Ventilation Management
A case of COVID-19 and high respiratory drive
Provided by Dr. Nuttapol Rittayamai Case Synopsis A 59 years old man presented with COVID-19 pneumonia and severe ARDS. He was ventilated, heavily sedated and paralyzed, and received prone positioning for two consecutive weeks. After discontinuing cisatracurium, he developed asynchrony with the mode Pressure Regulated Volume Control (PRVC). We decided to put an EAdi catheter…
Read MoreRelations between dead space, respiratory rate, tidal volume and alveolar ventilation. Impact of protective ventilation settings and impact of instrumental dead space. Part 2
Based on the recently published paper “Impact of Respiratory Rate and Dead Space in the Current Era of Lung Protective Mechanical Ventilation”, we will discuss here briefly the different part of the dead space and how it can be reduced, as well as the relations with respiratory rate, tidal volume and alveolar ventilation (part 2).…
Read MoreHow to set the initial respiratory rate in critically ill patients and in the operating room? Impact for initial settings in mechanically ventilated COVID-19 patients. Part 1
Protective mechanical ventilation should be implemented after intubation in ARDS and in non ARDS patients, and in COVID-19 patients with pneumonia. However, protective ventilation does not just mean tidal volume reduction and we would like to focus here on the respiratory rate and the instrumental dead space. Based on the recently published paper “Impact of…
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