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ADVANCED MECHANICAL VENTILATION
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Maneuvers on Mechanical Ventilation
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47:33
ICU REACH
Mechanical Ventilation in Severe Asthma: A Comprehensive Training Session for Critical Care Fellows!
In this comprehensive YouTube training session, expert critical care professionals will guide critical care fellows through the complexities of mechanical ventilation for patients with severe airflow obstruction and asthma. This video will provide an in-depth understanding of ventilator settings, management strategies, and patient monitoring to optimize care and minimize complication
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08:07
ICU REACH
Lung Recruitment with Open Lung Tool (OLT)
OLT is a tool that helps you perform lung recruitment maneuvers and find the optimal PEEP level for your patient. Lung recruitment maneuvers are techniques that aim to open up collapsed lung units and improve oxygenation. PEEP stands for positive end-expiratory pressure and it is the pressure that remains in the airways at the end of expiration. PEEP can help prevent alveolar collapse and maintain lung volume.
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07:35
ICU REACH
Pressure Control or Volume Control in ARDS Ventilatory Management?
The video explores the ongoing debate over which approach is more effective in ventilatory management of acute respiratory distress syndrome (ARDS) patients. Dr. Kherallah provides a detailed analysis of the benefits and drawbacks of each approach, with a particular focus on patient comfort and optimal oxygenation. Using a combination of lecture-style presentation and visual aids, Dr. Kherallah offers valuable insights into the topic, drawing on extensive experience and expertise in the field of critical care. The video is an excellent resource for medical professionals seeking to enhance their understanding of ventilatory management in ARDS patients.
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Advanced Mechanical Ventilation Modes
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07:47
Airway Pressure Release Ventilation APRV
In this video, we'll explore the fundamentals of Airway Pressure Release Ventilation (APRV), a ventilation strategy that utilizes higher continuous positive airway pressure (CPAP) levels to recruit alveoli in ARDS. We'll also discuss the settings and adjustment of this mode and potential benefits in clinical practice.
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14:55
An Overview of Adaptive Support Ventilation (ASV)
ASV, a form of closed loop ventilation, utilizes a pressure-targeted approach to optimize the balance between tidal volume and respiratory frequency based on Otis-predicted lung mechanics. By adopting a pressure ventilation format, ASV establishes a ventilatory pattern that minimizes the work of breathing, auto PEEP, and peak airway pressure. Although ASV shares similarities in gas delivery format with pressure control ventilation and pressure-regulated volume control, it stands out with its algorithmic control of the ventilatory pattern. ASV automatically determines the ideal tidal volume and respiratory rate to ensure that peak pressure remains below the target level.
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24:02
Adaptive Support Ventilation (ASV): A Closed Loop Ventilation with Pressure-Targeted Mode
Adaptive support ventilation (ASV) utilizes a pressure-targeted approach to closed loop ventilation. This approach optimizes the balance between tidal volume and respiratory frequency based on lung mechanics predicted by Otis. ASV adopts a pressure ventilation format, which establishes a ventilatory pattern that minimizes the work of breathing, auto positive end expiratory pressure (PEEP), and peak airway pressure. The gas delivery format of ASV is similar to pressure control ventilation and pressure-regulated volume control. However, ASV differs from these methods by incorporating algorithmic control of the ventilatory pattern. ASV automatically determines the ideal tidal volume and respiratory rate to maintain peak pressure below the target level.
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Asynchrony on Mechanical Ventilation
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05:47
Termination Asynchrony on Mechanical Ventilation
Termination asynchrony is a type of ventilator-patient dyssynchrony that occurs when the ventilator cycles to exhalation does not coincide with the end of neural inspiration. It can cause patient discomfort and increased work of breathing. Termination asynchrony can be either premature or delayed, depending on whether the ventilator terminates inspiration too early or too late.
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02:57
Flow Asynchrony on Volume Controlled Mechanical Ventilation
Flow asynchrony is a type of ventilator-patient dyssynchrony that occurs when the mechanical flow is inadequate for the patient’s demand. It can cause patient discomfort, air hunger, and increased work of breathing. Flow asynchrony is more common in volume control mode of ventilation because the flow is fixed and may not match the patient’s needs.
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08:16
Patient ventilator Asynchrony: Double Triggering
double triggering is a type of ventilator-patient dyssynchrony that occurs when two ventilator breaths are delivered within one patient inspiratory effort. It can be caused by a shorter inspiratory time of the mechanical breath than the patient’s neural inspiratory time. Double triggering can lead to higher tidal volumes and breath stacking, which may increase the risk of lung injury.
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