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Ventilatory Modes01:14

Ventilatory Modes

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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.
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Full support modes include controlled mechanical ventilation, continuous mandatory...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

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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.
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Mechanical Ventilation III: Noninvasive Ventilation01:23

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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...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Cardiopulmonary Resuscitation III: AED Use01:23

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Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
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Related Experiment Video

Updated: Jan 17, 2026

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
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Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

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External Ventricular Devices in Air Medical Retrievals.

Anita Wall1, Clinton Gibbs2, Lachlan Quick3

  • 1College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia; Royal Flying Doctors Services-Queensland Section, Queensland, Australia.

Air Medical Journal
|January 14, 2026
PubMed
Summary

Air medical transport of patients with external ventricular drains (EVDs) is infrequent. Clinical practice guidelines are recommended for optimal assessment and management during these critical transfers.

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Area of Science:

  • Neurosurgery
  • Emergency Medicine
  • Critical Care Transport

Background:

  • External ventricular drains (EVDs) are crucial for managing intracranial pressure.
  • Air medical transport presents unique challenges for patients with EVDs.

Purpose of the Study:

  • To describe the clinical characteristics of patients with EVDs undergoing air medical retrieval.
  • To inform best practices for managing these patients during transport.

Main Methods:

  • Retrospective chart audit of adult patients with EVDs retrieved by air medical services.
  • Inclusion criteria: EVD in situ during air medical retrieval between January 2018 and June 2022.
  • Manual review to identify eligible EVD cases from a larger database.

Main Results:

  • 21 patients met the review criteria.
  • 76% of patients were mechanically ventilated.
  • 67% experienced blood pressure fluctuations, particularly during flight (79%).
  • 75% required separate analgesia/anesthetic infusions, with frequent adjustments and boluses.
  • Hypertension occurred post-EVD deactivation, resolving upon reactivation.

Conclusions:

  • Air medical transport of patients with EVDs is a low-frequency event.
  • Development and implementation of clinical practice guidelines are essential.
  • Guidelines will ensure optimal assessment and management during air medical retrievals.