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Ten consecutive patients with ALI/ARDS, ventilated in accordance with our local protocol dictating frequent recruitment maneuvers, were observed while the ventilator was switched from pressure control ventilation (PC) to ASV.
In most circumstances, the mechanically ventilated patient will perform part of the WOB, while the ventilator will provide the remainder.
No attenuation in coronary flow amplitude or heart rate was observed while the ventilator was turned off.
The respiratory tubing connecting the endotracheal tube to the Y piece of the ventilatory circuit was occluded by a clamp at an end-expiratory pressure of 15 cmH2O while the ventilator was disconnected from the patient.
The respiratory tubing connecting the endotracheal tube to the Y-piece of the ventilator circuit was occluded by a clamp at end-expiration while the ventilator was disconnected from the patient.
In experiment 2, pancuronium bromide was also used in addition after confirming an adequate depth of anesthesia to eliminate spontaneous breathing while the ventilator was briefly switched off during recordings [ 26].
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The particular machines that she and the caregiver unplugged at the time I described at the end of the article are machines he can live without for a certain period of time — he can breathe on his own for a while, even without the ventilator or the diaphragmatic pacer.
'Standard' represents measurements performed under PC-CSV using unmodified manufacturers' settings in terms of inspiratory and expiratory triggering; 'NIV' represents the measurements performed under the same conditions, while switching the ventilator to the NIV mode.
As stated above, successful discontinuation of mechanical ventilation will depend on close assessment of the patient's respiratory mechanics while on the ventilator.
There is no compelling evolutionary argument to support the advantages of one physiologic state over another: those who in an earlier era would have died do not contribute to the gene pool, and even in our own brave new age reproduction while on the ventilator is distinctly uncommon.
(Prior to this test, the patient is fully oxygenated by being made to breathe 100 percent oxygen for several minutes, and diffusion oxygenation into the trachea is maintained throughout the procedure. These precautions ensure that the patient will not suffer serious oxygen deprivation while disconnected from the ventilator).
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