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More recently, progress in ventilator microprocessor technology has enabled the development of computer assisted management of ventilation and weaning.
This should be examined in further clinical studies as our current study provides only a first but essential step toward closed-loop management of ventilation needs.
It is important to follow the guidelines for the management of ventilation and the prevention of nosocomial infection.
In this paper we provide a detailed and balanced examination of the issues pertaining to this clinical scenario, including suggestions for clinical management of ventilation, sedation and neuromonitoring.
Previous studies exploring interprofessional responsibility for ventilation and weaning decision making in Australia, New Zealand, and Denmark found that physicians and nurses actively collaborated in the management of ventilation and weaning, generally in the absence of protocols [ 5- 8].
Regarding airway adjuncts, I agree that an oral airway cannula should be promptly used, as in fact was one of the limitations of our investigation, since it is part of common airway management pathways, however I would consider also a nasal airway, if available and not concerning trauma, for a better and proper management of ventilation.
Similar(53)
Protocol-based management of mechanical ventilation was used to achieve optimal ventilation.
Management of mechanical ventilation is complex.
The management of the ventilation system is crucial to deal with efficiency, health and safety issues in an underground environment.
Future studies are therefore needed before considering esophageal pressure and transpulmonary pressure for management of mechanical ventilation (including PEEP titration) in critically ill children.
A research program designed to develop and validate an ECP for the management of mechanical ventilation in children with acute lung injury is being conducted by a working group of the PALISI network in collaboration with CCCRN.
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