Effects of Circuit Leak Development Over Time and Response During Low-Flow Volume and Pressure-Controlled Ventilation.

Study Objective: To study the effects of circuit leak development over time and response during volume and pressure controlled ventilation using low flow in human patient simulator and to examine the minimum fresh gas flow needed to compensate for such a leak. Design/Setting: Prospective study using a patient Simulation Lab at Wayne State University. Measurements: A human patient simulator was endotracheally intubated.

Music and ambient operating room noise in patients undergoing spinal anesthesia.

Previous studies have indicated that music decreases intraoperative sedative requirements in patients undergoing surgical procedures under regional anesthesia. In this study we sought to determine whether this decrease in sedative requirements results from music or from eliminating operating room (OR) noise. A secondary aim of the study was to examine the relationship of response to intraoperative music and participants' culture (i.

Alarming hypoxemia during one-lung ventilation in a patient with respiratory bronchiolitis-associated interstitial lung disease.

Purpose: To report a patient with respiratory bronchiolitis-associated interstitial lung disease (RB-ILD) who developed severe hypoxemia during one-lung ventilation (OLV).

Clinical Features: A 27-yr-old female, ex-smoker presented with productive cough and dyspnea of 18-month duration. The chest x-ray revealed diffuse abnormalities involving both lungs consisting of interstitial emphysema with irregular shadowing.

Advancing the tracheal tube over a flexible fiberoptic bronchoscope by a sleeve mounted on the insertion cord.

Unlabelled: The advancement of an endotracheal tube (ETT) over a flexible fiberoptic bronchoscope (FOB) is often impeded at the glottis. This is attributed to the creation of a cleft by the difference in the outer diameter of the fiberscope and the internal diameter of the tube. We designed a conical-shaped polyvinyl chloride sleeve to fit the insertion cord.