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Unnecessary mechanical ventilation poses increased risk of complications to patients; however, premature liberation from mechanical ventilation may also be harmful [ 1].
The process of gradual removal of mechanical ventilation poses an important clinical challenge, particularly in patients with pulmonary diseases, and its failure rates range from 35%to67%7% [ 32].
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In our patients, the mean transpulmonary pressures were comparable between conventional and noisy PSV, suggesting that the new mode of assisted mechanical ventilation did not pose this population at higher risk of lung injury.
The increasing number of obese patients requiring surgery demands a better understanding of the particular challenges that obesity poses on mechanical ventilation.
Obesity poses particular challenges to adequate mechanical ventilation in addition to surgical constraints, primarily by restricted lung mechanics due to excessive adiposity, frequent respiratory comorbidities (i.e. sleep apnea, asthma), and concerns of postoperative respiratory depression and other pulmonary complications.
Sedation often poses a major obstacle to weaning from mechanical ventilation [ 41].
Noninvasive mechanical ventilation (NIMV) may decrease the risk of intubation, but NIMV failure poses its own risks.
Respiratory failure needing invasive mechanical ventilation in HlV-infected patients remains an indicator for poor outcome and often poses a challenge to intensive care physicians making decisions about aggressive ICU support.
Furthermore, mechanical ventilation, vasopressor use and vasoplegia, all of which are common in septic shock patients, pose challenges to a correct echocardiographic assessment [ 8].
Seven percent of the patients died, all after mechanical ventilation in intensive care.
▶ Consider mechanical ventilation system with heat recovery, and a solar thermal heating system.
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