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Amazing article about Patient-Ventilator Interactions. Congratulations J. Martin Nunez silveira Fede Gordo-Vidal Angelo Roncalli doi.org/10.1016/j.medi…

If you intubate you need to read the #PREOXI trial! -n=1301 people requiring intubation in ED/ ICU were randomized to preoxygenation with oxygen mask vs non-invasive ventilation (NIV) -NIV HALVED the risk of hypoxemia: 9 vs 18% -NIV reduced mortality: 0.2% vs 1.1% #CCR24 🧵 1/

❓❓ What happened Ariel J Garnero Ben Fabry Angelo Roncalli Fede Gordo-Vidal Doc Musician Dr. Miguel Ibarra-Estrada Eduardo Mireles-Cabodevila Aman Thind Sameed M Angelo Roncalli Ryan Hughes Centre of Excellence in Mechanical Ventilation Juan Zuñiga Sateesh chandra J. Martin Nunez silveira 𝙟𝙤𝙨𝙝 𝙛𝙖𝙧𝙠𝙖𝙨 💊 IMCrit Journal of Mechanical Ventilation CCF Pulmonary and Critical Care Fellows Andrew Miller MSc RRT-ACCS RRT-NPS FAARC FCCM

I am sure it will be an excellent series and looking forward to them.

What is going on? Mode? Load? Pt/Vent interaction? Can you explain it using the equation of motion? Doc Musician Dr. Miguel Ibarra-Estrada Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Mohammed Megri. MD Sameed M Critical Concepts Fede Gordo-Vidal Ben Fabry Saudi Respiratory VentBusters IMCrit SCCM Respiratory Care Section

What is going on? What would you do next based on what you observe? Doc Musician Dr. Miguel Ibarra-Estrada Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Ben Fabry Society of Mechanical Ventilation Critical Concepts IMCrit Mohammed Megri. MD Saudi Respiratory VentBusters SCCM Respiratory Care Section

Ariel J Garnero Doc Musician Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Ben Fabry Society of Mechanical Ventilation Critical Concepts IMCrit Mohammed Megri. MD Saudi Respiratory VentBusters SCCM Respiratory Care Section VC-CMVs. Machine triggered breaths followed by Pmus, which defines early trigger. The presence of Pmus during expiratory hold rules-out the entrainment phenomenon (reverse trigger), so the natural pt's rate is just matching the mechanical RR. Next step is to ⬇️mandatory rate.

Playing with the AOP concept. It only applies to situations when the opening and closing P are the same. Make your own conclussions of this simple model. Dr. Miguel Ibarra-Estrada Eduardo Mireles-Cabodevila Doc Musician CCF Pulmonary and Critical Care Fellows IMCrit Ben Fabry Angelo Roncalli Critical Concepts SCCM Respiratory Care Section

5 more episodes SEVA VentRounds youtube.com/playlist?list=… Leaks, failed trigger, expiratory effort and other cool stuff... CCF Pulmonary and Critical Care Fellows Yale PCCSM Johns Hopkins University PCCM Fellowship UC Riverside Critical Care Medicine UCLA PCCM PCCM UChicago Matt Siuba Sameed M Mohammed Megri. MD Aman Thind Victor De La Puente Dr. Miguel Ibarra-Estrada

What bad interctaion is this? Was it improved? Why? TAG? Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Doc Musician IMCrit Critical Concepts Society of Mechanical Ventilation Ben Fabry Saudi Respiratory VentBusters SrivatsaNagachandan HIBA Ventila Dr. Miguel Ibarra-Estrada SCCM Respiratory Care Section

So excited to join Ewan Goligher Thomas Piraino Sherry L.Felipe Damiani at the AARC masterclass on patient-ventilator interactions. aarc.org/aarc-meetings/… still have some seats! American Association for Respiratory Care MS in Respiratory Care at Texas State University The National Board for Respiratory Care - NBRC Society of Mechanical Ventilation VentBusters Be An RT RT Magazine

I think I will remember you most with this photo. Rest in piece Prof. Luciano Gattinoni Father of Baby Lung Concept..

Classification of modes up to the 2nd level of discrimination. Further discrimination is needed, since many modes share the same control variable and breathing sequence. Feel to mention any modes and its manufacturer not included in the graph Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows Saudi Respiratory

SEVA program on mechanical ventilation registration now open ! Here are the dates for 2025. Join us in our path to getting better. clevelandclinicmeded.com/live/courses/s… CCF Pulmonary and Critical Care Fellows Cleveland Clinic Med Peds Hospitalist Matt Siuba Society of Mechanical Ventilation Sameed M Raed Dweik, MD, MBA Ariel J Garnero Kshitij Chatterjee Aman Thind

You happen to be in the unit while 2 code blue are happening. Nurses are busy. What would you do for this pt until the nurse bolus a sedative? Doc Musician Dr. Miguel Ibarra-Estrada Eduardo Mireles-Cabodevila CCF Pulmonary and Critical Care Fellows IMCrit Critical Concepts Society of Mechanical Ventilation VentBusters Albert Bui Troy Whitacre

IMHO, trials of n=1'000,000 comparing VC vs PC could be made, but differences in relevant outcomes should NEVER be found. This would only mean that the proficiency at using the "bad/negative" mode is questionable. Any thoughts?sciencedirect.com/science/articl…

We developed a browser-based tool to predict ventilation impairments such as iPEEP buildup, hypoventilation, and desynchronization due to the tube resistance (also during bronchoscopy). Check it out: fabrylab.github.io/Bronchoscopy/

‼️only 34% of the tested HME/HMEF passed the psychrometric test dx.doi.org/10.1089/respca…

ICU Snaphots: Young patient, postoperative day #3, recovering from cardiothoracic surgery, still on the ventilator What mode is this one? What is the TAG? What - if any - asynchrony do you see?