Ventilator-dependency: Causes & Reasons

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Possible Causes for ventilator dependency

Mechanical Ventilation

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

A 79-year-old man remained ventilator-dependent 17 days following laparotomy. A program of daily inspiratory muscle training was initiated. [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]

Diaphragm Disorder

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

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

Ondine Syndrome

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

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

Patients with this disease experience severe hypoventilation during sleep and are consequently ventilator-dependent. [journals.plos.org]

Acute Alcohol Intoxication

[…] for the patient to vomit, assisting ventilations if indicated, and monitoring respiratory status with capnography. [ems1.com]

EMS care for a patient with respiratory depression secondary to alcohol ingestion includes airway protection, an OPA or NPA depending on the presence of a gag reflex, preparing [ems1.com]

Insect Bite

[…] on symptoms and can include ice, analgesics and antihistamines. 14 Manage severe systemic reactions and anaphylaxis in the same manner by monitoring airway and ventilation [podiatrytoday.com]

[…] failure. 14 Bee and wasp stings can result in immunoglobulin E–mediated allergic reactions and anaphylaxis. 16 Treatment of local reaction secondary to bee and wasp stings depends [podiatrytoday.com]

Musculoskeletal Lower Back Pain

Both first and second ventilatory thresholds (VeS1, VeS2) were determinate by pulmonary ventilation (Ve) and depending of Ve/ and Ve/VCO2 equivalents on load output. [search.ndltd.org]

Depending of in last 15 s on load output was determinate max. [search.ndltd.org]

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]

Hyperventilation

It is concluded that the compensation of respiratory disturbances of the erect posture appears to be less effective when minute ventilation increases. [ncbi.nlm.nih.gov]

The ClearMate device was originally intended to be used in comatose patients, ventilated with an AMBU bag or by a mechanical ventilator. [journals.plos.org]

The patterns of muscle activity suggest that abdominal muscles are controlled differentially and that their functional coordination is dependent on the respiratory demand. [ncbi.nlm.nih.gov]

Acute Respiratory Infection

Doctors might start with an air mask and later go to a breathing tube and ventilator (a machine that helps you breathe), depending on exactly what you need. [webmd.com]

Cold Exposure

The effects of airway cooling during exercise depend on the intensity of cold-air stress; .VO2 may increase, decrease, or remain constant. [humankinetics.com]

For example, it is known that pulmonary ventilation ( .VE) and oxygen consumption ( .VO2) are affected differently by cooling the airways, the body’s core, and the skin. [humankinetics.com]

Acute Hyperventilation

It should first be emphasised that Pa co 2 is dependent on alveolar, not inspired or expired, ventilation and we had no measurements of dead space or alveolar ventilation [thorax.bmj.com]

Esophagitis

Patients who undergo prolonged periods of recumbency (eg, ventilator-dependent patients, patients who have had a stroke, and immobile nursing home residents) are also prone [archivesofpathology.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]

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]

Pulmonary Emphysema

We present a case in which a ventilator-dependent patient with apparent endstage pulmonary emphysema underwent lung volume reduction with a successful outcome. [ncbi.nlm.nih.gov]

[…] in patients with PE appears to depend on the ventilation status of the surrounding lung, and bullae with the surrounding lungs of paraseptal-type emphysema tend to show minimal [ncbi.nlm.nih.gov]

Torr), history of smoking tobacco within the last 3 months, morbid obesity ( 1.5 lean body weight), unstable coronary artery disease, end-stage cancer, non-ambulatory and ventilator-dependent [academic.oup.com]

Thrombomodulin-Related Bleeding Disorder

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

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

Enterococcus

CASE REPORT The patient was an 84-year-old woman, a nursing home resident with underlying medical problems including tracheostomy for ventilator-dependent end-stage chronic [journals.lww.com]

Careful attention on ventilator dependent patients who have heavy respiratory tract colonisation or infection, proper hand washing, isolation and disinfection are critical [ijmm.org]

However, use of mechanical ventilator was another independent predictor related to VR E. faecalis and VR E. faecium infection or colonisation. [ijmm.org]

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]

Scoliosis

dependence and increases in thoracic and lung volumes. 58-63 The interpretation of these results must be guarded as all of the studies are non-randomised case series without [web.archive.org]

[…] constriction and lung function has been difficult to confirm because of the problems in measuring pulmonary function in young children; however, some studies have shown a decreased ventilator [web.archive.org]

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]

Staphylococcus Aureus

They had a longer intensive care unit stay and ventilator dependency. [ncbi.nlm.nih.gov]

[…] respiratory failure as ventilator dependency, and hemodynamic instability as the need for inotropic or vasopressive support during the ICU stay. [doi.org]

Duration of therapy: 7-21d course, depending on severity; many cases of ventilator-associated pneumonia can be treated for 8d; necrotizing pneumonia usually requires longer [hopkinsguides.com]

Atelectasis

Patient 2 Patient 2 was delivered at 25-week gestational age; he was ventilator dependent for the first 8 weeks of life. [nature.com]

Both groups were, depending on body mass index, ventilated with a positive end-expiratory pressure (PEEP) of 6-8 cmH 2 O during surgery. [ncbi.nlm.nih.gov]

In pressure controlled ventilation, a constant pressure is used to inflate the lungs, and the tidal volume delivered will be dependent on the resistance and compliance of [openanesthesia.org]

Contusion

[…] on whether the patient is on prophylactic aerosolized medication if they are, then the poorly ventilated upper zones are prone to infection 9, whereas, in those who are not [radiopaedia.org]

Features include 2,3,7: ground-glass pattern considered a principal finding predominantly involving perihilar or mid zones there may be a mid, upper or lower zone predilection depending [radiopaedia.org]

Treatment of PJP depends on the degree of illness at diagnosis. [emedicine.medscape.com]

Hyponatremia

ODS is potentially reversible, even in severely affected patients who are quadriplegic, unresponsive, and ventilator dependent. [journal.chestnet.org]

The cause of death in most cases is related to respiratory insufficiency, generally leading to ventilator dependence and other respiratory complications [10]. [hindawi.com]

[…] or with B6-dependent seizures (increases in survival from 5% to 76% and 0% to 77%, respectively).10 Asfotase alfa is administered by the subcutaneous route, usually at a [analesdepediatria.org]

Influenza

Dispersal of aerosols may be uneven in the crannies and corners of a room and dependent on the location of the ventilation system [ 15 ]. [doi.org]

mechanical ventilation, and resuscitation. [nationalgeographic.com]

She added that the current standard of care depends on the severity of individual cases, but the worst cases require hospital-based, optimized treatments such as oxygen therapy [nationalgeographic.com]

Haddad Syndrome

At the age of 4 months, he was relatively healthy but remained ventilator-dependent. [synapse.koreamed.org]

Ventilator dependency does not improve with time. Multifocal congenital neuroblastoma occurred in two children. Aetiology is unknown. [ncbi.nlm.nih.gov]

Discussion A male neonate of Chinese descent with CCHS presented with apnoea and hypoventilation both when awake and asleep, and was ventilator-dependent for maintenance of [sajch.org.za]

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]

Acute Respiratory Distress Syndrome

Some develop pulmonary fibrosis with prolonged resolution of symptoms and extended ventilator dependence. [amboss.com]

Depending on their condition, the patient may be fitted with an oxygen mask, or have a tube inserted down the throat into the lungs to supply oxygen. [medicalnewstoday.com]

ARDS, and remove the cause of ARDS raise blood oxygen levels Most patients with ARDS will be admitted to intensive care (ICU) or a critical care unit (CCU) and put on a ventilator [medicalnewstoday.com]

Moraxella Catarrhalis

Ioannidis et al. noted that nearly 30 % of patients with M. catarrhalis bacteremia had underlying respiratory factors including tracheostomy or dependence on mechanical ventilation [bmcinfectdis.biomedcentral.com]

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]