Nebulized imipenem to control nosocomial pneumonia caused by Pseudomonas aeruginosa

Though his muscle power improved and the forced vital capacity increased to 25 mL kg-1, he could not be weaned off mechanical ventilation because of impaired gas exchange and signs of respiratory muscle fatigue during weaning trials. A volume-controlled mode is preferred with the following settings...

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Veröffentlicht in:Journal of critical care 2008-03, Vol.23 (1), p.148-150
Hauptverfasser: Radhakrishnan, M., MD, DM, Jaganath, A., DNB, Rao, G.S. Umamaheswara, MD, Kumari, H.B.Veena, MD
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container_start_page 148
container_title Journal of critical care
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creator Radhakrishnan, M., MD, DM
Jaganath, A., DNB
Rao, G.S. Umamaheswara, MD
Kumari, H.B.Veena, MD
description Though his muscle power improved and the forced vital capacity increased to 25 mL kg-1, he could not be weaned off mechanical ventilation because of impaired gas exchange and signs of respiratory muscle fatigue during weaning trials. A volume-controlled mode is preferred with the following settings to facilitate lung sedimentation of aerosol particles in the alveolar space: constant and low inspiratory flow, a minute ventilation limited to 6 L min-1, a respiratory frequency of 12 breaths min-1, an inspiratory-to-expiratory ratio of 50%, and an end-inspiratory pause that constitutes 20% of the duty cycle.
doi_str_mv 10.1016/j.jcrc.2007.10.037
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subjects Adult
Aerosols
Anti-Bacterial Agents - administration & dosage
Antibiotics
Critical Care
Drug dosages
Humans
Imipenem - administration & dosage
Infections
Lungs
Male
Nebulizers and Vaporizers
Pneumonia
Pneumonia, Ventilator-Associated - diagnostic imaging
Pneumonia, Ventilator-Associated - drug therapy
Pneumonia, Ventilator-Associated - microbiology
Pseudomonas aeruginosa - drug effects
Pseudomonas aeruginosa - isolation & purification
Pseudomonas Infections - diagnostic imaging
Pseudomonas Infections - drug therapy
Radiography
Ventilation
Ventilators
title Nebulized imipenem to control nosocomial pneumonia caused by Pseudomonas aeruginosa
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