bibliography of selected studies by the ARDS Network Kenneth Nugent MD
This pivotal study reported the outcome in 861 patients in a randomized controlled trial which compared a low tidal volume strategy (6ml/kg IBW) with a plateau pressure < 30 cm…
This pivotal study reported the outcome in 861 patients in a randomized controlled trial which compared a low tidal volume strategy (6ml/kg IBW) with a plateau pressure < 30 cm…
Chapter 27 Tracheostomy Indications Emergency tracheostomy It is performed due to an anatomic obstacle preventing the establishment of a secure airway. Planned tracheostomy Prolonged endotracheal intubation can result in tracheal…
Chapter 20 ICU sedation and pain management 2001 American College of Critical Care Medicine (ACCM) Sedation Guidelines were developed to help guide the practitioner in the usage of sedatives and…
Chapter 17 RT daily duties in the ICU The daily duties of a respiratory therapist start with receiving report from the RT assigned the previous shift, followed by walking rounds…
Chapter 15 Comprehensive care of the ventilated patient Patient Position The patient’s head should be elevated at least 30 degrees. Patients need frequent turning to prevent pressure ulcers on…
Chapter 14 Positive pressure ventilation effects on cardiac function The effects of mechanical ventilation on the cardiovascular system depend on the baseline myocardial reserve, circulating intravascular volume, intrathoracic pressure (ITP),…
Chapter 12 Salvage strategies for severe hypoxemia Prone positioning Reverses atelectasis in dependent lung zones Increases PaO2 No change in mortality at 28 or 180 days (Ref…
PC – Pressure control The ventilator delivers the same pressure during every inspiration, and this pressure is maintained throughout the inspiratory cycle. The resulting tidal volume depends on the…
Chapter 1 Key ideas Most patients who require mechanical ventilation do well with the assist-control mode. Patients with acute lung injury and acute respiratory distress syndrome have better…