Patient-Ventilator Interactions and ventilator discontinuation

FromICU Rounds

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Patient-Ventilator Interactions and ventilator discontinuation

FromICU Rounds

ratings:

Length:

20 minutes

Released:

Aug 7, 2008

Format:

Podcast episode

Description

Getting patients comfortable on the ventilator is not an easy task. This podcasts focuses on methods to make patients synchronize with the ventilator as well as a discussion of spontaneous breathing and awake trials

Released:

Aug 7, 2008

Format:

Podcast episode

Titles in the series (97)

also available for free download on iTunes. (http://itunes.apple.com/us/podcast/icu-rounds/id254707344)

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Modes of Mechanical Ventilation: A discussion of the various types of ventilators with a focus on the various ventilator modes and types of ventilator cycles. Also presented is the topic of pressure support ventilation (PSV) by ICU Rounds
24 min listen
Oxygenation & PEEP: A discussion of ventilation, oxygenation, and the role of PEEP. by ICU Rounds
26 min listen
What is the role of decadron in preventing post extubation stridor?: What is the role of giving an adult steroids to prevent stridor or reintubation following extubation. This epidose looks at the data. by ICU Rounds
9 min listen
Early Surgery Improves Outcomes Following Critical Burns: Early surgical excision is likely to be the most significant individual variable to imporve the outcome of a patient (adult or child) with a critical burn. Nevertheless, many nonburn physicians still want to apply to 1970 treatment paradigms to... by ICU Rounds
24 min listen
Weaning (Liberating) from the mechanical ventilator: Don't wean people from their ventilators-- liberate them!! When are people ready to come off the ventilator? What are weaning parameters? How does one do a spontaneous weaning trial? What is the role of noninvasive... by ICU Rounds
26 min listen
Airway Pressure Release Ventilation (APRV) or BiVent: What the heck is this?: Airway pressure release ventilation (APRV) is not a new mode of mechanical ventilation, but it seems to be gaining a great deal of popularity lately. Many people find this mode very complicated and thick that it is reserved only for the very... by ICU Rounds
23 min listen
Sepsis - Part 2: In this episode we discuss that ICU care of the patient with sepsis. This includes an introduction to various vasopressors. by ICU Rounds
33 min listen
Bomb and Blast Injuries: Bomb and blast injuries: In the past blast injuries were limited to the battlefield of a rare industrial accident. The events of the past week are a reminder that civilian population centers are targets for bombing attacks. ... by ICU Rounds
32 min listen
Complications of PEEP and Auto-PEEP: Virtually all patients on ventilators are on PEEP. PEEP has several interactions with various organ systems and some can result in profound complications. An understanding of PEEP and auto-PEEP are required before we can understand modes of... by ICU Rounds
19 min listen
Intraosseous Vascular Access: not just for the kids anymore: Intraosseous vascular access was was developed for use in adult trauma patients over 80 years ago. Only recently has this technique regained popularity for rapid and safe access to the vascular space in patients in extremis. by ICU Rounds
18 min listen
Lightning Injuries: Lightning injuries are rare, but when you do treat a patient they can have facinating presentations. This lecture follows a patient we treated at Vanderbilt. The patient present to a local ED with stroke like symptoms... by ICU Rounds
11 min listen
Metabolism: Starvation versus Stress: Not feeding an injured or ill patient is not that same as a normal individual who is fasting. A pound of weight loss in the stress patient is significantly different than a pound of weight loss in someone on a diet. A basic... by ICU Rounds
29 min listen
Glutamine In Critical Illness: what's all the fuss about?: All surgical residents know that glutamine is the amino acid known as the fuel for the gut. But what is all the fuss about? The episode will look at the data on glutamine. Does glutamine improve outcomes, and if so and in... by ICU Rounds
11 min listen
Blood Products: Blood products: pRBCs, fresh frozen plasma, platelets, cryoprecipitate when and how should we use it? What are the risks? You may order them like IV fluids but do you really know how these potentially deadly products are to be... by ICU Rounds
38 min listen
Metabolic Acidosis in the ICU: A common problem in the ill or injured patient is a metabolic acidosis. In this episode we will review the common etiology of a metabolic acidosis as well as some lesser known causes. by ICU Rounds
37 min listen
Renal Replacement Therapy: SCUF, SLED, CVVH, CVVHD, IHD--what does it all mean: Renal replacement therapy (RRT) is rather a confusing topic. What do all those initials mean and why use one therapy over another? This podcast will explain the difference between intermittent and continous. What are the... by ICU Rounds
32 min listen
Control of hyperglycemia improves outcomes: A great deal is being presented and published on control of blood sugar in the ICU as well as the postoperative period. How much control is enough and what is the data? by ICU Rounds
34 min listen
HIT: Heparin Induced Thrombocytopenia: Large numbers of patients in ICUs are on heparin and what is this complication of heparin induced thrombocytopenia? by ICU Rounds
20 min listen
Smoke Inhalation Injury: CO and Cyanide Toxicity: The onset of cold weather will bring with it an increase in structure fires. The leading cause of deaths in fires is complications from the inhalation of smoke-- not burns. Learn why smoke is so deadly as well as what are the appropriate... by ICU Rounds
39 min listen
Blood Conservation in the ICU: When should a patient receive a transfuse of blood? What is an acceptable hemoglobin concentration in an ICU patient and should we use EPO? Summer is a time when the blood banks often have a single day's worth of blood. Perhaps with... by ICU Rounds
28 min listen
Acute RenalFailure: Acute renal failure is a dreaded complication in the ICU. This podcast will review the various types of acute renal failure, the etiology, as well as acute management. by ICU Rounds
42 min listen
Pharmacology of Shock: This is a basic introduction of some of the drugs used in various forms of shock. by ICU Rounds
38 min listen
Burns: Fluid Creep: Excessive fluid resuscitations lead to horrible complications such as abdominal compartment syndrome. This article takes a critical look and challanges many of our practices in fluid resuscitation of burn patients. by ICU Rounds
22 min listen
Cardiovascular Risk Reduction for Surgery: This episode explores what is needed to make surgery safer for the patient with cardiovascular disease. by ICU Rounds
30 min listen
Crush Syndrome: Earthquakes are horrible natural events causing loss of lives in the thousands. Following earthquakes, building collapses, and cave-ins, large number of victims will suffer from renal failure and death following crush syndrome. by ICU Rounds
19 min listen
Do Steroid Improve Survivial in Sepsis? CORTICUS Trial: The results of the CORTICUS trial are discussed. by ICU Rounds
23 min listen
Pediatric Burns: Pediatric burns: all burns are serious, both big and small. This episode reviews the objectives of burn care to result in the best functional outcome. Also, burn is a very common method of child abuse and we detail how these children... by ICU Rounds
48 min listen
Surviving Sepsis Campaign (part 2): We continue our discussion of the Surviving Sepsis Campaign (SSC). This includes fluids types, steroids, rhAPC (Xigris), and blood sugar control. by ICU Rounds
34 min listen
Traumatic Shock and Fluid Resuscitation: Fluid resuscitation done poorly can result in significant complications to the patient. This episode will present some of the newer considerations in fluid resuscitation in traumatic shock. by ICU Rounds
42 min listen
Polypharmacy in the Elderly: Patients are often admitted to the ICU with an entire list of home medications. In this episode I talk about the implications and dangers of polypharmacy. by ICU Rounds
29 min listen

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Splitting a Ventilator: Multipatient Ventilation for COVID?: Throughout the pandemic, there has been considerable discussion about the possibility of running our of ventilators. One potential solution that was brought forward was putting multiple patients on a single ventilator. This is a lot harder than merely... by ICU Rounds
16 min listen
Prone Ventilation for ARDS (COVID-19): This week we have a brief conversation about prone mechanical ventilation for ARDS. Does it provide a benefit? When should we use it, and why does it work? I hope this is helpful as prone ventilation has been reported to provide benefit to patients... by ICU Rounds
20 min listen
ARDS and Mechanical Ventilation / COVID-19 Care: Today we discuss the approach to oxygenating and mechanically ventilating a patient suffering from ARDS. We will cover elements relevant and essential in the management of COVID patients and all others with ARDS. by ICU Rounds
33 min listen
ICU Care of Coronavirus (COVID-19): I'm back. I plan on providing you with some useful information when caring for patients infected with COVID-19 (Coronavirus). In this episode, I will provide you an overview of the current evidence and best practices with some explanation and... by ICU Rounds
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Colloids: Details and Myths: This episode provide some basic description of colloids as will as some myths. by ICU Rounds
18 min listen
Random Serum Cortisol Levels are misleading: A physiological explanation why random cortisol levels are NOT helpful in evaluating adrenal function by ICU Rounds
17 min listen
EARLY use of Tranexamic Acid may improve survival from bleeding in trauma: In this episode we talk about the results of the CRASH-2 trial published in Lancet. This trial showed that the EARLY use of Tranexamic acid may improve survivial, but delayed use may be associated with an increased mortality. by ICU Rounds
20 min listen
Pediatric IVC diameter determination with ultrasound: If you are using ultrasound to evaluate IVC diamter in children, what is considered a normal IVC diameter? You can determine the IVC/Ao ratio or correct the IVC diamter based on the child's body surface area. by ICU Rounds
16 min listen
Takotsubo Cardiomyopathy: This is a condition that mimics acute coronary syndrome (ACS) that may be caused by acute emotional or physical stress. Patient's may appear to have profound cardiogenic shock, but these patients have a very high survivial rate with little more... by ICU Rounds
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Necrotizing Soft Tissue Infection (NTSI): This episode discusses the pathophysiology, presentation, and treatment of NTSI. by ICU Rounds
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Different Cardiac Output Monitors & Physiology: This episode will discuss the physiology behind various CO output monitors such as pulmonary artery catheters, PICCO, pulse wave form analysis, and LiDCO. by ICU Rounds
31 min listen
Lactic Acidosis - Type B: Now these are the types of lactic acidosis that most people are not familiar. They can be caused by medications, underlying disease, or inborn errors of metabolism. by ICU Rounds
17 min listen
Lactate Acidosis - Type A: This podcast is a description of how lactate is produced and metabolized. I will discuss the role of lactate in the diagnosis and management of shock. This podcast will focus on Type A lactic acidosis. by ICU Rounds
22 min listen
Endotracheal tube cuff leaks and self-extubations: A brief description on what to consider when confronted with a patient with an air leak from the ET tube or a patient that self-extubates. by ICU Rounds
24 min listen
Pulmonary Embolus: A description of the risk factors, diagnosis, and treatment of PE. by ICU Rounds
33 min listen
Smoke Inhalation Injury: Smoke Inhalation injuries can be deadly. This episode explains why smoke can be so deadly, and how to care for those patients with suspected smoke inhalation injuries. by ICU Rounds
31 min listen
Propofol Related Infusion Syndrome: Propofol Related Infusion Syndrome is a potentially fatal complication of propofol. If you use this common ICU drug you need this information. by ICU Rounds
24 min listen
Wedge: Everyone elses favorite Swan number: Wedge or PAOP is perhaps the most quoted and poorly understood variable generated by a Swan-Ganz. by ICU Rounds
26 min listen
SVO2 My favorite Swan Number: The most helpful number for me on a Swan is the SvO2. This is a brief description of how I use this variable in evaluating critically ill and injured patients. by ICU Rounds
19 min listen
Therapeutic Hypothermia After Cardiac Arrest: Therapeutic hypothermia after cardiac arrest is part of ACLS and is used by several EMS agencies around the US. Despite good data and improved patient outcomes, many providers fail to used this modality. This podcast will focus on a... by ICU Rounds
34 min listen
Pancreatitis - Surgical Indications and Procedures: This is the third in the series on severe pancreatitis and necrotizing pancreatitis. This episode reviews the indications for surgery, morbidity and mortality of surgery, and what are the surgical options. by ICU Rounds
26 min listen
Severe Acute Pancreatitis: Part 2 ICU Considerations: A brief discussion of the considerations of ICU care of the patient with severe pancreatitis, fluid resuscitation, respiratory, renal, and nutrition. by ICU Rounds
18 min listen
Pancreatitis - Part 1: This is an initial presentation of the causes and diagnosis of acute pancreatitis. by ICU Rounds
26 min listen
That peripheral IV can kill you: Suppurative Thrombophlebitis: All the recent emphasis on venous catheter infections has been on central lines. Those peripheral IVs are also dangerous. by ICU Rounds
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Acute Colonic Pseudoobstruction (Ogilvie's Syndrome): Acute Colonic Pseudoobstruction (ACPO) is commonly called Ogilvies Syndrome. ACPO presents massive dilation in critically ill patients, and might result in invasive procedures to avoid ischemia or perforation of the colon. by ICU Rounds
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Hemoglobin Based Oxygen Carriers (a.k.a. Artificial Blood): A brief summary of what are hemoglobin based oxygen carriers (HBOC) and where are they in development. by ICU Rounds
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Catheter-Related Bloodstream Infection: Diagnosis: Discussion of what is the difference between a CVC infection and a catheter-related blood stream infection. They are treated differently so it is important to know the difference. by ICU Rounds
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Ventilator Associated Pneumonia: A discussion on nosocomial infections and VAP. by ICU Rounds
34 min listen
Complications of Dwelling Central Lines: What horrible things can happen with central lines once they have been inserted. by ICU Rounds
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Central Line Insertion Complications: A discussion of the potential problems encountered while inserting central venous catheters. by ICU Rounds
32 min listen

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Patient-Ventilator Interactions and ventilator discontinuation

Patient-Ventilator Interactions and ventilator discontinuation

Description

Titles in the series (97)

More Episodes from ICU Rounds

Related podcast episodes