Aerosol delivery to ventilated infant and pediatric patients.

abstract：BACKGROUND:Elevated dead space fraction (the ratio of dead space to tidal volume [V(D)/V(T)]) is a feature of ARDS. PEEP can partially reverse atelectasis, prevent alveoli recollapse, and improve lung compliance and gas exchange in patients with ARDS. However, whether V(D)/V(T) variables have a close relationship with ...

journal_title：Respiratory care

authors： Fengmei G,Jin C,Songqiao L,Congshan Y,Yi Y

更新日期：2012-10-01 00:00:00

abstract：BACKGROUND:Clinical preceptors in respiratory therapy (RT) are expected to possess effective teaching skills and qualities that signify their knowledge, expertise, and professionalism. Thus, it is important to determine which teaching characteristics are effective among RT clinical preceptors from the administrators' p...

journal_title：Respiratory care

authors： Aldhahir AM,Naser AY,Gardenhire DS

更新日期：2020-02-01 00:00:00

abstract：:In 2013, the United States Centers for Disease Control and Prevention redefined surveillance for quality of care in ventilated patients by shifting from ventilator-associated pneumonia (VAP) definitions to ventilator-associated event (VAE) definitions. VAE definitions were designed to overcome many of the limitations ...

journal_title：Respiratory care

authors： Klompas M

更新日期：2019-08-01 00:00:00

abstract：INTRODUCTION:There is a need to develop simple, noninvasive, and sensitive outcome measures for respiratory therapy. Adventitious respiratory sounds (ie, crackles and wheezes) can be objectively characterized with computerized respiratory sound analysis (CORSA) and have been shown to contribute for diagnosis purposes; ...

journal_title：Respiratory care

authors： Marques A,Oliveira A,Jácome C

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:Esophageal balloon inflation volume may affect the accuracy of transpulmo-nary pressure estimates in adults, but the effect is unknown in pediatrics. Using a combination bench and human study, we sought to determine a range of optimal filling volumes for esophageal balloon catheters and to derive a technique...

journal_title：Respiratory care

authors： Hotz JC,Sodetani CT,Van Steenbergen J,Khemani RG,Deakers TW,Newth CJ

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:To maximize the likelihood of successful long-term mechanical ventilation (MV) in patients with neuromuscular diseases, ventilator characteristics and settings must be chosen carefully, taking into account both medical requisites and the patient's preference and comfort. OBJECTIVES:To evaluate patients' kno...

journal_title：Respiratory care

authors： Lofaso F,Prigent H,Tiffreau V,Menoury N,Toussaint M,Monnier AF,Stremler N,Devaux C,Leroux K,Orlikowski D,Mauri C,Pin I,Sacconi S,Pereira C,Pépin JL,Fauroux B,Association Française Contre les Myopathies research group.

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:Measurement of functional residual capacity (FRC) is now possible at bedside, during mechanical ventilation. OBJECTIVES:To determine the relationship of measured absolute and relative predicted FRC values to oxygenation and respiratory-system compliance, and to identify variables that influence FRC in venti...

journal_title：Respiratory care

authors： Heinze H,Sedemund-Adib B,Heringlake M,Meier T,Eichler W

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:Users of home mechanical ventilation encounter major psychological and physiologic challenges. To ensure well-functioning home mechanical ventilation, users' experiences of care and treatment are important knowledge to supplement clinical perspectives. This systematic review aimed to summarize current qualit...

journal_title：Respiratory care

authors： Ørtenblad L,Carstensen K,Væggemose U,Løvschall C,Sprehn M,Küchen S,Nørregaard O,Jensen LG

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Continuous high-frequency oscillation (CHFO) is a therapeutic mode for the mobilization of secretions. The Metaneb CHFO device also incorporates aerosol administration using an integrated jet nebulizer. However, the effectiveness of aerosol delivery and influential factors remain largely unreported. METHODS...

journal_title：Respiratory care

authors： Li J,Elshafei AA,Gong L,Fink JB

更新日期：2020-02-01 00:00:00

abstract：:An 8-year-old female with pancreatic-insufficiency cystic fibrosis presented with recurrent pharyngitis, and reduction in body mass index and height velocity during the previous 2 years. Her symptoms (eg, snoring and restless sleep) suggested obstructive sleep apnea, and physical examination revealed tonsillar hypertr...

journal_title：Respiratory care

authors： Macdonald KD,McGinley BM,Brown DJ,Sterni LM,Rosenstein BJ,Mogayzel PJ Jr

更新日期：2009-12-01 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：:The most critical factor in effective supervision is the supervisor's skill in human relations. A standardized test, the Supervisory Inventory of Human Relations, was administered to 39 credentialed respiratory therapists who were responsible for the work performance of at least two other individuals. It was found tha...

journal_title：Respiratory care

authors： Conine TA,Rueckl RG

更新日期：1978-07-01 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:Metered-dose inhalers with valved holding chambers (MDI-VHCs) have been shown to be equivalent to small-volume nebulizers (SVNs) for the delivery of bronchodilators in children. At Seattle Children's Hospital and Regional Medical Center we sought to implement the conversion from SVN to MDI-delivered albutero...

journal_title：Respiratory care

authors： Salyer JW,DiBlasi RM,Crotwell DN,Cowan CA,Carter ER

更新日期：2008-03-01 00:00:00

abstract：BACKGROUND:In this study, we aimed to validate the agreement between pulmonary function measurements obtained with a portable spirometer and measurements obtained with conventional spirometry in Chinese pediatric and adult populations. METHODS:Pulmonary function testing was performed to evaluate subjects enrolled at S...

journal_title：Respiratory care

authors： Zhang H,Li L,Jiao D,Yang Y,Pan C,Ye L,Wei S,Jin M

更新日期：2020-05-01 00:00:00

abstract：:Dexmedetomidine is a selective alpha-2 receptor agonist that possesses both sedative and analgesic properties, with minimal respiratory depression. We report the successful administration of dexmedetomidine on a 16-year-old primigravida woman that allowed the patient to tolerate application of bi-level positive airwa...

journal_title：Respiratory care

authors： Duan M,Lee J,Bittner EA

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:Inhaled nitric oxide (NO) is most frequently delivered to mechanically ventilated patients in critical care, but it can also be administered noninvasively. The delivered dose and efficiency of continuous flow NO supplied through a nasal cannula has yet to be established. This study aimed to determine the inf...

journal_title：Respiratory care

authors： Pillay K,Chen JZ,Finlay WH,Martin AR

更新日期：2021-02-01 00:00:00

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

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

abstract：:Sleep-disordered breathing (mainly obstructive sleep apnea [OSA]) and COPD are among the most common pulmonary diseases, so a great number of patients have both disorders; this "overlap syndrome" causes more severe nocturnal hypoxemia than either disease alone. This common combination of OSA and COPD has important imp...

journal_title：Respiratory care

authors： Owens RL,Malhotra A

更新日期：2010-10-01 00:00:00

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

authors： Sassoon CS

更新日期：1992-09-01 00:00:00

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

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

abstract：BACKGROUND:Although radio frequency (RF) systems have proliferated and are designed to simplify care delivery in many clinical settings, little information is available on the impact of such RF systems on the delivery of patient care. Having used a hand-held-device-based management information system in our Respiratory...

journal_title：Respiratory care

authors： Stoller JK,Kester L,Orens DK,McCarthy K

更新日期：2002-08-01 00:00:00

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

authors： Pierson DJ

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:Assisted coughing via mechanical in-exsufflation (MI-E) is a first-line treatment for secretion management in patients with amyotrophic lateral sclerosis (ALS) with unassisted CPF < 4.25 L/s. Some devices enable oscillations to be added to MI-E (MI-E+O). We sought to determine whether adding oscillations to ...

journal_title：Respiratory care

authors： Sancho J,Burés E,Ferrer S,Bondía E,Servera E

更新日期：2020-05-01 00:00:00

abstract：:Rotational beds, prone position, and semi-recumbent position have been proposed as procedures to prevent ventilator-associated pneumonia (VAP). Rotational therapy uses a special bed designed to turn continuously, or nearly continuously, the patient from side to side; specific designs include kinetic therapy and contin...

journal_title：Respiratory care

authors： Hess DR

更新日期：2005-07-01 00:00:00

abstract：:Emergency airway management is associated with a high complication rate. Evaluating the patient prior to airway management is important to identify patients with increased risk of failed airways. Pre-oxygenation of critically ill patients is less effective in comparison to less sick patients. Induction agents are ofte...

journal_title：Respiratory care

authors： Gudzenko V,Bittner EA,Schmidt UH

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Heliox and forward-leaning posture (torso inclined forward at 50-60° with the elbows resting on the thighs) are adjuncts in the administration of nebulized bronchodilator to patients with acute asthma. METHODS:We randomized 59 patients who presented to the emergency department in severe asthma crisis, into ...

journal_title：Respiratory care

authors： Brandão DC,Britto MC,Pessoa MF,de Sá RB,Alcoforado L,Matos LO,Silva TN,de Andrade AD

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:Nebulizers are a popular means of delivering aerosolized medication, primarily albuterol, to the bronchial airways of patients, and there has been extensive research done on numerous nebulizers used with nebulizer T-pieces and corrugated tubing. Very little research has been performed on other types of nebul...

journal_title：Respiratory care

authors： Piper SD

更新日期：2000-03-01 00:00:00

abstract：BACKGROUND:High-flow nasal cannula (HFNC) enables delivery of humidified gas at high flow while controlling the FIO2 . Although its use is growing in patients with acute respiratory failure, little is known about the impact of HFNC on lung volume. Therefore, we aimed to assess lung volume changes in healthy subjects at...

journal_title：Respiratory care

authors： Plotnikow GA,Thille AW,Vasquez DN,Pratto RA,Quiroga CM,Andrich ME,Dorado JH,Gomez RS,D'Annunzio PA,Scapellato JL,Intile D

更新日期：2018-08-01 00:00:00

abstract：:Pulmonary gas exchange abnormalities and refractory hypoxemia cause myriad difficulties in patients with chronic liver disease. In addition to intrinsic cardiopulmonary diseases and hepatopulmonary syndrome, some unusual pathophysiological mechanisms in patients with portosystemic collaterals might contribute to hypox...

journal_title：Respiratory care

authors： Patidar Y,Kumar S

更新日期：2015-03-01 00:00:00