Ventilator Dependency: Causes & Reasons

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Possible Causes for Ventilator Dependency

Tracheobronchomalacia

OBJECTIVE: To examine the prevalence of tracheobronchomalacia diagnosed by tracheobronchography in ventilator-dependent infants, and describe the demographic, clinical and [ncbi.nlm.nih.gov]

A neonatal case of severe, ventilator-dependent tracheobronchomalacia (TBM) is described. [ncbi.nlm.nih.gov]

Given the degree of the patient’s opioid and benzodiazepine dependence and the long-standing nature of his ventilator dependence, a controlled wean from the ventilator was [stm.sciencemag.org]

King Syndrome

Free Special Articles | April 2002 ANESTHETIC MANAGEMENT OF A VENTILATOR-DEPENDENT PARTURIENT WITH THE KING-DENBOROUGH SYNDROME : P-32 Author Notes Anesthesiology, Duke University [anesthesiology.pubs.asahq.org]

The patient required nocturnal mechanical ventilation via tracheostomy, and there was concern that the patient would become increasingly dependent on mechanical ventilation [ncbi.nlm.nih.gov]

Medical Center, Durham, NC Article Information Special Articles Special Articles | April 2002 ANESTHETIC MANAGEMENT OF A VENTILATOR-DEPENDENT PARTURIENT WITH THE KING-DENBOROUGH [anesthesiology.pubs.asahq.org]

Flail Chest

This study evaluates the usefulness and cost-effectiveness of surgical rib stabilization in patients with flail chest resulting in ventilator dependent respiratory insufficiency [ncbi.nlm.nih.gov]

RESULTS: Surgical stabilization of flail chest injuries led to statistically significant decreases in hospital length of stay, ventilator-dependency time, pneumonia, tracheostomy [ncbi.nlm.nih.gov]

Multivariate analysis of ventilator dependency revealed requirement for laparotomy (P = 0.019) or tracheostomy (P < 0.0001) and pneumonia (P = 0.0002) as significant. [ncbi.nlm.nih.gov]

Mechanical Ventilation

This is the first reported case clearly relating left ventricular outflow tract dynamic obstruction to preload dependence during mechanical ventilation in a critically ill [ncbi.nlm.nih.gov]

Morbidly obese, critically ill patients are prone to develop hypoxemic respiratory failure and ventilator dependency. [ncbi.nlm.nih.gov]

In addition, 11 PMV patients became mechanical ventilator-dependent and were transferred to the respiratory care ward for further long-term care. [ncbi.nlm.nih.gov]

Respiratory Alkalosis

STUDY DESIGN: A pilot case control study of the acid-base and electrolyte status in 30 long-term ventilator-dependent (LTVD) and 30 self ventilating persons with tetraplegia [ncbi.nlm.nih.gov]

During recovery (post-hyperventilation), a ventilation-rate-dependent hypokalemic overshoot was observed. [ncbi.nlm.nih.gov]

In mechanically ventilated patients, consider decreasing minute ventilation. 5. [clinicaladvisor.com]

Diaphragm Disorder

[…] for neuromuscular conditions Respiratory muscle dysfunction Ventilator-dependent respiratory failure due to spinal cord injury Treatments and Procedures Offered Treatment [templehealth.org]

Dependency Nerve Decompression Reconstructive Surgery for Peripheral Neuropathy Pressure Sores Nerve Reconstruction Treatment for Swallowing Disorders Orbital Decompression [jerseyshoreuniversitymedicalcenter.com]

Phrenic pacing has the potential to provide full ventilatory support for ventilator-dependent patients who have bilateral diaphragmatic paralysis and intact phrenic nerves [blogs.nejm.org]

Tracheomalacia

When aggressive release maneuvers have been required, early aortopexy may be preferred to ventilator dependency. [ncbi.nlm.nih.gov]

These effects were more dramatic for the PS group, especially regarding oxygen and/or ventilator dependence and the ability to undergo tracheostomy decannulation. [ncbi.nlm.nih.gov]

Ventilation Pneumonitis

She subsequently had progressive deterioration of pulmonary function to the point of being ventilator-dependent. [mayoclinic.pure.elsevier.com]

Early physiotherapy is aimed at improving a patient’s quality of life and preventing ICU-associated complications like deconditioning, ventilator dependency, and respiratory [rtmagazine.com]

I am ventilator dependent, since Nov 2004 due to severe resiratory muscle weakness. I have extremely thick sputum, very hard at times to expectorate via my trach. [healthquestions.medhelp.org]

Spondyloepiphyseal Dysplasia Congenita

Augenstein KB, Ward MJ, Nelson VS: Spondyloepiphyseal dysplasia congenita with ventilator dependence: two case reports. Arch Phys Med Rehabil 77:1201–1204, 1996. [link.springer.com]

Congenital Central Hypoventilation Syndrome

[…] circuit in children who are full-time ventilator-dependent. [dovepress.com]

Ventilator dependency does not improve with time. Multifocal congenital neuroblastoma occurred in two children. Aetiology is unknown. [link.springer.com]

In our case, winning the war meant that when she was 2-years old, we were able to get Zoe to where she was ventilator-dependent only 12-hours/day. [globalgenes.org]

Traumatic Liver Injury

dependence), peripheral neurological deficit, urinary tract infection, and deep vein thrombosis" (Ingraham 2011). [cochranelibrary.com]

dependence more than 48 hours, progressive or acute renal insufficiency, and sepsis or septic shock" (Ingraham 2011). [cochranelibrary.com]

[…] complications (American College of Surgeons 2008): "superficial surgical site infection, deep surgical site infection, pneumonia, unplanned intubation (without preoperative ventilator [cochranelibrary.com]

Anal Leiomyosarcoma

The patient had a difficult postoperative course with ventilator-dependent respiratory failure and a prolonged stay in the intensive care unit. [hindawi.com]

Central Hypoventilation

Our review of the literature suggests that phrenic nerve stimulation is a safe and effective option for decreasing ventilator dependence in high spinal cord injuries and central [ncbi.nlm.nih.gov]

Two family members are ventilator dependent only during sleep and do not have Hirschsprung disease or neural crest tumors. [ncbi.nlm.nih.gov]

Continuous ventilator support was necessary and tracheostomy was ultimately performed at the age of 5 months due to ventilator dependence. [ncbi.nlm.nih.gov]

Tracheotomy

METHODS: Prospective study in a chronic ventilator-dependent division, including 234 consecutive patients with tracheotomy and mechanical ventilation. [ncbi.nlm.nih.gov]

Deanna Britton, Jill Jones-Redmond and Carol Kasper, The use of speaking valves with ventilator-dependent and tracheostomy patients, Current Opinion in Otolaryngology & Head [doi.org]

Secondary outcomes included rates of ventilator dependence, mortality, postoperative complications, and discharge disposition. [ncbi.nlm.nih.gov]

Respiratory Arrest

Here we address ventilator-dependent patients who otherwise have functioning vital organs. [reliasmedia.com]

It causes a dose-dependent effect on ventilation by decreasing the responsiveness to stimulatory effects of carbon dioxide. 5 Chest wall and glottic rigidity have been reported [ncbi.nlm.nih.gov]

ventilation [ edit ] The pressure-cycled ventilation includes pressure control ventilation and pressure support ventilation. [en.wikipedia.org]

Ondine Syndrome

Thus, patients require lifelong assisted ventilation. Diaphragm pacing (DP) may permit decannulation in those who are ventilator dependent only during sleep. [karger.com]

[…] circuit in children who are full-time ventilator-dependent. [dovepress.com]

All tracheostomized patients were ventilated during nighttime sleep and only the patient with c.780dupT mutation and HIE showed more ventilation dependency (about 22 h a day [ncbi.nlm.nih.gov]

Phrenic Nerve Palsy

dependent and died from pulmonary infection. [ncbi.nlm.nih.gov]

Diaphragmatic dysfunction also likely makes it more difficult to escape from dependence on mechanical ventilation. [pulmccm.org]

A demand for an organized comprehensive medical team for each patient and the necessity of creating a manual for long-term ventilator-dependent patients are emphasized in [naosite.lb.nagasaki-u.ac.jp]

Respiratory Muscle Paralysis

The patient’s condition was compounded by critical illness polyneuropathy, diagnosed by electromyography, for which she remained ventilator-dependent until withdrawal of care [acgcasereports.gi.org]

Phrenic pacing has the potential to provide full ventilatory support for ventilator-dependent patients who have bilateral diaphragmatic paralysis and intact phrenic nerves [blogs.nejm.org]

Non-invasive ventilation can be used in dependent ventilations with highly assisted mode. In rare conditions diaphragm pacing is a solution. [shortnessofbreath.it]

Tracheal Stenosis

Timing of tracheotomy in ventilator-dependent patients. Clin Chest Med 1991;12:611-25. 3. Stauffer JL, Olson DE, Petty TL. [journals.lww.com]

Bacterial Sepsis

In the landmark ARDSNet trial, patients who were receiving mechanical ventilation and had developed ARDS had lower mortality and decreased ventilator dependent days with a [ncbi.nlm.nih.gov]

[…] steroid if indicated: Hydrocortisone at a dose of 200 mg per day Maintain blood glucose levels less than 180 mg/dL Maintain plateau airway pressure at less than 30 cm H2O in ventilator-dependent [ncbi.nlm.nih.gov]

In the event the patient experiences acute lung injury that progresses to ARDS requiring mechanical ventilation, a lung protective strategy is needed. [ncbi.nlm.nih.gov]

Interstitial Lung Disease due to ABCA3 Deficiency

Dependent Infants; Pathophysiology of Hypoxic-Ischemic Brain Injury; Pathophysiology of Neonatal White Matter Injury; Pathophysiology of Meningitis; Pathophysiology of Preeclampsia [books.google.com]

The progressive respiratory failure led to mechanical ventilation dependency, characterized by a continuous increase in mean airway pressure and FiO2 to maintain acceptable [signavitae.com]

[…] assessment of the extent of air trapping and ground glass opacities, (2) prevents dependent atelectasis from masking pathologic abnormalities, and (3) eliminates motion artifact [article.sciencepublishinggroup.com]

Syringitis

The patient became ventilator dependent, developed bacteremia with highly resistant pseudomonas followed by septic shock, and died. Figure 5 Figure 6 Figure 5. [escholarship.org]

Herpes Zoster Infection of the Chest Wall

The book includes non-malignant respiratory diseases such as tuberculosis in AIDS patients; ventilator-dependent patients and cystic fibrosis and focuses on aetiology and [books.google.com]

Persistent Fetal Circulation

[…] method has allowed the determination of effective pulmonary blood flow, lung tissue volume, lung diffusion capacity and functional residual capacity in 7 critically ill, ventilator-dependent [ncbi.nlm.nih.gov]

Optimal mode or type of ventilation depends on the infant’s response. [msdmanuals.com]

AC mode is often used for treating less severe pulmonary disease and for decreasing ventilator dependence while providing a small increase in airway pressure or a small volume [msdmanuals.com]

Respiratory Failure

INTERPRETATION: Among patients with septic shock and ventilator-dependent respiratory failure, induced hypothermia does not reduce mortality. [ncbi.nlm.nih.gov]

Spitzer ARGiancarlo TMaher LAwerbuch GBowles A Neuromuscular causes of prolonged ventilator dependency. [jamanetwork.com]

The success of noninvasive ventilation, however, depends on several factors, a major one being the selection of the proper interface. [ncbi.nlm.nih.gov]

Extrapulmonary Alveolar Hypoventilation

The chest should be auscultated during inflation to ensure that all dependent parts of the lung are well ventilated and to help the patient understand the depth of breath [clinicalgate.com]

RlCO2 depends much more on the elimination of carbon dioxide than on its production. [en.medicine-guidebook.com]

“Reliability of Pulse Oximetry in Titrating Supplemental Oxygen Therapy in Ventilator-Dependent Patients”. Chest. vol. 97. 1990. pp. 1420-5. [clinicaladvisor.com]

Spinal Cord Transection

Patients with C-3 lesions have impaired breathing and may be ventilator-dependent. [spinal-injury.net]

With an Injury Severity Score of 75, by definition unsurvivable, the patient is 16 months after the injury, ventilated and fully dependent for all care. [ncbi.nlm.nih.gov]

dependent with limited talking. - Electric wheelchair with head or chin control C3-C4 - Initially ventilator dependent, but can become independent - Electric wheelchair with [orthobullets.com]

Thrombomodulin-Related Bleeding Disorder

Pathophysiology of Neonatal Sepsis; Pathophysiology of Persistent Pulmonary Hypertension of the Newborn; Pathophysiology of Meconium Aspiration Syndrome; Pathophysiology of Ventilator [books.google.com]

Quadriplegia

Despite tumour removal, quadriplegia persisted as did ventilator dependence. [ncbi.nlm.nih.gov]

Patients with C-3 lesions have impaired breathing and may be ventilator-dependent. [spinal-injury.net]

Patients with C-4 lesions may be free of respiratory equipment beyond the initial acute care stage, but may have the same functional equipment needs as ventilator-dependent [spinal-injury.net]

Intrahepatic Cholestasis

We report a newborn with a myotubular myopathy, ventilator dependency, recurrent lung infections and pleural effusion, facial diplegia, ophthalmoplegia, and progressive intrahepatic [ncbi.nlm.nih.gov]