Publications by authors named "L Piquilloud"
Article Synopsis
- The review discusses the importance of developing effective strategies for using tracheostomy in ICU patients needing extended mechanical ventilation or having airway protection issues.
- Recent findings highlight that tracheostomy can improve patient comfort, ease the weaning process, and help with recovery activities, although it doesn’t decrease mortality and may lead to complications like tracheal stenosis.
- An individualized approach is necessary to determine the optimal timing and technique for tracheostomy, favoring the percutaneous single dilator method with trained personnel when appropriate.
Key Clinical Message: Forced inspiration during mechanical ventilation risks self-inflicted lung injury. However, controlling it with sedation or paralysis may cause polyneuropathy and myopathy. We tested bilateral phrenic nerve paralysis with local anesthetic in a patient, showing reduced inspiratory force.
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- Trained ICU nurses can perform oesophageal pressure measurements, which help in evaluating lung and chest wall mechanics and spotting patient-ventilator asynchronies.
- An educational study was conducted to assess the nurses' ability to perform these measurements after a short training program.
- All 11 nurses who completed the program succeeded in their practical evaluations, indicating that the training is effective and feasible for accurate measurement.