Weaning failure from mechanical ventilation: a scoping review of the utility of ultrasonography in the weaning process.

Background: Weaning failure has been associated with increased hospital stay and higher mortality. Identification of the risk factors that may affect weaning outcome is paramount. Ultrasonography is an excellent tool for pulmonary and diaphragmatic monitoring during mechanical ventilation, allowing real-time evaluation of anatomical structures and function.

Protocolized strategies to encourage early mobilization of critical care patients: challenges and success.

Technological advances and interprofessional teamwork have significantly improved survival rates of critically ill patients. However, this progress has also introduced new challenges, such as intensive care unit-acquired weakness, which can contribute to postintensive care syndrome. Both conditions are associated with increased morbidity and mortality, prolonged length of hospital stay, higher social and health care costs, and reduced quality of life for patients and their families.

Predictive Value of Diaphragm and Lung Ultrasonography for Weaning Failure in Critically Ill Patients with Acute Respiratory Failure Due to COVID-19 Pneumonia.

Background: This study analyzed weaning characteristics and assessed the association of clinical and ultrasonographic indices-maximum inspiratory pressure (MIP), rapid shallow breathing index (RSBI), peak flow expiratory (PFE), diaphragm-thickening fraction (DTF), diaphragm thickness (DT), diaphragm excursion (DE), diaphragm-RSBI (D-RSBI), and lung ultrasound (LUS) patterns-with weaning failure.

Methods: This retrospective cohort study included critically ill COVID-19 patients aged 18 and older who had been on invasive mechanical ventilation for at least 48 h and undergoing weaning. Exclusion criteria included absence of ultrasound assessments, neuromuscular diseases, and chronic cardio-respiratory dysfunction.

Electrical impedance tomography: Usefulness for respiratory physiotherapy in critical illnesses.

Respiratory physiotherapy, including the management of invasive mechanical ventilation (MV) and noninvasive mechanical ventilation (NIV), is a key supportive intervention for critically ill patients. MV has potential for inducing ventilator-induced lung injury (VILI) as well as long-term complications related to prolonged bed rest, such as post-intensive care syndrome and intensive care unit acquired weakness. Physical and respiratory therapy, developed by the critical care team, in a timely manner, has been shown to prevent these complications.

Exploring consistency between stated and revealed preferences for the plastic bag ban policy in Chile.

This paper exploits individual-level data before the implementation of a national policy to understand the factors driving avoidance of plastic consumption and explore potential inconsistencies between revealed and stated preferences for a plastic bag ban policy. We estimate a bivariate ordered probit model that allows us to account for a potential correlation between these types of preferences. The data reveals that while 71% of respondents take a reusable bag for shopping, only 58% of the sample state to strongly agree with prohibiting plastic bags.