Articles in "mechanical ventilation"

Open-Lung Recruitment Maneuvers Increased Mortality Compared with Standard PEEP titration for Moderate-Severe Acute Respiratory Distress Syndrome (ARDS)

by Joseph Esherick, M.D., FAAFP, FHM

Open Lung recruitment maneuvers using PEEP titration based on respiratory system compliance increased mortality compared with ARDSNet PEEP titration in moderate-severe ARDS.

Protocolized Sedation is Recommended Over Usual Care for Mechanical Ventilation

by Joseph Esherick, M.D., FAAFP, FHM

Protocolized sedation compared with usual care led to decreased mortality, decreased ICU length of stay, decreased hospital length of stay, and decreased tracheostomy rates.

Summary of Sepsis and Septic Shock Treatment in 2017

by Joseph Esherick, M.D., FAAFP, FHM

The 2016 Surviving Sepsis Guidelines have just been released and summarize the current international guidelines for the management of patients with sepsis and septic shock

Fentanyl-Based Ventilator Sedation Decreased Ventilator Days in ICU Patients

by Joseph Esherick, M.D., FAAFP, FHM

The use of a fentanyl-based ventilator sedation strategy was associated with a reduction in ventilator time.

MRSA antibiotics are overprescribed in patients hospitalized for community-acquired pneumonia

by Joseph Esherick, M.D., FAAFP, FHM

Empiric antibiotics that cover methicillin-resistant staph aureus (MRSA) are overprescribed for adults admitted to the hospital for community-acquired pneumonia (CAP).

Conservative Fluid Management Decreases Ventilator Days but not Mortality Compared with Liberal Fluid Management in ARDS

by Joseph Esherick, M.D., FAAFP, FHM

A retrospective study compared the performance of Fluid and Catheter Treatment Trial (FACTT) Lite, FACTT Conservative, and FACTT Liberal.

New Classification of ARDS Predicts Hospital Mortality

by Joseph Esherick, M.D., FAAFP, FHM

Hospital mortality increases steadily as the severity of acute respiratory distress syndrome (ARDS) increases. Presently, the mortality of patients in the hospital with ARDS is higher than 40%.

Steroids are beneficial for hospitalized patients with community-acquired pneumonia

by Joseph Esherick, M.D., FAAFP, FHM

Steroids appear to decrease mortality, need for mechanical ventilation, ARDS, and hospital length of stay for patients admitted for community-acquired pneumonia (CAP).

Noninvasive Ventilation is Extremely Effective for Severe COPD Exacerbations

by Joseph Esherick, M.D., FAAFP, FHM

Compared with invasive ventilation for severe chronic obstructive pulmonary disease exacerbations, noninvasive positive pressure ventilation was associated with lower in-hospital mortality, length of stay, and cost.

Continuous capnography beneficial during mechanical ventilation

by Joseph Esherick, M.D., FAAFP, FHM

The American Association of Respiratory Care developed a clinical policy describing the benefit of continuous capnography during mechanical ventilation. This policy statement recommends continuous capnometry during mechanical ventilation