Abstract:
:Since 1998, the Global Initiative for Obstructive Lung Disease (GOLD) has worked with health care professionals, medical researchers, and public health officials around the world to optimize the prevention, treatment, and management of COPD. GOLD has continually worked to ensure COPD management strategy recommendations are aligned with current published research. The 2017 GOLD report represents a major revision to GOLD strategy guidelines, the first such major revision in the last 5 years. As such, the 2017 report has significant implications for the diagnosis of COPD, the management of stable disease, and the treatment of exacerbations. As respiratory therapists (RTs) are front-line clinical professionals throughout the COPD continuum of care, a thorough understanding of the new GOLD recommendations for practice is critical. New recommendations regarding diagnosis, severity assessment, and both pharmacologic and nonpharmacologic treatment of COPD are presented, and suggestions for how RTs can integrate these recommendations into COPD care practices are provided.
journal_name
Respir Carejournal_title
Respiratory careauthors
Hess MWdoi
10.4187/respcare.05402subject
Has Abstractpub_date
2017-11-01 00:00:00pages
1492-1500issue
11eissn
0020-1324issn
1943-3654pii
respcare.05402journal_volume
62pub_type
杂志文章相关文献
Respiratory Care文献大全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
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Patterns of pulmonary function tests (PFTs) and flow-volume loops among patients with clinically important tracheobronchomalacia (TBM) are not well described. Small studies suggest 4 main flow-volume loop morphologies: low maximum forced expiratory flow, biphasic expiratory curve, flow oscillations, and notc...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.02277
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Weaning through noninvasive ventilation (NIV) after early extubation may facilitate invasive ventilation withdrawal and reduce related complications in patients with hypercapnic respiratory failure. However, the effects of NIV weaning are uncertain in patients with acute hypoxemic respiratory failure (AHRF)....
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.07542
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Users of home mechanical ventilation encounter major psychological and physiologic challenges. To ensure well-functioning home mechanical ventilation, users' experiences of care and treatment are important knowledge to supplement clinical perspectives. This systematic review aimed to summarize current qualit...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.06855
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:In obesity-hypoventilation-syndrome patients mechanically ventilated for hypercapnic respiratory failure we investigated the relationship between CO₂ response, body mass index, and plasma bicarbonate concentration, and the effect of acetazolamide on bicarbonate concentration and CO₂ response. METHODS:CO₂ res...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2010-11-01 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
pub_type: 杂志文章
doi:
更新日期:2010-06-01 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: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:Electrical impedance tomography measures changes in lung impedance, which are mainly related to changes in lung volume. We used electrical impedance tomography to investigate the effects of high-flow nasal cannula (HFNC) and body position on global and regional end-expiratory lung impedance variation (ΔEELI)...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.02086
更新日期:2013-04-01 00:00:00
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
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Ventilation with low tidal volume is recommended for patients with acute lung injury. Current guidelines suggest limiting plateau pressure (Pplat) to < 30 cm H2O for septic patients needing mechanical ventilation. The aim of this study was to determine whether Pplat within the first 24 h of ICU admission is ...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.03138
更新日期:2015-01-01 00:00:00
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:
更新日期:2008-04-01 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
pub_type: 杂志文章,评审
doi:
更新日期:2008-10-01 00:00:00
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
更新日期:2012-02-01 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
pub_type: 杂志文章
doi:10.4187/respcare.04490
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Most heat-and-moisture exchangers (HMEs) for patients with tracheostomy and spontaneously breathing are small and have suction ports that allow some expiratory gas to escape, which loses water vapor held in the expired gas. Recently, a heated-and-humidified high-flow system for spontaneously breathing patien...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.06294
更新日期:2019-02-01 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:Nosocomial pneumonia is a difficult diagnosis to establish in the intensive care unit setting, due to the non-specific nature of the clinical and radiographic findings. Procalcitonin is a circulating biomarker that may become elevated in the presence of bacterial infection. METHODS:We conducted a prospectiv...
journal_title:Respiratory care
pub_type: 杂志文章
doi:10.4187/respcare.00979
更新日期:2011-04-01 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: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::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::The estimation of pleural pressure with esophageal manometry has been used for decades, and it has been a fertile area of physiology research in healthy subject as well as during mechanical ventilation in patients with lung injury. However, its scarce adoption in clinical practice takes its roots from the (false) idea...
journal_title:Respiratory care
pub_type: 杂志文章,评审
doi:10.4187/respcare.07425
更新日期:2020-06-01 00:00:00
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
更新日期:2015-03-01 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::An 8-year-old female with pancreatic-insufficiency cystic fibrosis presented with recurrent pharyngitis, and reduction in body mass index and height velocity during the previous 2 years. Her symptoms (eg, snoring and restless sleep) suggested obstructive sleep apnea, and physical examination revealed tonsillar hypertr...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2009-12-01 00:00:00
abstract:INTRODUCTION:There is no published standard for the ratio of staff to patients during exercise sessions in outpatient pulmonary rehabilitation. This lack of a standard raises concern about patient safety and the ability to monitor patients adequately. OBJECTIVE:Determine a staff-to-patient ratio standard by examining ...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2001-07-01 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
pub_type: 杂志文章
doi:10.4187/respcare.03744
更新日期:2015-05-01 00:00:00
abstract::We describe a unique presentation of polymyositis-associated pneumonitis. A 45-year-old man with a history of polymyositis presented with an episode of fever, cough, dyspnea, rapidly progressive respiratory failure, and unilateral pulmonary infiltrates. Although bacterial pneumonia was initially suspected, all culture...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2007-12-01 00:00:00
abstract::Fibrosing mediastinitis is underdiagnosed because of the nonspecific character of the presenting symptoms. The endobronchial findings obtained via flexible bronchoscopy are not defined in the literature. We describe 3 cases of fibrosing mediastinitis, most likely caused by histoplasmosis. All 3 patients presented with...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::Appropriately designed and conducted research is necessary for improving patient care and optimizing health outcomes, but access to best evidence is not enough to make these things happen. In respiratory care, as in other fields, patients do not benefit as much as they should from research findings and evidence-based ...
journal_title:Respiratory care
pub_type: 杂志文章
doi:
更新日期:2009-10-01 00:00:00