VentBusters

➡️ Define the TAG, loads, trigger, cycle @ArielG_RRT @ATC_Ventilator @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @Thind888 @_MSAMEED @curso_vm @RyanHughes_RRT @SMHCoEMV @juanfez97 @DrSateeshPCCM @JmNunezSilveira @PulmCrit @IM_Crit_ @JVentilation @CCF_PCCM @AGMRRT

In 132 ICU patients in Australia, 50% adherence to the ABCDEF bundle did not reduce incidence or duration of delirium. Data of adherence and delivery are important performance parameters in bundles. I remember >80% being crucial for success journals.lww.com/ccmjournal/ful…

5 more episodes uploaded! SEVA VentRounds (SVR) youtube.com/playlist?list=… @CCF_PCCM @MegriMohammed @AnikaNair5 @BoethelCarl1 @chatterJ5 @jdanimarti @msiuba @ArielG_RRT @OfVentilation @Vent_Busters @vladdieiev @aarc_tweets @RespiratorySCCM @SCCMohio @ClevelandClinic @RaedDweikMD

Finally saw a respiratory therapist using an Aerogen vibrating mesh nebulizer for acute severe asthma in The Pitt S2E13. Accurate aerosol delivery on prime time. Small win, big pride for RTs. 👏🏼 #ThePitt #RespiratoryTherapist #Aerogen #Nebulizer #Asthma #WMN

@volatilehead @ArielG_RRT @ATC_Ventilator @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @Thind888 @_MSAMEED @curso_vm @RyanHughes_RRT @SMHCoEMV @juanfez97 @DrSateeshPCCM @JmNunezSilveira @PulmCrit @IM_Crit_ @JVentilation @CCF_PCCM @AGMRRT Sistem sorunsuz çalışmaktadır. İlk gördüğümde valf hatası olabilir mi diye düşünmüştüm fakat değil..

@Vent_Busters @ArielG_RRT @ATC_Ventilator @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @Thind888 @_MSAMEED @curso_vm @RyanHughes_RRT @SMHCoEMV @juanfez97 @DrSateeshPCCM @JmNunezSilveira @PulmCrit @IM_Crit_ @JVentilation @CCF_PCCM @AGMRRT Ekspiryum tarafında bir çatlak vs mi var acaba? Benzer sıkıntıyı çok eski cihazımda yaşıyorum

What you think about spikes? TAG? @ArielG_RRT @ATC_Ventilator @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @Thind888 @_MSAMEED @curso_vm @RyanHughes_RRT @SMHCoEMV @juanfez97 @DrSateeshPCCM @JmNunezSilveira @PulmCrit @IM_Crit_ @JVentilation @CCF_PCCM @AGMRRT

45 years old woman. asthma, congestive heart failure and hypertension diagnosed. Admitted ICU after ROSC.

@ArielG_RRT @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @critconcepts @IM_Crit_ @JVentilation @CCF_PCCM @RespiratorySCCM @SaudiRTs @DrSateeshPCCM Does increase PEEP always confirm the thesis that plateau pressure (Pplat) will increase conventionally? So, Is dynamic hyperinflation a loop? Holds exp and insp should be done, and airway opening pressure (AOP) should be measured in my opinion..

Would you set PEEP>0 or PEEP=0 in this case? What is the logic behind it? @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @critconcepts @IM_Crit_ @Vent_Busters @JVentilation @CCF_PCCM @RespiratorySCCM @SaudiRTs @DrSateeshPCCM

Very nice discussion about "Automode - BIPAP" Letter to the editor-Author's response journalmechanicalventilation.com/less-usual-ven…

@msiuba Congratulations 👏🏿

@ArielG_RRT @DrSateeshPCCM @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @OfVentilation @IM_Crit_ @critconcepts @MegriMohammed @SaudiRTs @RespiratorySCCM I agree. A test will clarify the result of our conversation. check pressurization during 0/0 with any triggerable mode. In addition some ventilators have active exhalation valve. What do you think how it works?

@Vent_Busters @DrSateeshPCCM @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @OfVentilation @IM_Crit_ @critconcepts @MegriMohammed @SaudiRTs @RespiratorySCCM Flow sensitive P triggering? I know nothing about it. IMHOP what matters is what is being measured and used to trigger. We use an ASL5000 by IngMar and we can differentiate P from Flow as the triggering variable and that is a high fidelity simulator.

What is your interpretation? @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @OfVentilation @Vent_Busters @IM_Crit_ @critconcepts @OfVentilation @MegriMohammed @DrSateeshPCCM @SaudiRTs @RespiratorySCCM

@ArielG_RRT @DrSateeshPCCM @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @OfVentilation @IM_Crit_ @critconcepts @MegriMohammed @SaudiRTs @RespiratorySCCM Most of them have flow sensitive pressure triggering. If you look at the datasheets or user manual of the ventilator, this value is assigned without distinguishing pressure/flow. It is best to test it with a model with precision…

@Vent_Busters @DrSateeshPCCM @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @OfVentilation @IM_Crit_ @critconcepts @MegriMohammed @SaudiRTs @RespiratorySCCM What about P triggering?

@ArielG_RRT @DrSateeshPCCM @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @OfVentilation @IM_Crit_ @critconcepts @MegriMohammed @SaudiRTs @RespiratorySCCM Is there a ventilator without bias flow today? It may be wrong to say all of them, you are right, but I think this is the case since the second generation of ventilators. If there is flow, there is also pressure. Physics...

@Vent_Busters @DrSateeshPCCM @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @OfVentilation @IM_Crit_ @critconcepts @MegriMohammed @SaudiRTs @RespiratorySCCM I would not say "all" based only on the findings of just this study. Most likely other do, but it has to be proved.

@DrSateeshPCCM @ArielG_RRT @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @OfVentilation @IM_Crit_ @critconcepts @MegriMohammed @SaudiRTs @RespiratorySCCM All of the Ventilators provide pressure when you set zero… nature of working principle.. doi.org/10.4187/respca…

@ArielG_RRT @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @OfVentilation @Vent_Busters @IM_Crit_ @critconcepts @MegriMohammed @SaudiRTs @RespiratorySCCM Does this ventilator provide any inspiratory pressure even when the inspiratory pressure is set to zero?

@ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @RespiratorySCCM @IM_Crit_ @critconcepts @DrSateeshPCCM @OfVentilation @Vent_Busters @SaudiRTs @MegriMohammed @MCastroSayat @MayoVentilation @respcare

@DrMiguelIbarra1 @ArielG_RRT @ventilacionmeca @DocMusician @emireles_c @CCF_PCCM @critconcepts @IM_Crit_ @OfVentilation @ATC_Ventilator @SaudiRTs @DrSateeshPCCM It looks like PC. I think this is dual. VC-CMVd. Could it be @DrMiguelIbarra1 ?

@ArielG_RRT @ventilacionmeca @DocMusician @emireles_c @CCF_PCCM @critconcepts @IM_Crit_ @Vent_Busters @OfVentilation @ATC_Ventilator @SaudiRTs @DrSateeshPCCM VC-CMVs. Some breaths are being cycled due to peak pressure reaching the set pressure limit (50 cmH2O in this case). Quite high elastic and resistive loads in this patient.

What is the TAG of the mode? How does this mode work? The vent is a Mindray and the mode is V-A/C. @ventilacionmeca @DocMusician @emireles_c @CCF_PCCM @DrMiguelIbarra1 @critconcepts @IM_Crit_ @Vent_Busters @OfVentilation @ATC_Ventilator @SaudiRTs @DrSateeshPCCM

@ArielG_RRT @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @IM_Crit_ @critconcepts @OfVentilation @RespiratorySCCM @MegriMohammed @DrSateeshPCCM @SaudiRTs Share ECG traces if possible?

What is your interpretation? What would you do next? @ventilacionmeca @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @IM_Crit_ @critconcepts @OfVentilation @Vent_Busters @RespiratorySCCM @MegriMohammed @DrSateeshPCCM @SaudiRTs

@ArielG_RRT @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @IM_Crit_ @critconcepts @OfVentilation @RespiratorySCCM @DrSateeshPCCM @SaudiRTs @ventilacionmeca @MegriMohammed A difference in phase angles? That was the only thing that caught my attention...

What would you to improve this pt-vent interaction? Is is a bad one? @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @IM_Crit_ @critconcepts @OfVentilation @RespiratorySCCM @Vent_Busters @DrSateeshPCCM @SaudiRTs @ventilacionmeca @MegriMohammed

ICU Snaphots: Young patient, postoperative day #3, recovering from cardiothoracic surgery, still on the ventilator What mode is this one? What is the TAG? What - if any - asynchrony do you see?