Article
Health Care Sciences & Services
William K. Silverstein, Jonathan S. Zipursky, Andre C. Amaral, Jerome A. Leis, Laura Strong, Julie Nardi, Adina S. Weinerman, Brian M. Wong, Lynfa Stroud
Summary: During the COVID-19 pandemic, hospitals increased critical care capacity by using HFNC to treat COVID-19 patients in non-traditional settings. This retrospective cohort study examined the impact of HFNC treatment on ICU capacity in a Canadian tertiary care hospital, as well as the characteristics and outcomes of the treated patients.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Emergency Medicine
Michael E. Winters, Kami Hu, Joseph P. Martinez, Haney Mallemat, William J. Brady
Summary: This review article summarizes important studies published in 2020 regarding resuscitation and care of select critically ill patients, highlighting key findings such as the use of dexamethasone for COVID-19 patients, lower levels of positive end-expiratory pressure for patients without acute respiratory distress syndrome, and early initiation of extracorporeal membrane oxygenation for out-of-hospital cardiac arrest patients with refractory ventricular fibrillation.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Engineering, Multidisciplinary
Dingfu Chen, Kangwei Lin, Ziheng Deng, Qingxu Deng
Summary: In this paper, a lightweight network called Mobiformer is proposed for automatic PVA identification, which combines the ability of parameter sharing of convolutional network and the global interaction of self-attention mechanism. The model can dynamically capture the global dependencies and extract local information to accurately detect PVA. Experimental results show that our model can effectively identify PVA and make interpretable decisions.
Article
Biotechnology & Applied Microbiology
Nur Sa'adah Muhamad Sauki, Nor Salwa Damanhuri, Nor Azlan Othman, Belinda Chong Chiew Meng, Yeong Shiong Chiew, Mohd Basri Mat Nor
Summary: By applying the developed extended time-varying elastance model, asynchronous event detection of mechanically ventilated patients in the ICU can be achieved, providing valuable insight into respiratory mechanics. Furthermore, there is a correlation between asynchronous events and lung elastance, offering a better understanding of the underlying lung dynamics in MV patients.
BIOENGINEERING-BASEL
(2021)
Review
Anesthesiology
Spencer P. Walsh, David Shaz, David Amar
Summary: Recent evidence indicates that there is no significant difference in outcomes between thoracic surgery patients who are ventilated with low or higher tidal volume. The effects of low versus higher positive end-expiratory pressure are also unclear.
Article
Computer Science, Interdisciplinary Applications
Tom Bakkes, Anouk van Diepen, Ashley De Bie, Leon Montenij, Francesco Mojoli, Arthur Bouwman, Massimo Mischi, Pierre Woerlee, Simona Turco
Summary: An automatic detection and classification algorithm for patient-ventilator asynchrony (PVA) was developed using a neural network and simulated data. The algorithm achieved over 90% accuracy in detecting and classifying PVAs, providing a tool to optimize mechanical ventilation and monitor ventilation strategies.
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
(2023)
Article
Critical Care Medicine
Peter C. Nauka, Jen-Ting Chen, Ariel L. Shiloh, Lewis A. Eisen, Daniel G. Fein
Summary: The study retrospectively analyzed intubation procedures for adult COVID-19 patients at Montefiore Medical Center, comparing techniques, success rates, and complications with intubations performed on critically ill patients before the COVID-19 pandemic. Despite higher first-pass success rates during the COVID-19 pandemic, there was a higher incidence of associated complications, possibly due to increased use of video laryngoscopy and neuromuscular blocking agents.
Article
Critical Care Medicine
Anne-Fleur Haudebourg, Tommaso Maraffi, Samuel Tuffet, Francois Perier, Nicolas de Prost, Keyvan Razazi, Armand Mekontso Dessap, Guillaume Carteaux
Summary: The study assessed the impact of proportional assist ventilation with load-adjustable gain factors (PAV+) on refractory ineffective triggering during pressure support ventilation. Among patients with ineffective triggering under PSV, 58% had refractory ineffective triggering, which was not eliminated by PSL adjustment. Switching to PAV+ significantly reduced or eliminated the incidence of asynchrony for these patients.
ANNALS OF INTENSIVE CARE
(2021)
Article
Nursing
Yasuyo Yoshino, Takeshi Unoki, Hideaki Sakuramoto, Akira Ouchi, Haruhiko Hoshino, Yujiro Matsuishi, Taro Mizutani
Summary: The study aimed to investigate the relationship between delirium during ICU stay and delusional memories after ICU discharge. Results showed that delirium during ICU stay was significantly associated with experiencing delusional memories post-discharge. Preventing delirium during ICU stay could potentially reduce the occurrence of delusional memories.
Article
Critical Care Medicine
Sarah Wahlster, Monisha Sharma, Ariane K. Lewis, Pratik V. Patel, Christiane S. Hartog, Gemi Jannotta, Patricia Blissitt, Erin K. Kross, Nicholas J. Kassebaum, David M. Greer, J. Randall Curtis, Claire J. Creutzfeldt
Summary: This study investigates the impact of the COVID-19 pandemic on ICUs and critical care healthcare providers globally. The findings demonstrate variability in ICU resource availability, CPR practices, and psychological well-being of healthcare providers across different regions, highlighting the need for targeted interventions to support frontline workers.
Article
Critical Care Medicine
Robert G. T. Blokpoel, Johannes G. M. Burgerhof, Dick G. Markhorst, Martin C. J. Kneyber
Summary: The study found that the level of patient-ventilator asynchrony in mechanically ventilated children increased over time, but was not related to patient discomfort and was inversely related to the duration of mechanical ventilation. The prevalence of asynchronous breaths was highest on the day of extubation.
PEDIATRIC CRITICAL CARE MEDICINE
(2021)
Review
Medicine, General & Internal
Mengfan Wu, Xueyan Yuan, Ling Liu, Yi Yang
Summary: This study conducted a systematic review and meta-analysis to determine the impact of neurally adjusted ventilatory assist (NAVA) compared to conventional mechanical ventilation (CMV) on the outcomes of patients with acute respiratory failure (ARF). The results suggest that NAVA improves patient-ventilator synchronization and important clinical outcomes, including reducing asynchrony index, shortening duration of mechanical ventilation, and decreasing ICU mortality.
FRONTIERS IN MEDICINE
(2022)
Review
Critical Care Medicine
Xueyan Yuan, Xinxing Lu, Yali Chao, Jennifer Beck, Christer Sinderby, Jianfeng Xie, Yi Yang, Haibo Qiu, Ling Liu
Summary: The study suggests that the NAVA mode may improve the rate of weaning success for difficult to wean patients compared with other partial support modes. Additionally, NAVA may reduce the duration of mechanical ventilation, decrease hospital mortality, and prolong ventilator-free days when compared with other modes.
Review
Medicine, General & Internal
Pauliane Vieira Santana, Leticia Zumpano Cardenas, Andre Luis Pereira de Albuquerque
Summary: Mechanical ventilation (MV) is a life-saving respiratory support therapy, but it can cause diaphragm muscle injury and dysfunction. Diaphragmatic dysfunction is associated with adverse outcomes and the main mechanisms of myotrauma are inadequate MV support and patient-ventilator asynchrony. Protecting the diaphragm during MV requires monitoring diaphragmatic effort and detecting asynchrony, which can be done with diaphragm ultrasound.
Article
Critical Care Medicine
Matthew A. Roginski, Matthew C. Carroll, Micah L. Trautwein, Evan D. Watkins, Alyson M. Esteves
Summary: The study aimed to assess the impact of deep versus light sedation during critical care transport on mechanically ventilated patients. The results showed that deep sedation during transport did not affect sedation levels or outcomes during hospitalization.
JOURNAL OF INTENSIVE CARE MEDICINE
(2023)
Article
Medicine, General & Internal
Mackenzie C. Morris, Grace M. Niziolek, Thomas C. Blakeman, Sabre Stevens-Topie, Rosalie Veile, Victor Heh, Basilia Zingarelli, Dario Rodriquez, Richard D. Branson, Michael D. Goodman
Editorial Material
Critical Care Medicine
Richard D. Branson
Article
Critical Care Medicine
Jacob Herrmann, Andrea Fonseca da Cruz, Monica L. Hawley, Richard D. Branson, David W. Kaczka
Editorial Material
Critical Care Medicine
Richard D. Branson, Dario Rodriquez
Article
Critical Care Medicine
Paul N. Austin, Richard D. Branson
Summary: This article discusses the use of anesthesia machines as critical care ventilators for COVID-19 patients, including the authorization process, oversight, common issues, and steps to address them.
Article
Critical Care Medicine
Morgan E. Sorg, Richard D. Branson, Umur Hatipoglu, Robert L. Chatburn
Summary: The study evaluated devices for individual control and display of VT and PEEP in multiplex ventilation, showing effective solutions for potential patient safety concerns and extending the usability of shared ventilators.
Article
Critical Care Medicine
Nicholas S. Hill, Gerard J. Criner, Richard D. Branson, Bartolome R. Celli, Neil R. MacIntyre, Amen Sergew
Summary: This document summarizes the work of the COPD Technical Expert Panel working group, making key recommendations for optimal access to noninvasive ventilation for patients with COPD. These recommendations include removal of overnight oximetry testing requirements, ability to initiate therapy using bilevel devices with backup rate capability, and increased duration of time to meet adherence criteria. Emphasis is placed on the need for adequate clinical support during initiation and maintenance of home noninvasive ventilation in such patients.
Editorial Material
Critical Care Medicine
Richard D. Branson, Ray Masferrer
Editorial Material
Critical Care Medicine
Richard D. Branson, Richard H. Kallet
Review
Critical Care Medicine
Richard D. Branson, Dario Rodriquez
Summary: The COVID-19 pandemic has led to a surge in interest in the concept of shared ventilation, with more than 40 publications in 2020 alone discussing the technical details, clinical experiences, limitations, and ethics of this technique. This topic, previously underexplored, has garnered significant attention and research focus during the ongoing public health crisis.
Editorial Material
Critical Care Medicine
Dean R. Hess, Richard D. Branson
LANCET RESPIRATORY MEDICINE
(2021)
Letter
Critical Care Medicine
Richard D. Branson
CRITICAL CARE MEDICINE
(2021)
Article
Surgery
Aaron Seitz, Jennifer E. Baker, Nick C. Levinsky, Mackenzie C. Morris, Michael J. Edwards, Erich Gulbins, Thomas C. Blakeman, Dario Rodriquez, Richard D. Branson, Michael Goodman
Summary: The study demonstrates that endotracheal tubes coated with antimicrobial lipids can significantly reduce the risk of pneumonia in pig lungs after mechanical ventilation and improve survival rates. Among the tubes coated with multiple drugs, the combination of octadecylamine, N-acetylcysteine, doxycycline, and levofloxacin had the best results in terms of reducing bacterial colonization.
JOURNAL OF SURGICAL RESEARCH
(2021)
Letter
Respiratory System
Richard Branson, Dario Rodriquez, Paul N. Austin
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2021)
Meeting Abstract
Critical Care Medicine
Ruth Kleinpell, David Ferraro, Ryan Maves, Sandra Kane-Gill, Richard Branson, Steven Greenberg, Lewis Kaplan
CRITICAL CARE MEDICINE
(2021)