Year in Review 2018: Pediatric Mechanical Ventilation.

abstract：BACKGROUND:Adaptive pressure control is a mode of mechanical ventilation where inflation pressure is adjusted by the ventilator to achieve a target tidal volume (VT). This means that as patient effort increases, inflation pressure is reduced, which may or may not be clinically appropriate. The purpose of this study was...

journal_title：Respiratory care

authors： Mireles-Cabodevila E,Chatburn RL

更新日期：2009-11-01 00:00:00

abstract：UNLABELLED:We conducted a prospective study of 50 consecutive postoperative patients over a 5-month period to characterize the bacterial contamination of ultrasonic nebulizers (USNs) after 24, 48, and 72 hours (h) of use. METHODS:Samples of the USN effluent mist and reservoir fluid were cultured and the results were c...

journal_title：Respiratory care

authors： Witek TJ Jr,York R,Noonan R Jr,Topf BM,Hebb H,Kowalczyk J,Dean NL,Doubler K

更新日期：1986-12-01 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

authors： Rezoagli E,Cressoni M,Bellani G,Grasselli G,Pesenti AM,Kolobow T,Zanella A

更新日期：2019-09-01 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：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：:Checking and maintaining mechanical ventilators traditionally have been the responsibility of the respiratory care practitioner and among the many reasons that the need for the profession of respiratory care persists. The increasing complexity of the mechanical ventilator itself and the appropriate application and mon...

journal_title：Respiratory care

authors： Campbell RS

更新日期：1994-03-01 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

authors： Siegel RE

更新日期：2008-04-01 00:00:00

abstract：BACKGROUND:Exercise-induced bronchoconstriction (EIB) can lead to long-term respiratory illness and even death. EIB prevalence rates are both high and variable in college athletes. Also, prevalence rates may be underestimated due to ineffective screening. The purpose of this study is to investigate the prevalence of EI...

journal_title：Respiratory care

authors： Burnett DM,Vardiman JP,Deckert JA,Ward JL,Sharpe MR

更新日期：2016-07-01 00:00:00

abstract：:Extracorporeal life support (ECLS), or extracorporeal membrane oxygenation (ECMO) as it is also known, has been used to support over 45,000 patients to date. Overall survival is 62%. After many years of no change in equipment and technology, there has been a recent flurry of new pumps, cannulas, and oxygenators avail...

journal_title：Respiratory care

authors： Dalton HJ

更新日期：2011-09-01 00:00:00

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：: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：: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：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:Diaphragm excursion is limited during respiratory maneuvers after a stroke. How the diaphragm is limited during reflexive coughs and affects the effectiveness of cough in stroke patients is unclear. This study aimed to measure reflexive cough strength by cough peak flow (CPF) induced by citric acid nebulizat...

journal_title：Respiratory care

authors： Choi YM,Park GY,Yoo Y,Sohn D,Jang Y,Im S

更新日期：2017-12-01 00:00:00

abstract：:We present a case of unilateral airflow obstruction during forced exhalations. The patient presented with episodic dyspnea and wheezing, particularly when he lay in the right lateral decubitus position. Spirometry revealed symmetric, marked reductions in forced expiratory volume in the first second and forced vital ca...

journal_title：Respiratory care

authors： Hatipoglu U,Laghi F,Cattapan SE,Chandrasekhar AJ

更新日期：2002-06-01 00:00:00

abstract：BACKGROUND:Symptom burden increases during pulmonary exacerbations of cystic fibrosis (CF), and patient-reported outcome measures (PROMs) are often used to evaluate symptoms as either primary or secondary outcomes. However, there is currently no guidance on the use of PROMs to assess symptom burden during pulmonary exa...

journal_title：Respiratory care

authors： Schmid-Mohler G,Caress AL,Spirig R,Benden C,Yorke J

更新日期：2018-03-01 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

authors： Kacmarek RM

更新日期：2002-03-01 00:00:00

abstract：BACKGROUND:Because of our concern for the safety of bedside caregivers who care for infants receiving ribavirin for long periods of time each day for many days, we evaluated the effectiveness of a double-tent enclosure with vacuum scavengers during simulated and actual patient administration. MATERIALS & METHODS:Part ...

journal_title：Respiratory care

authors： Kacmarek RM,Kratohvil J

更新日期：1992-01-01 00:00:00

abstract：BACKGROUND:Peak expiratory flow (PEF) is a spirometric test that detects obstructive changes in the respiratory tract; has good correlation with the FEV1; and is much less expensive, simpler, and easier to perform under field conditions than FEV1. Chronic silicosis is also known to have obstructive features in advanced...

journal_title：Respiratory care

authors： Tiwari RR

更新日期：2016-12-01 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

authors： Miller AG,Gentile MA,Coyle JP

更新日期：2020-07-01 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：:Pulmonary rehabilitation programs have resulted in improvements in quality of life, capacity for carrying out daily activities, and physical conditioning, as well as reduced hospitalization and cost of care. In our retrospective study, we reviewed the data of 75 patients who had participated in Loma Linda University M...

journal_title：Respiratory care

authors： Bebout DE,Hodgkin JE,Zorn EG,Yee AR,Sammer EA

更新日期：1983-11-01 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:In patients suffering from brain injury, end-tidal PCO2 (PETCO2 ) monitoring is controversial, but transcutaneous PCO2 (PtcCO2 ), which is noninvasive and utilizes immediate display, may be an alternative method. We hypothesized that PtcCO2 would be more accurate than PETCO2 for monitoring PaCO2 in patients ...

journal_title：Respiratory care

authors： Rosier S,Launey Y,Bleichner JP,Laviolle B,Jouve A,Malledant Y,Seguin P

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Assisted coughing via mechanical in-exsufflation (MI-E) is a first-line treatment for secretion management in patients with amyotrophic lateral sclerosis (ALS) with unassisted CPF < 4.25 L/s. Some devices enable oscillations to be added to MI-E (MI-E+O). We sought to determine whether adding oscillations to ...

journal_title：Respiratory care

authors： Sancho J,Burés E,Ferrer S,Bondía E,Servera E

更新日期：2020-05-01 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：BACKGROUND:In patients with COPD, early detection and rapid treatment are essential to prevent its progression and exacerbations. OBJECTIVE:To identify factors that delay COPD detection. METHODS:We conducted a cross-sectional study of elderly COPD patients and healthy subjects in rural Japan. We measured respiratory ...

journal_title：Respiratory care

authors： Horie J,Murata S,Hayashi S,Murata J,Miyazaki J,Mizota K,Horikawa E

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:The impact of anxiety and depression on quality of life (QOL) in adult patients with cystic fibrosis (CF) is fully unknown. We investigated the prevalence and factors associated with anxiety and depression, including QOL, in adult CF patients. METHODS:One hundred twenty-one adult CF subjects, age ≥ 18 year...

journal_title：Respiratory care

authors： Yohannes AM,Willgoss TG,Fatoye FA,Dip MD,Webb K

更新日期：2012-04-01 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：: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