Comparison of sampler filling times among selected arterial blood samplers.

Abstract:

BACKGROUND:True arterial blood samples are essential in making clinical decisions for respiratory patients. Previous studies using only the Portex Pro-Vent arterial sampler have shown a significant difference between arterial and venous filling times. The goal of this study was to determine whether there is a statistically significant difference between sampler filling times measured at a normal mean arterial pressure among multiple arterial samplers with plungers and to determine whether there is a statistically significant difference in filling times between venous and normal mean arterial pressures for a sampler without a plunger. METHODS:We assembled an extracorporeal laboratory model to circulate a synthetic compound composed of 0.9% sodium chloride solution and Life/form artificial blood, and we used hemostats to create pressures within the circuit. We randomly selected samplers and measured the filling times of 4 arterial samplers with plungers at a normal mean arterial pressure (93 ± 1 mm Hg). We also measured the filling time of one arterial sampler without a plunger at a normal mean arterial pressure and at a simulated venous pressure (9 ± 2 mm Hg). We used the Kruskal-Wallis one-way analysis of variance to compare arterial filling times in samplers, and we used a t test for independent samples to compare venous and arterial filling times in the sampler without a plunger. RESULTS:There was a statistically significant difference between sampler filling times among the 4 arterial samplers with a plunger (P < .001). There was a statistically significant difference between arterial and venous pressure filling times for the sampler without a plunger (P < .001). CONCLUSIONS:Although there was a statistically significant difference between arterial filling times among various samplers with plungers, the difference was < 1 s and was not deemed clinically important. Regardless of the sampler brand being used, respiratory therapists and other clinicians performing arterial punctures can use sampler filling time to identify a successful arterial puncture while drawing blood.

journal_name

Respir Care

journal_title

Respiratory care

authors

McMillen CN,Adu-Yeboah S,Kagarise E,Morton RL,Yuce B,Douce FH

doi

10.4187/respcare.03480

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

513-6

issue

4

eissn

0020-1324

issn

1943-3654

pii

respcare.03480

journal_volume

60

pub_type

杂志文章
  • Reduction of Endotracheal Tube Connector Dead Space Improves Ventilation: A Bench Test on a Model Lung Simulating an Extremely Low Birth Weight Neonate.

    abstract:BACKGROUND:The reduction of instrumental dead space is a recognized approach to preventing ventilation-induced lung injury in premature infants. However, there are no published data regarding the effectiveness of instrumental dead-space reduction in endotracheal tube (ETT) connectors. We tested the impact of the Y-piec...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04076

    authors: Ivanov VA

    更新日期:2016-02-01 00:00:00

  • Development and Feasibility of a Home Pulmonary Rehabilitation Program With Health Coaching.

    abstract:BACKGROUND:Pulmonary rehabilitation (PR) is an effective intervention for COPD. However, traditional center-based PR programs suffer from low uptake. Home-based PR is a viable solution, but few studies have shown the effectiveness of remote PR, as there is a scarcity of systems that can be easily adopted in clinical pr...

    journal_title:Respiratory care

    pub_type: 临床试验,社论

    doi:10.4187/respcare.05690

    authors: Benzo RP,Kramer KM,Hoult JP,Anderson PM,Begue IM,Seifert SJ

    更新日期:2018-02-01 00:00:00

  • Distance learning and the internet in respiratory therapy education.

    abstract:BACKGROUND:The profession of respiratory therapy (RT) continues to grow both in number, due to population growth and an ever-increasing aging population, and scope of practice, due to both new and expanded roles and responsibilities in divergent areas of clinical practice. Instructional technology, including distance ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.01197

    authors: Varekojis SM,Sergakis GG,Dunlevy CL,Foote E,Clutter J

    更新日期:2011-11-01 00:00:00

  • The role of the respiratory care practitioner in the evaluation of medical devices.

    abstract::Health care costs continue to skyrocket, and a large portion of these costs can be attributed to technology. Some technology, such as oximetry, is relatively inexpensive compared to CAT scanning and magnetic resonance imaging. Therefore, it may elude close scrutiny and direct health care planning and, with little fanf...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Harris KW

    更新日期:1988-04-01 00:00:00

  • Brain Tissue Oxygen Monitoring and the Intersection of Brain and Lung: A Comprehensive Review.

    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

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.04962

    authors: Ngwenya LB,Burke JF,Manley GT

    更新日期:2016-09-01 00:00:00

  • A computer program for quality control in the blood gas laboratory.

    abstract::In blood gas laboratory quality-assurance programs, which are routinely included with materials sold for quality control, raw data are sent to a data processing center for reduction to statistics meaningful to the laboratory's quality-control effort. This data reduction service usually requires a turn-around time of 2...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: DeWitt AL

    更新日期:1984-04-01 00:00:00

  • Long-term mechanical ventilation equipment for neuromuscular patients: meeting the expectations of patients and prescribers.

    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

    pub_type: 杂志文章

    doi:10.4187/respcare.02229

    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

  • Inspiratory flow-volume curve evaluation for detecting upper airway disease.

    abstract:BACKGROUND:The 2005 American Thoracic Society/European Respiratory Society guidelines on spirometry emphasize examination of the inspiratory curve of the flow-volume loop for evidence of intrathoracic or extrathoracic upper airway obstruction. We sought to determine how frequently evaluations are performed for abnormal...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Sterner JB,Morris MJ,Sill JM,Hayes JA

    更新日期:2009-04-01 00:00:00

  • An unusual cause of refractory hypoxemia in cirrhosis.

    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

    pub_type: 杂志文章

    doi:10.4187/respcare.03529

    authors: Patidar Y,Kumar S

    更新日期:2015-03-01 00:00:00

  • Improving aerosol drug delivery during invasive mechanical ventilation with redesigned components.

    abstract:INTRODUCTION:Patients receiving invasive mechanical ventilation with an endotracheal tube (ETT) can often benefit from pharmaceutical aerosols; however, drug delivery through the ventilator circuit is known to be very inefficient. The objective of this study was to improve the delivery of aerosol through an invasive me...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02782

    authors: Longest PW,Azimi M,Golshahi L,Hindle M

    更新日期:2014-05-01 00:00:00

  • Dynamic Airway Driving Pressure and Outcomes in Children With Acute Hypoxemic Respiratory Failure.

    abstract:BACKGROUND:Limited adult data suggest that airway driving pressure might better reflect the potential risk for lung injury than tidal volume based on ideal body weight, and the parameter correlates with mortality in ARDS. There is a lack of data about the effect of driving pressure on mortality in pediatric ARDS. This ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.08024

    authors: Rauf A,Sachdev A,Venkataraman ST,Dinand V

    更新日期:2020-10-06 00:00:00

  • The physiology of dinosaurs: circulatory and respiratory function in the largest animals ever to walk the earth.

    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

    authors: Pierson DJ

    更新日期:2009-07-01 00:00:00

  • Trends in asthma prevalence, admission rates, and asthma deaths.

    abstract::There is now clear evidence that asthma prevalence increased significantly, especially in developed countries, during the second part of the 20th century. What caused this increase is currently unknown. Recent reports from the United States and the United Kingdom suggest that asthma prevalence may have plateaued betwe...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Martinez FD

    更新日期:2008-05-01 00:00:00

  • The Concave Shape of the Forced Expiratory Flow-Volume Curve in 3 Seconds Is a Practical Surrogate of FEV1/FVC for the Diagnosis of Airway Limitation in Inadequate Spirometry.

    abstract:BACKGROUND:Spirometry is important for the differential diagnosis of dyspnea. However, some patients cannot exhale for ≥6 s to achieve the American Thoracic Society/European Respiratory Society criteria. The aim of this study was to demonstrate the reliability of a new parameter that quantifies the degree of concavity ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.05016

    authors: Li H,Liu C,Zhang Y,Xiao W

    更新日期:2017-03-01 00:00:00

  • Impact of a radio frequency management information system on the process and timing of providing respiratory care services.

    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:

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

    更新日期:2002-08-01 00:00:00

  • Comparison of Vibrating Mesh, Jet, and Breath-Enhanced Nebulizers During Mechanical Ventilation.

    abstract:BACKGROUND:This study compared 3 nebulizer technologies for inter- and intradevice reproducibility, humidification, and fill volume sensitivity during mechanical ventilation: a breath-enhanced jet nebulizer, a vibrating mesh nebulizer, and a jet nebulizer. The breath-enhanced jet nebulizer featured a new design located...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.07639

    authors: Ashraf S,McPeck M,Cuccia AD,Smaldone GC

    更新日期:2020-10-01 00:00:00

  • Year in Review 2018: Pediatric Mechanical Ventilation.

    abstract::Mechanical ventilation is frequently used in pediatric patients to ensure adequate gas exchange, ameliorate respiratory distress, and enable resolution of pulmonary or other disorders. However, a number of important challenges remain in the pediatric population because there is a paucity of large-scale randomized cont...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.07029

    authors: Smallwood CD,Davis MD

    更新日期:2019-07-01 00:00:00

  • Practical problems with aerosol therapy in COPD.

    abstract::Inhaled aerosol drugs commonly used by patients with chronic obstructive pulmonary disease include short-acting and long-acting bronchodilators, as well as corticosteroids. These agents are available in a variety of inhaler devices, which include metered-dose inhalers (MDI), breath-actuated MDIs, nebulizers, and, curr...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Rau JL

    更新日期:2006-02-01 00:00:00

  • Value of Plethysmographic Pulse Amplitude Ratio With Valsalva Maneuver in Identifying Left Ventricular Dysfunction During COPD Exacerbation.

    abstract:BACKGROUND:Left-ventricular dysfunction associated with COPD exacerbation is frequently underestimated. We tested whether finger plethysmography waveform change during the Valsalva maneuver could aid in the distinction between patients with COPD exacerbation with and without left-ventricular dysfunction. METHODS:We in...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04091

    authors: Boubaker H,Grissa MH,Debbabi H,Beltaief K,Dridi Z,Najjar MF,Bouida W,Boukef R,Marghli S,Nouira S

    更新日期:2016-04-01 00:00:00

  • Effect of Heated Humidification on CPAP Therapy Adherence in Subjects With Obstructive Sleep Apnea With Nasopharyngeal Symptoms.

    abstract:BACKGROUND:The addition of heated humidification to CPAP has been shown to improve nasal adverse effects in subjects with obstructive sleep apnea (OSA). However, current data regarding improvement in CPAP adherence is conflicting. Furthermore, there are no data from a tropical climate area with a high humidity level. ...

    journal_title:Respiratory care

    pub_type: 杂志文章,随机对照试验

    doi:10.4187/respcare.04536

    authors: Soudorn C,Muntham D,Reutrakul S,Chirakalwasan N

    更新日期:2016-09-01 00:00:00

  • Options for home oxygen therapy equipment: storage and metering of oxygen in the home.

    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 provide...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.01932

    authors: McCoy RW

    更新日期:2013-01-01 00:00:00

  • The invasive (quantitative) diagnosis of ventilator-associated pneumonia.

    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:

    authors: Chastre J,Combes A,Luyt CE

    更新日期:2005-06-01 00:00:00

  • Increased Accuracy After Adjustment of Spirometry Threshold for Diagnosing COPD Based on Pre-Bronchodilator FEV1/FVC.

    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

    authors: Kronborg T,Hangaard S,Cichosz SL,Hejlesen O

    更新日期:2019-01-01 00:00:00

  • Liberal Manipulation of Ventilator Settings and Its Impact on Tracheostomy Rate and Ventilator-Free Days.

    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

    authors: Modrykamien AM,Killian L,Walters RW

    更新日期:2016-01-01 00:00:00

  • Correlation between spirometry values and pulmonary artery pressure in young healthy subjects.

    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

    authors: Grossman A,Benderly M,Prokupetz A,Gordon B,Kalter-Leibovici O

    更新日期:2014-03-01 00:00:00

  • Dexmedetomidine for sedation in the parturient with respiratory failure requiring noninvasive ventilation.

    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

    pub_type: 杂志文章

    doi:10.4187/respcare.01733

    authors: Duan M,Lee J,Bittner EA

    更新日期:2012-11-01 00:00:00

  • Emergency Department Airway Management for Status Asthmaticus With Respiratory Failure.

    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

    authors: Godwin HT,Fix ML,Baker O,Madsen T,Walls RM,Brown CA 3rd

    更新日期:2020-12-01 00:00:00

  • Congenital pulmonary airway malformation: a case report and review of the literature.

    abstract::Congenital parenchymal lung malformations have an estimated incidence at 1:25,000-1:35,000 births. We present a case of this rare congenital abnormality in a 38 year-old male, review the current literature with discussion of proposed causes, malignant potential, and management strategies. A 38-year-old white male pre...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.00727

    authors: McDonough RJ,Niven AS,Havenstrite KA

    更新日期:2012-02-01 00:00:00

  • Emerging gram-negative antibiotic resistance: daunting challenges, declining sensitivities, and dire consequences.

    abstract::Emerging antibiotic resistance has created a major public health dilemma, compounded by a dearth of new antibiotic options. Multidrug-resistant Gram-negative organisms have received less attention than Gram-positive threats, such as methicillin-resistant Staphylococcus aureus, but are just as menacing. Pathogens such ...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Siegel RE

    更新日期:2008-04-01 00:00:00

  • Comparison of maximal inspiratory pressure, tracheal airway occlusion pressure, and its ratio in the prediction of weaning outcome: impact of the use of a digital vacuometer and the unidirectional valve.

    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

    authors: de Souza LC,da Silva CT Jr,Almeida JR,Lugon JR

    更新日期:2012-08-01 00:00:00