventilation (IMV) with inadequate patient triggering of mandatory breaths. A: Machine-triggered intermittent.
Trigger and synchronization windows.
Recommendations from the Pre-hospital Trauma Life Support (PHTLS) manual for FIO2 delivery, based on breathing frequency and FIO2 capabilities of devices.
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.
Asynchrony index (%) during invasive and noninvasive ventilation (NIV) relative to leak level. 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),
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.
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.
Changes in PaO2/FIO2 (A) and PaCO2 (B).
The curved Macintosh blade and straight Miller blade in standard adult sizes (Macintosh size 3, Miller size 2), with different handle choices available.
Carbon monoxide (CO) delivery system used in animal models and Phase 1 clinical trials. Carbon monoxide (CO) delivery system used in animal models and.
Three-dimensional computed tomogram reconstruction of the great vessels extending into the neck, documenting a pseudo-aneurysm of the right innominate.
The Boussignac continuous positive airway pressure (CPAP) is a small plastic cylinder that attaches to a face mask. The Boussignac continuous positive.
Assembly used to convert a standard ventilator to an intermittent mandatory ventilation circuit. Assembly used to convert a standard ventilator to an intermittent.
Blind intubation through a supraglottic airway device (SAD), in this case, the laryngeal mask airway (LMA) Fastrach. Blind intubation through a supraglottic.
Control circuit for a servo targeting scheme (eg, Proportional Assist Ventilation). Control circuit for a servo targeting scheme (eg, Proportional Assist.
Intra-device comparison of albuterol captured at the end of the endotracheal tube (lung dose). Intra-device comparison of albuterol captured at the end.
Inter-device comparison
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),
Change in trigger delay during invasive (A) and noninvasive ventilation (B) with variable leak. Change in trigger delay during invasive (A) and noninvasive.
Kaplan-Meier curve for the probability of noninvasive ventilation (NIV) failure relative to continuous use of NIV and stratified for Acute Physiology and.
Total drug dose by device and condition while delivering 1 mL of ribavirin (5 min for the small-particle aerosol generator [SPAG] or 2 min for the vibrating.
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.
The esophageal balloon catheter is advanced to approximately 60 cm, so the catheter tip is in the stomach, confirmed by gently compressing the abdomen,
Graphical representation of the locations where spontaneous breaths may occur during the airway pressure (Paw) release ventilation ventilatory cycle. Graphical.
Mean inspiratory work of breathing during assisted breaths and spontaneous breaths across the spectrum of ventilatory support continuous mandatory ventilation.
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.
Frequency distribution of clinical trials involving first-generation and second-generation supraglottic airway devices (SADs). Frequency distribution of.
Ventilation protocol. Ventilation protocol. The PEEP group raised peak inspiratory pressure (PIP) through 5-cm H2O PEEP increments every 2 min while keeping.
A: Tracheostomy timing in Project IMPACT surgical ICUs
Tidal volume (VT) error (% difference between set and actual values) was determined for each ventilator at VT of 300, 500, and 700 mL. Tidal volume (VT)
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.
Experimental setup. Experimental setup. Each tested ventilator was connected to the TTL test lung via a ventilator circuit. An oxygen analyzer, a pressure.
For inspiratory load compensation testing, this threshold positive expiratory pressure (PEP) training device was inverted and connected to a respiratory.
Efficiency of aerosol bronchodilator delivery during continuous high-flow system at different CPAP and flow levels. Efficiency of aerosol bronchodilator.
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.
Fentenyl and lorazepam use for the first 5 d of ventilatory support are presented. Fentenyl and lorazepam use for the first 5 d of ventilatory support.
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.
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.
Presentation transcript:

Delivery efficiency with different devices, ventilator positions, and ventilator settings. Delivery efficiency with different devices, ventilator positions, and ventilator settings. Columns represent mean values, and error bars represent standard deviation. * Solo was less efficient at the ventilator than at the Y-piece (P = .02). † P = .01 when compared to same nebulizer/position with settings 20/15 cm H20. ‡ NIVO was less efficient than Solo at the Y-piece (P = .004), and Solo at the mask (P = .007). § NIVO was less efficient than Solo at the mask (P = .03). ‖ Hudson was less efficient than Solo regardless of placement and settings (P < .003). Jeanne Velasco, and Ariel Berlinski Respir Care 2018;63:141-146 (c) 2012 by Daedalus Enterprises, Inc.