Respiratory controversies in the critical care setting. Should heliox be used for mechanically ventilated patients?

abstract：BACKGROUND:Mechanical ventilation during patient transport frequently utilizes compact portable pneumatic ventilators that have limited ventilator-settings options. New advanced transport ventilators should yield quality improvements, but their user-friendliness needs to be tested. OBJECTIVE:To evaluate the ventilator...

journal_title：Respiratory care

authors： Templier F,Miroux P,Dolveck F,Descatha A,Goddet NS,Jeleff C,Baer M,Chauvin M,Brochard L,Fletcher D

更新日期：2007-12-01 00:00:00

abstract：:Pulmonary rehabilitation programs have resulted in improvements in quality of life, capacity for carrying out daily activities, and physical conditioning, as well as reduced hospitalization and cost of care. In our retrospective study, we reviewed the data of 75 patients who had participated in Loma Linda University M...

journal_title：Respiratory care

authors： Bebout DE,Hodgkin JE,Zorn EG,Yee AR,Sammer EA

更新日期：1983-11-01 00:00:00

abstract：:Traumatic brain injury is a problem that affects millions of Americans yearly and for which there is no definitive treatment that improves outcome. Continuous brain tissue oxygen (PbtO2 ) monitoring is a complement to traditional brain monitoring techniques, such as intracranial pressure and cerebral perfusion pressur...

journal_title：Respiratory care

authors： Ngwenya LB,Burke JF,Manley GT

更新日期：2016-09-01 00:00:00

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

authors： Banfi P,Redolfi S,Robert D

更新日期：2007-06-01 00:00:00

abstract：:Fibrosing mediastinitis is underdiagnosed because of the nonspecific character of the presenting symptoms. The endobronchial findings obtained via flexible bronchoscopy are not defined in the literature. We describe 3 cases of fibrosing mediastinitis, most likely caused by histoplasmosis. All 3 patients presented with...

journal_title：Respiratory care

authors： Manali ED,Saad CP,Krizmanich G,Mehta AC

更新日期：2003-11-01 00:00:00

abstract：BACKGROUND:The ventilatory ratio (VR) is a dead-space marker associated with mortality in mechanically ventilated adults with ARDS. The end-tidal alveolar dead space fraction (AVDSf) has been associated with mortality in children. However, AVDSf requires capnography measurements, whereas VR does not. We sought to exami...

journal_title：Respiratory care

authors： Bhalla AK,Dong J,Klein MJ,Khemani RG,Newth CJ

更新日期：2021-02-01 00:00:00

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

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

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：BACKGROUND:Emphysema and fibrosis, typically the idiopathic pulmonary fibrosis (IPF) form of usual interstitial pneumonia (UIP), can co-exist as combined pulmonary fibrosis emphysema (CPFE). It is unknown whether there is a pathobiologic basis for CPFE beyond the coexistence of fibrosis and emphysema. The aim of this s...

journal_title：Respiratory care

authors： Mitchell PD,Das JP,Murphy DJ,Keane MP,Donnelly SC,Dodd JD,Butler MW

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:Dynamic airway resistance from obstructive disease causes a concavity in the mid-expiratory portion of the spirometric flow-volume loop. We developed a simple model to measure the exponential decay in air flow during forced exhalation to quantify the extent of dynamic airway obstruction and facilitate the de...

journal_title：Respiratory care

authors： Oh A,Morris TA,Yoshii IT,Morris TA

更新日期：2017-07-01 00:00:00

abstract：UNLABELLED:Lectures and demonstrations have been the teaching and testing strategies most often employed by the American Heart Association in Advanced Cardiac Life Support (ACLS) training. I compared the abilities of interactive videodisc (IVD) courseware and ACLS instructors to evaluate airway management skills. METH...

journal_title：Respiratory care

authors： Rubens AJ

更新日期：1991-08-01 00:00:00

abstract：:A number of adjuncts to mechanical ventilation have been the focus of recent research. Automatic tube compensation (the regulation of airway pressure by estimation of tracheal pressure) appears to be an ideal approach to unloading the resistive effort imposed by the endotracheal tube. Randomized controlled trials have...

journal_title：Respiratory care

authors： Kacmarek RM

更新日期：2002-03-01 00:00:00

abstract：BACKGROUND:The frequency of combined obstruction and restriction identified in pulmonary function tests has not been well described. Moreover, although the causes of combined-obstruction-and-restriction patterns are known, the frequency of the various etiologies has received little attention. METHODS:We retrospectivel...

journal_title：Respiratory care

authors： Diaz-Guzman E,McCarthy K,Siu A,Stoller JK

更新日期：2010-03-01 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：OBJECTIVE:To describe the self-expanding endobronchial occluder, as utilized in bronchoscopic lung volume reduction, with a 36 month follow-up procedure. METHODS:Twenty-three subjects with severe emphysema were recruited and underwent flexible bronchoscopic placement of self-expanding endobronchial occluders. Outcomes...

journal_title：Respiratory care

authors： Song L,Zhao F,Ti X,Chen W,Wang G,Wu C,Li Y

更新日期：2013-08-01 00:00:00

abstract：BACKGROUND:The purpose of this study was to examine socioeconomic variations in the use of prescription medicines among elderly subjects with COPD. METHODS:Data from the Danish national administrative registers were used. The study population included 1,365 individuals >60 y old residing in the Municipality of Copenha...

journal_title：Respiratory care

authors： Jacobsen R,Ekholm O,Rasmussen NK,Hansen EH,Frølich A

更新日期：2016-07-01 00:00:00

abstract：:Spontaneous breathing trials (SBTs) are among the most commonly employed techniques to facilitate weaning from mechanical ventilation. The preferred SBT technique, however, is still unclear. To clarify the preferable SBT (T-piece or pressure support ventilation [PSV]), we conducted this systematic review. We then sear...

journal_title：Respiratory care

authors： Pellegrini JA,Moraes RB,Maccari JG,de Oliveira RP,Savi A,Ribeiro RA,Burns KE,Teixeira C

更新日期：2016-12-01 00:00:00

abstract：BACKGROUND:Inhaled sedation is efficient and easily controllable; in low concentrations it causes minimal changes in the patient and very little interference with hemodynamics. Awakening after inhaled sedation is quick and predictable. The major reason inhaled sedation has not become widely used in intensive care is th...

journal_title：Respiratory care

authors： L'her E,Dy L,Pili R,Prat G,Tonnelier JM,Lefevre M,Renault A,Boles JM

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:Directed cough maneuvers are often included in physiotherapy management aimed at preventing postoperative pulmonary complications after open heart surgery, but there is little scientific evidence of the effectiveness of directed cough maneuvers. METHODS:We conducted a randomized intra-subject crossover tria...

journal_title：Respiratory care

authors： Fiore JF Jr,Chiavegato LD,Denehy L,Paisani DM,Faresin SM

更新日期：2008-08-01 00:00:00

abstract：BACKGROUND:Studies on the submaximal aerobic capacity of exclusive narghile smokers (ENS) seem necessary in view of effective prevention of cardiorespiratory diseases. The goal of the study was to assess, by 6-min walk test (6MWT) data, the submaximal aerobic capacity of ENS, to identify factors influencing their 6-min...

journal_title：Respiratory care

authors： Ben Saad H,Babba M,Boukamcha R,Ghannouchi I,Latiri I,Mezghenni S,Zedini C,Rouatbi S

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:Endotracheal intubation is a common procedure performed by respiratory therapists (RTs). The purpose of this study was to describe current RT intubation practices in North Carolina through the use of a survey instrument. METHODS:A survey was developed by the authors using REDCap. The survey was sent via ema...

journal_title：Respiratory care

authors： Miller AG,Gentile MA,Coyle JP

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:The value of impulse oscillometry (IOS) for bronchial provocation testing is poorly defined. We investigated the positive threshold derived from the parameters and diagnostic power of IOS for asthma with the leukotriene D(4) bronchial provocation test. METHODS:We enrolled 62 subjects with asthma and 21 heal...

journal_title：Respiratory care

authors： Guan WJ,Zheng JP,Gao Y,Jiang CY,Shi X,Xie YQ,Liu QX,Jiang M,An JY,Yu XX,Liu WT,Zhong LP,Wu ZP,Zhong NS

更新日期：2013-12-01 00:00:00

abstract：:Aerosolized medications are routinely used for the treatment of critically ill patients. This paper reviews aerosol delivery devices with a focus on issues related to their performance in pulmonary critical care. Factors affecting aerosol drug delivery to mechanically ventilated adults and spontaneously breathing pati...

journal_title：Respiratory care

authors： Ari A

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Portable oxygen devices simplify and facilitate patient therapy. This study was designed to compare S(pO2) and patient satisfaction with a portable oxygen concentrator or a combined system consisting of a fixed device with continuous-flow oxygen dispensation and a portable device with pulse dispensation for ...

journal_title：Respiratory care

authors： Yáñez AM,Prat JP,Álvarez-Sala JL,Calle M,Díaz Lobato S,García Gonzalez JL,Rodríguez Gonzalez-Moro JM,Galera-Martínez R,Villasante C,Ramos I,Franco-Gay M,de Lucas P

更新日期：2015-03-01 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：BACKGROUND:Obstructive sleep apnea is a disorder characterized by recurrent obstruction of the upper airways during sleep. The high prevalence of this disease led to proposed new strategies based on the home evaluation and management of patients. OBJECTIVE:To compare home unattended portable monitoring and automatic C...

journal_title：Respiratory care

authors： Tedeschi E,Carratù P,Damiani MF,Ventura VA,Drigo R,Enzo E,Ferraresso A,Sasso G,Zambotto FM,Resta O

更新日期：2013-07-01 00:00:00

abstract：INTRODUCTION:Electrostatic attraction of aerosolized particles to the inner walls of an aerosol holding chamber (HC) made from a nonconducting material can reduce medication delivery, particularly if there is a delay between actuation and inhalation. OBJECTIVE:Compare total emitted mass and fine-particle mass (mass of...

journal_title：Respiratory care

authors： Rau JL,Coppolo DP,Nagel MW,Avvakoumova VI,Doyle CC,Wiersema KJ,Mitchell JP

更新日期：2006-05-01 00:00:00

abstract：BACKGROUND:Previous studies have demonstrated the safety of flexible bronchoscopy (FB) in mechanically ventilated subjects. However, the safety of FB in adult subjects receiving extracorporeal membrane oxygenation (ECMO) has not been described previously. METHODS:A retrospective review was conducted of all adult subje...

journal_title：Respiratory care

authors： Sharma NS,Peters T,Kulkarni T,Hoopes CW,Bellot SC,Wille KM,Diaz-Guzman E

更新日期：2016-05-01 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：:CPAP is a spontaneous mode of ventilation that maintains a constant airway pressure during the inspiratory and expiratory phases. This therapeutic modality is used across the continuum of care from pre-hospital treatment to intensive and acute care units to the home care environment to treat a host of acute and chroni...

journal_title：Respiratory care

authors： Volsko TA

更新日期：2019-06-01 00:00:00