Immediately from the ACCP severe Care drugs Board evaluate 2012 direction, this new interactive on-line source is the newest instrument within the ACCP s finished research application. each subject is roofed in a concise, easy-to-use structure with many more desirable evaluate techniques. Navigate invaluable board evaluation content material simply with a effortless, interactive on-line structure; locate subject matters of curiosity quick with complicated key-phrase seek features built-in with different ACCP on-line guides, together with CHEST; receive referenced articles speedy with absolutely linked-out annotated bibliographies; use as a self-study source to arrange for the severe care drugs subspecialty board exam.
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Additional info for ACCP Critical Care Medicine Board Review: 21st Edition
Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med. 2008;359(20):2095–2104. Caramez MP, Kacmarek RM, Helmy M, et al. A comparison of methods to identify open-lung PEEP. Intensive Care Med. 2009;35(4):740–747. Grasso S, Stripoli T, De Michele M, et al. ARDSnet ventilatory protocol and alveolar hyperinflation: role of positive end-expiratory pressure. Am J Respir Crit Care Med. 2007;176(8):761–767. Brochard L, Rauss A, Benito S, et al. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation.
Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome: systematic review and metaanalysis. JAMA. 2010;303(9):865–873. Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med. 2008;359(20):2095–2104. Caramez MP, Kacmarek RM, Helmy M, et al. A comparison of methods to identify open-lung PEEP. Intensive Care Med. 2009;35(4):740–747. Grasso S, Stripoli T, De Michele M, et al.
Some patients who remain agitated during ACV can be made more comfortable by using PSV (or PACV) with a total inspiratory pressure of around 30 cm H2O. 23 Although this occasionally compounds the dynamic hyperinflation, potentially compromising cardiac output, usually autoPEEP increases little as long as PEEP is not set higher than about 85% of the autoPEEP. The goals are (1) to minimize alveolar overdistention (Pplat , 30) and (2) to minimize dynamic hyperinflation (autoPEEP , 15 cm H2O or end-inspiratory lung volume , 20 mL/kg), a strategy that largely prevents barotrauma.
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