Pediatric Oxygen Therapy: A Review and Update.

abstract：OBJECTIVE:To determine whether outcomes (mortality and need for intensive care unit [ICU] readmission) of patients undergoing tracheostomy in the ICU can be predicted by common clinical or historical criteria. METHODS:We conducted a retrospective review of data from the medical record and Project Impact database in a ...

journal_title：Respiratory care

authors： Gerber DR,Chaaya A,Schorr CA,Markley D,Abouzgheib W

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Recent literature suggests that optimization of tidal driving pressure (ΔP) would be a better variable to target for lung protection at the bedside than tidal volume (VT) or plateau pressure (Pplat), the traditional indicators of ventilator-induced lung injury. However, the usual range or variability of ΔP o...

journal_title：Respiratory care

authors： Baldomero AK,Skarda PK,Marini JJ

更新日期：2019-08-01 00:00:00

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

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

更新日期：2020-10-06 00:00:00

abstract：BACKGROUND:High-flow nasal cannula (HFNC) use has greatly increased in recent years. In non-neonatal pediatric patients, there are limited data available to guide HFNC use, and clinical practice may vary significantly. The goal of this study was to evaluate current HFNC practice by surveying practicing pediatric respir...

journal_title：Respiratory care

authors： Miller AG,Gentle MA,Tyler LM,Napolitano N

更新日期：2018-07-01 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

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：:The treatment of choice for patients with respiratory failure of neuromuscular origin, especially in patients with hypercapnic respiratory acidosis, is noninvasive ventilation (NIV). Endotracheal intubation and invasive ventilation are indicated for patients with severe respiratory compromise or failure of NIV. In rec...

journal_title：Respiratory care

authors： Díaz-Lobato S,Folgado MA,Chapa A,Mayoralas Alises S

更新日期：2013-12-01 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

authors： MacIntyre NR,Foss CM

更新日期：2003-08-01 00:00:00

abstract：:The federal government regulates human research with a local institutional review board (IRB) at your institution. Your IRB's main responsibility is to protect the rights and welfare of human subjects recruited to participate in research. The IRB is responsible for reviewing and approving all research protocols that i...

journal_title：Respiratory care

authors： Schwenzer KJ

更新日期：2008-10-01 00:00:00

abstract：:Respiratory volume monitoring (RVM) has been developed to noninvasively measure minute ventilation (V̇E), tidal volume, and breathing frequency and to display real-time respiratory curves in nonintubated patients. Although RVM was originally developed for post-anesthesia and monitored anesthesia care, we describe 3 ap...

journal_title：Respiratory care

authors： Schlesinger JJ

更新日期：2015-05-01 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

authors： Ari A,Harwood RJ,Sheard MM,Fink JB

更新日期：2015-11-01 00:00:00

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

authors： McCoy RW

更新日期：2013-01-01 00:00:00

abstract：:This review explains the fundamentals of electrostatic spray (electrospray) atomization, with emphasis on operation in the so called cone-jet mode, which produces droplets with a very narrow size distribution. Since the control of droplet size is key to maximizing distal lung deposition, the electrospray should be wel...

journal_title：Respiratory care

authors： Gomez A

更新日期：2002-12-01 00:00:00

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

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

更新日期：2020-10-01 00:00:00

abstract：:Respiratory support of the critically ill neonate has steadily shifted from invasive to noninvasive forms of support. There have recently been a number of important advances in our understanding of the changes to neonatal resuscitation practices as they pertain to clinically important outcomes, mechanisms of gas excha...

journal_title：Respiratory care

authors： Wheeler CR,Smallwood CD

更新日期：2020-05-01 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：:It should be recognized that the advent of LTOT created a new health care system that is based on powerful scientific data. Oxygen therapy studies such as those by the Nocturnal Oxygen Therapy Trial Group and the British Medical Research Council study clearly demonstrated that LTOT improves both the length and quality...

journal_title：Respiratory care

authors： Petty TL,Casaburi R

更新日期：2000-08-01 00:00:00

abstract：:Computer-age technology is changing the face of respiratory therapy as it is that of nearly every other technical field. In some hospital respiratory therapy departments computers are presently being used for a wide range of functions such as blood gas result reporting, billing, budgeting, purchasing, hemodynamic calc...

journal_title：Respiratory care

authors： McPeck M

更新日期：1982-07-01 00:00:00

abstract：OBJECTIVE:To examine whether change in slow vital capacity (SVC) correlates to dyspnea improvement during emergency department (ED) treatment of chronic obstructive pulmonary disease (COPD) exacerbation. METHODS:We performed a prospective cohort study and enrolled consecutive patients during a 3-week period. ED patien...

journal_title：Respiratory care

authors： Camargo CA Jr,Tsai CL,Clark S,Kenney PA,Radeos MS

更新日期：2008-07-01 00:00:00

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

authors： Lord A,Shapiro AJ,Saint-Martin C,Claveau M,Melançon S,Wintermark P

更新日期：2014-11-01 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

authors： Modrykamien AM,Killian L,Walters RW

更新日期：2016-01-01 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：:Cough is an important component of airway clearance, particularly in individuals with intrinsic pulmonary disease, weakness of respiratory muscles, or central nervous system disease that impairs breathing. The use of assisted cough to enhance airway clearance in individuals with neuromuscular disease is essential to p...

journal_title：Respiratory care

authors： Homnick DN

更新日期：2007-10-01 00:00:00

abstract：:Functional residual capacity (FRC) is essentially the alveolar volume and a determinant of both oxygenation and respiratory system compliance (CRS). ARDS decreases FRC, and sufficient PEEP restores FRC; thus, assessments of PEEP by its impact on oxygenation and CRS are intimately linked. PEEP also can ameliorate or ag...

journal_title：Respiratory care

authors： Kallet RH

更新日期：2016-06-01 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

authors： Murata S,Yokoyama K,Sakamoto Y,Yamashita K,Oto J,Imanaka H,Nishimura M

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:Humidified, high-flow nasal cannula (HFNC) enables mucociliary clearance, accurate oxygen measurement, precise control of flow, and low-level positive airway pressure. There is sparse information concerning the timing of HFNC on patient outcomes such as incidence of adverse events during hospitalization, ICU...

journal_title：Respiratory care

authors： Gaunt KA,Spilman SK,Halub ME,Jackson JA,Lamb KD,Sahr SM

更新日期：2015-10-01 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：:Patients who require mechanical ventilation in the prehospital and emergency department environments experience high mortality and are at high risk of ventilator-associated ventilator-induced lung injury and ARDS. In addition, little attention has been given in the literature, trainee education, or clinical emphasis t...

journal_title：Respiratory care

authors： Stephens RJ,Siegler JE,Fuller BM

更新日期：2019-05-01 00:00:00

abstract：:The data available to guide clinical management of acute lung injury and acute respiratory distress syndrome are much more limited for infants and children than for adult patients. This paper reviews the available medical data and the pertinent physiology on the management of pediatric patients with acute lung injury...

journal_title：Respiratory care

authors： Cheifetz IM

更新日期：2011-10-01 00:00:00

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

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

更新日期：2009-04-01 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

authors： Schulman RC,Mechanick JI

更新日期：2012-06-01 00:00:00