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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Can we measure Plateau pressure during pressure support? And what does it indicate?

January 13, 2020 12 Comments

Pressure Support Ventilation is one of the most commonly used modes of assisted ventilation during the weaning phase. In patients…

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Reverse Triggering

May 15, 2019 6 Comments

Reverse triggering is a type of dyssynchrony that occurs when a patient effort occurs after (‘is triggered by’) the initiation…

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Expiratory Flow Limitation (EFL)

December 18, 2018 1 Comment

Expiratory flow limitation (EFL) is often associated with the presence of auto-PEEP. There are simple bedside maneuvers that can be done to determine the severity of EFL. For this subject, the CoEMV invited Detajin Junhasavasdikul MD, first author of a paper on the subject published in Chest, 2018.

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Interpret This Waveform Pattern

December 10, 2018 1 Comment

The results are in!   There were multiple correct responses.  The patient indeed has high resistance as shown by the…

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Flow Starvation

November 30, 2018 3 Comments

Flow starvation is a form of patient-ventilator dyssynchrony that occurs when a patient is demanding more flow than the ventilator provides.

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Name this Asynchrony 3

November 19, 2018 1 Comment

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

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Short Cycling

October 9, 2018 1 Comment

Short cycling is a common form of patient-ventilator dyssynchrony. It occurs when a patient-triggered breath cycles off prior to the patient effort being completed.

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