Mechanical ventilation was complicated by right pneumothorax on day 9, and chest tube drainage was performed that resulted in a persistent air leak.
Pneumothorax, a major and potentially lethal complication of SARS and mechanical ventilation, often complicates the management of mechanically ventilated patients, and would be especially hazardous for patients in an individually isolated SARS ICU.
Chest sepsis after 48 hours of mechanical ventilation commonly complicates neurocritical illness and polytrauma requiring significant ICU resources and antibiotic burden.
In addition, mechanical ventilation may further complicate the management of acute severe asthma by delivering a gas with increased velocity through a narrow endotracheal tube, particularly in pediatric and neonatal patients.
Introduction: Critically ill patients under mechanical ventilation (MV) were often complicated by pleural effusion.
Over a course of 4 to 5 days, the following conditions developed: bilateral pneumonitis, which required mechanical ventilation, hepatitis, and septic shock complicated by renal insufficiency, for which dialysis was necessary.
In addition to monitoring techniques such as continuous blood pressure recording, ICU care often involves complicated treatment including mechanical ventilation, renal replacement therapy, and continuous medication infusions.
More nurses than physicians indicated DSI is contra-indicated in hemodynamic instability (66% versus 53%, P <0.001) and complicated weaning from mechanical ventilation (47% versus 29%, P <0.001).
Nurses report situations frequently encountered in the ICU (hemodynamic instability, complicated weaning from mechanical ventilation and substance abuse) as contraindications to DSI more often than physicians.
Second, consultation with or collaborative management by physicians expert in ventilator management is appropriate because mechanical ventilation of patients with severe refractory asthma is complicated and risky.
