FREMITUS

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 “Spoils of War” by Andy Ihnatko 2009.  A colleague of mine described a presentation she attended today in which the speaker was de...

Puffer Fish, by Karen Garrett de luna

Free Bronchoscopy Simulator http://www.thoracic-anesthesia.com/

Airway Pressure Release Ventilation in the Operating Room is it Practical? This is a good question, for one anesthesia delivery systems do ...

 Using the trigger setting to quantify extubation readiness. Notice the measured PEEP value & set PEEP value, the patient is able ...

Image 1: Screen of the FLOWi anesthesia delivery system, showing the "Golden Moment" highlighted with blue circle. It has b...

Flow Mismatch Associated with VC-CMV Utilizing Volume Control-Continuous Mandatory Ventilation ( VC-CMV ) may lead to patient ventila...

http://www.draeger.com/UK/en/products/medical_ventilation/adult_icu_ventilation/rsp_evita_infinity_v500_sw2.jsp Setting T-Low dur...

 In last months article “Effects of Implementing Adaptive Support Ventilation in a Medical Intensive Care Unit” in the Respiratory C...

Setting a T-Low based on a 50-75% PEFR may contribute to excessive exhaled tidal volumes There are three published techniques to set ...

http://blog.poplabs.com/2008/07/set-it-and-forget-it-why-roncos-showtime-rotisserie-cant-run-your-marketing-campaign/ I once mentioned...

During patient ventilator transports one may have to switch from pressure control (PC-CMV) to volume control (VC-CMV) ventilation, because...

In my opinion I believe the PB840 ventilator is an outdated platform. One thing that frustrates me is that additional functions/feature...

Capnography/ETCO2 monitoring (ETCO2) has been used for many years in the operating room to confirm endo-tracheal tube placement and to ev...

http://en.wikipedia.org/wiki/Sunglasses_at_Night In his 1984 single “Sunglasses at Night” singer Corey Hart sings about wearing his sun...

Over Inflated Airway Pressure Release Ventilation is a modality of ventilation that has been in use for greater than 20 years. Some ...

Utilizing the Pressure/Volume Loop to determine the appropriate pressure support level during  a simulated T-piece trial. Many inst...

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SmartCare/PS® or SmartCare Pressure support (™ Draeger Medical, Telford , PA ) is the only automated weaning ventilator mode in the United ...

Background Mid-Frequency Ventilation was first described in the medical literature by Mireles-Cabodevila & Chatburn in 2008 [1]. Th...

http://respiratorytherapycave.blogspot.com/ Background Chest Physical Therapy (CPT) is ordered at many institutions for numerous c...

Image 1 : Front view of the Babylog 8000 neonatal ventilator. The Babylog 8000™ (Draeger Medical, Telford , PA ) is a neonatal specifi...

  Introduction: Airway patency is arguably the most important factor of the cardiopulmonary system. It is imperative that the bedside Resp...

Image 1:  Missed trigger attempts, notice the flow distortions (purple flow waveform) without associated breaths. Ventilator measured r...

Mentioned in previous postings Adaptive Pressure Control ( APC ) should be used cautiously in patients with high inspiratory drives. In pa...

Adaptive Support Ventilation (ASV) is an advanced closed-loop mode of ventilation only available on Hamilton Medical ventilators (G5, Galile...

http://cache.gawker.com/assets/images/gawker/2009/10/cats.jpg I admit I have turned into a hoarder, not the typical hoarder seen on t...

http://en.wikipedia.org/wiki/File:DeadOfNight1.jpg After six years of being a day walker I have returned to my origin as a night shift ...

Many practitioners set alarm thresholds thoughtlessly due to the fact that many ventilators do a poor job of filtering alarm nuisances versu...

Low Peak Inspiratory Pressures (PIP) during Adaptive Pressure Control (APC) may be a sign of distress in patients with increased inspiratory...

One form of delayed cycling  is when the operator inappropriately sets the inspiratory time too long. However, delayed...

In a current Blog posting “ No More T-Piece ” author Rick Frea states that at his facility T-piece trials are pretty much non-existent. ...

Image 1: Patient coughing, notice the peak pressure spikes (yellow pressure waveform) this may lead to premature cycling. ...

One reader asked me “what do you think about ASV” (Adaptive Support Ventilation) in which I replied back “I think it is the Pareto Principle...

Question 1. What is pictured in image 1? Image 1 Question 2. What is it used for? If you answered “Bite Block” you must be ...

I remember when I was younger how upset I got over the fact that I was too short to ride a stand up roll...

Assessment of PEEPi based on a end-expiratory occlusion. Maneuver is high-lighted. Intrinsic PEEP (PEEPi) is the difference between to...

Correspondence 2008. Attached are three documents: 1. Article on gas consumption in bellow driving anesthesia machines, comparing both Dra...