Delirium and Mechanical Ventilation

 

Blogger Adrian Wong (@avkwong)

Delirium

Valerie Page (@v_page)

Summary/Key messages

 

Val – would use quetiapine as 1st line for aggitation (but haloperidol when need to be given IV)

References/Further reading

Mechanical ventilation

Carol Hodgson

Summary/Key messages

Open lung approach –

Open Lung Approach for the Acute Respiratory Distress Syndrome: A Pilot, Randomized Controlled Trial

Lung recruitment maneuvers seem to be beneficial according to systematic review (unpublished)

Driving pressure –

Driving Pressure and Survival in the Acute Respiratory Distress Syndrome

  • Decreasing driving pressure associated with reduced risk of death

Diaphragm thickness –

Measuring diaphragm thickness with ultrasound in mechanically ventilated patients: feasibility, reproducibility and validity

Take home messages

  • minimise driving pressure
  • open lung ventilation
  • titrate ventilatory support to maintain normal inspiratory effort