Critical Care | Mechanical Ventilation Respiratory Care Views expressed my own

Joined February 2022
Happy to share! Work of Breathing by the Campbell Diagram: Physiology and Practice - Juan Martin Nuñez Silveira, Adrian Gallardo, Glasiele Alcala, Santiago Bramardi, Rutger Flink, Annemijn Jonkman, 2026 journals.sagepub.com/doi/abs…
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Morbid Obese about to be extubated. SBT on same PEEP 28, lower or 5/5. Extubate to NIV or HFNC? If NIV, what PEEP would you use? Is the pt working hard? Able to communicate by writing. @emireles_c @CCF_PCCM @MegriMohammed @IM_Crit_ @critconcepts @Vent_Busters @JVentilation
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Diaphragmatic flutter in a patient on mechanical ventilation: challenging! @JmNunezSilveira @ArielG_RRT @emireles_c @OrlandoRPN @ecgoligher
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In 132 ICU patients in Australia, 50% adherence to the ABCDEF bundle did not reduce incidence or duration of delirium. Data of adherence and delivery are important performance parameters in bundles. I remember >80% being crucial for success journals.lww.com/ccmjournal/…
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Finally saw a respiratory therapist using an Aerogen vibrating mesh nebulizer for acute severe asthma in The Pitt S2E13. Accurate aerosol delivery on prime time. Small win, big pride for RTs. 👏🏼 #ThePitt #RespiratoryTherapist #Aerogen #Nebulizer #Asthma #WMN
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Very nice discussion about "Automode - BIPAP" Letter to the editor-Author's response journalmechanicalventilation…
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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?
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‼️only 34% of the tested HME/HMEF passed the psychrometric test dx.doi.org/10.1089/respcare.…
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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/Bronchosc…
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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/ar…
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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? @DocMusician @DrMiguelIbarra1 @emireles_c @CCF_PCCM @IM_Crit_ @critconcepts @OfVentilation @Vent_Busters @RagingRenals @respitroy
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