Search Tag: mechanical ventilation

ICU Management

Early Deep Sedation in Mechanically Ventilated COVID-19 Patients

2022 20 Jun

Sedation management is a critical component when managing mechanically ventilated patients. It is important to use a protocol-driven approach, which favours paired spontaneous awakening (SAT) and breathing (SBT) trials, along with light levels of sedation. The initial period of respiratory failure in the emergency department and the first 48 hours... Read more

ICU Management

Enteral Nutrition Practices in ICU Patients With Circulatory Shock

2022 14 Jun

Approximately one-third of patients admitted to the ICU are in circulatory shock, which increases the risk of mortality. Death from circulatory shock is preceded by multiple organ dysfunction syndrome with a high mortality rate of over 80%. Loss of gut epithelial barrier function contributes to gut-derived proinflammatory immune responses that contribute... Read more

ICU Management

#EA22: Long-Term Exposure to Air Pollution Increases Risk of Severe COVID-19

2022 07 Jun

New research presented at Euroanaesthesia 2022 finds that long-term exposure to air pollution is linked to a greater risk of severe COVID-19. Findings from the study show that people living in counties with higher levels of nitrogen dioxide (NO 2 ) were more likely to need ICU care and mechanical ventilation if they had COVID-19. Long-term exposure... Read more

ICU Management

Precision Therapies for Heterogeneous ARDS Patients

2021 20 Jul

ARDS is a heterogeneous syndrome rather than a distinct disease. It is this heterogeneity that often makes it difficult to study treatments for patients with ARDS. Literature on ARDS is rife with clinical trials that do not show any mortality benefit.   Recent evidence suggests different sub-phenotypes within the heterogeneous patient population.... Read more

ICU Management

Oxygen Therapy

2021 24 Jun

S upplemental oxygen is an essential component of intensive care and is a commonly used therapy worldwide. The primary goal of oxygen therapy is to prevent hypoxaemia. Since oxygen is usually widely available (except in special circumstances such as during the COVID-19 pandemic) and is relatively inexpensive, it is frequently used in patients with... Read more

Executive Health Management

COVID-19 vs Influenza: Comparative Study

2021 20 Mar

New research compares the epidemiology and clinical characteristics of COVID-19 patients against those of influenza patients to find if hospitalis ations, morbidity and mortality differ for two diseases.   You might also like: WHO has launched a free online course dedicated to the rehabilitation of COVID-19 patients. Learn more... Read more

ICU Management

Early vs Late Tracheostomy and Ventilator-Associated Pneumonia

2021 16 Mar

Surgically opening the windpipe, or trachea, within the first seven days of the start of mechanical ventilation decreases the time patients spend on ventilators, shortens their ICU stay and lowers their risk of ventilator-associated pneumonia, according to a new systematic review. "We analysed the existing medical literature to unravel a question... Read more

ICU Management

Ventilator-Associated Pneumonia in COVID-19 Patients

2021 20 Jan

The coronavirus has a high incidence of patients with severe acute respiratory syndrome (SARS). Many patients infected with COVID-19 need to be admitted to the ICU for invasive ventilation. They are also at a high risk of developing secondary, ventilator-associated pneumonia (VAP). This is because of breach of natural defences by invasive devices,... Read more

ICU Management

Intensive Renal Replacement Therapy and Mechanical Ventilation Duration

2020 11 Oct

Acute kidney injury (AKI) is a global health issue, accounting for approximately two million deaths per year as well as presenting a heavy economic burden on healthcare systems. Hospital-acquired AKI is associated with increased risk of death and prolonged length of hospital stay.   There are no effective treatments beyond supportive care for patients... Read more

ICU Management

Risk Factors for ARDS in Mechanically Ventilated Adults

2019 16 Dec

Acute respiratory distress syndrome (ARDS) is an inflammatory process that could lead to diffuse oedema and hypoxaemic respiratory failure. It is also characterised by increased pulmonary vascular permeability, increased lung weight, and loss of aerated lung. In low and middle-income countries, ARDS mortality ranges from 26 to 58%.  A large majority... Read more