We know that the reduction of tidal volume during mechanical ventilation in adults with acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) affects outcome.1 Although, the optimal tidal volume, airway pressures and ventilator modalities are still controversial, it is clear that 12 ml/kg tidal volume increases mortality in ALI and ARDS patients [...]
Filed under: ARDS, PICU | No Comments »
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 [...]
Filed under: Education, Emergency, Intensive Care, Neonatal, PICU | No Comments »
In the latest issue (March 13, 2007) of the CMAJ (journal of the Canadian Medical Association) a pediatric intensive care nurse from Edmonton, Alberta writes about what it is like to be left with the family on the last day of their child’s life.
For those of us that work in critical care we know that [...]
Filed under: General, PICU | No Comments »
It used to always be recommended that cuffed ETT tubes be used in children age 8 and older. A properly placed uncuffed ETT makes an adequate seal as it is passed through the cricoid cartilage in children less than 8 years old. Evidence now shows a cuffed ETT is as safe as an uncuffed ETT [...]
Filed under: Emergency, PICU | No Comments »
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