Care of the ventilator circuit and its relation to ventilator-associated pneumonia.

abstract：BACKGROUND:We previously reported the effects of high-flow nasal cannula (HFNC) oxygen therapy on thoraco-abdominal synchrony. This study was designed to clarify the effect of HFNC on thoraco-abdominal synchrony in pediatric subjects after cardiac surgery and to investigate HFNC optimal flow in this population. METHOD...

journal_title：Respiratory care

authors： Itagaki T,Nakanishi N,Okuda N,Nakataki E,Onodera M,Oto J,Nishimura M

更新日期：2019-01-01 00:00:00

abstract：:Positive end-expiratory pressure (PEEP) and inspired oxygen fraction (F(IO(2))) are the primary means of improving P(aO(2)) during mechanical ventilation. Patients with acute respiratory distress syndrome (ARDS) typically present with a large intrapulmonary shunt, which makes even high F(IO(2)) ineffective in improvin...

journal_title：Respiratory care

authors： Kallet RH,Branson RD

更新日期：2007-04-01 00:00:00

abstract：:Functional residual capacity (FRC) is essentially the alveolar volume and a determinant of both oxygenation and respiratory system compliance (CRS). ARDS decreases FRC, and sufficient PEEP restores FRC; thus, assessments of PEEP by its impact on oxygenation and CRS are intimately linked. PEEP also can ameliorate or ag...

journal_title：Respiratory care

authors： Kallet RH

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND:Decreasing electrostatic charge on valved holding chambers increases the amount of drug delivered. However, there are no data demonstrating that this increases bronchodilatation. OBJECTIVE:To investigate the influence of reducing electrostatic charge on the bronchodilator response to albuterol inhaler duri...

journal_title：Respiratory care

authors： Prabhakaran S,Shuster J,Chesrown S,Hendeles L

更新日期：2012-08-01 00:00:00

abstract：BACKGROUND:Although tobacco practices and the effects of tobacco use among the general American population are well described, minimal data exist regarding tobacco use and barriers to smoking cessation among homeless individuals. METHODS:Anonymous, voluntary surveys based on a previously implemented instrument were co...

journal_title：Respiratory care

authors： Chen JS,Nguyen AH,Malesker MA,Morrow LE

更新日期：2016-05-01 00:00:00

abstract：BACKGROUND:The prevalence of obesity in developed countries is rising. Currently, Europe has a prevalence of 9-30% with significant impact on public health systems. Obese patients in ICUs require special management and treatment. Altered anatomy in obese patients complicates procedures such as mechanical ventilation. O...

journal_title：Respiratory care

authors： Kaese S,Zander MC,Lebiedz P

更新日期：2016-05-01 00:00:00

abstract：BACKGROUND:High-flow nasal cannula (HFNC) use has greatly increased in recent years. In non-neonatal pediatric patients, there are limited data available to guide HFNC use, and clinical practice may vary significantly. The goal of this study was to evaluate current HFNC practice by surveying practicing pediatric respir...

journal_title：Respiratory care

authors： Miller AG,Gentle MA,Tyler LM,Napolitano N

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Readmission of mechanically ventilated patients to an ICU within 7 d reflects not only patient safety but also the quality of care of the ICU. This study aimed to investigate the risk and related factors for readmission to an ICU within 7 d in mechanically ventilated subjects. METHODS:A total of 658,452 mec...

journal_title：Respiratory care

authors： Chu CC,Liu CJ,Shih CM,Kung PT,Tsai YS,Tsai WC

更新日期：2015-12-01 00:00:00

abstract：:Patients who require mechanical ventilation in the prehospital and emergency department environments experience high mortality and are at high risk of ventilator-associated ventilator-induced lung injury and ARDS. In addition, little attention has been given in the literature, trainee education, or clinical emphasis t...

journal_title：Respiratory care

authors： Stephens RJ,Siegler JE,Fuller BM

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Impaired spirometric parameters have been reported in patients with stage C heart failure and portend worse outcomes in these patients. The impact of spirometric parameters on outcomes in patients with stage D heart failure listed for heart transplantation is unknown. METHODS:We collected data on consecutiv...

journal_title：Respiratory care

authors： Georgiopoulou VV,Deka A,Li S,Niazi AA,Farooq K,Kalogeropoulos AP,Butler J,Alexopoulos D

更新日期：2015-05-01 00:00:00

abstract：:Helium is an inert gas with a very low density (0.18 g/L), which allows it to pass through narrowed passages with less turbulence than nitrogen or oxygen. For many years, helium-oxygen mixture (heliox) has been used for patients with severe airway obstruction. However, the data supporting the clinical application of h...

journal_title：Respiratory care

authors： Hurford WE,Cheifetz IM

更新日期：2007-05-01 00:00:00

abstract：:Chest radiography and computed tomography (CT) have a crucial role to play in the diagnosis and management of acute respiratory distress syndrome (ARDS). The identification of pulmonary opacification is a requirement for the definition of ARDS on the chest radiograph, while CT has a role to play, not only in the diag...

journal_title：Respiratory care

authors： Sheard S,Rao P,Devaraj A

更新日期：2012-04-01 00:00:00

abstract：OBJECTIVE:In obesity-hypoventilation-syndrome patients mechanically ventilated for hypercapnic respiratory failure we investigated the relationship between CO₂ response, body mass index, and plasma bicarbonate concentration, and the effect of acetazolamide on bicarbonate concentration and CO₂ response. METHODS:CO₂ res...

journal_title：Respiratory care

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

更新日期：2010-11-01 00:00:00

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

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

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:We recently demonstrated in a randomized study the feasibility and effectiveness of telephone-based health coaching using motivational interviewing on decreasing hospital readmissions and improving quality of life at 6 and 12 months after hospital discharge. In this qualitative study, we sought to explore th...

journal_title：Respiratory care

authors： Benzo RP,Kirsch JL,Hathaway JC,McEvoy CE,Vickers KS

更新日期：2017-11-01 00:00:00

abstract：:In the current cost-attentive health care climate, the effectiveness of various providers in delivering care is being examined closely. To evaluate the effectiveness of respiratory therapists (RTs) in delivering respiratory care in the intensive care unit (ICU), in adult non-ICU inpatient care, and in ambulatory care,...

journal_title：Respiratory care

authors： Stoller JK

更新日期：2001-01-01 00:00:00

abstract：:A computerized clinical information system (CIS) is potentially a very important information tool for research and improving health care processes as well as for optimizing data management and thereby minimizing health care costs. The newest CISs automatically collect patient data from various sources, including monit...

journal_title：Respiratory care

authors： Ward NS

更新日期：2004-05-01 00:00:00

abstract：:This review explains the fundamentals of electrostatic spray (electrospray) atomization, with emphasis on operation in the so called cone-jet mode, which produces droplets with a very narrow size distribution. Since the control of droplet size is key to maximizing distal lung deposition, the electrospray should be wel...

journal_title：Respiratory care

authors： Gomez A

更新日期：2002-12-01 00:00:00

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

authors： Pham T,Telias I,Beitler JR

更新日期：2020-06-01 00:00:00

abstract：:Pulmonary hypertension (PH) is a common consequence of COPD. It has been speculated that patients showing serious PH and vascular remodeling without severe airway obstruction might benefit from vasoactive treatment. There is no approved drug available for COPD-induced PH. Most trials assessing the efficacy of vasoacti...

journal_title：Respiratory care

authors： Held M,Jany BH

更新日期：2013-08-01 00:00:00

abstract：BACKGROUND:The present study aimed to characterize the behavior of 3 components of respiratory muscle function during mechanical ventilation weaning in children to better understand the respective impact of a spontaneous breathing trial on ventilatory mechanical action (esophageal pressure [Pes], ventilatory demand (el...

journal_title：Respiratory care

authors： Mortamet G,Nardi N,Groleau V,Essouri S,Fauroux B,Jouvet P,Emeriaud G

更新日期：2019-05-01 00:00:00

abstract：:Emergency ventilation techniques used during CPR have been refined over the last 40 years. The methods and equipment for emergency ventilation all have their advantages and disadvantages (Table 5), and the appropriate technique varies with the training and experience of the rescuer. Problems encountered during CPR wit...

journal_title：Respiratory care

authors： Barnes TA

更新日期：1992-07-01 00:00:00

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

authors： O'Laughlin DT,Hick JL

更新日期：2008-02-01 00:00:00

abstract：UNLABELLED:The development of an expanded understanding of employees' reaction to their job may be important for improvement in the quality of work life and of services rendered. We sought to determine the factors, or rewards, that significantly affect respiratory therapists' job satisfaction. METHOD:Questionnaires de...

journal_title：Respiratory care

authors： Akroyd HD,Robertson R

更新日期：1989-03-01 00:00:00

abstract：INTRODUCTION:Automatic tube compensation (ATC), a new ventilation mode that compensates for the work of breathing imposed by endotracheal tube resistance, recently became commercially available. METHODS:We conducted a laboratory study with a lung model and a Nellcor Puritan Bennett 840 ventilator to compare ATC and pr...

journal_title：Respiratory care

authors： Fujino Y,Uchiyama A,Mashimo T,Nishimura M

更新日期：2003-01-01 00:00:00

abstract：:Delivering long-term oxygen therapy in the homes of persons who live in remote areas can be a problem. Four isolated areas in North America--rural Manitoba, Canada; the Northwest Territories of Canada; Alaska; and the Colorado mountains--have home oxygen programs that illustrate that these problems can be overcome. Th...

journal_title：Respiratory care

authors： Lertzman M

更新日期：1983-07-01 00:00:00

abstract：BACKGROUND:Healthy individuals without respiratory symptoms can sometimes present with low FEV1/FVC. The objective of this study was to characterize and compare subjects without symptoms and with reduced FEV1/FVC but normal FEV1 with subjects with mild obstructive lung disease. METHODS:Fifty healthy subjects with FEV1...

journal_title：Respiratory care

authors： Dos Santos Andreata L,Soares MR,Pereira CA

更新日期：2019-05-01 00:00:00

abstract：:Although oral and injectable drug formulations still dominate the market, interest in pulmonary delivery has been rising steadily. Given patients' desire for an alternative to injections, and recent advances in aerosol science and pulmonary medicine, the potential for improved disease management outcomes by using aero...

journal_title：Respiratory care

authors： Corkery K

更新日期：2000-07-01 00:00:00

abstract：BACKGROUND:Causing pneumothorax is one of the main concerns of lung recruitment maneuvers in pediatric patients, especially newborns. Therefore, these maneuvers are not performed routinely during anesthesia. Our objective was to determine the pressures that cause pneumothorax in healthy newborns by a prospective experi...

journal_title：Respiratory care

authors： González-Pizarro P,García-Fernández J,Canfrán S,Gilsanz F

更新日期：2016-02-01 00:00:00

abstract：:Sialorrhea or drooling represents quite a common problem in patients with amyotrophic lateral sclerosis (ALS). In this review, we describe the possible treatments for this issue. Current medical management is not always effective: anticholinergic drugs (atropine, glycopyrrolate, amitriptyline, hyoscyamine, and transde...

journal_title：Respiratory care

authors： Banfi P,Ticozzi N,Lax A,Guidugli GA,Nicolini A,Silani V

更新日期：2015-03-01 00:00:00