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Variation in the rapid shallow breathing index associated with common measurement techniques and conditions.(Report)

Nov 01, 2009; ... Introduction Determining when patients with respiratory failure can be liberated from mechanical ventilation is critical. A in removal from the ventilator increases the risk of hospital-acquired pneumonia (1) and other complications. On the other hand, premature removal from the ...

Comparison of semi-quantitative endotracheal aspirates to quantitative non-bronchoscopic bronchoalveolar lavage in diagnosing ventilator-associated pneumonia.(Original Research)(Clinical report)

Nov 01, 2009; ... Introduction Inappropriate or inadequate antimicrobial therapy for ventilator-associated pneumonia (VAP) is associated with increased mortality (1-4) and the emergence of multiple-drug resistance, (5) which emphasizes the importance of a microbiologically based approach in the ...

New dual ventilator modes: are we ready to perform large clinical trials?

Nov 01, 2009; ... Mechanical ventilation is usually achieved using either volume-controlled or pressure-controlled ventilation. (1,2) Moreover, it can be applied as full ventilatory support, for which the total work of breathing (total WOB) is performed by the ventilator, without any active participation of ...

Technique and the rapid shallow breathing index.

Nov 01, 2009; ... No practice has changed more dramatically during my career than ventilator weaning. My training in the late 1980s and early 1990s was often spent at the bedside, debating whether to wean, when to do it, and which technique to use. Experts touted diverse modes and testing parameters, some ...

An evidence-based approach to the diagnosis of ventilator-associated pneumonia.(Editorials)(Report)

Nov 01, 2009; ... Ventilator-associated pneumonia (VAP) is defined as a pneumonia that develops after 48 hours of mechanical ventilation. VAP is the most common nosocomial infection in the intensive care unit (ICU) and an important cause of morbidity in the ICU. While the incidence varies according to the ...