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First Super Speciality Center for Respiratory Diseases in AP
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Dr. sateesh Chandra Alavala MD,DM
- Dec 19, 2021
- 0 min
589 views0 comments
Dr. sateesh Chandra Alavala MD,DM
- Dec 2, 2021
- 1 min
False trigger/ Auto triggering due to cardiac pulsations
A patient with neuromuscular disease, Day 5 on the ventilator, appeared quite comfortable when the ventilator mode changed to pressure...
517 views0 comments
Dr. sateesh Chandra Alavala MD,DM
- Nov 14, 2021
- 1 min
Prolonged rise time in an ARDS patient
Rise time is the time taken to reach the target pressure in pressure control mode. The triangular shape of the pressure-time scalar, in...
345 views0 comments
Dr. sateesh Chandra Alavala MD,DM
- Nov 12, 2021
- 0 min
475 views0 comments
Dr. sateesh Chandra Alavala MD,DM
- Nov 8, 2021
- 1 min
Failed Trigger/Ineffective Triggering/Wasted Efforts
All these breaths are triggered by the patient ( Ventilator identified them as patient efforts and labeled them with red color to the...
328 views0 comments
Dr. sateesh Chandra Alavala MD,DM
- Oct 28, 2021
- 1 min
Hiccups in a patient receiving mechanical ventilation.
Three features that differentiate them with normal breaths 1) Strong Pmus (The pressure drop below the PEEP level just before the onset...
259 views0 comments
Dr. sateesh Chandra Alavala MD,DM
- Oct 19, 2021
- 1 min
Pressure spike at the end of inspiration in pressure support mode
Pressure spike near the end of inspiration can occur if there is inspiratory muscle relaxation or active exhalation (delayed cycling)....
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Dr. sateesh Chandra Alavala MD,DM
- Oct 14, 2021
- 1 min
Late trigger (delayed triggering), Increased expiratory resistance
There is a significant delay between the onset of the patient's inspiration and ventilator flow delivery (late trigger/delayed...
523 views0 comments
Dr. sateesh Chandra Alavala MD,DM
- Oct 3, 2021
- 1 min
Airway mucus plugs can lead to poorly controlled asthma
A 60 year-old-female with bronchial asthma, presented with breathing difficulty and cough. Chest auscultation revealed B/L wheeze and...
50 views
Dr. sateesh Chandra Alavala MD,DM
- Oct 3, 2021
- 1 min
Bronchial stenting for central airway obstruction in a patient with lung cancer
A 57 year-old-male with lung cancer presented with severe breathlessness. Bronchoscopy revealed right main bronchus narrowing. A...
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Dr. sateesh Chandra Alavala MD,DM
- Aug 20, 2021
- 1 min
ICU Bronchoscopy
A 47-year-old male with GBS, on mechanical ventilation, developed respiratory distress and hypoxemia. Chest auscultation revealed...
33 views0 comments
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