Ventilation with Face Mask and Bag-Valve Device Video

The New England Journal of Medicine in their Videos in Clinical Medicine section have released a video that covers performing positive pressure ventilation with bag-valve and face mask.
This video demonstrates how to perform orotracheal intubation. Specific indications are discussed, along with contraindications, troubleshooting, and complications.
Specific topics covered in the video include:

Overview
Indications
Contraindications
Equipment
Procedure
Complications

The video can be viewed [...]

Failed Extubation after a Successful Spontaneous Breathing Trial

The time that patients are mechanically ventilated can be safely reduced by using daily assessments for a patient’s readiness to wean, followed by extubation after a successful spontaneous breathing trial.(1) This method of weaning still results in a reintubation rate of around 10-20%. In the December 2006 issue of the journal of Chest, Frutos-Vivar [...]

Weaning predictors may delay extubation

Mechanical ventilation is associated with a number of risks and recognizing when the patient has adequately recovered from their illness that caused their intubation is key to minimizing their time on the ventilator and these risks. It has become common practice throughout the past number of years to use some bedside physiologic measurements (weaning predictors) [...]

Qualitative Assessment of ETT Cuff Leak

Patients who have an endotracheal tube (ETT) in place are possibly at risk for post-extubation stridor due to things such as airway inflammation, edema, and airway mucosal ulceration. Post-extubation stridor has an incidence that ranges between 2% and 16% in patients that have been intubated for longer than 24 hours. One technique used to attempt [...]