Continued management of clinically stable ventilator-dependent patients in the intensive care unit is controversial, given the expense and limitations of intensive care resources. A proposed alternative, which could reduce the cost of care, has been "noninvasive respiratory units." We review the management of 99 ventilator-dependent patients on routine nursing floors to define our case mix and the outcome of long-term care.

Download full-text PDF

Source
http://dx.doi.org/10.3949/ccjm.58.6.505DOI Listing

Publication Analysis

Top Keywords

ventilator-dependent patients
12
intensive care
12
patients intensive
8
care unit
8
care
5
demographics long-term
4
long-term ventilator-dependent
4
unit continued
4
continued management
4
management clinically
4

Similar Publications

Purpose: Severe thorax trauma including multiple rib fractures and flail chest deformity are leading causes of death in trauma patients. Increasing evidence supports the use of surgical stabilisation of rib fractures (SSRF) in these patients. However, there is currently a paucity of evidence for its use in non-ventilator-dependent patients.

View Article and Find Full Text PDF

Objective: Children with chronic ventilator dependence are a complex and heterogeneous population with unique needs. We sought input from parents, clinicians, and hospital staff to identify opportunities for process improvement during hospitalization and discharge preparation.

Methods: We conducted a qualitative study at a large referral center for children with chronic ventilator dependence.

View Article and Find Full Text PDF

Background: Electrical impedance tomography (EIT) evaluates lung function by providing continuous, real-time monitoring of regional lung ventilation distribution to guide the restoration of lung ventilation. Patients with obesity who are dependent on mechanical ventilation often struggle with weaning. This case report highlights the potential of EIT to guide the weaning of ventilator-dependent patients in an obese patient with severe pneumonia.

View Article and Find Full Text PDF

We report a case of amyotrophic lateral sclerosis (ALS) in a patient in their 50s, presenting with spastic paraparesis and bulbar palsy, treated with lung volume recruitment therapy (LVRT). From early stage in the disease, vital capacity (VC), lung insufflation capacity (LIC) and ALS Functional Rating Scale-Revised scores were regularly measured, and LVRT was continuously performed at home. After 10 years, the patient had complete limb function loss and required nutritional management via gastrostomy and full assistance with daily activities.

View Article and Find Full Text PDF

Objective: To retrospectively evaluate the utility of diaphragmatic ultrasound parameters in assessing ventilator weaning outcomes and survival in ventilator-dependent intensive care unit (ICU) patients.

Methods: A total of 105 ventilator-dependent ICU patients admitted to our hospital between October 2019 and February 2024 were included in this study. Depending on weaning outcomes, patients were divided into a successful group (n = 86) and a failure group (n = 19).

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!