2019 Year in Review: Neonatal Respiratory Support.

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 exchange for high-flow nasal cannula, and best use of noninvasive ventilation and predicting response. Although the proportion of infants requiring intubation and mechanical ventilation has decreased, the most severely ill often still require intubation and ventilation. Recently, volume-targeted ventilation, high-frequency ventilation, and different methods of assessing weaning and extubation have been investigated. This review summarizes a number of important advances that have been made in the management of prematurity and neonatal respiratory distress syndrome.

journal_name

Respir Care

journal_title

Respiratory care

authors

Wheeler CR,Smallwood CD

doi

10.4187/respcare.07720

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

693-704

issue

5

eissn

0020-1324

issn

1943-3654

pii

respcare.07720

journal_volume

65

pub_type

杂志文章,评审
  • Practical tips for working effectively with your institutional review board.

    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:

    authors: Schwenzer KJ

    更新日期:2008-10-01 00:00:00

  • COPD heterogeneity: what this will mean in practice.

    abstract::COPD is a complex collection of conditions. All share the feature of limited expiratory air flow. It is a "disease" in the same sense as is "chronic renal failure." Like most other chronic organ failure "diseases," COPD has disparate causes, and patients are heterogeneous in their prognosis and response to treatment. ...

    journal_title:Respiratory care

    pub_type:

    doi:10.4187/respcare.01419

    authors: Rennard SI

    更新日期:2011-08-01 00:00:00

  • Spontaneous Breathing Patterns During Maximum Extracorporeal CO2 Removal in Subjects With Early Severe ARDS.

    abstract:BACKGROUND:Switching patients affected by early severe ARDS and undergoing extracorporeal membrane oxygenation (ECMO) from controlled ventilation to spontaneous breathing can be either beneficial or harmful, depending on how effectively the breathing pattern is controlled with ECMO. Identifying the factors associated w...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.07391

    authors: Spinelli E,Mauri T,Lissoni A,Crotti S,Langer T,Albanese M,Volta CA,Fornari C,Tagliabue P,Grasselli G,Pesenti A

    更新日期:2020-07-01 00:00:00

  • Home treatment of infection-related acute respiratory failure in kyphoscoliotic patients on long-term mechanical ventilation.

    abstract:BACKGROUND:In patients with kyphoscoliosis, long-term mechanical ventilation improves chronic alveolar hypoventilation during spontaneous breathing, improves quality of life, decreases the need for hospitalization, and improves survival. In these patients respiratory infection can precipitate acute respiratory failure ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Banfi P,Redolfi S,Robert D

    更新日期:2007-06-01 00:00:00

  • Pulmonary function testing and outcomes in subjects with heart failure listed for heart transplantation.

    abstract:BACKGROUND:Impaired spirometric parameters have been reported in patients with stage C heart failure and portend worse outcomes in these patients. The impact of spirometric parameters on outcomes in patients with stage D heart failure listed for heart transplantation is unknown. METHODS:We collected data on consecutiv...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.03709

    authors: Georgiopoulou VV,Deka A,Li S,Niazi AA,Farooq K,Kalogeropoulos AP,Butler J,Alexopoulos D

    更新日期:2015-05-01 00:00:00

  • Pediatric Oxygen Therapy: A Review and Update.

    abstract::Oxygen is a colorless, odorless, tasteless gas that is utilized by the body for respiration. Oxygen has played a major role in respiratory care. Oxygen therapy is useful in treating hypoxemia but is often thought of as a benign therapy. After many years of study, we have learned a great deal of the benefits and potent...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.05245

    authors: Walsh BK,Smallwood CD

    更新日期:2017-06-01 00:00:00

  • Effects of inspiratory rise time on triggering work load during pressure-support ventilation: a lung model study.

    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

    pub_type: 杂志文章

    doi:

    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

  • Indications for and timing of tracheostomy.

    abstract::Tracheostomy is one of the most common intensive care unit procedures performed. The advantages include patient comfort, safety, ability to communicate, and better oral and airway care. Patients may have shorter intensive care unit stays, days of mechanical ventilation, and hospital stays. There are risks, long-term a...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Durbin CG Jr

    更新日期:2005-04-01 00:00:00

  • Bubble nasal CPAP, early surfactant treatment, and rapid extubation are associated with decreased incidence of bronchopulmonary dysplasia in very-low-birth-weight newborns: efficacy and safety considerations.

    abstract:BACKGROUND:Current literature has been inconsistent in demonstrating that minimizing the duration of mechanical ventilation in very-low-birth-weight (VLBW) newborns reduces lung damage. OBJECTIVE:To determine if introduction of bubble nasal CPAP (bnCPAP), early surfactant treatment, and rapid extubation (combined bnCP...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.01998

    authors: Friedman CA,Menchaca RC,Baker MC,Rivas CK,Laberge RN,Rios EH,Haider SH,Romero EJ,Eason EB,Fraley JK,Woldesenbet M

    更新日期:2013-07-01 00:00:00

  • The Effect of Pulmonary Function Testing on the Success of Smoking Cessation.

    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

    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

  • Inhalable drugs for systemic therapy.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Corkery K

    更新日期:2000-07-01 00:00:00

  • Aerosol Therapy in Pulmonary Critical Care.

    abstract::Aerosolized medications are routinely used for the treatment of critically ill patients. This paper reviews aerosol delivery devices with a focus on issues related to their performance in pulmonary critical care. Factors affecting aerosol drug delivery to mechanically ventilated adults and spontaneously breathing pati...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:10.4187/respcare.03790

    authors: Ari A

    更新日期:2015-06-01 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

  • Inhaled Nitric Oxide: In Vitro Analysis of Continuous Flow Noninvasive Delivery via Nasal Cannula.

    abstract:BACKGROUND:Inhaled nitric oxide (NO) is most frequently delivered to mechanically ventilated patients in critical care, but it can also be administered noninvasively. The delivered dose and efficiency of continuous flow NO supplied through a nasal cannula has yet to be established. This study aimed to determine the inf...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.07737

    authors: Pillay K,Chen JZ,Finlay WH,Martin AR

    更新日期:2021-02-01 00:00:00

  • Patient-ventilator interactions: optimizing conventional ventilation modes.

    abstract::Assisted (interactive) breathing is generally preferred to controlled breaths in patients on mechanical ventilators. Assisted breaths allow the patient's respiratory muscles to be used, and ventilatory muscle atrophy can be prevented. Moreover, the respiratory drive of the patient does not have to be aggressively blun...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.00953

    authors: MacIntyre NR

    更新日期:2011-01-01 00:00:00

  • Impact of Spontaneous Breathing Trial on Work of Breathing Indices Derived From Esophageal Pressure, Electrical Activity of the Diaphragm, and Oxygen Consumption in Children.

    abstract:BACKGROUND:The present study aimed to characterize the behavior of 3 components of respiratory muscle function during mechanical ventilation weaning in children to better understand the respective impact of a spontaneous breathing trial on ventilatory mechanical action (esophageal pressure [Pes], ventilatory demand (el...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.06351

    authors: Mortamet G,Nardi N,Groleau V,Essouri S,Fauroux B,Jouvet P,Emeriaud G

    更新日期:2019-05-01 00:00:00

  • Comparison of usual and alternative methods to measure height in mechanically ventilated patients: potential impact on protective ventilation.

    abstract:BACKGROUND:Protective ventilation implementation requires the calculation of predicted body weight (PBW), determined by a formula based on gender and height. Consequently, height inaccuracy may be a limiting factor to correctly set tidal volumes. The objective of this study was to evaluate the accuracy of different met...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.02732

    authors: Bojmehrani A,Bergeron-Duchesne M,Bouchard C,Simard S,Bouchard PA,Vanderschuren A,L'Her E,Lellouche F

    更新日期:2014-07-01 00:00:00

  • Deep Breathing Improves End-Tidal Carbon Dioxide Monitoring of an Oxygen Nasal Cannula-Based Capnometry Device in Subjects Extubated After Abdominal Surgery.

    abstract:BACKGROUND:Capnometry detects hypoventilation earlier than pulse oximetry while supplemental oxygen is being administered. We compared the end-tidal CO2 (PETCO2 ) measured using a newly developed oxygen nasal cannula with a CO2-sampling port and the PaCO2 in extubated subjects after abdominal surgery. We also investiga...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.04634

    authors: Takaki S,Mizutani K,Fukuchi M,Yoshida T,Idei M,Matsuda Y,Yamaguchi Y,Miyashita T,Nomura T,Yamaguchi O,Goto T

    更新日期:2017-01-01 00:00:00

  • Historical highlights of long-term oxygen therapy.

    abstract::The story of the development of oxygen and its role in mitigating the ravages of chronic stable hypoxemia have been fascinating. Today, over one million Americans receive home oxygen each day, usually for COPD, from one of the three available systems. The future requires less expensive, highly portable, and practical ...

    journal_title:Respiratory care

    pub_type: 历史文章,杂志文章

    doi:

    authors: Petty TL

    更新日期:2000-01-01 00:00:00

  • Current trends in neonatal and pediatric respiratory care: conference summary.

    abstract::A summary of the 2-day Journal Conference on Current Trends in Neonatal and Pediatric Respiratory Care is provided. Topics included: diagnosis and management of common respiratory disorders of infants and children such as asthma, respiratory syncytial virus bronchiolitis, and cystic fibrosis; and common pediatric resp...

    journal_title:Respiratory care

    pub_type:

    doi:

    authors: Kercsmar CM

    更新日期:2003-04-01 00:00:00

  • Evaluation of ten manual resuscitators across an operational temperature range of -18 degrees C to 50 degrees C.

    abstract:UNLABELLED:Because of the temperature extremes encountered during emergency resuscitation and transport in the field, we sought to evaluate the performance and safety of 10 adult resuscitators (5 permanent units: Hope 4, Laerdal, Lifesaver, Mark 3, and PMR; and 5 disposable units: BagEasy, Code Blue, CPR Bag, DMR, and ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Barnes TA,Stockwell DL

    更新日期:1991-03-01 00:00:00

  • Air pollution and respiratory health.

    abstract::Air pollution is frequently incriminated as a risk factor in the development of chronic lung impairment and in the aggravation of existing disease. The federal government has set primary air quality standards to protect public health and secondary standards to protect public welfare (eg, to preserve vegetation and bui...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Witek TJ Jr,Schachter EN

    更新日期:1983-04-01 00:00:00

  • Development of a Web-Based Tool Built From Pharmacy Claims Data to Assess Adherence to Respiratory Medications in Primary Care.

    abstract:BACKGROUND:Medication adherence in asthma and COPD is notoriously low. To intervene effectively, family physicians need to assess adherence accurately, which is a challenging endeavor. In collaboration family physicians and individuals with asthma or COPD, we aimed to explore the barriers and facilitators of assessing ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.07328

    authors: Yousif A,Peláez S,Lemière C,Forget A,Dalal C,Turcotte MK,Beauchesne MF,Blais L

    更新日期:2020-09-01 00:00:00

  • Hypoxemia during sleep in patients with chronic obstructive pulmonary disease: significance, detection, and effects of therapy.

    abstract::NOD is a common event in patients with symptomatic COPD who are not hypoxemic while awake. Up to 45% of these patients may have significant oxyhemoglobin desaturation during sleep, and most have evidence of pulmonary arterial hypertension. Although intuitively it would seem that supplemental oxygen during sleep should...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: O'Donohue WJ Jr,Bowman TJ

    更新日期:2000-02-01 00:00:00

  • The electrospray and its application to targeted drug inhalation.

    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

    pub_type: 杂志文章

    doi:

    authors: Gomez A

    更新日期:2002-12-01 00:00:00

  • Health Coaching in Severe COPD After a Hospitalization: A Qualitative Analysis of a Large Randomized Study.

    abstract:BACKGROUND:We recently demonstrated in a randomized study the feasibility and effectiveness of telephone-based health coaching using motivational interviewing on decreasing hospital readmissions and improving quality of life at 6 and 12 months after hospital discharge. In this qualitative study, we sought to explore th...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:10.4187/respcare.05574

    authors: Benzo RP,Kirsch JL,Hathaway JC,McEvoy CE,Vickers KS

    更新日期:2017-11-01 00:00:00

  • Evaluation of two electronic respiratory rate monitoring systems.

    abstract::Two electronic systems for monitoring respiratory rates in critical care patients were evaluated--one a system using impedance sensors and the other a system using thermistor sensors. The thermistor sensor, attached to a nasal cannula or air-entrainment mask, was connected to a sensitivity calibrating control and a di...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Arnson LA,Rau JL Jr,Dixon RJ

    更新日期:1981-03-01 00:00:00

  • Evaluation of auto-regulated inspiratory support during rebreathing and acute lung injury in pigs.

    abstract:BACKGROUND:Auto-regulated inspiratory support mode (ARIS) is an original closed-loop pressure-support system that regulates the slope ("A") and the initial level ("B") of the applied inspiratory pressure, in order to achieve an optimal minute ventilation under constrained respiratory frequency, tidal volume, and maximu...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Desmettre TJ,Chambrin MC,Mangalaboyi J,Pigot A,Chopin C

    更新日期:2005-08-01 00:00:00

  • Role of noninvasive positive-pressure ventilation in postextubation respiratory failure: a meta-analysis.

    abstract:BACKGROUND:There is a need for an intervention that prevents re-intubation in patients who have been weaned off mechanical ventilation. Noninvasive positive-pressure ventilation (NPPV) has been shown to facilitate weaning in mechanically ventilated patients. OBJECTIVES:To assess the effect of NPPV on re-intubation rat...

    journal_title:Respiratory care

    pub_type: 杂志文章,meta分析,评审

    doi:

    authors: Agarwal R,Aggarwal AN,Gupta D,Jindal SK

    更新日期:2007-11-01 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