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.

Slides:



Advertisements
Similar presentations
Criteria used to determine breath types during mechanical ventilation
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.
Airway pressure and flow waveforms during constant flow volume control ventilation, illustrating the effect of an end-inspiratory breath-hold. Airway pressure.
Trigger pressure-time product (PTP) with zero pressure support, with no leak, medium leak, and large leak. Trigger pressure-time product (PTP) with zero.
Example ventilator screen during nasal neurally adjusted ventilatory assist in a premature neonate (23 weeks gestational age, 560 g) with respiratory distress.
Lung CT images were obtained while tracing the curve in static conditions. Lung CT images were obtained while tracing the curve in static conditions. Note.
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.
Example of nocturnal oxygen desaturation (NOD) and its physiological consequences. Example of nocturnal oxygen desaturation (NOD) and its physiological.
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.
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.
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.
Likert-scale agreement ratings regarding the use of extubation readiness parameters by pediatric critical care physicians. Likert-scale agreement ratings.
Example airway pressure and rib-cage impedance in a premature infant supported with the biphasic mode of SiPAP (“sigh” positive airway pressure) from the.
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.
Indications for ventilation in adults
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.
Interactions among clinician, patient, and ventilator.
Trigger and synchronization windows.
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.
Pressure, flow, volume, and electrical activity of the diaphragm (EAdi) waveforms from a patient on pressure support ventilation, and the presumed pressure.
This tracing depicts 30 seconds of information.
Graphic representation of a dynamic airway pressure scalar during volume control ventilation with a constant inspiratory flow. Graphic representation of.
Schematic drawing of alveolar sizes at upper (A), middle (B), and lower dependent (C) lung regions at end expiration and end inspiration. Schematic drawing.
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.
Control circuit for an adaptive pressure targeting scheme (eg, Pressure Regulated Volume Control). Control circuit for an adaptive pressure targeting scheme.
Carbon monoxide (CO) delivery system used in animal models and Phase 1 clinical trials. Carbon monoxide (CO) delivery system used in animal models and.
Change in mean pulmonary arterial pressure after a 5-min inhalation of the Rho kinase inhibitor Y in rats with hypoxic pulmonary hypertension, with.
The Boussignac continuous positive airway pressure (CPAP) is a small plastic cylinder that attaches to a face mask. The Boussignac continuous positive.
Control circuit for set-point or dual targeting schemes.
Assembly used to convert a standard ventilator to an intermittent mandatory ventilation circuit. Assembly used to convert a standard ventilator to an intermittent.
Control circuit for a servo targeting scheme (eg, Proportional Assist Ventilation). Control circuit for a servo targeting scheme (eg, Proportional Assist.
Negative pressures generated in our airway model.
Change in trigger delay during invasive (A) and noninvasive ventilation (B) with variable leak. Change in trigger delay during invasive (A) and noninvasive.
Venn diagram illustrating how the mode taxonomy can be viewed in terms of discriminating features and defining features. Venn diagram illustrating how.
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.
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.
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.
Schematic of mechanisms behind the better recruitment of alveoli with spontaneous breathing. Schematic of mechanisms behind the better recruitment of alveoli.
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.
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.
Airway pressure and flow graphics illustrate delayed cycling.
A: Work of breathing before and after nebulized terbutaline delivered via standard nebulization method versus delivered during continuous positive airway.
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.
Relationship between airway resistance (Raw) and lung volume, the reciprocal of Raw (conductance of the airways [Gaw]) and lung volume, and Gaw/TGV (thoracic.
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.
Enhancing flow synchrony with a variable flow, pressure-targeted breath. Enhancing flow synchrony with a variable flow, pressure-targeted breath. In the.
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.
Mean ± SD PEEP requirements from randomized clinical trials of lung-protective ventilation whereby PEEP and FIO2 were titrated to maintain PaO2
Coefficients of variation across ventilation modes and ARDS categories for each combination of effort and breathing frequency. Coefficients of variation.
Minute-by-minute means of breathing variables during the spontaneous breathing trial for the groups of subjects with trial success (n = 32) and failure.
Effects of an automated endotracheal-tube-compensation system on a pressure-support breath. Effects of an automated endotracheal-tube-compensation system.
Presentation transcript:

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 are presented. The large SD values prevented significant differences between airway pressure release ventilation (APRV) and conventional mechanical ventilation, but a strong trend indicates less use of these drugs in conventional mechanical ventilation as compared with airway pressure release ventilation. From Reference 45, with permission. Eduardo Mireles-Cabodevila, and Robert M Kacmarek Respir Care 2016;61:761-773 (c) 2012 by Daedalus Enterprises, Inc.