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Registration Open

January 8, 2023 Thomas Piraino Leave a comment

Registration is now open for the Mechanical Ventilation Symposium Presented by: The Interdepartmental Division of Critical Care Medicine, University of…

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Posted in: Meetings

Ineffective Efforts and Reverse Triggering: What’s the difference?

June 13, 2022 tpiraino 2 Comments

Ineffective efforts and reverse triggering share some waveform similarities, so what makes them different?

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Posted in: Asynchrony, Waveforms

Response – What form of asynchrony do you see?

June 9, 2022 tpiraino Leave a comment

With the help of advanced monitoring, these findings are referred to as respiratory entrainment, or reverse triggering. A machine delivered breath (not triggered by the patient) elicits a response (effort) by the patient, and this occurs during, or very shortly after, insufflation by the ventilator.

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Posted in: Asynchrony, Measurements

What form of asynchrony do you see?

June 2, 2022 Thomas Piraino 10 Comments

Chose your answer and describe what you see and what you would do to correct it in the comment section!…

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Posted in: Asynchrony

The Effect of Lowering Tidal Volume on Mortality

December 8, 2021 CoEMV 4 Comments

The use of low tidal volume (4-8 ml/kg of predicted body weight) has been considered the default way to ventilate…

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Posted in: Measurements, Ventilation Management

How would you interpret this waveform?

October 2, 2021 CoEMV

Click the image or title to view the post and vote.

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Posted in: Asynchrony, Waveforms

A case of COVID-19 and high respiratory drive

June 17, 2021 CoEMV 6 Comments

Provided by Dr. Nuttapol Rittayamai Case Synopsis A 59 years old man presented with COVID-19 pneumonia and severe ARDS. He…

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Posted in: Measurements, Ventilation Management, Waveforms

Lung and Diaphragm Protective Ventilation

January 3, 2021 CoEMV 1 Comment

Lung protective ventilation is not a new concept in the world of mechanical ventilation. Extensive research has been published, and…

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Posted in: Measurements, Ventilation Management

Relations between dead space, respiratory rate, tidal volume and alveolar ventilation. Impact of protective ventilation settings and impact of instrumental dead space. Part 2

August 17, 2020 CoEMV 1 Comment

Based on the recently published paper “Impact of Respiratory Rate and Dead Space in the Current Era of Lung Protective…

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Posted in: Dead space, Ventilation Management

How to set the initial respiratory rate in critically ill patients and in the operating room? Impact for initial settings in mechanically ventilated COVID-19 patients. Part 1

August 10, 2020 CoEMV Leave a comment

Protective mechanical ventilation should be implemented after intubation in ARDS and in non ARDS patients, and in COVID-19 patients with…

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Posted in: Dead space, Ventilation Management

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About the CoEMV

The Toronto Centre of Excellence in Mechanical Ventilation (CoEMV) at St. Michael’s Hospital leads in personalized and evidence-based mechanical ventilation through collaborative practice, education, research, and innovation.

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