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

Ventilatory Modes01:14

Ventilatory Modes

150
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...
150
Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

368
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...
368
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

116
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...
116
Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

136
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...
136
Factors Affecting Pulmonary Ventilation01:19

Factors Affecting Pulmonary Ventilation

1.4K
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
1.4K
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

165
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
165

You might also read

Related Articles

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

Sort by
Same author

Lung- and diaphragm-protective mechanical ventilation in acute respiratory distress syndrome.

Intensive care medicine·2026
Same author

Association of Birth Weight with Delivery Room Endotracheal Intubation Success in Newborn Infants.

The Journal of pediatrics·2026
Same author

Flow Asynchronies During Pressure Support Ventilation in Children: A Bench Model Study.

Respiratory care·2026
Same author

PEAK-II Trach: A Multi-Institutional Quality Improvement/Simulation Study Assessing Pediatric Emergency Readiness.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same author

Transpulmonary Pressure-Guided Ventilation in Pediatric Acute Respiratory Distress Syndrome: Methodological Challenges on the Path to Clinical Implementation.

Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·2026
Same author

Early prediction of unplanned critical care transfers in children using EHR-based ensemble machine learning.

JAMIA open·2026

Related Experiment Video

Updated: Jul 3, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.6K

Implementing the Pediatric Ventilator Liberation Guidelines Using the Most Current Evidence.

Jeremy M Loberger1, Katherine Steffen2, Robinder G Khemani3

  • 1Department of Pediatrics, Division of Pediatric Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama jloberger@uabmc.edu.

Respiratory Care
|February 12, 2024
PubMed
Summary

Pediatric ventilator liberation guidelines aim to reduce harm from mechanical ventilation. This review summarizes recommendations, identifies practice gaps, and explores barriers to implementing these critical care guidelines.

Keywords:
airway extubationairway obstructionartificial respirationclinical pathwaysmechanical ventilationnoninvasive ventilationpediatric ICUspediatrics

More Related Videos

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.5K
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
07:16

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

3.2K

Related Experiment Videos

Last Updated: Jul 3, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.6K
A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.5K
An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
07:16

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

3.2K

Area of Science:

  • Pediatric Critical Care Medicine
  • Respiratory Therapy
  • Evidence-Based Medicine

Background:

  • Invasive mechanical ventilation is common in pediatrics but linked to significant morbidity.
  • Liberating children from mechanical ventilation requires optimal timing and methods, with current practices showing wide variation.
  • The first evidence-based pediatric ventilator liberation guidelines were published in 2023, offering 15 recommendations.

Purpose of the Study:

  • To summarize the 2023 pediatric ventilator liberation guidelines.
  • To discuss recent evidence and identify practice gaps related to guideline recommendations.
  • To hypothesize potential barriers and facilitators for guideline implementation in clinical practice.

Main Methods:

  • This narrative review synthesizes information from the 2023 pediatric ventilator liberation guidelines.
  • It examines recent literature to identify evidence and practice gaps.
  • It explores theoretical barriers and facilitators for clinical implementation.

Main Results:

  • The review summarizes 15 key recommendations for pediatric ventilator liberation.
  • Identified practice gaps highlight areas where current care may not align with guidelines.
  • Potential barriers and facilitators for implementation are hypothesized, aiding future strategies.

Conclusions:

  • Bridging the gap between guideline publication and clinical practice is crucial for improving pediatric care.
  • Understanding and addressing implementation barriers are essential for widespread adoption of evidence-based ventilator liberation strategies.
  • This review provides a framework for planning the implementation of new pediatric critical care guidelines.