Pressurized Metered-Dose Inhalers Versus Nebulizers in the Treatment of Mechanically Ventilated Subjects With Artificial Airways: An In Vitro Study.

abstract：BACKGROUND:Calculation of physiologic dead space (dead space divided by tidal volume [VD/VT]) using the Enghoff modification of the Bohr equation requires measurement of the partial pressure of mean expired CO2 (PĒCO2) by exhaled gas collection and analysis, use of a metabolic analyzer, or use of a volumetric CO2 monit...

journal_title：Respiratory care

authors： Siobal MS,Ong H,Valdes J,Tang J

更新日期：2013-07-01 00:00:00

abstract：BACKGROUND:We tested whether work of breathing in premature newborns estimated by phase angle (θ) by using respiratory inductance plethysmography is decreased during neurally-adjusted ventilatory assist (NAVA) noninvasive ventilation (NIV) versus NIV alone. METHODS:NAVA NIV and NIV were applied in random order while u...

journal_title：Respiratory care

authors： Matlock DN,Bai S,Weisner MD,Comtois N,Beck J,Sinderby C,Courtney SE

更新日期：2020-07-01 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

authors： Lellouche F,L'Her E,Bouchard PA,Brouillard C,Maltais F

更新日期：2016-11-01 00:00:00

abstract：BACKGROUND:Unplanned extubation (UE) is an important quality metric in the neonatal ICU that is associated with hypoxia, bradycardia, and risk for airway trauma with emergent re-intubation. Initial efforts to reduce UE in our level 4 neonatal ICU included standardized securement of the endotracheal tube (ETT) and requi...

journal_title：Respiratory care

authors： Morris HF,Schuller L,Archer J,Niesen A,Ellsworth S,Egan J,Rao R,Vesoulis ZA,Mathur AM

更新日期：2020-11-01 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：:Children with progressive neuromuscular weakness undergo a stereotypical progression of respiratory involvement, beginning with impaired airway clearance and progressing to nocturnal and then diurnal ventilatory failure. This review examines issues related to airway clearance and mucus mobilization, sleep problems, an...

journal_title：Respiratory care

authors： Panitch HB

更新日期：2017-06-01 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

authors： Hampson NB,Scott KL

更新日期：2006-07-01 00:00:00

abstract：:Acute brain injury, in the form of trauma, stroke, or spontaneous hemorrhage, occurs commonly and in all age groups. Although the management of these conditions differs considerably, certain physiologic principles are shared by all and are useful in guiding the management of the most severely injured patients. This ar...

journal_title：Respiratory care

authors： Deem S

更新日期：2006-04-01 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

authors： Itagaki T,Nakanishi N,Okuda N,Nakataki E,Onodera M,Oto J,Nishimura M

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:Chest x-ray (CXR) is widely used for diagnosing and screening pulmonary tuberculosis (PTB), yet its validity is debatable and its costs are relatively high. This study aimed to determine the validity of CXR screening in detecting radiological findings compatible with active PTB or with old healed tuberculos...

journal_title：Respiratory care

authors： Mor Z,Leventhal A,Weiler-Ravell D,Peled N,Lerman Y

更新日期：2012-07-01 00:00:00

abstract：BACKGROUND:Many healthcare professionals performing spirometry in primary care have had less than half a day's training in spirometry practice, and the validity of the test results is questionable. Longer training periods, with or without follow-up training, may improve test validity. OBJECTIVE:To determine if a 14-ho...

journal_title：Respiratory care

authors： Borg BM,Hartley MF,Fisher MT,Thompson BR

更新日期：2010-06-01 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

authors： Menezes KK,Nascimento LR,Avelino PR,Alvarenga MTM,Teixeira-Salmela LF

更新日期：2018-07-01 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: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：INTRODUCTION:We investigated whether decreasing ventilator circuit changes from every 2 days to every 7 days would impact ventilator-associated pneumonia rates at our institution. METHODS:All mechanically ventilated patients at Peking Union Medical College Hospital were studied over a 21 month period. From March 1998 ...

journal_title：Respiratory care

authors： Han JN,Liu YP,Ma S,Zhu YJ,Sui SH,Chen XJ,Luo DM,Adams AB,Marini JJ

更新日期：2001-09-01 00:00:00

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 statistic...

journal_title：Respiratory care

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

更新日期：2015-04-01 00:00:00

abstract：:Dieulafoy disease of the bronchus is a rare condition. A 28-y-old male patient with recurrent exacerbations of hemoptysis (producing up to 300 mL) over the previous 4 y was admitted to our hospital following an acute episode. A 3-mm sessile lesion covered with somewhat ulcerated smooth mucosa was detected at the dista...

journal_title：Respiratory care

authors： Dalar L,Sökücü SN,Özdemir C,Büyükkale S,Altın S

更新日期：2015-01-01 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：:Although some clinicians still believe that cystic fibrosis (CF) lung disease is largely due to hypersecretion of very viscous mucus, it has never been demonstrated that there is mucus hypersecretion in CF and it is clear that there is almost no intact mucin (the principal polymeric component of normal mucus) in CF sp...

journal_title：Respiratory care

authors： Rubin BK

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:In several studies, low spirometric levels have been shown to increase the success rates of smoking cessation, whereas other studies have indicated that pulmonary function has no effects on quitting smoking. Given the fact that there are contradictory results on this subject, we aimed to investigate the effe...

journal_title：Respiratory care

authors： Salepci B,Caglayan B,Fidan A,Parmaksiz ET,Kiral N,Comert SS,Dogan C,Coskun E

更新日期：2016-08-01 00:00:00

abstract：:Accidental hypothermia is defined as an unintentional decrease in core body temperature to below 35 degrees C. Hypothermia causes hundreds of deaths in the United States annually. Victims of accidental hypothermia present year-round and in all climates with a potentially confusing array of signs and symptoms, but incr...

journal_title：Respiratory care

authors： Kempainen RR,Brunette DD

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:The benefits of contract learning have been identified in the literature as increased individualization to meet the student's individual needs, promotion of learner independence, and development of lifelong learning behaviors among students. METHODS:I used an "action research" approach to implement the cont...

journal_title：Respiratory care

authors： Rye KJ

更新日期：2008-11-01 00:00:00

abstract：:Although oral and injectable drug formulations still dominate the market, interest in pulmonary delivery has been rising steadily. Given patients' desire for an alternative to injections, and recent advances in aerosol science and pulmonary medicine, the potential for improved disease management outcomes by using aero...

journal_title：Respiratory care

authors： Corkery K

更新日期：2000-07-01 00:00:00

abstract：:Increases in the utilization of respiratory therapy and the need to avoid its misuse have placed increasing management responsibilities on medical and technical supervisors of respiratory care services. To improve our managerial capabilities we designed a computerized respiratory care record system. Respiratory therap...

journal_title：Respiratory care

authors： Chase CR,Merz BA,Shinozaki T,Greenwood SA,Deane RS

更新日期：1983-03-01 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 periodic administration of positive airway pressure combined with directed cough could aid mucus clearance in patients with cystic fibrosis (CF) and severe airway obstruction. OBJECTIVE:To compare the short-term effect of positive expiratory pressure (PEP) physiotherapy via mask (mask PEP), continuous p...

journal_title：Respiratory care

authors： Placidi G,Cornacchia M,Polese G,Zanolla L,Assael BM,Braggion C

更新日期：2006-10-01 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：:Surveys are a valuable research tool for studying the knowledge, attitudes, and behavior of a study population. This article explores quantitative analyses of written questionnaires as instruments for survey research. Obtaining accurate and precise information from a survey requires minimizing the possibility of bias ...

journal_title：Respiratory care

authors： Rubenfeld GD

更新日期：2004-10-01 00:00:00

abstract：:Mechanical ventilation incurs substantial morbidity, mortality, and costs. Both premature extubation and delayed extubation can cause harm. Therefore, weaning that is both expeditious and safe is highly desirable. The purpose of this review is to summarize the literature related to weaning modes, spontaneous breathing...

journal_title：Respiratory care

authors： Meade MO,Guyatt GH,Cook DJ

更新日期：2001-12-01 00:00:00

abstract：:Explaining the meaning of the results to the reader is the purpose of the discussion section of a research paper. There are elements of the discussion that should be included and other things that should be avoided. Always write the discussion for the reader; remember that the focus should be to help the reader unders...

journal_title：Respiratory care

authors： Hess DR

更新日期：2004-10-01 00:00:00