Shared Ventilation? 2020

Shared Ventilation? – 2020 – $4.99

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This e-book in the Best of RESPIRATORY CARE contains a series of papers that cover various aspects of the basics in respiratory physiology in the mechanically ventilated, critically ill patient. It covers the nuances of oxygenation, ventilation, lung mechanics, respiratory physiology and cardiopulmonary interactions. Detail reviews of management techniques and interpretation of clinical data is discussed in detail.

The COVID-19 global pandemic has strained critical care resources around the world, resulting in a shortage of life-sustaining equipment including ventilators. The shortage or potential shortage of ventilators has resulted in clinicians considering using one ventilator for two critically ill patients by modifying the ventilator circuit. Commonly  described as  ‘shared ventilation’, this technique is not a plumbing problem but rather a physiologic predicament.  Multiple bench models have revealed the complexities of supporting multiple patients with a single ventilator. Matching patients for lung mechanics and additional individual monitoring are the minimum requirements for attempting shared ventilation.  This collection of papers from Respiratory Care addresses the challenges of ventilating multiple patients with a single ventilator. Clinicians considering this strategy should review this collection.

  • Ventilator Sharing: The Good, the Bad, and the Ugly
    by Dean R Hess—Boston, Massachusetts
    Richard H Kallet—San Francisco, California
    and Jeremy R Beitler—New York, New York
  • Shared Ventilation in the Era of COVID-19: A Theoretical Consideration of the Dangers and Potential Solutions
    by Jacob Hermann—Boston, Massachusetts
    Andrea Fonseca da Cruz, Monica L Hawley, David W Kaczka—Iowa City, Iowa
    and Richard D Branson—Cincinnati, Ohio
  • Multiplex Ventilation: A Simulation-Based Study of Ventilating 2 Patients With a Single Ventilator
    by Robert L Chatburn, Umur Hatiponğlu—Cleveland, Ohio
    and Richard D Branson—Cincinnati, Ohio
  • PEEP/ARDSNet Scale Grouping of a Single Ventilator for Two Patients: Modeling Tidal Volume Response
    by Vitaly O. Kheyfets, Steven R Lammers, Jennifer Wagner, Kartsen Bartels, Jerome Piccoli, and Bradford J Smith—Aurora, Colorado
  • Use of a Single Ventilator to Support 4 Patients: Laboratory Evaluation of a Limited Concept
    by Richard D Branson, Thomas C Blakeman, Bryce RH Robinson, and Jay A Johannigman—Cincinnati, Ohio