CCP Podcast 029: Mechanical Ventilation…Phases of the Breath

Podcast: Play in new window | DownloadSubscribe: Apple Podcasts | Android | RSSTweet 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 […]

Using Nasal Specs During Intubation Gives You More Time….

Tweet Abstract Study Objective: To evaluate the influence of nasal oxygen (O2) administration on the duration of arterial oxygen saturation (SpO2) ≥95% during simulated difficult laryngoscopy in obese patients. Design: Prospective, randomized, controlled trial. Setting: University hospital. Patients: 30 obese men undergoing general anesthesia. Interventions: After thorough preoxygenation, and using total intravenous anesthesia, simulated difficult […]

Lower tidal volume at initiation of mechanical ventilation may reduce progression to acute respiratory distress syndrome: a systematic review.

Tweet In mechanically ventilated patients without ARDS at the time of endotracheal intubation, the majority of data favors lower tidal volume to reduce progression to ARDS. However, due to significant heterogeneity in the data, no definitive recommendations can be made. Further randomized controlled trials examining the role of lower tidal volumes in patients without ARDS, […]

Cricoid Pressure – A Lack of Evidence

Tweet The Main Question: Is there any evidence for the efficacy of cricoid pressure in reducing aspiration? The short answer is no. A systematic review intended to answer this question was published in the Canadian Journal of Anaesthesia in 2007 and concluded, “Following our analysis of the literature it was apparent that there was no […]

Weaning From Mechanical Ventilation update

Tweet Nearly 800,000 patients require mechanical ventilation yearly. There’s no doubt it is a life-saving intervention, but it is one that is fraught with the potential for iatrogenesis, especially if continued for longer than necessary. That is the main message of this review in the NEJM by John F. McConville and John P. Kress (father of the sedation holiday) from the University of […]

CCP Podcast 034: Mechanical Ventilation…Types of breath.

Podcast: Play in new window | DownloadSubscribe: Apple Podcasts | Android | RSSTweet http://traffic.libsyn.com/criticalcarepractitioner/CCP_034.mp3 In this podcast I carry on my conversation with Ollie Poole (@respreview) about some of the issues with mechanical ventilation. We talk about the different types of breath and why we use them. This then helps us identify some of the […]

Ventilator-Associated Complications on Length of Stay and Antibiotic Use in Patients in Intensive Care Units

Tweet Surveillance for VAP is subjective and labor intensive. VAC is an objective measure which can be readily obtained from electronic records. It is associated with adverse outcomes and increased broad-spectrum antibiotic usage. VAC may be a useful surveillance tool. The utility of VAC prevention bundles merits assessment….link here

NODESAT -Preoxygenation and Prevention of Desaturation During Emergency Airway Management

Tweet This article reviews preoxygenation and peri-intubation oxygenation techniques to minimize the risk of hypoxemia during emergency tracheal intubation of adult patients. It introduces a risk-stratification approach based on initial pulse oximetry level in response to oxygen administration and provides recommendations about specific techniques based on periprocedural risk. Techniques reviewed include positioning, preoxygenation and denitrogenation, […]

Advanced life support and mechanical ventilation

Tweet Is there a need for active ventilation during ALS? Could we go passive? Some discussion….here

Respiratory Review….new learning opportunity on YouTube

Tweet I have been lucky enough to find a new series of YouTube videos produced by Ollie Poole a Registered Respiratory Therapist (RRT) in Canada. He has used the Khan Academy style of teaching and has done it to a very high standard. the videos are of a good quality and easy to watch and learn […]

CREAD 001- CRitical Evaluation, Appraisal and Discussion

Tweet Welcome to the very first edition of CREAD- CRitical Evaluation, Appraisal and Discussion.  This very much takes its inspiration from the work of the team over at Life in The Fast Lane which provides regular round ups of some of the many resources available via the internet which makes our learning easier.  We are attempting […]

High-Frequency Oscillation in Early Acute Respiratory Distress Syndrome

Tweet In conclusion, in adults with moderate-to-severe ARDS, the early application of HFOV targeting lung recruitment — as compared with a ventilation strategy that uses low tidal volume and high PEEP and that permits HFOV only in cases of refractory hypoxemia — does not reduce mortality and may be harmful…link here