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A RSBI score of less than 65 [3] indicating a relatively low respiratory rate compared to tidal volume is generally considered as an indication of weaning readiness. A patient with a rapid shallow breathing index (RSBI) of less than 105 has an approximately 80% chance of being successfully extubated, whereas an RSBI of greater than 105 virtually guarantees weaning failure. [4]
A spontaneous breathing trial is a test for patients on mechanical ventilation, before they can be weaned from the ventilator, i.e. return to normal breathing.The weaning process depends closely on the patient's pathology, but the final common pathway to ventilator independence always includes at least one trial of spontaneous breathing.
Modes of mechanical ventilation are one of the most important aspects of the usage of mechanical ventilation.The mode refers to the method of inspiratory support. In general, mode selection is based on clinician familiarity and institutional preferences, since there is a paucity of evidence indicating that the mode affects clinical outcome.
Mechanical ventilation or assisted ventilation is the medical term for using a ventilator machine to fully or partially provide artificial ventilation.Mechanical ventilation helps move air into and out of the lungs, with the main goal of helping the delivery of oxygen and removal of carbon dioxide.
IMV is frequently paired with additional strategies to improve weaning from ventilator support or to improve cardiovascular stability in patients who may need full life support. To help illustrate the use of the different types of ventilation, it is helpful to think of a continuum of the common ventilator settings; assist control or continuous ...
Video laryngoscopes are specialized fiberoptic laryngoscopes that use a digital video camera sensor to allow the operator to view the glottis and larynx on a video monitor. [ 13 ] [ 14 ] Other "noninvasive" devices which can be employed to assist in tracheal intubation are the laryngeal mask airway [ 15 ] (used as a conduit for endotracheal ...
Endotracheal intubation carries with it many risks, particularly when paralytics are used, as maintenance of the airway becomes a challenge if intubation fails. It should therefore be attempted by experienced personnel, only when less invasive methods fail or when it is deemed necessary for safe transport of the patient, to reduce risk of ...
Excessive blood and saliva in the airway can cover the camera lens on the video laryngoscope and obscure effective visualization of the anatomy, preventing effective intubation attempts. This is of importance in patients with trauma to their airway, increasing the amount of blood present, and patients taking sialogogues , or drugs that increase ...