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Ventilation distribution during spontaneous breathing trials predicts liberationfrom mechanical ventilation: the VISION study

October 4, 2025 tpiraino Leave a comment

Study Reference Phoophiboon V, Rodrigues A, Vieira F, et al. Ventilation distribution during spontaneous breathing trials predicts liberation from mechanical…

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Posted in: Research

Frequency of Screening and Spontaneous Breathing Trial Techniques: A Randomized Clinical Trial

October 1, 2025 tpiraino Leave a comment

Study Reference Burns KEA, Wong J, Rizvi L, et al. Frequency of screening and spontaneous breathing trial techniques: A randomized…

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Posted in: Research

Association of respiratory drive and effort with mortalityand time to discharge in patients on mechanical ventilation in Canada: a longitudinal, prospective, registry-based cohort study

September 29, 2025 tpiraino Leave a comment

Study Reference Dianti J, Lovblom LE, Iftikhar MA, et al. Association of respiratory drive and effort with mortality and time…

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Posted in: Research

Limiting Dynamic Driving Pressure in Patients Requiring Mechanical Ventilation

September 26, 2025 tpiraino 3 Comments

Study Reference Urner M, Jüni P, Rojas-Saunero LP, et al. Limiting dynamic driving pressure in patients requiring mechanical ventilation. Crit…

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Posted in: Research

The RECRUIT Study

July 15, 2023 CoEMV 3 Comments

Defining lung recruitability is needed for a safe positive end-expiratory pressure (PEEP) selection in mechanically ventilated patients with acute respiratory…

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Posted in: Electrical Impedance Tomography, Imaging, Research

Ineffective Efforts and Reverse Triggering: What’s the difference?

June 13, 2022 tpiraino 2 Comments

Ineffective efforts and reverse triggering share some waveform similarities, so what makes them different?

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Posted in: Asynchrony, Waveforms

Response – What form of asynchrony do you see?

June 9, 2022 tpiraino Leave a comment

With the help of advanced monitoring, these findings are referred to as respiratory entrainment, or reverse triggering. A machine delivered breath (not triggered by the patient) elicits a response (effort) by the patient, and this occurs during, or very shortly after, insufflation by the ventilator.

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Posted in: Asynchrony, Measurements

What form of asynchrony do you see?

June 2, 2022 Thomas Piraino 11 Comments

Chose your answer and describe what you see and what you would do to correct it in the comment section!…

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Posted in: Asynchrony

The Effect of Lowering Tidal Volume on Mortality

December 8, 2021 CoEMV 4 Comments

The use of low tidal volume (4-8 ml/kg of predicted body weight) has been considered the default way to ventilate…

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Posted in: Measurements, Ventilation Management

How would you interpret this waveform?

October 2, 2021 CoEMV

Click the image or title to view the post and vote.

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Posted in: Asynchrony, Waveforms

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About the CoEMV

The Toronto Centre of Excellence in Mechanical Ventilation (CoEMV) at St. Michael’s Hospital leads in personalized and evidence-based mechanical ventilation through collaborative practice, education, research, and innovation.

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