Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Acute Respiratory Failure-IV01:23

Acute Respiratory Failure-IV

Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
Acute Respiratory Failure-III01:30

Acute Respiratory Failure-III

Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without causing...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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...
Acute Respiratory Failure-II01:21

Acute Respiratory Failure-II

Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Acute Respiratory Failure-I01:21

Acute Respiratory Failure-I

Acute respiratory failure is a condition characterized by the inability of the lungs to perform their primary function: gas exchange. This failure leads to insufficient oxygen levels (hypoxemia) in the blood, elevated carbon dioxide levels (hypercapnia), or both, causing critical impairment in organ function.
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Human Development Index and outcomes in older critically ill patients: A European multicentre study.

Annals of intensive care·2026
Same author

Negotiating complexity in spite of scarce evidence-how to care for older ICU patients?

Intensive care medicine·2026
Same author

What every intensivist should know about the gray zone of ICU admission.

Journal of critical care·2026
Same author

Making the environmental case for digital education in intensive care.

Intensive care medicine·2026
Same author

Sex and 30-day mortality in elderly critically Ill adults: A frailty-adjusted multinational analysis with frequentist and bayesian estimates.

European journal of internal medicine·2026
Same author

Creation of a dedicated post-intensive care geriatric unit (PIGU), proof of concept and preliminary results.

European geriatric medicine·2026

Related Experiment Video

Updated: May 26, 2026

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
09:36

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

Published on: September 24, 2020

Critical care rationing: international comparisons.

Timothy W Evans1, Stefano Nava2, Guillermo Vazquez Mata3

  • 1Department of Critical Care, Imperial College School of Medicine, Royal Brompton Hospital, London, England.

Chest
|December 8, 2011
PubMed
Summary

Healthcare rationing, particularly in critical care, occurs in seven industrialized nations through various methods. Developing evidence-based guidelines for fair and effective rationing is recommended for professional societies.

More Related Videos

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Related Experiment Videos

Last Updated: May 26, 2026

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
09:36

Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device

Published on: September 24, 2020

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Area of Science:

  • Health Economics
  • Medical Ethics
  • Public Health Policy

Background:

  • Societies allocate finite resources to social goods, including healthcare.
  • Healthcare rationing, the distribution of limited resources, is a controversial but necessary aspect of healthcare systems.
  • Critical care services represent a significant area where resource allocation decisions are made.

Purpose of the Study:

  • To explore perceptions and practices of critical care rationing in seven industrialized countries.
  • To understand the historical, cultural, and institutional factors influencing healthcare rationing in different national contexts.
  • To identify commonalities and variations in critical care rationing mechanisms across diverse healthcare systems.

Main Methods:

  • Academic physicians from England, Spain, Italy, France, Argentina, Canada, and the United States authored essays.
  • Essays addressed specific questions on the historical, cultural, and institutional features of healthcare rationing.
  • Physicians described formal rationing, critical care rationing, and ICU-specific rationing practices in their countries.

Main Results:

  • Critical care is subject to rationing through diverse mechanisms in all seven surveyed countries.
  • Significant variations exist in the approaches to healthcare rationing across the included nations.
  • No single rationing method appears universally optimal or acceptable for all countries.

Conclusions:

  • Healthcare rationing, especially in critical care, is a global reality across industrialized nations.
  • International collaboration through professional societies can foster the development of evidence-based rationing guidelines.
  • Establishing just and effective guidelines for critical care rationing is crucial for international health equity.