Check out our just published review article on HFOV. Great collaboration between Jan Hau @AlexRotta Brian Smith and Herng Lee Tan! #pedsICU frontiersin.org/articles/10.33…

Lung recruitment 💨 what's it? 💨 how to explain variability in recruitability among pts? 💨 how can recruitment be measured? Directly &/or indirectly? Knowing potential recruitability crucial to optimize MV: lot of questions, answers #FOAMcc on Intensive Care Medicine 📎bit.ly/3MIoDgh

Stress calculation

Beware of the saturated expiratory filter! Most obvious clue is the persistently high airway pressure during exhalation. Pics before and after filter change.

Response – What form of asynchrony do you see? coemv.blog/response-what-…

Dr. Laurent Brochard discusses the recognition and management of dyssynchrony sccm.org/Pod438

This article is not exactly new but continues to be my "go to" refresher when ventilating a severe asthmatic! doc.rero.ch/record/317975/…

Very honoured to be part of the fantastic team recognized for this award! youtu.be/kg2B3BErL2s

Attending at the coffee shop: hey doc, are you good at MV? We could use some help with this long-term MV patient with Guillain-Barré.She awoke sleepy today and has a “new onset refractory hypercapnia of unknown origin”🤨Ariel J Garnero,Angelo Roncalli,Ryan Hughes,Doc Musician,Aman Thind

Lung & diaphragm protective ventilation guided by the esophageal pressure 🖇️ rdcu.be/cSJNX Also read review (+ look supplementary video) on meaning and usefulness of esophageal & transpulmonary pressure in #ICU 🖇️ rdcu.be/cSJNS #FOAMcc on Intensive Care Medicine

Mode? Tag? Load? What would you do in order to improve this patient-ventilator interaction? Fede Gordo-Vidal Doc Musician Dr. Miguel Ibarra-Estrada Matt Siuba Eduardo Mireles-Cabodevila Sameed M Aman Thind Ryan Hughes Angelo Roncalli Gary Kuhn

Now with more info. What is going on? Mode? How is the pt-vent interaction? Thre is a lot to speak about this graph, and a lot to learn for all of us. Fede Gordo-Vidal Doc Musician Dr. Miguel Ibarra-Estrada Eduardo Mireles-Cabodevila Gary Kuhn Ryan Hughes Aman Thind Matt Siuba

Interesting to witness the changes to the trigger as 100mg Rocuronium administered. Rarely do we have a NAVA catheter insitu to see this. Amazing how sensitive electrical triggering can be, relative to flow. Ariel J Garnero Dr. Miguel Ibarra-Estrada

My usual approach to RT. This is how an entrainment from hell looks like. Neurosurgical pt whose sedation was withheld 12 hours earlier. Notice how the work shifting increases as minute ventilation ⬇️ Ariel J Garnero,Angelo Roncalli,Ryan Hughes,Eduardo Mireles-Cabodevila,VentBusters,@smittay07

Always a surprise when the entrainment of reverse trigger is broken by weaning set rate. Where was that Pmus hiding? Quick stop before switching to PC-CSVs.

x.com/Thind888/statu…

So true! Never underestimate the role we play in managing this interaction at the bedside.

An amazingly useful thread on Vcap use in mechanical ventilation!

Great description of the Equation of Motion by Robert L Chatburn: Fede Gordo-Vidal Doc Musician Dr. Miguel Ibarra-Estrada Eduardo Mireles-Cabodevila Aman Thind Matt Siuba Carlos L. Alviar MD, FACC Angelo Roncalli Society of Mechanical Ventilation Saudi Respiratory @norfolk_tim CCF Pulmonary and Critical Care Fellows MS in Respiratory Care at Texas State University SCCM Respiratory Care Section Ryan Hughes Gary Kuhn

Not very familiar with this vent - had only for a short time to demo. Took this pic for another purpose but now that I am looking at it, I'm a little confused. In this mode should the PS setting not be above PEEP? Looks to be 5cmh20 above 0, ie CPAP on spontaneous breaths!