Oliver Jünke



#iwtv#interview with the vampire#the vampire armand#assad zaman

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Oliver Jünke

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Ben Abercrombie's body spasms at the slightest disturbance
So if someone was intubated unnecessarily, can they breathe against the machine? Or is it stronger than normal lungs?
A very important part of ventilation is precise calibration of the ventilatory pressure and volume. If the pressure and volume are too low, the patient isn't effectively oxygenated, but if they are too high, they can destroy the lungs. Some types of invasive ventilation are controlled by the ventilation settings, but others give the patient's respiratory system some wiggle room. One type of this kind of ventilation is called synchronized intermittent mandatory ventilation and allows for spontaneous breaths between mandatory breaths. Assist control ventilation is similar in that mandatory breathes are triggered by spontaneous breaths.
Happy whumping!
“Sorry, we are going to have to steal him again. We’re having two intubations right now.”
Intermediate Care Unit doctor coming into med-surg to kidnap our respiratory therapist (again).
When they say you're sedated while on a ventilator, what exactly does that mean? Are you completely unconscious the entire time?
Not necessarily, but being on a vent is really stressful and painful. There’s a tube down the person’s throat so it feels like they’re choking, and they’re not controlling their own breathing (certain vent settings provide more control than others), which is genuinely terrifying for most people. If someone is “fighting” the vent because it feels like they’re suffocating, they’re not being helped by it as much as they could be, and that’s a lot of energy wasted. Plus, the vent could be necessary for days or even weeks, and that’s just hella traumatic. To make the experience more comfortable and stop the person fighting the vent, often a combination of sedating, pain relieving, and paralytic medication is given.
As I’ve talked about before, sedation doesn’t necessarily make someone completely unconscious. A lot of times, it just puts them in a state where they can better tolerate what is being done to them. So it can be full-on unconscious and paralyzed, or where they’re awake but their memory isn’t quite intact, or they’re awake but don’t really care all that much about the vent, or if they’re fairly used to it, mostly awake with some pain and/or anti-anxiety medication. It all kind of depends on what the person is able to tolerate while still getting what they need from the vent.

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C - E CLAMP GRIP for ventilation .
Make a “C” with your thumb and pointe3 finger .
The remaining three fingers should make an “E” around the bottom of the patients jaw .
The C allows you to keep a good seal and ensure adequate chest rise and fall
The E helps you tilt the chin upwards (towards the sky) to ensure the airway is open
A "Charlotte Box:" an incubator for premature or sick babies to increase their chances of survival. This design was named after Queen Charlotte's Maternity Hospital, London.
According to the Science Museum: "It was originally a way to give oxygen to sick babies. However, it was soon used in new special care baby units to transform cots into simple incubators. The outlook for premature babies during the first half of the 20th century was very poor. Survivors often experienced brain damage and intellectual and physical disabilities. New techniques and technologies after the Second World War increased survival rates. These included mechanical ventilation to help newborns breathe, and feeding newborns via tubes directly into their blood vessels. However, the rudimentary heating system in the ‘Charlotte box’ comprised a hot water bottle and thermometer inside the Perspex box. Research and development through the decades saw incubators improve to be able to monitor blood pressure, oxygen levels and lung function."
Image Source: Wellcome Library/Science Museum
Vent