听力与言语-语言病理学

行为科学

医学伦理学

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  • Noninvasive ventilation in neuromuscular disease: equipment and application.

    abstract::Noninvasive support of ventilation is commonly needed in patients with neuromuscular disease. Body ventilators, which are used rarely, function by applying intermittent negative pressure to the thorax or abdomen. More commonly, noninvasive positive-pressure ventilation (NPPV) is used. This therapy can be applied with ...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Hess DR

    更新日期:2006-08-01 00:00:00

  • Use of a noninvasive pulse CO-oximeter to measure blood carboxyhemoglobin levels in bingo players.

    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:

    authors: Hampson NB,Scott KL

    更新日期:2006-07-01 00:00:00

  • Heliox during mechanical ventilation.

    abstract::The indications for heliox during mechanical ventilation are lower-airway obstruction, especially with hypercarbia; need to enhance aerosol delivery to lung periphery; and need to facilitate weaning from mechanical ventilation. Certain ventilators perform relatively well with heliox and are not substantially affected ...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Venkataraman ST

    更新日期:2006-06-01 00:00:00

  • The importance of nonelectrostatic materials in holding chambers for delivery of hydrofluoroalkane albuterol.

    abstract:INTRODUCTION:Electrostatic attraction of aerosolized particles to the inner walls of an aerosol holding chamber (HC) made from a nonconducting material can reduce medication delivery, particularly if there is a delay between actuation and inhalation. OBJECTIVE:Compare total emitted mass and fine-particle mass (mass of...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Rau JL,Coppolo DP,Nagel MW,Avvakoumova VI,Doyle CC,Wiersema KJ,Mitchell JP

    更新日期:2006-05-01 00:00:00

  • Management of acute brain injury and associated respiratory issues.

    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

    pub_type: 杂志文章

    doi:

    authors: Deem S

    更新日期:2006-04-01 00:00:00

  • Practical problems with aerosol therapy in COPD.

    abstract::Inhaled aerosol drugs commonly used by patients with chronic obstructive pulmonary disease include short-acting and long-acting bronchodilators, as well as corticosteroids. These agents are available in a variety of inhaler devices, which include metered-dose inhalers (MDI), breath-actuated MDIs, nebulizers, and, curr...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Rau JL

    更新日期:2006-02-01 00:00:00

  • Positive expiratory pressure changes aerosol distribution in patients with cystic fibrosis.

    abstract:HYPOTHESIS:We hypothesized that aerosol distribution in the lungs of patients with cystic fibrosis changes with positive expiratory pressure (PEP). METHODS:Eight patients were randomized to one of 2 conditions. On one study day, patients inhaled saline aerosol containing 99mtechnetium generated by a Pari LC Plus nebul...

    journal_title:Respiratory care

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Laube BL,Geller DE,Lin TC,Dalby RN,Diener-West M,Zeitlin PL

    更新日期:2005-11-01 00:00:00

  • Determinants of patient adherence to an aerosol regimen.

    abstract::Patient adherence with prescribed inhaled therapy is related to morbidity and mortality. The terms "compliance" and "adherence" are used in the literature to describe agreement between prescribed medication and patient practice, with "adherence" implying active patient participation. Patient adherence with inhaled med...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Rau JL

    更新日期:2005-10-01 00:00:00

  • Issues in drug delivery: concepts and practice.

    abstract::Understanding the transport and deposition of inhaled aerosols is of fundamental importance to inhalation therapy. Herein we address issues that affect drug delivery from experimental and theoretical perspectives. Accordingly, we shall limit our comments to a focused review of laboratory work (ie, an in vitro perspect...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Martonen TB,Smyth HD,Isaacs KK,Burton RT

    更新日期:2005-09-01 00:00:00

  • The expanding role of aerosols in systemic drug delivery, gene therapy, and vaccination.

    abstract::Aerosolized medications have been used for centuries to treat respiratory diseases. Until recently, inhalation therapy focused primarily on the treatment of asthma and chronic obstructive pulmonary disease, and the pressurized metered-dose inhaler was the delivery device of choice. However, the role of aerosol therapy...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Laube BL

    更新日期:2005-09-01 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

  • Patient positioning and ventilator-associated pneumonia.

    abstract::Rotational beds, prone position, and semi-recumbent position have been proposed as procedures to prevent ventilator-associated pneumonia (VAP). Rotational therapy uses a special bed designed to turn continuously, or nearly continuously, the patient from side to side; specific designs include kinetic therapy and contin...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Hess DR

    更新日期:2005-07-01 00:00:00

  • The invasive (quantitative) diagnosis of ventilator-associated pneumonia.

    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:

    authors: Chastre J,Combes A,Luyt CE

    更新日期:2005-06-01 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

  • Ventilator waveforms and the physiology of pressure support ventilation.

    abstract::Pressure support ventilation (PSV) is a commonly used mode. It is patient-triggered, pressure-limited, and (normally) flow-cycled. Triggering difficulty occurring during PSV is usually due to intrinsic positive end-expiratory pressure. The airway pressure generated at the initiation of inhalation is determined by the ...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Hess DR

    更新日期:2005-02-01 00:00:00

  • Comparison of different exercise tests in assessing outcomes of pulmonary rehabilitation.

    abstract:INTRODUCTION:Common modalities of clinical exercise testing for outcome measurement after pulmonary rehabilitation (PR) include walk tests, progressive cycle ergometry, and cycle endurance testing. We hypothesized that patients' responses to PR, as measured by those 3 tests, are differentially correlated, and we design...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Ong KC,Chong WF,Soh C,Earnest A

    更新日期:2004-12-01 00:00:00

  • Surveys: an introduction.

    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

    pub_type: 杂志文章

    doi:

    authors: Rubenfeld GD

    更新日期:2004-10-01 00:00:00

  • How to write an effective discussion.

    abstract::Explaining the meaning of the results to the reader is the purpose of the discussion section of a research paper. There are elements of the discussion that should be included and other things that should be avoided. Always write the discussion for the reader; remember that the focus should be to help the reader unders...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Hess DR

    更新日期:2004-10-01 00:00:00

  • An assessment of the appropriateness of respiratory care delivered at a 450-bed acute care Veterans affairs hospital.

    abstract:INTRODUCTION:Respiratory care is expensive and time-intensive, inappropriate care wastes resources, and failure to provide necessary and appropriate respiratory care may adversely affect patient outcomes. OBJECTIVE:To determine the appropriateness of basic respiratory care delivered at a 450-bed Veterans Affairs hospi...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Shelledy DC,LeGrand TS,Peters JI

    更新日期:2004-08-01 00:00:00

  • Evidence-based asthma management.

    abstract::In 2002 the National Asthma Education and Prevention Program published evidence-based guidelines for the diagnosis and management of asthma, but there are some unresolved asthma-management issues that need further research. For asthmatic children inhaled corticosteroids are more beneficial than as-needed use of beta(2...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Kallstrom TJ

    更新日期:2004-07-01 00:00:00

  • Aerosol delivery to ventilated infant and pediatric patients.

    abstract::Infants have low tidal volume, vital capacity, and functional residual capacity, and short respiratory cycles (low I:E ratio), which result in a low residence time for aerosol particles and, thus, low pulmonary deposition of aerosol particles (< 1% of the nominal dose), compared to adults (8-22%). Scintigraphy data su...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Fink JB

    更新日期:2004-06-01 00:00:00

  • Using computers for intensive care unit research.

    abstract::A computerized clinical information system (CIS) is potentially a very important information tool for research and improving health care processes as well as for optimizing data management and thereby minimizing health care costs. The newest CISs automatically collect patient data from various sources, including monit...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Ward NS

    更新日期:2004-05-01 00:00:00

  • Respiratory care management information systems.

    abstract::Hospital-wide computerized information systems evolved from the need to capture patient information and perform billing and other financial functions. These systems, however, have fallen short of meeting the needs of respiratory care departments regarding work load assessment, productivity management, and the level of...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Ford RM

    更新日期:2004-04-01 00:00:00

  • Acute inhalation injury with evidence of diffuse bronchiolitis following chlorine gas exposure at a swimming pool.

    abstract::A previously healthy 23-year-old man with nonproductive cough and sore throat presented to the hospital a few hours after chlorine gas exposure at a fitness center swimming pool. Initial physical examination and chest radiograph were normal. Thirty-six hours later he developed worsening dyspnea and cough, with develop...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Parimon T,Kanne JP,Pierson DJ

    更新日期:2004-03-01 00:00:00

  • The evaluation and management of accidental hypothermia.

    abstract::Accidental hypothermia is defined as an unintentional decrease in core body temperature to below 35 degrees C. Hypothermia causes hundreds of deaths in the United States annually. Victims of accidental hypothermia present year-round and in all climates with a potentially confusing array of signs and symptoms, but incr...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Kempainen RR,Brunette DD

    更新日期:2004-02-01 00:00:00

  • Pulmonary rehabilitation for chronic obstructive pulmonary disease: a scientific and political agenda.

    abstract::Pulmonary rehabilitation (PR) is the standard of care for patients suffering chronic obstructive pulmonary disease (COPD). This report describes and defines PR and reviews the evidence regarding the efficacy of PR. COPD management guidelines that include PR have been published by the European Respiratory Society, the ...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Fahy BF

    更新日期:2004-01-01 00:00:00

  • Strategies for screening for chronic obstructive pulmonary disease.

    abstract::Chronic obstructive pulmonary disease is easily detected in its preclinical phase, using office spirometry. Successful smoking cessation prevents further disease progression in most patients. Spirometry measures the ratio of the forced expiratory volume in the first second to the forced vital capacity (FEV(1)/FVC), wh...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Enright PL,Kaminsky DA

    更新日期:2003-12-01 00:00:00

  • Endobronchial findings of fibrosing mediastinitis.

    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:

    authors: Manali ED,Saad CP,Krizmanich G,Mehta AC

    更新日期:2003-11-01 00:00:00

  • Effect of intrapulmonary percussive ventilation on mucus clearance in duchenne muscular dystrophy patients: a preliminary report.

    abstract:OBJECTIVE:To determine the effects of intrapulmonary percussive ventilation (IPV) on mucus clearance in tracheostomized Duchenne muscular dystrophy patients. METHODS:We studied 8 patients, 5 of whom had mucus hypersecretion (> 30 mL/d). In a randomized, cross-over study we compared assisted mucus clearance techniques ...

    journal_title:Respiratory care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Toussaint M,De Win H,Steens M,Soudon P

    更新日期:2003-10-01 00:00:00

  • Care of the ventilator circuit and its relation to ventilator-associated pneumonia.

    abstract::Ventilator circuits should not be changed routinely for infection control purposes. The maximum duration of time that circuits can be used safely is unknown. Evidence is lacking related to ventilator-associated pneumonia (VAP) and issues of heated versus unheated circuits, type of heated humidifier, method for filling...

    journal_title:Respiratory care

    pub_type: 指南,杂志文章,实务指引

    doi:

    authors: Hess DR,Kallstrom TJ,Mottram CD,Myers TR,Sorenson HM,Vines DL,American Association for Respiratory Care.

    更新日期:2003-09-01 00:00:00

  • Pulmonary function testing: coding and billing issues.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: MacIntyre NR,Foss CM

    更新日期:2003-08-01 00:00:00

  • Effects of continuous positive airway pressure/positive end-expiratory pressure and pressure-support ventilation on work of breathing, using an animal model.

    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:

    authors: Heulitt MJ,Holt SJ,Wilson S,Hall RA

    更新日期:2003-07-01 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

  • Missed bronchodilator medication treatments in respiratory therapy: frequency and underlying causes.

    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:

    authors: Stoller JK,Orens DK,Kester L

    更新日期:2003-02-01 00:00:00

  • Spontaneously breathing lung model comparison of work of breathing between automatic tube compensation and pressure support.

    abstract:INTRODUCTION:Automatic tube compensation (ATC), a new ventilation mode that compensates for the work of breathing imposed by endotracheal tube resistance, recently became commercially available. METHODS:We conducted a laboratory study with a lung model and a Nellcor Puritan Bennett 840 ventilator to compare ATC and pr...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Fujino Y,Uchiyama A,Mashimo T,Nishimura M

    更新日期:2003-01-01 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

  • Impact of a radio frequency management information system on the process and timing of providing respiratory care services.

    abstract:BACKGROUND:Although radio frequency (RF) systems have proliferated and are designed to simplify care delivery in many clinical settings, little information is available on the impact of such RF systems on the delivery of patient care. Having used a hand-held-device-based management information system in our Respiratory...

    journal_title:Respiratory care

    pub_type: 杂志文章

    doi:

    authors: Stoller JK,Kester L,Orens DK,McCarthy K

    更新日期:2002-08-01 00:00:00

  • High-frequency oscillation of the airway and chest wall.

    abstract::High-frequency oscillation (HFO), applied to either the airway or chest wall, has been associated with changes in sputum attributes and clearance. The evolution of evidence, both in vitro and in vivo, supporting the use of HFO is reviewed. Devices that apply HFO to the airway range from the relatively simple mechanica...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Fink JB,Mahlmeister MJ

    更新日期:2002-07-01 00:00:00

  • Unilateral expiratory airflow obstruction during forced exhalation.

    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

    pub_type: 杂志文章

    doi:

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

    更新日期:2002-06-01 00:00:00

  • The long-term outcomes of mechanical ventilation: what are they and how should they be used?

    abstract::In the critical care setting, usually the most important outcome is survival. However, this is not the only important outcome of critical care. There are increasing data that the patient's quality of life and functional status can be affected long after an intensive care unit stay, and some data suggest that mechanica...

    journal_title:Respiratory care

    pub_type: 杂志文章,评审

    doi:

    authors: Curtis JR

    更新日期:2002-04-01 00:00:00

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