Negative Pressure Ventilation - Hilary Klonin

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Mixed modes“Bundles of care”• Cardiac patients, Shekerdamian, various• IPPV plus cuirass, CNEP, improved oxygenation, Sholz 1997• IMV, neonates, CNEP started as rescue therapy, 37/50improved oxygenation, (Cvetnik)• IMV with CNEP/PEEP, Randomised crossover, 30 infants, RDS,MAS, PHT, fullfilled ECMO criteria, Highly significantimprovement in pA 02, only 3 to ECMO, Sepsis, 5 Deaths (83%survival). Failure due to septic shock, asphyxia (Cvetnik)• ALI patients ECWO plus PS, increased cardiac index, improvedP/F ratio, improved CO2, Tadeka 1997 <strong>Klonin</strong> 2000• PHT infants, Cventnic , 1997
Advantages• Avoids mask / ET tube• Supports blood pressure• Decreased ventilator associated pneumonia• Easy to take off• Easy to wean• Patient comfort !• Non invasive monitoring• Works with other modalities• Outcome data is good (Telford studies)
Page 1 and 2: The power of the negativeHilary Klo
Page 5 and 6: In or out?
Page 7 and 8: This is a patient - free zoneLazner
Page 12 and 13: Giant Left Atrium Needed NegativePr
Page 15 and 16: Mechanism - Inspirationg1• Sub-at
Page 17: Mechanism - Expiration• Return to
Page 20 and 21: Outcome• Invasive ventilation•
Page 22 and 23: Further respiratory support• NPV
Page 24 and 25: A natural experiment• Non NPV cen
Page 26 and 27: Negative pressure ventilation• Ut
Page 29: Right and left ventricular stroke v
Page 34: Treatment• Continuous negative pr
Page 39: Indications• Apnoea / hypoventila
Page 43 and 44: Monitoring• HR, RR,• Arcane rit
Page 45 and 46: Indications, longer term• Apnoea
Page 49: Overall• Helpful technique• Lit
Page 52 and 53: • PEDIATRIC AND NEONATAL, NIV MEE

Negative Pressure Ventilation - Hilary Klonin

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