Respiratory Care Year in Review 2010: Part 2. Invasive Mechanical Ventilation, Noninvasive Ventilation, Pediatric Mechanical Ventilation, Aerosol Therapy

Abstract

SummaryThe purpose of this paper is to review the recent literature related to invasive mechanical ventilation, NIV, pediatric mechanical ventilation, and aerosol therapy. Topics covered related to invasive mechanical ventilation topics include the role of PEEP in providing lung protection during mechanical ventilation, unconventional modes for severe hypoxemia, and strategies to improve patient-ventilator interactions. Topics covered related to NIV include real-life NIV use, NIV and extubation failure, and NIV and pandemics. For pediatric mechanical ventilation, the topics addressed are NIV, invasive respiratory support, and inhaled nitric oxide. Topics covered related to aerosol therapy include short-acting ␤-adrenergic agents, long-acting ␤-adrenergic agents, longacting antimuscarinic agents, inhaled corticosteroid therapy, phosphodiesterase type 4 (PDE4) inhibitors, long-acting ␤-adrenergic plus inhaled corticosteroid, long-acting antimuscarinic plus RESPIRATORY CARE • MAY 2011 VOL 56 NO 5 667 inhaled corticosteroid, nebulized hypertonic saline, inhaled mannitol, and inhaled antibiotic therapy. These topics were chosen and reviewed in a manner that is most likely to have interest to the readers of RESPIRATORY CARE.

Management of an infant with epidermolysis bullosa on invasive mechanical ventilation

“…The presence of an artificial airway, the effect of paralyzing agents, ventilation with high concentrations of oxygen, lesions of the tracheobronchial mucosa induced by tracheal aspiration and inadequate humidification seem to be the main determinants of changes in mucociliary function in mechanically ventilated patients. 17 , 18 With an excessive production of mucus, these factors increase the risk of secretion retention, pulmonary infection and the development of atelectasis due to obstruction. 17 …”

“… 17 , 18 With an excessive production of mucus, these factors increase the risk of secretion retention, pulmonary infection and the development of atelectasis due to obstruction. 17 …”

Sequential invasive-noninvasive mechanical ventilation weaning strategy for patients after tracheostomy

“…Moreover it can improve the efficacy of antibiotics by sputum drainage and gain the time for the treatment of primary diseases. [15,16] Noninvasive positive pressure ventilation has undergone a remarkable evolution in the past decade, showing an important role in the management of both acute and chronic respiratory failure. This ventilation can be used as a bridge or reduce the intensity of assisted ventilation and contribute to successful weaning with efficient respiratory support for the improvement of ventilation.…”

Respiratory Care Year in Review 2012: Invasive Mechanical Ventilation, Noninvasive Ventilation, and Cystic Fibrosis

“…At the American Association for Respiratory Care Congress 2012, RESPIRATORY CARE presented a series of lectures on the theme of "Year in Review." As done twice before, [1][2][3] topics were chosen that are likely to have special interest to the readers of RESPIRATORY CARE. In this paper we review topics related to invasive mechanical ventilation, noninvasive ventilation, and cystic fibrosis (CF).…”