scholarly journals Tolerable Maximum Positive End Expiratory Pressure in Mechanically Ventilated Patients and Its Impact on Blood Flow across Cardiac Valves: Index Case Report of a Physiology Study

2019 ◽  
Vol 2 (4) ◽  
pp. 163-167
Author(s):  
Rashid Nadeem ◽  
Kamaleldin Ahmed ◽  
Lamiaa Salama ◽  
Ashraf M. Elhoufi
Keyword(s):  
Blood Flow ◽  
Case Report ◽  
Index Case ◽  
Positive End Expiratory Pressure ◽  
Cardiac Valves ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

scholarly journals Is There an Optimal Positive End-expiratory Pressure to Measure the Internal Jugular Vein Collapsibility Index? A Pilot Study in Mechanically Ventilated Patients

2021 ◽  
Author(s):  
Alireza Zeraatchi ◽  
Taraneh Naghibi ◽  
Hamid Kafili ◽  
Somayeh Abdollahi Sabet
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Positive End Expiratory Pressure ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Collapsibility Index ◽  
Vein Diameter ◽  
Ventilated Patients

Background: Hemodynamic monitoring its early stabilization is very important in critically ill patients. Evaluating the Internal jugular vein diameter during respiratory cycles by the means of Point-of care ultrasound provides an important, easily available and precise index for monitoring hemodynamic status; a new method which is called Internal Jugular Vein Collapsibility Index (IJV-CI). Any events that alters intrathoracic volumes and pressures may affect this index. In this study we investigate the effects of various levels of positive end-expiratory pressure on this index. Methods: Thirty mechanically ventilated patients were studied. We used three different PEEP levels (0, 5 and 10 cmH2o) and point-of-care ultrasound evaluation of IJV (Internal Jugular Vein) diameter to determine the IJV-CI. The analysis were performed using SPSS V.25.0. Results: Patients were included men (76.6%) and women (33.3%). The mean age of patients was 39.65±3.4 for men and 42.71± 9.34 for women. The IJV-CI were 20.71±11.77 and 24.25±11.46 in PEEP=0 and PEEP=10 cmH20 groups respectively. In 5cmH20-PEEP group median and interquartile range were 16.45(14.8). The IJV-CI in three different PEEP levels were not statistically significantly different. Conclusion: According to the finding of this study, we found no evidence of an optimal PEEP level to measure The IJV-CI.

scholarly journals Bronchoscopic Insufflation of Room Air for the Treatment of Lobar Atelectasis in Mechanically Ventilated Patients

1995 ◽  
Vol 23 (2) ◽  
pp. 175-177 ◽  
Author(s):  
P. V. Van Heerden ◽  
W. Jacob ◽  
P. D. Cameron ◽  
S. Webb
Keyword(s):  
Positive Pressure Ventilation ◽  
Chest Physiotherapy ◽  
Additional Benefit ◽  
Positive Pressure ◽  
Common Occurrence ◽  
Positive End Expiratory Pressure ◽  
Pulmonary Atelectasis ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients

Segmental and lobar pulmonary atelectasis is a common occurrence in mechanically ventilated patients. Standard therapy for atelectasis relies on positive pressure ventilation, positive end expiratory pressure (PEEP), tracheobronchial toilet and regular chest physiotherapy. Various adjuncts to physiotherapy such as bronchoscopic clearance of secretions have not proved to be of additional benefit. Bronchoscopic clearance of secretions followed by insufflation of room air at 30 cm H2O into the atelectatic segment was employed on ten occasions in mechanically ventilated patients. Rapid re-expansion of the collapsed segment or lobe occurred in seven out of the ten treatments.

scholarly journals Effect of Positive End Expiratory Pressure on Central Venous Pressure in Mechanically Ventilated Patients

2019 ◽  
Vol 7 (3) ◽  
pp. 387-391
Author(s):  
Khaled Mohammed Al-Sayaghi ◽  
Hassnaa Eid Shaban Mosa ◽  
Masouda Hassan Atrous ◽  
Azza Hamdi El-Soussi ◽  
Ahmed Youssef Ali ◽  
...  
Keyword(s):  
Central Venous Pressure ◽  
Venous Pressure ◽  
Positive End Expiratory Pressure ◽  
Central Venous ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Ventilated Patients
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