Abstract：
BACKGROUND:An increasing number of patients require prolonged mechanical ventilation (PMV), which is associated with high morbidity and poor long-term survival, but there are few data regarding the incidence and outcome of PMV patients from a community perspective. METHODS:We retrospectively reviewed the electronic medical records of adult Olmsted county, Minnesota, residents admitted to the intensive care units at the 2 Mayo Clinic Rochester hospitals from January 1, 2003, to December 31, 2007, who underwent tracheostomy for PMV. RESULTS:Sixty-five patients, median age 68 years (interquartile range [IQR] 49-80 y), 39 male, underwent tracheostomy for PMV, resulting in an age-adjusted incidence of 13 (95% CI 10-17) per 100,000 patient-years at risk. The median number of days on mechanical ventilation was 24 days (IQR 18-37 d). Forty-six patients (71%) survived to hospital discharge, and 36 (55%) were alive at 1-year follow-up. After adjusting for age and baseline severity of illness, the presence of COPD was independently associated with 1-year mortality (hazard ratio 3.4, 95% CI 1.4-8.2%). CONCLUSIONS:There was a considerable incidence of tracheostomy for PMV. The presence of COPD was an independent predictor of 1-year mortality.
journal_name
Respir Carejournal_title
Respiratory careauthors
Kojicic M,Li G,Ahmed A,Thakur L,Trillo-Alvarez C,Cartin-Ceba R,Gay PC,Gajic Odoi
10.4187/respcare.01096subject
Has Abstractpub_date
2011-11-01 00:00:00pages
1765-70issue
11eissn
0020-1324issn
1943-3654pii
rc01096r2kojicicjournal_volume
56pub_type
杂志文章,多中心研究相关文献
Respiratory Care文献大全abstract：:Bronchopulmonary dysplasia (BPD) is a common long-term complication in premature newborns requiring ventilatory support and is the most common cause of chronic diffuse lung disease in this population. We present the clinical course of a premature newborn with a complicated neonatal respiratory course that was initiall...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.02847
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:There is paucity of information on the weaning of nasal CPAP (NCPAP) in preterm infants. As the weaning from NCPAP can be gradual or sudden, we wanted to determine which of the 2 methods was better. METHODS:A prospective randomized trial was conducted to compare the success of weaning from NCPAP when using ...
journal_title：Respiratory care
pub_type： 杂志文章,随机对照试验
doi：10.4187/respcare.01999
更新日期：2013-03-01 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
pub_type： 杂志文章
doi：10.4187/respcare.06947
更新日期：2020-02-01 00:00:00
abstract：:Although appropriate antibiotics may improve survival in patients with bacterial pneumonia, use of empirical broad-spectrum antibiotics in patients without infection is potentially harmful, facilitating colonization and superinfection with multiresistant microorganisms. Invasive diagnostic methods, including bronchoal...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2005-06-01 00:00:00
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：
更新日期：2006-07-01 00:00:00
abstract：BACKGROUND:In a traditional endotracheal tube (ETT), there is a linear outward pull through its attachment to the ventilator tubing that leads to risk of accidental dislodgement. This study was conducted to assess the ETT flow characteristics and to evaluate providers' intubation experience using two ETT's in a simulat...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.05813
更新日期：2018-09-01 00:00:00
abstract：:Extracorporeal membrane oxygenation (ECMO) is a form of cardiopulmonary bypass adapted for long-term use. Blood is drained from the patient, pumped through an artificial lung or membrane where gas exchange is augmented, and then re-infused back to the patient. ECMO provides support for the neonate with severe respirat...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2009-09-01 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
pub_type： 杂志文章
doi：
更新日期：1983-11-01 00:00:00
abstract：BACKGROUND:Pulmonary hypertension is frequently associated with parenchymal lung disease. We evaluated the association between spirometry values and pulmonary artery systolic pressure (PASP) in young subjects without lung disease METHODS:: We studied applicants to the Israeli Air Force, who undergo routine evaluation ...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.02701
更新日期：2014-03-01 00:00:00
abstract：:Technological innovations in the ICU have led to artificially prolonged life, with an associated cost. Chronic critical illness (CCI) occurs in patients with prolonged mechanical ventilation and allostatic overload, and is associated with a discrete and consistent metabolic syndrome. Metabolic interventions are extra...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/respcare.01620
更新日期：2012-06-01 00:00:00
abstract：:The development and evolution of the endotracheal tube (ETT) have been closely related to advances in surgery and anesthesia. Modifications were made to accomplish many tasks, including minimizing gross aspiration, isolating a lung, providing a clear facial surgical field during general anesthesia, monitoring laryngea...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/respcare.02868
更新日期：2014-06-01 00:00:00
abstract：:In the critical care setting, usually the most important outcome is survival. However, this is not the only important outcome of critical care. There are increasing data that the patient's quality of life and functional status can be affected long after an intensive care unit stay, and some data suggest that mechanica...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：
更新日期：2002-04-01 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
pub_type： 杂志文章,评审
doi：10.4187/respcare.02765
更新日期：2014-05-01 00:00:00
abstract：:The skill and work habits of the pulmonary function technologist are central to the quality of patient testing. Pulmonary function technologists should be chosen carefully. The pulmonary function technologists must be intelligent, conscientious, and possess critical thinking skills. Studies are needed to better ident...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.01401
更新日期：2012-01-01 00:00:00
abstract：BACKGROUND:Arterial oxygen desaturation frequently occurs in patients with COPD during daily activities at home. Oxygen flow is usually set at fixed and low rates for ambulatory patients. We evaluated an innovative closed-loop system (FreeO2) that automatically adjusts the oxygen flow to the patient's needs in subjects...
journal_title：Respiratory care
pub_type： 杂志文章,随机对照试验
doi：10.4187/respcare.04406
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:The rise in inspiratory flow is important during patient-triggered ventilation. Many ventilators incorporate a function to control the time to reach the targeted airway pressure (inspiratory rise time). However, it has not been clarified how inspiratory rise time affects inspiratory work load under various v...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2010-07-01 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
pub_type： 杂志文章
doi：
更新日期：2010-03-01 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
pub_type： 杂志文章
doi：10.4187/respcare.07338
更新日期：2020-07-01 00:00:00
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
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:In the context of increasing attention to medical errors, missed therapies have become a subject of focus both for optimizing clinical care and for assuring appropriate institutional performance during external review by accrediting bodies. Because the issue of missed treatments in respiratory therapy has re...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2003-02-01 00:00:00
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
pub_type： 杂志文章,随机对照试验
doi：10.4187/respcare.06193
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Peak expiratory flow (PEF) is a spirometric test that detects obstructive changes in the respiratory tract; has good correlation with the FEV1; and is much less expensive, simpler, and easier to perform under field conditions than FEV1. Chronic silicosis is also known to have obstructive features in advanced...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04903
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:The aim of this study was to systematically review all current interventions that have been utilized to improve respiratory function and activity after stroke. METHODS:Specific searches were conducted. The experimental intervention had to be planned, structured, repetitive, purposive, and delivered with the...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/respcare.06000
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:Asthma is defined by airway inflammation associated with various respiratory symptoms, and pharmacologic treatment is based on inhaled corticosteroids and bronchodilators. Physical activity, educational training, nutritional support, and psychological counseling are considered part of non-pharmacologic treat...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.06761
更新日期：2019-12-01 00:00:00
abstract：:Ventilation during chest compressions can lead to an increase in peak inspiratory pressure. High inspiratory pressure can raise the risk of injury to the respiratory system and make it challenging to deliver the required tidal volume. The utilization of mechanical devices for chest compression has exacerbated this cha...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/respcare.07775
更新日期：2021-02-01 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
pub_type： 杂志文章
doi：
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
pub_type：
doi：10.4187/002013209793800286
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVE:To investigate the predictive value of the maximal inspiratory pressure obtained by a digital vacuometer using a unidirectional valve (P(ImaxUV)) as to weaning outcome, and to compare its performance with the respiratory drive using airway occlusion pressure at 0.1 second (P(0.1)), and P(0.1)/P(ImaxUV). METH...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.01489
更新日期：2012-08-01 00:00:00
abstract：:Clinicians who conduct pulmonary function tests should understand the principles and rules of the coding and billing system for pulmonary function testing. Certain billing codes will not be paid by most insurance payers. To ensure that your pulmonary function tests are appropriately coded, billed, and paid: (1) obtain...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：
更新日期：2003-08-01 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
pub_type： 杂志文章
doi：10.4187/respcare.02417
更新日期：2013-12-01 00:00:00
