Abstract:
:Home oxygen therapy equipment options have increased over the past several decades, in response to innovations in technology, economic pressure from third-party payers, and patient demands. The delivery of oxygen in the home has evolved from packaged gas systems containing 99% United States Pharmacopeia oxygen provided by continuous-flow delivery to intermittent-flow delivery, with oxygen concentrators delivering < 99% oxygen purity. The majority of published papers indicating the value of long-term oxygen therapy have been based on continuous-flow delivery of 99% United States Pharmacopeia oxygen. The lack of research on new home oxygen therapy devices requires more clinical involvement from physician and respiratory therapist to evaluate the performance of oxygen devices used in the home to ensure the patient is provided adequate oxygenation at all activity levels. New standards of care are required to address the need to have consistent titration of long-term oxygen therapy to meet the patient's home needs at all activity levels. Consistent labeling of metering devices on home oxygen equipment will need to be developed by professional medical societies to be implemented by standards organizations that direct industrial manufacturers. Home oxygen therapy will need professionally trained respiratory therapists reimbursed for skills and service to ensure that patients receive optimal benefits from home oxygen equipment to improve patient outcomes and prevent complications and associated costs.
journal_name
Respir Carejournal_title
Respiratory careauthors
McCoy RWdoi
10.4187/respcare.01932subject
Has Abstractpub_date
2013-01-01 00:00:00pages
65-85issue
1eissn
0020-1324issn
1943-3654pii
58/1/65journal_volume
58pub_type
杂志文章,评审相关文献
Respiratory Care文献大全abstract:HYPOTHESIS:We hypothesized that aerosol distribution in the lungs of patients with cystic fibrosis changes with positive expiratory pressure (PEP). METHODS:Eight patients were randomized to one of 2 conditions. On one study day, patients inhaled saline aerosol containing 99mtechnetium generated by a Pari LC Plus nebul...
journal_title:Respiratory care
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2005-11-01 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
pub_type: 杂志文章
doi:10.4187/respcare.07338
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:To determine the effects of intrapulmonary percussive ventilation (IPV) on mucus clearance in tracheostomized Duchenne muscular dystrophy patients. METHODS:We studied 8 patients, 5 of whom had mucus hypersecretion (> 30 mL/d). In a randomized, cross-over study we compared assisted mucus clearance techniques ...
journal_title:Respiratory care
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2003-10-01 00:00:00
abstract::Hospital-wide computerized information systems evolved from the need to capture patient information and perform billing and other financial functions. These systems, however, have fallen short of meeting the needs of respiratory care departments regarding work load assessment, productivity management, and the level of...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND:Predicting mortality has become a necessary step for selecting patients for clinical trials and defining outcomes. We examined whether stratification by tertiles of respiratory and ventilatory variables at the onset of acute respiratory distress syndrome (ARDS) identifies patients with different risks of dea...
journal_title:Respiratory care
pub_type: 杂志文章,多中心研究
doi:10.4187/respcare.00811
更新日期:2011-04-01 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
pub_type: 杂志文章
doi:10.4187/respcare.07937
更新日期:2021-02-01 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
pub_type: 杂志文章
doi:10.4187/respcare.04335
更新日期:2016-07-01 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
pub_type: 杂志文章
doi:10.4187/respcare.04456
更新日期:2016-05-01 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
pub_type: 杂志文章
doi:
更新日期:2003-01-01 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
pub_type: 杂志文章,评审
doi:
更新日期:2002-03-01 00:00:00
abstract::Optimizing patient-ventilator synchrony is essential in managing patients who require prolonged mechanical ventilation in the long-term acute-care hospital. Inadequate synchrony can increase work of breathing, cause patient discomfort, and delay both weaning and general rehabilitation. Achieving optimal synchrony in t...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.01084
更新日期:2011-02-01 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
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:The primary focus of previous aerosol research during mechanical ventilation was the endotracheal tube (ETT). Consequently, there are limited data in the literature on the delivery of inhaled medications administered with different aerosol devices in mechanically ventilated patients with a tracheostomy tube ...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.04125
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Data are limited regarding current practice and outcomes for emergency department airway management in status asthmaticus. This paper describes the foremost methods and outcomes of airway management in patients in the emergency department who required intubation for status asthmaticus. METHODS:We analyzed a...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.07723
更新日期:2020-12-01 00:00:00
abstract::The indications for heliox during mechanical ventilation are lower-airway obstruction, especially with hypercarbia; need to enhance aerosol delivery to lung periphery; and need to facilitate weaning from mechanical ventilation. Certain ventilators perform relatively well with heliox and are not substantially affected ...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:
更新日期:2006-06-01 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
pub_type: 杂志文章
doi:10.4187/respcare.04439
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Endotracheal tubes with standard polyvinyl chloride cuffs create folds on inflation into the trachea, which lead to potential leakage of subglottic secretions into the lower airways and cause lung colonization and pneumonia. The use of a double-layer prototype leak-proof cuff has shown effective prevention o...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.06573
更新日期:2019-09-01 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
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract:BACKGROUND:The COVID-19 outbreak in the United States has disproportionately affected African-Americans, but little is known about the factors that underlie this observation. Herein, we describe these associations with mortality in a largely minority underserved population. METHODS:This single center retrospective obs...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.08319
更新日期:2021-01-14 00:00:00
abstract:BACKGROUND:Patients with Guillain-Barré syndrome are commonly exposed to prolonged mechanical ventilation. Specific data on ventilatory management of these patients have been limited. OBJECTIVE:To describe the practice of mechanical ventilation in patients with Guillain-Barré syndrome and evaluate risk factors for mor...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2006-12-01 00:00:00
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:
更新日期:1983-04-01 00:00:00
abstract::Endotracheal intubation can lead to iatrogenic trauma to the upper airways. Superficial mucosal tears in the mouth, pharynx, or larynx are common and can cause secondary infection and acute respiratory distress due to massive air leak. We report a patient who sustained a severe 5-cm tracheal laceration and subcutaneou...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.00891
更新日期:2011-06-01 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
pub_type: 杂志文章
doi:10.4187/respcare.03389
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Beneficial effects of high-flow nasal cannula (HFNC) oxygen on oxygenation and respiratory parameters have been reported in a small number of subjects with acute respiratory failure (ARF). We aimed to evaluate its effect in subjects with ARDS. METHODS:This was an observational single-center study. Prospecti...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.03423
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:Evaluate the effects of continuous positive airway pressure (CPAP)/positive end-expiratory pressure (PEEP) and pressure support ventilation (PSV) on work of breathing (WOB). METHODS:With 13 anesthetized lambs we measured WOB with an esophageal balloon and flow signals. All the animals were sedated, intubated...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2003-07-01 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
pub_type: 杂志文章
doi:
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:The utilization of checklists, bundles, and protocols attempts to provide standardization in the delivery of patient care. Despite important progress obtained in the prevention of hospital-acquired infections, the daily management of mechanical ventilation is still prone to heterogeneity, depending on the nu...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.03887
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Chronic hypoxemia in patients with COPD is a limiting factor that is associated with disease progression and significantly contributes to decreased physical activity. Although correction of hypoxemia results in physiological improvements, oxygen therapy may be related to social isolation and inactivity. Howe...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.06206
更新日期:2019-11-01 00:00:00
abstract::Exposure to chemical agents, both deliberate and accidental, over the past 100 years has resulted in the deaths of thousands and a significant number of casualties requiring hospitalization. The respiratory system is an important portal of entry into the human body for many of these agents, and pulmonary symptoms are ...
journal_title:Respiratory care
pub_type: 历史文章,杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:The impulse oscillometry system (IOS) is increasingly used to evaluate lung function, but individual results must be compared with appropriate reference values. We aimed to obtain such reference values in Mexican children and adolescents. METHODS:Healthy subjects were recruited from kindergartens and school...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.03374
更新日期:2015-01-01 00:00:00