CCP Podcast 029: Mechanical Ventilation…Phases of the Breath

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The third in the series with Ollie Poole (@RespReview) on mechanical ventilation. Ollie goes into some more detail on the phases of the breath. This requires some visualisation of the waveform involved. Below is the video from YouTube that Ollie originally produced which should help with that.

Irma Bilgrami does a great job of breaking down some of the principles of mechanical ventilation in her SMACC talk. She approaches it in a similar way to analysing the ECG waveform.

#FOAMed

Delayed Sequence Intubation

A new study in Annals of Emergency Medicine seems to support the process of delayed sequence intubation in those patients that will not tolerate pre-oxygneation or peri intubation procedures. EmCrit has a nice algorithm on his site (he was involved in this study) which breaks the process down simply and The Bottom Line has reviewed the paper in question. Scott has also done is usual great job in helping us understand this through his podcast:

Life in the Fast Lane breaks the process down in some more detail.

Cervical Collars

ILCOR (International Liaison Committee on Resuscitation) have published some draft guidelines on the use of cervical collars which does not recommend their use. Scancrit covers some of this in his blog and, like him, I will quote what they actually say:

“We suggest against spinal motion restriction, defined as the reduction of or limitation of cervical spinal movement, by routine application of a cervical collar or bilateral sandbags (joined with 3-inch-wide cloth tape across the forehead) in comparison to no cervical spine restriction in adults and children with blunt suspected traumatic cervical spinal injury (weak recommendation, very low quality of evidence).
Values and preferences statement: Because of proven adverse effects in studies with injured patients, and evidence concerning a decrease in head movement only comes from studies with cadavers or healthy volunteers, benefits do not outweigh harms, and routine application of cervical collars is not recommended.”

Intensive Care Society State of the Art Meeting December 2015

I have had the recent privilege of being introduced to Ganesh Suntharalingam (@Ganesh_ICM) who is involved in the committee with the Intensive Care Society for the State of the Art meeting later this year. He is gathering a team around him who will help make some changes to the format of this excellent conference. He tweeted some results from a survey he published which makes some very interesting reading. What I found exciting is that others feel, like me, that publication of some of the presentations for those not able to attend would be valuable. This is the FOAMed principle in practice. You can continue to add your own views via this link. Advanced Critical Care Practitioner Conference

Conference details can be found here.

Podcast LinkPodcast Episode Name
CCP Podcast 001Introduction and Interview with Teresa Chinn from @WeNurses
CCP Podcast 002Twitter, Google Hang Outs and Speakpipe
CCP Podcast 003Interview with Robin Davies, Lead Resuscitation Officer
CCP Podcast 004Great Medical Podcasts to Listen To
CCP Podcast 005Chat with Ken Spearpoint
CCP Podcast 006Chat with David Barton
CCP Podcast 007Chat with Bethan Bishop
CCP Podcast 008Chat with Claire Flatt
CCP Podcast 009SMACC Me Hard!
CCP Podcast 010Cricoid Pressure: Do it? Do it right? Or do it at all?
CCP Podcast 011Social Media...Use it, don't abuse it!
CCP Podcast 012Get my feet to the floor...please!
CCP Podcast 013Mind and Body
CCP Podcast 014How Much Fluid?
CCP Podcast 015The Power of Practitioners?
CCP Podcast 016The Strong Arm of Eric...YouTube Learning.
CCP Podcast 017Simon is one of the First 2 Act
CCP Podcast 018Mechanical Ventilation...
CCP Podcast 019SepsisPAM analysed. Gav and Jonathan try to work it out!
CCP Podcast 020More Power to Practitioners
CCP Podcast 021Jesse's Show
CCP Podcast 022ACPs Education, Education, Education.
CCP Podcast 023Wash Your Mouth Out!!
CCP Podcast 024Mechanical Ventilation...the basics
CCP Podcast 025Teresa Gets A Gong!
CCP Podcast 026Crew Resource Management...What?
CCP Podcast 027Crew Resource Management Continued
CCP Podcast 028James DuCanto Talks Intubation
CCP Podcast 029Mechanical Ventilation...Phases of the Breath
CCP Podcast 030SMACC it!
CCP Podcast 031Lifesaver to Lightsabre!
CCP Podcast 032Hello South Africa!
CCP Podcast 033Calling all students...
CCP Podcast 034Mechanical Ventilation...Types of breath
CCP Podcast 0355 Tips for Better Presentations
CCP Podcast 036Head of Bed Elevation and Reflux
CCP Podcast 037How to Make Ultrasound Easier!
CCP Podcast 038WeNurses Tweet Chat About Advanced Practitioners
CCP Podcast 039Early Mobilisation- Get Them Moving!
CCP Podcast 040Why Won't We Change?
CCP Podcast 041PTSD in Critical Care
CCP Podcast 042What angle should I sit my patient at?
CCP Podcast 043Why won't my patient sleep?
CCP Podcast 044Helping the ITU patient sleep
CCP Podcast 045Simple Things to Help them Sleep
CCP Podcast 046PTSD in Critical Care II
CCP Podcast 047Advanced Critical Care Practitioner
CCP Podcast 048RSI- Which Drug?
CCP Podcast 049Central Venous Catheter- Which Needle?
CCP Podcast 050LeoPARDS Trial
CCP Podcast 051ICU Follow Up Clinics
CCP Podcast 052Chronic Critical Illness
CCP Podcast 053Nutrition Guidelines
CCP Podcast 054Nutrition Guidelines at ICSSOA 2016
CCP Podcast 055Papers of the Month
CCP Podcast 056Got to help them cough
CCP Podcast 057Papers of the Month
CCP Podcast 058Early Mobilisation. Do we know it works?
CCP Podcast 059Surviving the ICU: The Patient Experience.
CCP Podcast 060My Critical Care Patient Can't Swallow! Why?
CCP Podcast 061Papers of the Month: March 2017
CCP Podcast 062Escalate the Patient!
CCP Podcast 063The Two Jonnys Do Twitter: May 2017
CCP Podcast 064Papers of the Month May 2017
CCP Podcast 065ACCP Presentation- What, Why, How?
CCP Podcast 066The Two Jonnys Do Twitter: May 2017 (2)
CCP Podcast 067Papers of the Month June 2017
CCP Podcast 068The Two Jonnys Do Twitter: June 2017
CCP Podcast 069DasSMACC Day 1
CCP Podcast 070DasSMACC Day 2
CCP Podcast 071DasSMACC Day 3
CCP Podcast 072The Two Jonnys Do Twitter: July 2017
CCP Podcast 073Bariatric Surgery in the Management of the Obese Patient
CCP Podcast 074Lung Ultrasound with SonoPhysio
CCP Podcast 075ACP Conference October 2017
CCP Podcast 076The Two Jonnys Septmber 2017

CCP Podcast 077NCEPOD 2017 Acute NIV
CCP Podcast 078NCEPOD 2017 Acute NIV- A Discussion
CCP Podcast 079The Two Jonnys November 2017
CCP Podcast 080Nitin does FICE….quickly!
CCP Podcast 081The Two Jonnys at ICSSOA 2017 (and Dave)
CCP Podcast 082FICE...Just Do It!
CCP Podcast 083Guidelines to Tracheal Intubation
CCP Podcast 084Audits on some ACCPs skills
CCP Podcast 085Papers of the Month March 2018
CCP Podcast 086Psychology of patients, relatives and staff
CCP Podcast 087ECMO- How can I make the best referral?
CCP Podcast 088Chat about NTI2018
CCP Podcast 089Cath and Jonathan chat about BTS2018
CCP Podcast 090Mechanical Ventilation with Thomas
CCP Podcast 091Practitioners Across The Pond
CCP Podcast 092Practicing Critical Care Like An Adult
CCP Podcast 093Recent research with Nicole Kupchik
CCP Podcast 094Magnesium for the win.
CCP Podcast 095More mechanical ventilation with Thomas
CCP Podcast 096Hyponatremia
CCP Podcast 097ERS Conference 2018
CCP Podcast 098Bryan talks AKI
CCP Podcast 099Fluids- Part I
CCP Podcast 100The Two Jonnys Season Two
CCP Podcast 101Palliative Care in the ICU
CCP Podcast 102Dale Needham and Delirium
CCP Podcast 103Acute Right Heart Failure
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