Current trends in neonatal and pediatric respiratory care: conference summary.

Abstract:

:A summary of the 2-day Journal Conference on Current Trends in Neonatal and Pediatric Respiratory Care is provided. Topics included: diagnosis and management of common respiratory disorders of infants and children such as asthma, respiratory syncytial virus bronchiolitis, and cystic fibrosis; and common pediatric respiratory emergencies such as croup, epiglottitis, and inhalation injuries. Also discussed were developments in diagnostic and therapeutic modalities, including pulmonary function testing and pulse oximetry. Evidence-based strategies for the resuscitation of critically ill newborns and subsequent ventilator management strategies were presented. Several faculty members discussed controversies regarding mechanical ventilation and extracorporeal membrane oxygenation for treatment of acute respiratory distress syndrome and other causes of respiratory failure in children and infants.

journal_name

Respir Care

journal_title

Respiratory care

authors

Kercsmar CM

keywords:

subject

Has Abstract

pub_date

2003-04-01 00:00:00

pages

459-64

issue

4

eissn

0020-1324

issn

1943-3654

journal_volume

48

pub_type

  • Efficacy of high-flow oxygen by nasal cannula with active humidification in a patient with acute respiratory failure of neuromuscular origin.

    abstract::The treatment of choice for patients with respiratory failure of neuromuscular origin, especially in patients with hypercapnic respiratory acidosis, is noninvasive ventilation (NIV). Endotracheal intubation and invasive ventilation are indicated for patients with severe respiratory compromise or failure of NIV. In rec...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02115

    authors: Díaz-Lobato S,Folgado MA,Chapa A,Mayoralas Alises S

    更新日期:2013-12-01 00:00:00

  • Prediction of pneumonia 30-day readmissions: a single-center attempt to increase model performance.

    abstract:BACKGROUND:Existing models developed to predict 30 days readmissions for pneumonia lack discriminative ability. We attempted to increase model performance with the addition of variables found to be of benefit in other studies. METHODS:From 133,368 admissions to a tertiary-care hospital from January 2009 to March 2012,...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02563

    authors: Mather JF,Fortunato GJ,Ash JL,Davis MJ,Kumar A

    更新日期:2014-02-01 00:00:00

  • Comparison of usual and alternative methods to measure height in mechanically ventilated patients: potential impact on protective ventilation.

    abstract:BACKGROUND:Protective ventilation implementation requires the calculation of predicted body weight (PBW), determined by a formula based on gender and height. Consequently, height inaccuracy may be a limiting factor to correctly set tidal volumes. The objective of this study was to evaluate the accuracy of different met...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02732

    authors: Bojmehrani A,Bergeron-Duchesne M,Bouchard C,Simard S,Bouchard PA,Vanderschuren A,L'Her E,Lellouche F

    更新日期:2014-07-01 00:00:00

  • Air pollution and respiratory health.

    abstract::Air pollution is frequently incriminated as a risk factor in the development of chronic lung impairment and in the aggravation of existing disease. The federal government has set primary air quality standards to protect public health and secondary standards to protect public welfare (eg, to preserve vegetation and bui...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Witek TJ Jr,Schachter EN

    更新日期:1983-04-01 00:00:00

  • Ethical issues in resource triage.

    abstract::Mass-care events, such as pandemic influenza, could reach such devastating proportions that there will be the need to make difficult triage decisions that will ultimately result in the deaths or severe disability of patients in large numbers. The method by which we determine how triage of scarce health care resources ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: O'Laughlin DT,Hick JL

    更新日期:2008-02-01 00:00:00

  • Physiological Responses During Field Walking Tests in Adults with Bronchiectasis.

    abstract:BACKGROUND:Field walking tests are commonly used in patients with chronic pulmonary diseases for assessment of functional capacity. However, the physiological demands and magnitude of desaturation on 6-min walk test (6MWT), incremental shuttle walk test (ISWT), and endurance shuttle walk test (ESWT) have not been inves...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.07171

    authors: Corso SD,Boldorini JC,de Camargo AA,José A,Rached SZ,Athanazio RA,Stelmach R,Holland AE

    更新日期:2020-05-01 00:00:00

  • The accuracy of transcutaneous PCO2 in subjects with severe brain injury: a comparison with end-tidal PCO2.

    abstract:BACKGROUND:In patients suffering from brain injury, end-tidal PCO2 (PETCO2 ) monitoring is controversial, but transcutaneous PCO2 (PtcCO2 ), which is noninvasive and utilizes immediate display, may be an alternative method. We hypothesized that PtcCO2 would be more accurate than PETCO2 for monitoring PaCO2 in patients ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02726

    authors: Rosier S,Launey Y,Bleichner JP,Laviolle B,Jouve A,Malledant Y,Seguin P

    更新日期:2014-08-01 00:00:00

  • Symptom Clusters and Quality of Life in Subjects With COPD.

    abstract:BACKGROUND:COPD is one of the most common respiratory diseases. Patients with COPD experience and suffer from various physical and psychological symptoms. We performed this study to identify symptom clusters and the effects on quality of life (QOL) in patients with COPD. METHODS:A total of 130 COPD subjects were recru...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.05374

    authors: Lim KE,Kim SR,Kim HK,Kim SR

    更新日期:2017-09-01 00:00:00

  • Mechanical Ventilation Alarms and Alarm Fatigue.

    abstract::Mechanical ventilation alarms and alerts, both audible and visual, provide the clinician with vital information about the patient's physiologic condition and the status of the machine's function. Not all alarms generated by the mechanical ventilator provide actionable information. Over time, clinicians can become dese...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.06878

    authors: Scott JB,De Vaux L,Dills C,Strickland SL

    更新日期:2019-10-01 00:00:00

  • Mechanical ventilator design and function: the trigger variable.

    abstract::Because of the design characteristics, flow-triggering appears to offer measurable advantages over pressure-triggering, particularly during spontaneous breathing. During the trigger phase, flow-triggering provides a relatively shorter time delay than pressure-triggering. A trigger sensitivity that does not cause autoc...

    journal_title:Respiratory care

    pub_type: 共识发展会议,杂志文章,评审

    doi:

    authors: Sassoon CS

    更新日期:1992-09-01 00:00:00

  • Issues in drug delivery: concepts and practice.

    abstract::Understanding the transport and deposition of inhaled aerosols is of fundamental importance to inhalation therapy. Herein we address issues that affect drug delivery from experimental and theoretical perspectives. Accordingly, we shall limit our comments to a focused review of laboratory work (ie, an in vitro perspect...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Martonen TB,Smyth HD,Isaacs KK,Burton RT

    更新日期:2005-09-01 00:00:00

  • Accuracy and Precision of an Optoacoustic Prototype in Determining Endotracheal Tube Position in Children.

    abstract:BACKGROUND:Confirmation of endotracheal tube (ETT) tip position and timely identification and correction of malposition is an essential component of care for endotracheally intubated and mechanically ventilated children. We evaluated the ability of a prototype optoacoustic medical device to determine ETT tip position. ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.06140

    authors: Volsko TA,Petrov Y,McNinch NL,Prough DS,Anderson CR,Bigham MT

    更新日期:2018-12-01 00:00:00

  • The physiology of dinosaurs: circulatory and respiratory function in the largest animals ever to walk the earth.

    abstract::The cardiopulmonary physiology of dinosaurs-and especially of the long-necked sauropods, which grew much larger than any land animals before or since-should be inherently fascinating to anyone involved in respiratory care. What would the blood pressure be in an animal 12 m (40 ft) tall? How could airway resistance and...

    journal_title:Respiratory care

    pub_type:

    doi:10.4187/002013209793800286

    authors: Pierson DJ

    更新日期:2009-07-01 00:00:00

  • High-frequency oscillation of the airway and chest wall.

    abstract::High-frequency oscillation (HFO), applied to either the airway or chest wall, has been associated with changes in sputum attributes and clearance. The evolution of evidence, both in vitro and in vivo, supporting the use of HFO is reviewed. Devices that apply HFO to the airway range from the relatively simple mechanica...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Fink JB,Mahlmeister MJ

    更新日期:2002-07-01 00:00:00

  • Persistent Empiric COPD Diagnosis and Treatment After Pulmonary Function Test Showed No Obstruction.

    abstract:BACKGROUND:Health-care providers often diagnose and empirically treat COPD without a confirmative pulmonary function test (PFT) or even despite a PFT that is not diagnostic of obstructive lung disease. We hypothesized that a portion of patients continue to carry a persistent empiric COPD diagnosis and receive treatment...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04647

    authors: Fortis S,Corazalla EO,Jacobs DR Jr,Kim HJ

    更新日期:2016-09-01 00:00:00

  • Pulmonary function and flow-volume loop patterns in patients with tracheobronchomalacia.

    abstract:BACKGROUND:Patterns of pulmonary function tests (PFTs) and flow-volume loops among patients with clinically important tracheobronchomalacia (TBM) are not well described. Small studies suggest 4 main flow-volume loop morphologies: low maximum forced expiratory flow, biphasic expiratory curve, flow oscillations, and notc...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02277

    authors: Majid A,Sosa AF,Ernst A,Feller-Kopman D,Folch E,Singh AK,Gangadharan S

    更新日期:2013-09-01 00:00:00

  • The Effect of Pulmonary Function Testing on the Success of Smoking Cessation.

    abstract:BACKGROUND:In several studies, low spirometric levels have been shown to increase the success rates of smoking cessation, whereas other studies have indicated that pulmonary function has no effects on quitting smoking. Given the fact that there are contradictory results on this subject, we aimed to investigate the effe...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04490

    authors: Salepci B,Caglayan B,Fidan A,Parmaksiz ET,Kiral N,Comert SS,Dogan C,Coskun E

    更新日期:2016-08-01 00:00:00

  • Can outcomes of intensive care unit patients undergoing tracheostomy be predicted?

    abstract:OBJECTIVE:To determine whether outcomes (mortality and need for intensive care unit [ICU] readmission) of patients undergoing tracheostomy in the ICU can be predicted by common clinical or historical criteria. METHODS:We conducted a retrospective review of data from the medical record and Project Impact database in a ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Gerber DR,Chaaya A,Schorr CA,Markley D,Abouzgheib W

    更新日期:2009-12-01 00:00:00

  • Physical Activity as a Predictor of Absence of Frailty in Subjects With Stable COPD and COPD Exacerbation.

    abstract:BACKGROUND:Frailty is a key issue in the care of elderly patients. Patients with COPD are more likely to be frail, with a prevalence of 57.8%. Frailty is associated with a low level of physical activity. The aim of this study was to analyze the predictive power and identify the cutoffs of physical activity in their dif...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04118

    authors: Valenza MC,Torres-Sánchez I,Cabrera-Martos I,Rodríguez-Torres J,González-Jiménez E,Muñoz-Casaubon T

    更新日期:2016-02-01 00:00:00

  • The interpretation of exhaled nitric oxide values in children with asthma depends on the degree of bronchoconstriction and the levels of asthma severity.

    abstract:BACKGROUND:The clinical implications of fractional exhaled nitric oxide (F(ENO)) measurements in childhood asthma are unclear. We aimed to evaluate the relationship between the level of exhaled nitric oxide and pre-bronchodilator FEV1 and the change in FEV1 after bronchodilator in children with asthma. METHODS:This wa...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02889

    authors: Grzelewski T,Majak P,Jerzyńska J,Stelmach W,Stelmach R,Janas A,Grzelewska A,Witkowski K,Makandjou-Ola E,Stelmach I

    更新日期:2014-09-01 00:00:00

  • Effect of a Motivational Interviewing-Based Health Coaching on Quality of Life in Subjects With COPD.

    abstract:BACKGROUND:Improving quality of life (QOL) is a key goal in the care of patients with COPD. Pulmonary rehabilitation (PR) has clearly been shown to improve QOL, but is not accessible to many eligible patients. There is a need for alternative programs designed to improve patient well-being that are accessible to all pat...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04984

    authors: Rehman H,Karpman C,Vickers Douglas K,Benzo RP

    更新日期:2017-08-01 00:00:00

  • Use of a noninvasive pulse CO-oximeter to measure blood carboxyhemoglobin levels in bingo players.

    abstract:BACKGROUND:Though smokers are known to have elevated blood carboxyhemoglobin (COHb), due to inhalation of carbon monoxide (CO) in cigarette smoke, limited data exist regarding COHb levels in nonsmokers exposed to secondhand smoke. METHODS:COHb was measured using a new noninvasive pulse CO-oximeter (Rad-57, Masimo, Irv...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Hampson NB,Scott KL

    更新日期:2006-07-01 00:00:00

  • A computer program for quality control in the blood gas laboratory.

    abstract::In blood gas laboratory quality-assurance programs, which are routinely included with materials sold for quality control, raw data are sent to a data processing center for reduction to statistics meaningful to the laboratory's quality-control effort. This data reduction service usually requires a turn-around time of 2...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: DeWitt AL

    更新日期:1984-04-01 00:00:00

  • Interleukin 27 could be useful in the diagnosis of tuberculous pleural effusions.

    abstract:BACKGROUND:The diagnosis of tuberculous pleural effusion (TBPE) has some limitations. We studied the efficacy of interleukin-27 (IL-27) in the diagnosis of TBPE. METHODS:We measured IL-27, adenosine deaminase (ADA), ADA-2, interferon-gamma (IFNγ), and the ADA·IL-27 and ADA-2·IL-27 products in all the pleural effusion ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02749

    authors: Valdés L,San José E,Ferreiro L,Golpe A,Gude F,Álvarez-Dobaño JM,Pereyra MF,Toubes ME,González-Barcala FJ

    更新日期:2014-03-01 00:00:00

  • Increased Accuracy After Adjustment of Spirometry Threshold for Diagnosing COPD Based on Pre-Bronchodilator FEV1/FVC.

    abstract:BACKGROUND:COPD is a leading cause of morbidity and mortality worldwide. Spirometry is the most common lung function test for diagnosing COPD with a post-bronchodilator FEV1/FVC < 0.70 confirming the presence of the disease. However, diagnosticians appear reluctant to use bronchodilators, which have been linked to the ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.06148

    authors: Kronborg T,Hangaard S,Cichosz SL,Hejlesen O

    更新日期:2019-01-01 00:00:00

  • Evaluation of two electronic respiratory rate monitoring systems.

    abstract::Two electronic systems for monitoring respiratory rates in critical care patients were evaluated--one a system using impedance sensors and the other a system using thermistor sensors. The thermistor sensor, attached to a nasal cannula or air-entrainment mask, was connected to a sensitivity calibrating control and a di...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Arnson LA,Rau JL Jr,Dixon RJ

    更新日期:1981-03-01 00:00:00

  • Home treatment of infection-related acute respiratory failure in kyphoscoliotic patients on long-term mechanical ventilation.

    abstract:BACKGROUND:In patients with kyphoscoliosis, long-term mechanical ventilation improves chronic alveolar hypoventilation during spontaneous breathing, improves quality of life, decreases the need for hospitalization, and improves survival. In these patients respiratory infection can precipitate acute respiratory failure ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Banfi P,Redolfi S,Robert D

    更新日期:2007-06-01 00:00:00

  • Noise Exposure From High-Flow Nasal Cannula Oxygen Therapy: A Bench Study on Noise Reduction.

    abstract:BACKGROUND:High-flow nasal cannula (HFNC) oxygen therapy produces noise at a level such that patients often complain. However, the noise level has not been measured digitally. METHODS:We evaluated 3 types of HFNCs without filters and 2 types with filters attached for noise reduction. Optiflow (with and without a filte...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.05668

    authors: Kubo T,Nakajima H,Shimoda R,Seo T,Kanno Y,Kondo T,Tamai S

    更新日期:2018-03-01 00:00:00

  • Central respiratory drive in patients with neuromuscular diseases.

    abstract:BACKGROUND:The contribution of the central respiratory drive in the hypercapnic respiratory failure of neuromuscular diseases (NMD) is controversial. OBJECTIVE:To compare the CO2 response and the duration of weaning of mechanical ventilation between a group of NMD patients and a group of quadriplegic patients due to I...

    journal_title:Respiratory care

    pub_type: 杂志文章,多中心研究

    doi:10.4187/respcare.01873

    authors: Rialp G,Raurich JM,Llompart-Pou JA,Ayestarán I,Ibáñez J

    更新日期:2013-03-01 00:00:00

  • Esophageal Manometry.

    abstract::The estimation of pleural pressure with esophageal manometry has been used for decades, and it has been a fertile area of physiology research in healthy subject as well as during mechanical ventilation in patients with lung injury. However, its scarce adoption in clinical practice takes its roots from the (false) idea...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.07425

    authors: Pham T,Telias I,Beitler JR

    更新日期:2020-06-01 00:00:00