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1

daoud, ehab, Robert Cabbat, Jewelyn Cabigan, Kimiyo Yamasaki, and Gary Kaneshiro. "Split-ventilation for more than one patient, can it be done? Yes." Journal of Mechanical Ventilation 1, no. 1 (2020): 1–7. https://doi.org/10.5281/zenodo.3982220.

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Daoud, Ehab, Jewelyn Cabigan, Gary Kaneshiro, and Kimiyo Yamasaki. "Split-ventilation for more than one patient, can it be done? Yes." Journal of Mechanical Ventilation 1, no. 1 (2020): 1–7. http://dx.doi.org/10.53097/jmv.10002.

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Background: The COVID-19 pandemic crisis has led to an international shortage of mechanical ventilation. Due to this shortfall, the surge of increasing number of patients to limited resources of mechanical ventilators has reinvigorated the interest in the concept of split ventilation or co-ventilation (ventilating more than one patient with the same ventilator). However, major medical societies have condemned the concept in a joint statement for multiple reasons. Materials and Methods: In this paper, we will describe the history of the concept, what is trending in the literature about it and a
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McClelland, Graham, Karl Charlton, Karen Millican, Daniel Haworth, Paul Aitken-Fell, and Michael Norton. "EP10 The impact of introducing real time feedback on ventilation rate and volume by ambulance clinicians in the North East in a simulated cardiac arrest scenario: the VANZ study." Emergency Medicine Journal 38, no. 9 (2021): A5.2—A5. http://dx.doi.org/10.1136/emermed-2021-999.10.

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BackgroundAdequate ventilation is an important aspect of cardiopulmonary resuscitation (CPR). Research suggests 80% of caregivers hyperventilate during CPR and that feedback improves compliance with ventilation guidelines. Hyperventilation is associated with increased intrathoracic pressure, impaired haemodynamics and cerebral vasoconstriction and therefore can be deleterious to survival. VANZ aimed to determine if compliance with European Resuscitation Council (ERC) ventilation guidelines could be improved using a real time ventilation feedback deviceMethodsParticipants simulated a two-minute
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Bhoyar, Ankit D. "Evolution and Characteristics of Bag-Valve-Mask Ventilation During Pandemic: A Review of the Literature." International Journal for Research in Applied Science and Engineering Technology 9, no. VII (2021): 25–29. http://dx.doi.org/10.22214/ijraset.2021.36227.

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Mass casualty incidents such as those that are being experienced during the novel coronavirus disease (COVID-19) pandemic can overwhelm local healthcare systems, where the number of casualties exceeds local resources and capabilities in a short period of time. The introduction of patients with worsening lung function as a result of COVID-19 has strained traditional ventilator supplies. To bridge the gap during ventilator shortages and to help clinicians triage patients, manual resuscitator devices can be used to deliver respirations to a patient requiring breathing support. For patients who re
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Vincent-Lambert, Craig, Andrew Makkink, and Fredrick Kloppers. "Keep pushing! Limiting interruptions to CPR; bag-valve mask versus i-gel® airway ventilation." Health SA Gesondheid 21 (October 11, 2016): 21–32. http://dx.doi.org/10.4102/hsag.v21i0.931.

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Background: Recent recommendations made by ILCOR have de-emphasised the role of advanced airway management such as “endotracheal intubation” (ETI) during cardiac arrest in favour of maximising the number of chest compressions performed by rescuers. Maximising time available for compressions is achieved by minimising hands-off time (HOT). This has led to first responders and paramedics performing single rescuer CPR using a bag-valve-mask (BVM) device as opposed to the historical practice of intubating and ventilating via an endotracheal tube. Bag-valve-mask ventilations, especially during singl
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Lozano-Zahonero, Sara, Matthias Schneider, Sashko Spassov, and Stefan Schumann. "A novel mechanical ventilator providing flow-controlled expiration for small animals." Laboratory Animals 54, no. 6 (2020): 568–75. http://dx.doi.org/10.1177/0023677220906857.

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For investigating the effects of mechanical ventilation on the respiratory system, experiments in small mammal models are used. However, conventional ventilators for small animals are usually limited to a specific ventilation mode, and in particular to passive expiration. Here, we present a computer-controlled research ventilator for small animals which provides conventional mechanical ventilation as well as new type ventilation profiles. Typical profiles of conventional mechanical ventilation, as well as flow-controlled expiration and sinusoidal ventilation profiles can be generated with our
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Mammel, Mark C., Janice P. Ophoven, Patrick K. Lewallen, Margaret J. Gordon, Marylyn C. Sutton, and Stephen J. Boros. "High-Frequency Ventilation and Tracheal Injuries." Pediatrics 77, no. 4 (1986): 608–13. http://dx.doi.org/10.1542/peds.77.4.608.

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Recent reports linking serious tracheal injuries to various forms of high-frequency ventilation prompted this study. We compared the tracheal histopathology seen following standard-frequency, conventional mechanical ventilation with that seen following high-frequency, conventional mechanical ventilation, and two different forms of high-frequency jet ventilation. Twenty-six adult cats were examined. Each was mechanically ventilated for 16 hours. Seven received standard-frequency, conventional mechanical ventilation at 20 breaths per minute. Seven received high-frequency, conventional mechanical
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Botta, Michela, David M. P. van Meenen, Tobias D. van Leijsen, et al. "Effects of Automated Versus Conventional Ventilation on Quality of Oxygenation—A Substudy of a Randomized Crossover Clinical Trial." Journal of Clinical Medicine 14, no. 1 (2024): 41. https://doi.org/10.3390/jcm14010041.

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Background/Objectives: Attaining adequate oxygenation in critically ill patients undergoing invasive ventilation necessitates intense monitoring through pulse oximetry (SpO2) and frequent manual adjustments of ventilator settings like the fraction of inspired oxygen (FiO2) and the level of positive end-expiratory pressure (PEEP). Our aim was to compare the quality of oxygenation with the use of automated ventilation provided by INTELLiVENT–Adaptive Support Ventilation (ASV) vs. ventilation that is not automated, i.e., conventional pressure-controlled or pressure support ventilation. Methods: A
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Sanderson, Ronald, Denise Whitley, and Christopher Batacan. "Automated mechanical ventilation using Adaptive Support Ventilation versus conventional ventilation including ventilator length of stay, mortality, and professional social aspects of adoption of new technology." Journal of Mechanical Ventilation 2, no. 2 (2021): 48–52. http://dx.doi.org/10.53097/jmv.10021.

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Background Automation of mechanical ventilation allows for reduction of variation in patient management and has the potential to provide increased patient safety by strict adherence to computer driven ventilator protocols. Methods: A retrospective, observational study compared a group of 196 of general ICU patients managed exclusively on automated mechanical ventilation, adaptive support ventilation (ASV), to another group of 684 managed by usual, non-automated mechanical ventilation (No ASV). The data was collected in a unique access database designed to collect data for assessment of mechani
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Riley, Cheryl, and Jobeth Pilcher. "Volume-Guaranteed Ventilation." Neonatal Network 22, no. 2 (2003): 17–21. http://dx.doi.org/10.1891/0730-0832.22.2.17.

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Pressure-limited, time-cycled ventilation has been the primary mode of ventilation for neonates for several decades. But the realization that volume rather than pressure causes ventilator-induced lung injury has led to the development of new strategies for ventilation. Volume guarantee is a mode of ventilation that automatically adjusts the inspiratory pressure to achieve a set tidal volume according to changes in lung compliance or resistance or the patient’s respiratory drive. Volume-guaranteed ventilation delivers a specific, preset volume of gas, and inspiration ends when it has been deliv
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Pearson, Steven D., Jay L. Koyner, and Bhakti K. Patel. "Management of Respiratory Failure." Clinical Journal of the American Society of Nephrology 17, no. 4 (2022): 572–80. http://dx.doi.org/10.2215/cjn.13091021.

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Mechanical ventilation is a lifesaving therapy for critically ill patients with respiratory failure, but like all treatments, it has the potential to cause harm if not administered appropriately. This review aims to give an overview of the basic principles of invasive and noninvasive mechanical ventilation. Topics covered include modes of mechanical ventilation, respiratory mechanics and ventilator waveform interpretation, strategies for initial ventilator settings, indications and contraindications for noninvasive ventilation, and the effect of the ventilator on kidney function.
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Kolandaivelu, Kumaran, and Chi-Sang Poon. "A miniature mechanical ventilator for newborn mice." Journal of Applied Physiology 84, no. 2 (1998): 733–39. http://dx.doi.org/10.1152/jappl.1998.84.2.733.

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Kolandaivelu, Kumaran, and Chi-Sang Poon.A miniature mechanical ventilator for newborn mice. J. Appl. Physiol. 84(2): 733–739, 1998.—Transgenic/knockout mice with predefined mutations have become increasingly popular in biomedical research as models of human diseases. In some instances, the resulting mutation may cause cardiorespiratory distress in the neonatal or adult animals and may necessitate resuscitation. Here we describe the design and testing of a miniature and versatile ventilator that can deliver varying ventilatory support modes, including conventional mechanical ventilation and hi
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Cameron, P. D., and T. E. Oh. "Newer Modes of Mechanical Ventilatory Support." Anaesthesia and Intensive Care 14, no. 3 (1986): 258–66. http://dx.doi.org/10.1177/0310057x8601400306.

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Recent modes of ventilatory support aim to facilitate weaning and minimise the physiological disadvantages of intermittent positive pressure ventilation (IPPV). Intermittent mandatory ventilation (IMV) allows the patient to breathe spontaneously in between ventilator breaths. Mandatory minute volume ventilation (MMV) ensures that the patient always receives a preset minute volume, made up of both spontaneous and ventilator breaths. Pressure supported (assisted) respiration is augmentation of a spontaneous breath up to a preset pressure level, and is different from ‘triggering’, which is a pati
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14

Pruitt, Bill, and Mary Catherine Hodges. "Mechanical ventilation." Nursing 54, no. 5 (2024): 17–25. http://dx.doi.org/10.1097/01.nurse.0001009984.17145.03.

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Abstract: Mechanical ventilation is rarely a simple matter. Skill and knowledge are required to operate the ventilator modes, choose the optimal settings, and understand many monitored variables. Supporting the patient safely and effectively is the top priority in providing mechanical ventilation. This article discusses mechanical ventilation in adults.
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15

Pierce, JD, and K. Gerald. "Differences in end-tidal carbon dioxide and breathing patterns in ventilator-dependent patients using pressure support ventilation." American Journal of Critical Care 3, no. 4 (1994): 276–81. http://dx.doi.org/10.4037/ajcc1994.3.4.276.

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BACKGROUND: Although several investigators have assessed the effects of pressure support ventilation on tidal volume and breathing patterns, none have investigated the combination of breathing patterns and end-tidal carbon dioxide in ventilator-dependent patients. OBJECTIVES: To determine the differences in end-tidal carbon dioxide and breathing patterns at varying pressure support ventilation levels in ventilator-dependent patients. METHODS: Breathing patterns were measured with a plethysmograph and a ventilator. End-tidal carbon dioxide was measured by connecting the capnography sampler to t
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16

B Mohan, Prashanth, Pavan Kumar BC, and Kabara Abhishek. "Ventilator-induced lung injury in ARDS." MOJ Biology and Medicine 8, no. 3 (2023): 129–31. http://dx.doi.org/10.15406/mojbm.2023.08.00197.

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Acute respiratory distress syndrome (ARDS) develops in nearly 2 to 19 patients in every 100 critically ill patients, and the incidence of ARDS demands the implementation of mechanical ventilation to support the respiratory distress in the patients. However, mechanical ventilation is the primary cause that leads to ventilator- induced lung injury. A sequence of pathophysiological mechanisms involving volutrauma/barotrauma results in ventilator-induced injury in the later stages. In other words, ventilator-induced lung injury is an outcome experienced as a result of physiological and morphologic
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17

Johnny, Jace D., Zachary Drury, Tracey Ly, and Janel Scholine. "Oral Care in Critically Ill Patients Requiring Noninvasive Ventilation: An Evidence-Based Review." Critical Care Nurse 41, no. 4 (2021): 66–70. http://dx.doi.org/10.4037/ccn2021330.

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Topic Hospital-acquired pneumonia commonly develops after 48 hours of hospitalization and can be divided into non–ventilator-acquired and ventilator-acquired pneumonia. Prevention of non–ventilator-acquired pneumonia requires a multimodal approach. Implementation of oral care bundles can reduce the incidence of ventilator-acquired pneumonia, but the literature on oral care in other populations is limited. Clinical Relevance Use of noninvasive ventilation is increasing owing to positive outcomes. The incidence of non–ventilator-acquired pneumonia is higher in patients receiving noninvasive vent
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Surani, Salim, Munish Sharma, Kevin Middagh, et al. "Weaning from Mechanical Ventilator in a Long-term Acute Care Hospital: A Retrospective Analysis." Open Respiratory Medicine Journal 14, no. 1 (2020): 62–66. http://dx.doi.org/10.2174/1874306402014010062.

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Background: Prolonged Mechanical Ventilation (PMV) is associated with a higher cost of care and increased morbidity and mortality. Patients requiring PMV are referred mostly to Long-Term Acute Care (LTAC) facilities. Objective: To determine if protocol-driven weaning from mechanical ventilator by Respiratory Therapist (RT) would result in quicker weaning from mechanical ventilation, cost-effectiveness, and decreased mortality. Methods: A retrospective case-control study was conducted that utilized protocol-driven ventilator weaning by respiratory therapist (RT) as a part of the Respiratory Dis
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Zmarzły, Marian, and Paweł Trzaskalik. "Comparative Analysis of Methane Concentration Near the Junction of the Longwall and Top Road." Management Systems in Production Engineering 27, no. 3 (2019): 166–73. http://dx.doi.org/10.1515/mspe-2019-0027.

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AbstractMining of longwalls ventilated by the „U” method is willingly applied in Polish coal-mines due to low costs of workings maintenance, low costs of ventilation and a lower fire threat because of a limited flow of air through goafs. However, such a way of ventilation may pose an increased risk of methane explosion. For this reason, the “U” ventilation has been limited in longwalls with methane risk. The mining regulations in force provide that ventilation methane-bearing capacity, i.e. the intensity of methane flow into the ventilation air cannot exceed 20 m3 CH4/min. The regulations also
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Lugones, Ignacio, Matías Ramos, María Fernanda Biancolini, and Roberto Orofino Giambastiani. "Combined Ventilation of Two Subjects with a Single Mechanical Ventilator Using a New Medical Device: An In Vitro Study." Anesthesiology Research and Practice 2021 (February 18, 2021): 1–7. http://dx.doi.org/10.1155/2021/6691591.

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Introduction. The SARS-CoV-2 pandemic has created a sudden lack of ventilators. DuplicARⓇ is a novel device that allows simultaneous and independent ventilation of two subjects with a single ventilator. The aims of this study are (a) to determine the efficacy of DuplicARⓇ to independently regulate the peak and positive-end expiratory pressures in each subject, both under pressure-controlled ventilation and volume-controlled ventilation and (b) to determine the ventilation mode in which DuplicARⓇ presents the best performance and safety. Materials and Methods. Two test lungs are connected to a
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Wawrzynek, Jacek, and Łukasz Mścisz. "Ventilation in cardiac arrest." Emergency Medical Service 11, no. 4 (2024): 226–28. https://doi.org/10.36740/emems202404104.

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Ventilation during cardiopulmonary resuscitation (CPR) is essential for achieving optimal oxygenation and carbon dioxide elimination. Numerous studies and analyses are conducted on the best ventilation strategy in cardiac arrest, but there are no specific guidelines addressing many aspects of ventilation. International resuscitation organizations only indicate the frequency of breaths and oxygen concentration during resuscitation. This study aims to present the possibilities and limitations of ventilation with a self-inflating bag and a ventilator during resuscitation, discussing current recom
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Buiteman-Kruizinga, Laura A., Ary Serpa Neto, Michela Botta, et al. "Effect of automated versus conventional ventilation on mechanical power of ventilation—A randomized crossover clinical trial." PLOS ONE 19, no. 7 (2024): e0307155. http://dx.doi.org/10.1371/journal.pone.0307155.

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Introduction Mechanical power of ventilation, a summary parameter reflecting the energy transferred from the ventilator to the respiratory system, has associations with outcomes. INTELLiVENT–Adaptive Support Ventilation is an automated ventilation mode that changes ventilator settings according to algorithms that target a low work–and force of breathing. The study aims to compare mechanical power between automated ventilation by means of INTELLiVENT–Adaptive Support Ventilation and conventional ventilation in critically ill patients. Materials and methods International, multicenter, randomized
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Perez, Victor, and Jamille Pasco. "Identifying asynchronies: Early cycling." Journal of Mechanical Ventilation 4, no. 1 (2023): 57–59. https://doi.org/10.53097/JMV.10073.

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<strong>Abstract</strong> Mechanical ventilation is a lifesaving treatment but can be associated with some complications such as ventilator-induced lung injury, ventilator associated pneumonia or ventilation induced diaphragm dysfunction. Although partial ventilatory support is preferred to limit some of the complications associated with controlled mechanical ventilation, there could be some problems like asynchrony between the patient and the ventilator. Asynchronies occur when the ventilator&rsquo;s breath delivery does not match the patient&rsquo;s ventilatory pattern or is inadequate to me
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Perez, Victor, and Jamille Pasco. "Identifying asynchronies: Early cycling." Journal of Mechanical Ventilation 4, no. 1 (2023): 57–59. http://dx.doi.org/10.53097/jmv.10073.

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Mechanical ventilation is a lifesaving treatment but can be associated with some complications such as ventilator-induced lung injury, ventilator associated pneumonia or ventilation induced diaphragm dysfunction. Although partial ventilatory support is preferred to limit some of the complications associated with controlled mechanical ventilation, there could be some problems like asynchrony between the patient and the ventilator. Asynchronies occur when the ventilator’s breath delivery does not match the patient’s ventilatory pattern or is inadequate to meet their flow demand. Asynchronies can
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Hameed, Jawad, and Muhammad Imran. "Mitigating Ventilator-Induced Lung Injury: The Role of Tidal Volume and Pressure Control in Thoracic Surgery Patients undergoing decortication." Pakistan Journal of Medical & Health Sciences 17, no. 11 (2023): 196–99. https://doi.org/10.53350/pjmhs20231710196.

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Introduction: Ventilator-induced lung injury (VILI) is one of the most common Thoracic surgery complications, and especially in cases of pleural decortication. The decision over the ventilator method can be a cure to relieve this injury. Objective: To evaluate the impact of tidal volume and pressure control strategies on the incidence and severity of ventilator-induced lung injury in thoracic surgery patients undergoing pleural decortication. Materials and Method: This was a prospective observational study at the Lady Reading Hospital MTI Peshawar, Pakistan from November, 2022 to April, 2023.
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Bowman, Thomas G., Richard J. Boergers, and Monica R. Lininger. "Airway Management in Athletes Wearing Lacrosse Equipment." Journal of Athletic Training 53, no. 3 (2018): 240–48. http://dx.doi.org/10.4085/1062-6050-4-17.

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Context: Patient ventilation volume and rate have been found to be compromised due to the inability to seal a pocket mask over the chinstrap of football helmets. The effects of supraglottic airway devices such as the King LT and of lacrosse helmets on these measures have not been studied. Objective: To assess the effects of different airway management devices and helmet conditions on producing quality ventilations while performing cardiopulmonary resuscitation on simulation manikins. Design: Crossover study. Setting: Simulation laboratory. Patients or Other Participants: Thirty-six athletic tr
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Mireles-Cabodevila, Eduardo, Enrique Diaz-Guzman, Alejandro C. Arroliga, and Robert L. Chatburn. "Human versus Computer Controlled Selection of Ventilator Settings: An Evaluation of Adaptive Support Ventilation and Mid-Frequency Ventilation." Critical Care Research and Practice 2012 (2012): 1–8. http://dx.doi.org/10.1155/2012/204314.

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Background. There are modes of mechanical ventilation that can select ventilator settings with computer controlled algorithms (targeting schemes). Two examples are adaptive support ventilation (ASV) and mid-frequency ventilation (MFV). We studied how different clinician-chosen ventilator settings are from these computer algorithms under different scenarios.Methods. A survey of critical care clinicians provided reference ventilator settings for a 70 kg paralyzed patient in five clinical/physiological scenarios. The survey-derived values for minute ventilation and minute alveolar ventilation wer
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Ongsupankul, Sorawit, Christian Capirig, and Ehab Daoud. "Bridging the gap: Enhancing synchrony in mechanical ventilation." Journal of Mechanical Ventilation 6, no. 1 (2025): 32–42. https://doi.org/10.53097/jmv.10120.

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Background Mechanical ventilation is a life-saving intervention for patients with acute respiratory failure, yet ventilator dyssynchrony—misalignment between patient effort and ventilator support—remains a common challenge in intensive care units (ICUs). Dyssynchrony is associated with prolonged ventilation, diaphragm dysfunction, increased ICU and hospital stays, and higher mortality rates. Objective This review aims to provide an in-depth analysis of the physiological control of ventilation and its interaction with mechanical ventilators, emphasizing newer technologies and strategies to enha
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Azcarate, Izaskun, Jose Antonio Urigüen, Mikel Leturiondo, et al. "The Role of Chest Compressions on Ventilation during Advanced Cardiopulmonary Resuscitation." Journal of Clinical Medicine 12, no. 21 (2023): 6918. http://dx.doi.org/10.3390/jcm12216918.

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Background: There is growing interest in the quality of manual ventilation during cardiopulmonary resuscitation (CPR), but accurate assessment of ventilation parameters remains a challenge. Waveform capnography is currently the reference for monitoring ventilation rate in intubated patients, but fails to provide information on tidal volumes and inspiration–expiration timing. Moreover, the capnogram is often distorted when chest compressions (CCs) are performed during ventilation compromising its reliability during CPR. Our main purpose was to characterize manual ventilation during CPR and to a
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Berquist, Justin, Carsen Banister, and Mathieu Pellissier. "Comparison of Heat Recovery Ventilator Frost Control Techniques in the Canadian Arctic: Preheat and Recirculation." E3S Web of Conferences 246 (2021): 11010. http://dx.doi.org/10.1051/e3sconf/202124611010.

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Air-to-air heat/energy recovery ventilators can effectively reduce the cost associated with ventilating a home. However, high indoor moisture levels, in conjunction with extreme temperature differences between the outdoor and indoor air can cause frost accumulation in the mechanical equipment, leading to performance degradation or failure. In this research, a demonstration house using a heat recovery ventilation system in Iqaluit, Nunavut, Canada was used to compare the performance of two frost control techniques: recirculation and electrical preheat. The advantages and disadvantages of each m
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Liu, Ling, Xiaoting Xu, Qin Sun, et al. "Neurally Adjusted Ventilatory Assist versus Pressure Support Ventilation in Difficult Weaning." Anesthesiology 132, no. 6 (2020): 1482–93. http://dx.doi.org/10.1097/aln.0000000000003207.

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Abstract Background Difficult weaning frequently develops in ventilated patients and is associated with poor outcome. In neurally adjusted ventilatory assist, the ventilator is controlled by diaphragm electrical activity, which has been shown to improve patient–ventilator interaction. The objective of this study was to compare neurally adjusted ventilatory assist and pressure support ventilation in patients difficult to wean from mechanical ventilation. Methods In this nonblinded randomized clinical trial, difficult-to-wean patients (n = 99) were randomly assigned to neurally adjusted ventilat
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Chenoweth, Carol E., Laraine L. Washer, Kumari Obeyesekera, et al. "Ventilator-Associated Pneumonia in the Home Care Setting." Infection Control & Hospital Epidemiology 28, no. 8 (2007): 910–15. http://dx.doi.org/10.1086/519179.

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Objective.To describe the rate of infection, associated organisms, and potential risk factors for ventilator-associated pneumonia (VAP) in patients receiving mechanical ventilation at home.Design.Retrospective cohort study.Setting.University-affiliated home care service.Patients.Patients receiving mechanical ventilation at home from June 1995 through December 2001.Results.Fifty-seven patients underwent ventilation at home for a total of 50,762 ventilator-days (mean ± SD, 890.6 ± 644.43 days; range, 76-2,458 days). Seventy-nine episodes of VAP occurred in 27 patients (rate, 1.55 episodes per 1,
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Doorduin, Jonne, Christer A. Sinderby, Jennifer Beck, Johannes G. van der Hoeven, and Leo M. A. Heunks. "Assisted Ventilation in Patients with Acute Respiratory Distress Syndrome." Anesthesiology 123, no. 1 (2015): 181–90. http://dx.doi.org/10.1097/aln.0000000000000694.

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Abstract Background: In patients with acute respiratory distress syndrome (ARDS), the use of assisted mechanical ventilation is a subject of debate. Assisted ventilation has benefits over controlled ventilation, such as preserved diaphragm function and improved oxygenation. Therefore, higher level of “patient control” of ventilator assist may be preferable in ARDS. However, assisted modes may also increase the risk of high tidal volumes and lung-distending pressures. The current study aims to quantify how differences in freedom to control the ventilator affect lung-protective ventilation, brea
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Wilkinson, Dominic. "Ventilating the debate: elective ventilation revisited." Journal of Medical Ethics 39, no. 3 (2013): 127–28. http://dx.doi.org/10.1136/medethics-2013-101382.

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Hallgren, Filip, Martin Stenlo, Anna Niroomand, et al. "Particle flow rate from the airways as fingerprint diagnostics in mechanical ventilation in the intensive care unit: a randomised controlled study." ERJ Open Research 7, no. 3 (2021): 00961–2020. http://dx.doi.org/10.1183/23120541.00961-2020.

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IntroductionMechanical ventilation can be monitored by analysing particles in exhaled air as measured by particle flow rate (PFR). This could be a potential method of detecting ventilator-induced lung injury (VILI) before changes in conventional parameters can be detected. The aim of this study was to investigate PFR during different ventilation modes in patients without lung pathology.MethodA prospective study was conducted on patients on mechanical ventilation in the cardiothoracic intensive care unit (ICU). A PExA 2.0 device was connected to the expiratory limb on the ventilator for continu
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Ankireddy, Korisipati, and Aruna Jyothi K. "A study on symptoms of children mechanically ventilated in a paediatric intensive care unit of a minimum resource setting in tertiary care centre." International Journal of Contemporary Pediatrics 6, no. 2 (2019): 574. http://dx.doi.org/10.18203/2349-3291.ijcp20190689.

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Background: Mechanical ventilation, a lifesaving intervention in a critical care unit is under continuous evolution in modern era. Despite this, the management of children with invasive ventilation in developing countries with limited resources is challenging. The study analyses the clinical profile, indications, complications and duration of ventilator care in limited resource settings. Methods: A retrospective study of critically ill children mechanically ventilated in an intensive care unit of a tertiary care government hospital. Results: A total of 120 children required invasive ventilatio
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Hao, Liming, Shuai Ren, Yan Shi, et al. "A Novel Method to Evaluate Patient-Ventilator Synchrony during Mechanical Ventilation." Complexity 2020 (September 15, 2020): 1–15. http://dx.doi.org/10.1155/2020/4828420.

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The synchrony of patient-ventilator interaction affects the process of mechanical ventilation which is clinically applied for respiratory support. The occurrence of patient-ventilator asynchrony (PVA) not only increases the risk of ventilator complications but also affects the comfort of patients. To solve the problem of uncertain patient-ventilator interaction in the mechanical ventilation system, a novel method to evaluate patient-ventilator synchrony is proposed in this article. Firstly, a pneumatic model is established to simulate the mechanical ventilation system, which is verified to be
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Hess, D. R. "Patient-Ventilator Interaction During Noninvasive Ventilation." Respiratory Care 56, no. 2 (2011): 153–67. http://dx.doi.org/10.4187/respcare.01049.

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Guy, Ella F. S., J. Geoffrey Chase, Jennifer L. Knopp, and Geoffrey M. Shaw. "Quantifying ventilator unloading in CPAP ventilation." Computers in Biology and Medicine 142 (March 2022): 105225. http://dx.doi.org/10.1016/j.compbiomed.2022.105225.

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Radke, Oliver. "Monitoring Mechanical Ventilation Using Ventilator Waveforms." Anesthesia & Analgesia 128, no. 1 (2019): e6. http://dx.doi.org/10.1213/ane.0000000000003896.

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Carteaux, Guillaume, Aissam Lyazidi, Ana Cordoba-Izquierdo, et al. "Patient-Ventilator Asynchrony During Noninvasive Ventilation." Chest 142, no. 2 (2012): 367–76. http://dx.doi.org/10.1378/chest.11-2279.

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Butt, Raheel Farooq, Neelam Khan, Sana Khan, Amna Akbar, Sarosh Khan Jadoon, and Areeba Tanveer. "A Research Study on Prompt Results and Physical Assessment of Mechanically Ventilated Children." Pakistan Journal of Medical and Health Sciences 17, no. 5 (2023): 631–34. http://dx.doi.org/10.53350/pjmhs2023175631.

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Objective: There is alarming information on the usage of MV in PICUs from Asian nations. The goals of this research were to identify the patients' clinical profiles, traits, frequent causes of breathing problems, complications connected to ventilation problems, and ultimate outcomes. For admittance to the pediatric critical care unit, the criterion for mechanical ventilation (MV) is rigorous (ICU). It may be difficult to manage children in impoverished nations with minimal resources that need invasive ventilation. Methods: The information gathered included epidemiological trends, ventilation i
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Rocha, Gustavo, Paulo Soares, Américo Gonçalves, et al. "Respiratory Care for the Ventilated Neonate." Canadian Respiratory Journal 2018 (August 13, 2018): 1–12. http://dx.doi.org/10.1155/2018/7472964.

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Invasive ventilation is often necessary for the treatment of newborn infants with respiratory insufficiency. The neonatal patient has unique physiological characteristics such as small airway caliber, few collateral airways, compliant chest wall, poor airway stability, and low functional residual capacity. Pathologies affecting the newborn’s lung are also different from many others observed later in life. Several different ventilation modes and strategies are available to optimize mechanical ventilation and to prevent ventilator-induced lung injury. Important aspects to be considered in ventil
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Nugent, Kenneth, and Gilbert Berdine. "Mechanical power during mechanical ventilation." Southwest Respiratory and Critical Care Chronicles 12, no. 50 (2024): 16–23. http://dx.doi.org/10.12746/swrccc.v12i50.1275.

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Mechanical ventilation provides lifesaving support for patients with acute respiratory failure. However, the pressures and volumes required to maintain gas exchange can cause ventilator-induced lung injury. The current approach to mechanical ventilation involves attention to both tidal volume and airway pressures, in particular plateau pressures and driving pressures. The ventilator provides energy to overcome airway resistance and to inflate alveolar structures. This energy delivered to the respiratory system per unit time equals mechanical power. Calculation of mechanical power provides a co
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Thomas, Patricia. "Patient-Triggered Ventilation: How Does the Trigger Work?" Neonatal Network 23, no. 6 (2004): 65–67. http://dx.doi.org/10.1891/0730-0832.23.6.65.

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FOR THE VAST MAJORITY OF neonates requiring ventilation in our NICUs today, we use what is called patient-triggered ventilation (PTV)—synchronized intermittent mandatory ventilation, assist/control ventilation, or pressure support ventilation (Table 1). Also called synchronized ventilation, PTV has long been used successfully in adults. The goal of PTV is to prevent asynchronous breathing against the ventilator, which has been shown to contribute to pneumothorax in the neonate and subsequently to an increased risk of intraventricular hemorrhage in preterm infants.1,2 Other short-term benefits
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Hammouda, Eman Yasser, Hanaa Hussein Ahmed, Amr A. Moawad, and Nahed Attia Kandeel. "Weaning success among COPD patients following ventilator care bundle application." Clinical Nursing Studies 10, no. 1 (2022): 1. http://dx.doi.org/10.5430/cns.v10n1p1.

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Objective: Several studies evaluated the effectiveness of the ventilator care bundle in reducing the occurrence of ventilatorassociated pneumonia. The ventilator care bundle efficacy in early mechanical ventilation weaning has not been adequately assessed. The study aimed to investigate the weaning success among chronic obstructive pulmonary disease (COPD) patients following ventilator care bundle application.Methods: This study is quasi-experimental, recruiting 80 mechanically ventilated COPD patients (40 patients for each bundle and control group). It was conducted at the respiratory intensi
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Kunugiyama, Sujen K., and Christine S. Schulman. "High-Frequency Percussive Ventilation Using the VDR-4 Ventilator." AACN Advanced Critical Care 23, no. 4 (2012): 370–80. http://dx.doi.org/10.4037/nci.0b013e31826e9031.

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High-frequency percussive ventilation (HFPV) has been used for patients with severe respiratory compromise refractory to conventional mechanical ventilation. It frequently results in equivalent or improved oxygenation and ventilation at lower peak pressures than conventional ventilation, thus minimizing secondary ventilator-associated lung injury. The only ventilator currently available that delivers HFPV is the volume diffusive respirator (VDR-4; Percussionaire Corp, Sandpoint, Idaho). High-frequency percussive ventilation is delivered via a pneumatically powered, pressure-limited, time-cycle
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Alencar, Roger, Vittorio D'Angelo, Rachel Carmona, Marcus J. Schultz, and Ary Serpa Neto. "Patients with uninjured lungs may also benefit from lung-protective ventilator settings." F1000Research 6 (November 22, 2017): 2040. http://dx.doi.org/10.12688/f1000research.12225.1.

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Although mechanical ventilation is a life-saving strategy in critically ill patients and an indispensable tool in patients under general anesthesia for surgery, it also acts as a double-edged sword. Indeed, ventilation is increasingly recognized as a potentially dangerous intrusion that has the potential to harm lungs, in a condition known as ‘ventilator-induced lung injury’ (VILI). So-called ‘lung-protective’ ventilator settings aiming at prevention of VILI have been shown to improve outcomes in patients with acute respiratory distress syndrome (ARDS), and, over the last few years, there has
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Ryumin, V. E., S. V. Kinzhalova, G. N. Chistyakova, I. I. Remizova, and P. A. Kadochnikova. "Protective technologies of modern methods of respiratory support in neonatal practice." Messenger of ANESTHESIOLOGY AND RESUSCITATION 20, no. 1 (2023): 69–80. http://dx.doi.org/10.24884/2078-5658-2023-20-1-69-80.

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The article presents an analysis of literature data on modern protective regimens for invasive respiratory support in premature newborns with respiratory distress syndrome. We have considered positive and negative aspects of the used methods of invasive ventilation of the lungs, which are currently widely used as a method of respiratory therapy in obstetric hospitals at any level, even in the category of children with extremely and very low birth weight. Modern protective mechanical ventilation provides for 2 main directions for reducing ventilator-induced lung damage: a decrease in tidal volu
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Su, Marissa, and ehab daoud. "Effect of respiratory effort on target minute ventilation during Adaptive Support Ventilation." Journal of Mechanical Ventilation 2, no. 2 (2021): 53–58. http://dx.doi.org/10.53097/jmv.10022.

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Background: Adaptive support ventilation (ASV) is an intelligent mode of mechanical ventilation protocol which uses a closed-loop control between breaths. The algorithm states that for a given level of alveolar ventilation, there is a particular respiratory rate and tidal volume which achieve a lower work of breathing. The mode allows the clinician to set a desired minute ventilation percentage (MV%) while the ventilator automatically selects the target ventilatory pattern base on these inputs and feedback from the ventilator monitoring system. The goal is to minimize the work of breathing and
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