abstract：BACKGROUND:Measurement of functional residual capacity (FRC) is now possible at bedside, during mechanical ventilation. OBJECTIVES:To determine the relationship of measured absolute and relative predicted FRC values to oxygenation and respiratory-system compliance, and to identify variables that influence FRC in venti...

journal_title：Respiratory care

authors： Heinze H,Sedemund-Adib B,Heringlake M,Meier T,Eichler W

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:The ecological momentary assessment method may collect more accurate data about a patient's symptoms and functioning during the patient's normal daily life than does a retrospective measurement method such as the standardized Asthma Quality of Life Questionnaire (AQLQ-S), which relies on the patient's recoll...

journal_title：Respiratory care

authors： Everhart RS,Smyth JM,Santuzzi AM,Fiese BH

更新日期：2010-04-01 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：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：: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

authors： Macdonald KD,McGinley BM,Brown DJ,Sterni LM,Rosenstein BJ,Mogayzel PJ Jr

更新日期：2009-12-01 00:00:00

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：BACKGROUND:The utilization of noninvasive ventilation (NIV) in the Veterans Affairs health-care system is not well characterized. A survey of physicians and respiratory therapists was conducted to better understand its use. METHODS:Three hospitals in each of 21 Veterans Affairs networks were selected based on severity...

journal_title：Respiratory care

authors： Bierer GB,Soo Hoo GW

更新日期：2009-10-01 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

authors： Pierson DJ

更新日期：2009-10-01 00:00:00

abstract：:Extracorporeal membrane oxygenation (ECMO) is a form of cardiopulmonary bypass adapted for long-term use. Blood is drained from the patient, pumped through an artificial lung or membrane where gas exchange is augmented, and then re-infused back to the patient. ECMO provides support for the neonate with severe respirat...

journal_title：Respiratory care

authors： Betit P,Craig N

更新日期：2009-09-01 00:00:00

abstract：:Long-term oxygen therapy (LTOT) improves survival for patients afflicted with severe chronic obstructive pulmonary disease and may also reduce the incidence of repeat hospitalization due to exacerbations. When properly dosed and titrated, LTOT has also been shown to improve exercise tolerance, thereby enhancing the ov...

journal_title：Respiratory care

authors： Dunne PJ

更新日期：2009-08-01 00:00:00

abstract：:The cardiopulmonary physiology of dinosaurs-and especially of the long-necked sauropods, which grew much larger than any land animals before or since-should be inherently fascinating to anyone involved in respiratory care. What would the blood pressure be in an animal 12 m (40 ft) tall? How could airway resistance and...

journal_title：Respiratory care

authors： Pierson DJ

更新日期：2009-07-01 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: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：:Post-traumatic pulmonary pseudocyst is an uncommon cavitary lesion of the lung, which generally develops after blunt chest trauma. We saw a 22-year-old man with chest trauma, hemopneumothorax, and hemoptysis, on the day he fell from an electrical pylon. Intubation in the emergency department was followed by 4 days of ...

journal_title：Respiratory care

authors： Yazkan R,Ozpolat B,Sahinalp S

更新日期：2009-04-01 00:00:00

abstract：BACKGROUND:Manual and mechanical cough-augmentation techniques can improve peak cough flow (PCF) in patients with respiratory insufficiency caused by neuromuscular disease. METHODS:We studied cough-augmentation techniques in 179 clinically stable patients with various neuromuscular diseases. We measured vital capacity...

journal_title：Respiratory care

authors： Toussaint M,Boitano LJ,Gathot V,Steens M,Soudon P

更新日期：2009-03-01 00:00:00

abstract：:The physiologic effects of noninvasive ventilation (NIV) on work of breathing (WOB) and breathing pattern, respiratory-system mechanics, and hemodynamic function were examined via a literature review of clinical studies done between 1990 and 2008. Forty-one relevant studies were found; the majority examined patients w...

journal_title：Respiratory care

authors： Kallet RH,Diaz JV

更新日期：2009-01-01 00:00:00

abstract：:We describe the combined use of inhaled nitric oxide and heliox (79% helium and 21% oxygen) as a rescue therapy for a critically ill infant with localized interstitial pulmonary emphysema and pulmonary hypertension. Conventional interventions were ineffective, not feasible, or unlikely to take effect in time, during t...

journal_title：Respiratory care

authors： Phatak RS,Pairaudeau CF,Smith CJ,Pairaudeau PW,Klonin H

更新日期：2008-12-01 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：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：: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：:Pulmonary rehabilitation has emerged as a standard of care for patients with chronic lung disease, based on a growing body of scientific evidence. Over recent decades, several organizations have championed pulmonary rehabilitation and developed comprehensive statements, practice guidelines, and evidence-based guidelin...

journal_title：Respiratory care

authors： Ries AL

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:Directed cough maneuvers are often included in physiotherapy management aimed at preventing postoperative pulmonary complications after open heart surgery, but there is little scientific evidence of the effectiveness of directed cough maneuvers. METHODS:We conducted a randomized intra-subject crossover tria...

journal_title：Respiratory care

authors： Fiore JF Jr,Chiavegato LD,Denehy L,Paisani DM,Faresin SM

更新日期：2008-08-01 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：:The role of the respiratory therapist (RT) is expanding with the growing acceptance and use of the disease-management paradigm for managing chronic diseases. RTs are key members of the asthma disease-management team, in acute-care settings, patients' homes, out-patient clinics, emergency departments, and in the commun...

journal_title：Respiratory care

authors： Kallstrom TJ,Myers TR

更新日期：2008-06-01 00:00:00

abstract：:There is now clear evidence that asthma prevalence increased significantly, especially in developed countries, during the second part of the 20th century. What caused this increase is currently unknown. Recent reports from the United States and the United Kingdom suggest that asthma prevalence may have plateaued betwe...

journal_title：Respiratory care

authors： Martinez FD

更新日期：2008-05-01 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:Metered-dose inhalers with valved holding chambers (MDI-VHCs) have been shown to be equivalent to small-volume nebulizers (SVNs) for the delivery of bronchodilators in children. At Seattle Children's Hospital and Regional Medical Center we sought to implement the conversion from SVN to MDI-delivered albutero...

journal_title：Respiratory care

authors： Salyer JW,DiBlasi RM,Crotwell DN,Cowan CA,Carter ER

更新日期：2008-03-01 00:00:00

abstract：:Mass-care events, such as pandemic influenza, could reach such devastating proportions that there will be the need to make difficult triage decisions that will ultimately result in the deaths or severe disability of patients in large numbers. The method by which we determine how triage of scarce health care resources ...

journal_title：Respiratory care

authors： O'Laughlin DT,Hick JL

更新日期：2008-02-01 00:00:00

abstract：:Exposure to chemical agents, both deliberate and accidental, over the past 100 years has resulted in the deaths of thousands and a significant number of casualties requiring hospitalization. The respiratory system is an important portal of entry into the human body for many of these agents, and pulmonary symptoms are ...

journal_title：Respiratory care

authors： Muskat PC

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:Mechanical ventilation during patient transport frequently utilizes compact portable pneumatic ventilators that have limited ventilator-settings options. New advanced transport ventilators should yield quality improvements, but their user-friendliness needs to be tested. OBJECTIVE:To evaluate the ventilator...

journal_title：Respiratory care

authors： Templier F,Miroux P,Dolveck F,Descatha A,Goddet NS,Jeleff C,Baer M,Chauvin M,Brochard L,Fletcher D

更新日期：2007-12-01 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

authors： Vahid B,Machare-Delgado E,Marik PE

更新日期：2007-12-01 00:00:00

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

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

更新日期：2007-11-01 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：:End-stage liver disease and its complications are a leading cause of death among adults in the United States, and thousands of patients await liver transplantation. The liver plays a central role in health and homeostasis and thus the diseased liver leads to many deleterious effects on multiple organ systems, includin...

journal_title：Respiratory care

authors： Huffmyer JL,Nemergut EC

更新日期：2007-08-01 00:00:00

abstract：:In health, the airways are lined by a layer of protective mucus gel that sits atop a watery periciliary fluid. Mucus is an adhesive, viscoelastic gel, the biophysical properties of which are largely determined by entanglements of long polymeric gel-forming mucins, MUC5AC and MUC5B. This layer entraps and clears bacter...

journal_title：Respiratory care

authors： Rubin BK

更新日期：2007-07-01 00:00:00

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

authors： Banfi P,Redolfi S,Robert D

更新日期：2007-06-01 00:00:00

abstract：:Helium is an inert gas with a very low density (0.18 g/L), which allows it to pass through narrowed passages with less turbulence than nitrogen or oxygen. For many years, helium-oxygen mixture (heliox) has been used for patients with severe airway obstruction. However, the data supporting the clinical application of h...

journal_title：Respiratory care

authors： Hurford WE,Cheifetz IM

更新日期：2007-05-01 00:00:00

abstract：:Positive end-expiratory pressure (PEEP) and inspired oxygen fraction (F(IO(2))) are the primary means of improving P(aO(2)) during mechanical ventilation. Patients with acute respiratory distress syndrome (ARDS) typically present with a large intrapulmonary shunt, which makes even high F(IO(2)) ineffective in improvin...

journal_title：Respiratory care

authors： Kallet RH,Branson RD

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:Patients with Guillain-Barré syndrome are commonly exposed to prolonged mechanical ventilation. Specific data on ventilatory management of these patients have been limited. OBJECTIVE:To describe the practice of mechanical ventilation in patients with Guillain-Barré syndrome and evaluate risk factors for mor...

journal_title：Respiratory care

authors： Ali MI,Fernández-Pérez ER,Pendem S,Brown DR,Wijdicks EF,Gajic O

更新日期：2006-12-01 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