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10.1007/s10877-020-00596-7 http://scihub22266oqcxt.onion/10.1007/s10877-020-00596-7 33025322!7537776!33025322     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Clin+Monit+Comput 2021 ; 35 (6): 1299-1309 Nephropedia Template TP {{tp|p=33025322|t=2021. Individualized mechanical ventilation in a shared ventilator setting: limits, safety and technical details |pdf=|usr=}}{{33025322}} gab.com Text Individualized mechanical ventilation in a shared ventilator setting: limits, safety and technical details JO: J Clin Monit Comput http://www.kidney.de/pget.php?&tw=1&pmid=33025322 #FOAvip The COVID-19 pandemic has resulted in an increased need for ventilators. The potential to ventilate more than one patient with a single ventilator, a so-called split ventilator setup, provides an emergency solution. Our hypothesis is that ventilation can be individualized by adding a flow restrictor to limit tidal volumes, add PEEP, titrate FiO(2) and monitor ventilation. This way we could enhance optimization of patient safety and clinical applicability. We performed bench testing to test our hypothesis and identify limitations. We performed a bench testing in two test lungs: (1) determine lung compliance (2) determine volume, plateau pressure and PEEP, (3) illustrate individualization of airway pressures and tidal volume with a flow restrictor, (4a) illustrate that PEEP can be applied and individualized (4b) create and measure intrinsic PEEP (4c and d) determine PEEP as a function of flow restriction, (5) individualization of FiO(2). The lung compliance varied between 13 and 27 mL/cmH(2)O. Set ventilator settings could be applied and measured. Extrinsic PEEP can be applied except for settings with a large expiratory time. Volume and pressure regulation is possible between 70 and 39% flow restrictor valve closure. Flow restriction in the tested circuit had no effect on the other circuit or on intrinsic PEEP. FiO(2) could be modulated individually between 0.21 and 0.8 by gradually adjusting the additional flow, and minimal affecting FiO(2) in the other circuit. Tidal volumes, PEEP and FiO(2) can be individualized and monitored in a bench testing of a split ventilator. In vivo research is needed to further explore the clinical limitations and outcomes, making implementation possible as a last resort ventilation strategy. Twit Text FOAVip Individualized mechanical ventilation in a shared ventilator setting: limits, safety and technical details ????J Clin Monit Comput http://www.kidney.de/pget.php?&tw=1&pmid=33025322 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33025322 #FOAvip English Wikipedia <ref>{{Cite pmid|33025322}}</ref> Individualized mechanical ventilation in a shared ventilator setting: limits, safety and technical details #MMPMID33025322 Stiers M; Mergeay M; Pinson H; Janssen L; Voets E; De Cauwer H; Schepens T J Clin Monit Comput 2021[Dec]; 35 (6): 1299-1309 PMID33025322show ga The COVID-19 pandemic has resulted in an increased need for ventilators. The potential to ventilate more than one patient with a single ventilator, a so-called split ventilator setup, provides an emergency solution. Our hypothesis is that ventilation can be individualized by adding a flow restrictor to limit tidal volumes, add PEEP, titrate FiO(2) and monitor ventilation. This way we could enhance optimization of patient safety and clinical applicability. We performed bench testing to test our hypothesis and identify limitations. We performed a bench testing in two test lungs: (1) determine lung compliance (2) determine volume, plateau pressure and PEEP, (3) illustrate individualization of airway pressures and tidal volume with a flow restrictor, (4a) illustrate that PEEP can be applied and individualized (4b) create and measure intrinsic PEEP (4c and d) determine PEEP as a function of flow restriction, (5) individualization of FiO(2). The lung compliance varied between 13 and 27 mL/cmH(2)O. Set ventilator settings could be applied and measured. Extrinsic PEEP can be applied except for settings with a large expiratory time. Volume and pressure regulation is possible between 70 and 39% flow restrictor valve closure. Flow restriction in the tested circuit had no effect on the other circuit or on intrinsic PEEP. FiO(2) could be modulated individually between 0.21 and 0.8 by gradually adjusting the additional flow, and minimal affecting FiO(2) in the other circuit. Tidal volumes, PEEP and FiO(2) can be individualized and monitored in a bench testing of a split ventilator. In vivo research is needed to further explore the clinical limitations and outcomes, making implementation possible as a last resort ventilation strategy. |*COVID-19[MESH] |*Respiration, Artificial[MESH] |Humans[MESH] |Pandemics[MESH] |Positive-Pressure Respiration[MESH] |SARS-CoV-2[MESH] |Tidal Volume[MESH]Individualized mechanical ventilation in a shared ventilator setting: (epmc).pdf DeepDyve Pubget Overpricing