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Related Concept Videos

Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Ventilatory Modes01:14

Ventilatory Modes

Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation (NIPPV)
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Administering Oxygen by Mask01:30

Administering Oxygen by Mask

Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:

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Published on: November 30, 2022

Pandemic ventilator rationing and appeals processes.

Daniel Patrone1, David Resnik

  • 1Union Graduate College/Mt. Sinai School of Medicine, Schenectady, NY 12038, USA. dpatrone@gmail.com

Health Care Analysis : HCA : Journal of Health Philosophy and Policy
|April 1, 2010
PubMed
Summary

Pandemic preparedness plans need appeals processes for mechanical ventilator rationing. Addressing these critical decisions ensures fair access to life-saving equipment during severe influenza outbreaks.

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Last Updated: Jun 14, 2026

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Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome (ARDS)
06:22

Surfactant Depletion Combined with Injurious Ventilation Results in a Reproducible Model of the Acute Respiratory Distress Syndrome (ARDS)

Published on: April 7, 2021

Area of Science:

  • Public Health
  • Bioethics
  • Emergency Medicine

Background:

  • Severe influenza pandemics cause critical shortages of mechanical ventilators and trained staff.
  • Decisions on ventilator allocation directly impact patient survival.
  • Current state pandemic planning largely overlooks appeals processes for ventilator rationing.

Purpose of the Study:

  • To highlight the necessity of including appeals processes in pandemic preparedness plans.
  • To examine arguments for and against appeals for ventilator rationing decisions.
  • To propose suggestions for developing rational pandemic preparedness strategies.

Main Methods:

  • Review of existing state pandemic planning efforts.
  • Analysis of ethical considerations for ventilator allocation.
  • Discussion of potential appeals mechanisms.

Main Results:

  • The critical need for appeals processes in ventilator rationing during pandemics is largely unaddressed.
  • Arguments exist both for and against implementing such appeals.
  • Current planning lacks sufficient focus on procedural justice in critical care allocation.

Conclusions:

  • Just and effective pandemic preparedness requires robust appeals processes for mechanical ventilator rationing.
  • Further attention and development are needed to integrate appeals into state-level pandemic plans.
  • Consideration of appeals is vital for ethical and equitable resource allocation in public health emergencies.