Weaning from Mechanical Ventilation
Ventilator management should be aimed at getting the patient off ventilator support as rapidly as possible. Weaning can be considered once the underlying process necessitating mechanical ventilation is resolving
Month January 2019
Meow-Meow Mephedrone
Mephedrone is a new stimulant drug being abused on the street, and has recently been discovered in Australia. The following review provides emergency clinicians with assessing managing patients under the influence of mephedrone.
Percutaneous Tracheostomy
Tracheostomy is an airway that is inserted subglottically through neck tissues directly into the trachea. Surgical Tracheostomy involves dissection and incision of trachea under direct vision.
Weaning from ventilation: Hot Case
Weaning from ventilation = Multi-factorial and list headings of causes -> clinical signs associated with list: Hot Case
Tracheostomy, advantages and disadvantages
Tracheostomy, advantages and disadvantages. Pro: reduced sedation requirement (greater comfort than oro-tracheal intubation). Con: requirement for a surgical procedure with inherent risk of complications
Tracheostomy Insertion Techniques
Approach to percutaneous dilatational tracheostomy (PDT) procedure
Tracheostomy Literature Summaries
Summary of evidence for PDT versus open tracheostomy. No difference in ICU or hospital mortality; duration of ventilation; nosocomial pneumonia
Percutaneous vs Surgical Tracheostomy
Percutaneous tracheostomy = reference to a number of different techniques to insert a tracheostomy (gradual dilation, forceps dilation, rhino and translaryngeal techniques)
I’m Just Trying To Get Clean Bro’
Muttered shadows pervade the lugubrious intermission chamber with a festive rainbow of illicit degustations. Red tablets, green pills, yellow capsules, white poppers, purple hum-dingers and now…pure bath salts.
Respiratory distress in Tracheostomy Patient
There are important considerations regarding tracheostomy management that differ from the standard approach to respiratory distress
PaO2/FiO2 Ratio (P/F Ratio)
PaO2/FiO2 ratio is the ratio of arterial oxygen partial pressure (PaO2 in mmHg) to fractional inspired oxygen (FiO2 expressed as a fraction, not a percentage)
Bleeding Tracheostomy
Haemorrhage from, or around, a tracheostomy site is both relatively common and potentially life-threatening