Weaning (Liberating) from the mechanical ventilator

FromICU Rounds

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Weaning (Liberating) from the mechanical ventilator

FromICU Rounds

ratings:

Length:

26 minutes

Released:

May 25, 2007

Format:

Podcast episode

Description

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 ventilation (NIV)?

Released:

May 25, 2007

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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Antibiotic Considerations in the ICU: Why do we choose the antibiotics that we do? How long do we continue the course of therapy? Should we use some antibiotics together? These topics are covered in the episode. by ICU Rounds
54 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
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
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
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
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
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
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
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
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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
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
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
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Thermal Injuries: An introduction of the biology of thermal injuries and the initial care of the patient with thermal injuries in critical condition. by ICU Rounds
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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
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PAIN: a four letter word: The management of pain is a key element of the care of all patients-- ICU or not. Often providers have little understanding of the concepts and medications of pain management. This episode serves as an introduction. by ICU Rounds
40 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
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
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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
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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
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
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
Atrial Fibrillation: Atrial fibrillation is a common problem in ICU patients, but it is a problem with many potential causes, and not always a well defined treatment. by ICU Rounds
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Traumatic Rhabdomyolyisis / Crush Syndrome: Crush syndrome is a common cause of death following earth quakes, mine and building collapses. Traumatic rhabdomyolysis may also be seen following electrical injury or severe trauma. (This is a reposting due to some previous technical problems with... by ICU Rounds
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Do Steroid Improve Survivial in Sepsis? CORTICUS Trial: The results of the CORTICUS trial are discussed. by ICU Rounds
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Oxygenation & PEEP: A discussion of ventilation, oxygenation, and the role of PEEP. by ICU Rounds
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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
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
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

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Weaning (Liberating) from the mechanical ventilator

Weaning (Liberating) from the mechanical ventilator

Description

Titles in the series (97)

More Episodes from ICU Rounds

Related podcast episodes