Prone positioning in ARDS can improve lung compliance and ventilation-perfusion matching which improve oxygenation and may have a mortality benefit. It requires significant effort and staff coordination to perform safely and efficiently. In this article we include tips for preparation, and a detailed checklist for performing proning efficiently and safety.
Inhalation of noxious gases and fumes, including ammonia, nitric acid, sulfur dioxide, and chlorine gas can cause pulmonary injury including direct toxic effects and secondary ARDS requiring mechanical ventilation and permanent respiratory difficulties.
Preventing sternal wound infections in the post operative cardiac surgery patient is an important aspect of post operative care. Sternal infections can increase length of stay, be a substantial financial impact, and increase mortality' Occurrence of sternal infections is rare and it h
Airway pressure release ventilation (APRV) mode of mechanical ventilation is an elevated CPAP level with timed pressure releases. This mode allows for spontaneous breathing, and is especially useful for patients with ARDS, pneumonia, or trauma.
Tuberculosis is an endemic problem through most of the world. However, when it presents as active pulmonary disease in the United States, especially in nonimmigrrant, it is usually early in the disease process. This patient a native resident, had delayed seeking care for months. The c
Tracheostomy tubes provide for air movement through an ostomy in the anterior neck into the trachea. Unfortunately, there is an abundance of types, sizes, and complex numbering that is difficult to decipher for those who don't work with them everyday.