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Doctor insights on: Critical Care Mechanical Ventilation With Oxygen

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Please advise what is the difference between mechanical ventilation & intubation?

Please advise what is the difference between mechanical ventilation & intubation?

Simply : Intubation is placement of a tube in the trachea (wind pipe), mechanical ventilation is the process by which a patient receives oxygen using artificial means (a ventilator). Almost always, intubation is followed by mechanical ventilation and mechanical ventilation is performed most times after intubation. ...Read more

Dr. Scott Bolhack
3,072 doctors shared insights

Oxygen (Definition)

Oxygen is a gas that the cells in your body need to work properly. The air we breathe normally has 21% oxygen. A maximum of 100% oxygen can be given. Babies with heart or lung problems may need ...Read more


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Why consider a tracheostomy if anticipated prolonged ventilatory support >2 wks? Why not continue mechanical ventilation? how is nutrition addressed?

Why consider a tracheostomy if anticipated prolonged ventilatory support >2 wks? Why not continue mechanical ventilation? how is nutrition addressed?

Comfort: Tracheostomy is more comfortable for patient and may allow better pulmonary clearing, and should be considered if prolonged vent necessary . Feeding may be via IV of via soft tube through nasal passage down into stomach or small bowel or can also place feeding tube percutaneously into stomach or small bowel through abdominal wall. Nutrition key to weaning off vent. ...Read more

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Would a 2 gram ingestion of baclofen typically require mechanical ventilation?

Would a 2 gram ingestion of baclofen typically require mechanical ventilation?

Baclofen overdose: Although 80 mg per day is a commonly accepted maximum, dosing up to 200 mg per day has been used safely and effectively. Baclofen is a great drug, but is also extremely deadly. The highest dose of baclofen ever recorded, 2 grams in a suicide attempt, btw patient has recovered. For Baclofen intoxication supportive care including mechanical ventilation is required. See your PCP ASAP. ...Read more

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Mechanical ventilation - if you're old and don't want to be on a machine, what papers do carry on you?

Mechanical ventilation - if you're old and don't want to be on a machine, what papers do carry on you?

Advance Directive: Advance directives & living wills are legal documents for you to instruct healthcare providers about what life-support measures you do or don't want. Your regular doctor can help you fill one out, or you can also get the forms from any hospital admitting office (you don't have to be a patient at the hospital, just ask for the form). Also talk with friends/family so they know what you want. ...Read more

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Is recovery possible after sepsis/mechanical ventilation?

Is recovery possible after sepsis/mechanical ventilation?

Yes: Severe sepsis with respiratory failure caries a high mortality (maybe 50% or so) but recovery is common but can take time to get back to the original level of function. A lot depends on other underlying conditions and complications of therapy. ...Read more

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Mortality rate with mechanical ventilation?

Mortality rate with mechanical ventilation?

Varies: Why the patient has to be ventilated, other medical or surgical issues the patient has, and how much support the patient needs are somewhat predictive of survival. Most patients with respiratory failure recover. ...Read more

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How long is bagging needed in an intubated patient without mechanical ventilation?

How long is bagging needed in an intubated patient without mechanical ventilation?

Indefinitely: Until a ventilator is available or the person is breathing on their own. ...Read more

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How long is bagging effective in an intubated patient with out mechanical ventilation?

Indefinitely: If you are able to continue bagging with reasonable volumes you could continue for an indefinite amount of time. ...Read more

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Would an elderly demented person be admitted into icu and put on mechanical ventilation.?

Would an elderly demented person  be admitted into icu and put on mechanical ventilation.?

It happens: Pneumonia, heart failure, stroke, & serious injury are some of the more common reasons; it's important to consider the goals of care & realistic expectations. Patients/family/power of attorney should make it clear what level of support they feel is acceptable. It's ok to make comfort a priority & say "no" to the ventilator. It's also ok to say "yes". Best to discuss this before the crisis. ...Read more

Breathing (Definition)

Breathing is the way we take in oxygen and expel carbon dioxide (co2) through out lungs. When our lungs expand we take fresh air in that contains oxygen and then when our lungs ...Read more


Dr. William Walsh
64 doctors shared insights

Mechanical Ventilation (Definition)

Simply put 'ventilating' or breathing for the patient 'mechanically' . These machines are getting more and more sophisticated and have a lot of settable ...Read more