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Doctor insights on: Patient Mechanical Ventilation

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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

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


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

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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What are the benefits of a sigh breath during mechanical ventilation (v-simv). What is the normal calculated sight breath for a vented patient?

What are the benefits of a sigh breath during mechanical ventilation (v-simv). What is the normal calculated sight breath for a vented patient?

Sigh breath: The purpose of the sigh breath is to increase gas gas exchange and improve lung compliance. There are several studies looking at the addition of a sigh breath. One sigh breath every 60 to 90 seconds is what I customarily order. ...Read more

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When is it required to switch from endotrach tube to tracheostomy for an IPF patient who is on long term mechanical ventilation?

When is it required to switch from endotrach tube to tracheostomy for an IPF patient who is on long term mechanical ventilation?

Trach and Vent mgt: It depends on the ICU and medical history and settings of the ventilator. One to two weeks on the ventilator is the usual time period before discussing tracheostomy. The tracheostomy has its own benefits and complications. Optimally, trying to wean off the vent and using BiPAP or CPAP may be considered. ...Read more

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Can mechanical ventilation aid lung cancer patients?

Can mechanical ventilation aid lung cancer patients?

No: It is not a cancer treatment. Occasionally it may be needed during lung cancer treatment (as in some cases after lung resection) but it is a supportive treatment. ...Read more

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What are the complications of mechanical ventilation?

What are the complications of mechanical ventilation?

Infection, barotraum: Infection (pneumonia), barotraunma (pheumothorax) and deconditioning of respiratory muscles. ...Read more

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Mortality rate from mechanical ventilation?

Mortality rate from mechanical ventilation?

Depends: Much depends on the reason for intubation. If done to maintain airway during surgery the rate is almost zero. If done because of an underlying illness which effects pulmonary ventilatory capacity it will depend on the disease, age of patient, underlying issues. ...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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What are complications of peep in mechanical ventilation?

What are complications of peep in mechanical ventilation?

Many possible: Not just peep-peak and mean pressures also must be considered. High pressure can indicate inappropriately high volumes, leading to volutrauma/ventilator associated lung injury. Increased intrathoracic pressures can impair heart function (decrease preload), impair kidney function (decrease renal blood flow), and contribute to higher intracranial & intra-abdominal pressures. ...Read more

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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

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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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What is the definition or description of: mechanical ventilation?

What is the definition or description of: mechanical ventilation?

Artificial respiratn: Simply put 'ventilating' or breathing for the patient 'mechanically'. These machines are getting more and more sophisticated and have a lot of settable and measurable data points. ...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

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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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Do pts on long term mechanical ventilation (at a vent home) have to be sedated during ventilation hrs? If not, why sedated in hospital setting?

Depends on Pt., etc.: Sedation for the ventilated patient is dependent upon the patient (level of cognitive/ physical function and level of anxiety), the pt's comorbidities/active medical problems, and vent mode regardless of the setting. No two patients and their hospital courses are alike. Therefore, sedation and comfort plans should be pt.-specific with frequent assessment for appropriate modification if needed. ...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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Is mechanical ventilation dangerous because you can get a lung infection?

Is mechanical ventilation dangerous because you can get a lung infection?

Yes: Mechanical ventilation is dangerous for a large variety of reasons, but the alternative is not pretty. Long term mechanical ventilation is associated with a well defined risk for ventilator associated pneumonia and close adherence to established protocols has been shown to dramatically lower that risk. ...Read more

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My father is in ICU under mechanical ventilation because of pneumonia and severe COPD. Anything we can do? IAnything I can suggest to his doctors?

My father is in ICU under mechanical ventilation because of pneumonia and severe COPD. Anything we can do? IAnything I can suggest to his doctors?

Hopefully you trust: The doctors at the iCU taking care of your dad. I would just make sure he has good care and attentive nurses! And visit frequently. Tell him you love him and need him to get better! ...Read more

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Is it possibe that ef improves from 42% to 52% within 4 days for a 58 yr female patient suffered from ami, ptca, ventilation and temporary pacing?

Is it possibe that ef improves from 42% to 52% within 4 days for a 58 yr female patient suffered from ami, ptca, ventilation and temporary pacing?

EF: The ef can improve in that situation. Variations in the echo study performance and interpretation could also be at play. Talk to the drs. On the case for their interpretation. ...Read more

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What effects does anaesthesia have on respiration/ventilation for the post-operative patient?

What effects does anaesthesia have on respiration/ventilation for the post-operative patient?

General: anesthesia suspends respiration but ventilation is supplied by a machine controlled by the anesthesiologist! After surgery normal ventilation AND respiration is necessary PRIOR to the removal of that machine! Hope this helps!


Dr Z ...Read more

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If the patient is on a ventilation machine, can the hospital pull the plug without the family/friends consent?

If the patient is on a ventilation machine, can the hospital pull the plug without the family/friends consent?

Depends: If the patient has given an "advanced directive" the hosptial and physicians are obligated to adhere to the patients wishes even if this is against the wishes of the family or friends. ...Read more

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Can bipap ventilation be used at home to mantain a normal pco2 after hypercapneic bout in a COPD patient?

Can bipap ventilation be used at home to mantain a normal pco2 after hypercapneic bout in a COPD patient?

Remember: Usually once at the acute insult has been addressed in COPD patients - in this case, whatever cased the hypercapneic bout - noninvasive positive pressure ventilation continued at home isn't usually necessary. Home BiPap is often used in sleep apnea patients for whom CPAP isn't optimal or in someone with CO2 retention and sleep apnea or in people with neuromuscular disease who need help breathing. ...Read more

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If a patients blood pressure drops after putting them on assist control ventilation, what would you do and why?

If a patients blood pressure drops after putting them on assist control ventilation, what would you do and why?

What is the PEEP?: This suggests intravascular volume depletion. Turn peep off if not needed for oxygenation. Also, check for intravascular volume depletion. ...Read more

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If a patient with a hemothorax stops breathing, what should you do?

If a patient with a hemothorax stops breathing, what should you do?

Transport trauma Ctr: Ambubag pt. Until help arrives
At the trauma Ctr. He'll be intubated and Chest Tube placed low and lateral on the side of the hemothorax.
Don't try this at home kids ...Read more

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What happens if a patient with a hemothorax stops breathing, what do you do?

Drain: If a patient with a hemothorax stops breathing, the blood in the chest needs to be immediately drained with a chest tube. ...Read more

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Is it helpful to perform cpr on a patient with an mi that is still breathing?

Probably not: A patient who is still breathing implies a functional heart rhythm, which is the primary reason to do mechanical cpr. So if one is still breathing, then supportive care to ensure a good, open airway, and calling for help asap, should be the priorities. If the patient stops breathing and no pulse is detected, and no AED device is readily available, then CPR needs to be instituted. ...Read more

Dr. Eli Loch Dr. Loch
1 doctor agreed:
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What does it mean if a patient can't start breathing again on their own after being under general anesthesia?

Dr. Eli Loch Dr. Loch
1 doctor agreed:
What does it mean if a patient can't start breathing again on their own after being under general anesthesia?

Many things: It could be too much pain medicine, other anesthetics, inadequate paralytic reversal, other physiolog abnormality (electrolytes off, hypothermia), or problem with the central nervous system. A review of medications given, clinical evaluation, and possible imaging should reveal the cause. ...Read more

Dr. William Walsh
66 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


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