Use of tracheal ultrasound combined with clinical parameters to select left double-lumen tube size: A prospective observational study

Anaesthesia 0 Comment

Roldi E, Inghileri P, Dransart-Raye O, Mongodi S, Guinot PG, Mojoli F, Bouhemad B.   Eur J Anaesthesiol. 2018 Dec 11. doi: 10.1097/EJA.0000000000000939. [Epub ahead of print] Abstract BACKGROUND: Left double-lumen tubes (LDLTs) are used in thoracic surgery to allow one-lung ventilation. Their size is usually chosen on the basis of clinical parameters (height, sex). Double-lumen […]

Lung ultrasound for diagnosis and monitoring of ventilator-associated pneumonia

Infectious Diseases, Lung Ultrasound, Mechanical Ventilation 0 Comment

Bélaïd Bouhemad, Ophélie Dransart-Rayé, Francesco Mojoli, Silvia Mongodi   Ann Transl Med 2018;6(21):418   Abstract: Ventilator-associated pneumonia (VAP) is the most frequent nosocomial infection in intensive care units (ICU) and is associated with increased mortality, use of antimicrobials, longer mechanical ventilation, and higher healthcare costs. Lung ultrasonography (LUS) can be used at the bedside and […]

Technical aspects of bedside respiratory monitoring of transpulmonary pressure

Mechanical Ventilation 0 Comment

Francesco Mojoli, Francesca Torriglia, Anita Orlando, Isabella Bianchi, Eric Arisi, Marco Pozzi Ann Transl Med 2018;6(19):377 Abstract: Transpulmonary pressure, that is the difference between airway pressure (Paw) and pleural pressure, is considered one of the most important parameters to know in order to set a safe mechanical ventilation in acute respiratory distress syndrome (ARDS) patients […]

Lung Ultrasound for Critically Ill Patients

Lung Ultrasound, Mechanical Ventilation 0 Comment

Mojoli F, Bouhemad B, Mongodi S, Lichtenstein D.   Am J Respir Crit Care Med. 2018 Oct 29. doi: 10.1164/rccm.201802-0236CI.   Abstract Point-of-care ultrasound is increasingly used at the bedside to integrate the clinical assessment of the critically ill; in particular, lungultrasound greatly developed in the last decade. This review describes basic lung ultrasound signs and focuses on their applications in critical […]

How to improve patient-ventilator synchrony

Mechanical Ventilation 0 Comment

By A. Orlando – White paper Background Asynchronies are a frequent issue in ventilated patients. They represent a mismatch between the inspiratory and expiratory times of patient and ventilator, and thus a failure to provide ventilated patients with optimal assistance. This results in prolonged mechanical ventilation, difficult wean-ing, reduced patient comfort, an increased risk of diaphragmatic […]

Assessment of Lung Aeration and Recruitment by CT Scan and Ultrasound in Acute Respiratory Distress Syndrome Patients.

Lung Ultrasound, Mechanical Ventilation 0 Comment

Chiumello D, Mongodi S, Algieri I, Vergani GL, Orlando A, Via G, Crimella F, Cressoni M, Mojoli F. Crit Care Med. 2018 Jul 25. doi: 10.1097/CCM.0000000000003340 Abstract OBJECTIVES: Lung ultrasound is commonly used to evaluate lung morphology in patients with acute respiratory distress syndrome. Aim of this study was to determine lung ultrasound reliability in […]

Ultrasound and diaphragmatic dysfunction: impact of surgical approach

Anaesthesia, Congress abstract, DIaphragm Ultrasound 0 Comment

M Luperto, M Bouard, S Mongodi, F Mojoli, B Bouhemad Critical Care 2018, 22(Suppl 1):P211 Introduction: Diaphragm ultrasound (DUS) easily identifies diaphragmatic dysfunction (DD) in ICU patients [1], a potential cause of weaning failure (WF). Methods: Prospective observational monocenter study. We enrolled adults ICU patients at day 1 after surgery, extubated, with no neuromuscolar diseases. […]