Mohammed Megri. MD IMCrit Emily Fridenmaker Curro Miralles Aman Thind Eduardo Mireles-Cabodevila Matt Siuba Dr Miguel Ibarra CHEST Critical Care Network VentBusters Society of Mechanical Ventilation Ariel J Garnero Mayo Clinic Mechanical Ventilation Conference WeVent #🟦Gustavo Cortes-Puentes, M.D. Great point
Is it a thing/ a practise to use 0 to 3 PEEP if you dont follow the table but rather the physiology?
Be always a doubting Thomas !!! Fede Gordo Doc Musician Dr Miguel Ibarra Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Society of Mechanical Ventilation Cardio-Respiratory Researchers Saudi Respiratory MS in Respiratory Care at Texas State University Matt Siuba Sateesh chandra SCCM Respiratory Care Section
Jose Ramon Belmontes Eduardo Mireles-Cabodevila Society of Mechanical Ventilation VentBusters Fede Gordo Matt Siuba Aman Thind Uddalak Majumdar Dr Miguel Ibarra Ariel J Garnero jie SCCM Respiratory Care Section The pdf is attached in the thread below
Ben Fabry Ariel J Garnero RESPIRATORY CARE My understanding is that it is simply to overcome the tubing resistance, not to add inspiratory support. Is this incorrect?
Doc Musician Mostafa Elshazly Fede Gordo Dr Miguel Ibarra Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Society of Mechanical Ventilation Cardio-Respiratory Researchers Saudi Respiratory MS in Respiratory Care at Texas State University Matt Siuba Sateesh chandra SCCM Respiratory Care Section Sorry to disagree, but 1.6 is a normal sensitive value being used. There are more sensitive values. The less sensitive is 2 and still happens.
Walter de aquino Angelo Roncalli Ben Fabry Ariel J Garnero Eduardo Mireles-Cabodevila Marden Junio Luis Felipe Fonseca Reis Fede Gordo Doc Musician Matt Siuba In #21 only. As I wrote before, in #18 it seems maximum contraction occurred at end-inspiration, so it's more consistent with early-onset RT with delayed relaxation. See example.
Ben Fabry Fede Gordo Dr Miguel Ibarra Doc Musician Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Ryan Cutro Society of Mechanical Ventilation Sameed M Matt Siuba This graph using this scale is made only to demonstrate the capacity of the mode of providing mandatory and spontaneous breaths. To observe those details, I will upload a graph under a different time scale. I use that scale to evaluate the respiratory drive pattern only.
This was great work by, our soon to be exfellow, Sameed M which i think will help solve this common myth, CPAP 0/0 is not equal to TC. Society of Mechanical Ventilation VentBusters Fede Gordo Matt Siuba Aman Thind Uddalak Majumdar Dr Miguel Ibarra Ariel J Garnero jie SCCM Respiratory Care Section
Taxonomy of the Modes:
Why we classify Automode as having a breath sequence of IMV? ( more precisely IMV(2) ). By the way, BiPAP S/T and AVAPS also are IMV(2). Doc Musician Dr Miguel Ibarra Eduardo Mireles-Cabodevila Society of Mechanical Ventilation Saudi Respiratory MS in Respiratory Care at Texas State University
Taxonomy of the Modes: IMV(3): Mandatory breaths are reintroduced when the observed Minute Ventilation < Set Minute Ventilation. Fede Gordo Dr Miguel Ibarra Doc Musician Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Ryan Cutro Society of Mechanical Ventilation Sameed M Matt Siuba
Mostafa Elshazly Fede Gordo Doc Musician Dr Miguel Ibarra Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Society of Mechanical Ventilation Cardio-Respiratory Researchers Saudi Respiratory MS in Respiratory Care at Texas State University Matt Siuba Sateesh chandra SCCM Respiratory Care Section Autotriggering due to cardiogenic oscillations of the Paw. The pt is not breathing at all. Auto-triggering happens more often when flow triggering is being used that pressure.
Walter de aquino Angelo Roncalli Ben Fabry Ariel J Garnero Eduardo Mireles-Cabodevila Marden Junio Luis Felipe Fonseca Reis Fede Gordo Doc Musician Matt Siuba What’s the difference between #18 & #21?. This is tricky, Peso is necessary, but maximum contraction occurred during expiration in #21 (so a stacked breath).
Doc Musician Sameed M Eduardo Mireles-Cabodevila Society of Mechanical Ventilation Fede Gordo Matt Siuba Aman Thind Uddalak Majumdar Dr Miguel Ibarra Ariel J Garnero jie SCCM Respiratory Care Section A standard MV protocol for SBT? informing the stakeholders about this issue. Whether it is used or abandoned in the clinic is not our main topic. to be a method that can be standardized and monitored. Thank Sameed M for adressing to this issue.
Sameed M Eduardo Mireles-Cabodevila Society of Mechanical Ventilation VentBusters Fede Gordo Matt Siuba Aman Thind Uddalak Majumdar Dr Miguel Ibarra jie SCCM Respiratory Care Section Or Tpiece too. For Resp Therapists TC = Trach Collar.
Walter de aquino Angelo Roncalli Ben Fabry Ariel J Garnero Eduardo Mireles-Cabodevila Marden Junio Luis Felipe Fonseca Reis Fede Gordo Doc Musician Matt Siuba You have a few inconsistencies. First, the entrainment patterns are not defined at each breath, as you need several breaths to classify any pattern, for instance, you need at least three consecutive breaths for 1:1 and at least 6 breaths for 1:2. You have an 'unstable' pattern.
IMCrit Mohammed Megri. MD Emily Fridenmaker Curro Miralles Aman Thind Eduardo Mireles-Cabodevila Matt Siuba Dr Miguel Ibarra CHEST Critical Care Network VentBusters Society of Mechanical Ventilation Ariel J Garnero Mayo Clinic Mechanical Ventilation Conference WeVent #🟦Gustavo Cortes-Puentes, M.D. You said it's already 2 weeks of NIV! Will proning, ECMO etc help after so long? The lung has already fibrosed?
