解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
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:
更新日期:2006-08-01 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::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:
更新日期:2006-06-01 00:00:00
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:
更新日期:2006-05-01 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
pub_type: 杂志文章
doi:
更新日期:2006-04-01 00:00:00
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:
更新日期:2006-02-01 00:00:00
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:
更新日期:2005-11-01 00:00:00
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:
更新日期:2005-10-01 00:00:00
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:
更新日期:2005-09-01 00:00:00
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:
更新日期:2005-09-01 00:00:00
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:
更新日期:2005-08-01 00:00:00
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:
更新日期:2005-07-01 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::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:
更新日期:2005-04-01 00:00:00
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:
更新日期:2005-02-01 00:00:00
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:
更新日期:2004-12-01 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
pub_type: 杂志文章
doi:
更新日期:2004-10-01 00:00:00
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:
更新日期:2004-10-01 00:00:00
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:
更新日期:2004-08-01 00:00:00
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:
更新日期:2004-07-01 00:00:00
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:
更新日期:2004-06-01 00:00:00
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:
更新日期:2004-05-01 00:00:00
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:
更新日期:2004-04-01 00:00:00
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:
更新日期:2004-03-01 00:00:00
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:
更新日期:2004-02-01 00:00:00
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:
更新日期:2004-01-01 00:00:00
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:
更新日期:2003-12-01 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: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:
更新日期:2003-10-01 00:00:00
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:
更新日期:2003-09-01 00:00:00
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:
更新日期:2003-08-01 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::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:
更新日期:2003-04-01 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: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:
更新日期:2003-01-01 00:00:00
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:
更新日期:2002-12-01 00:00:00
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:
更新日期:2002-08-01 00:00:00
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:
更新日期:2002-07-01 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
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
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:
更新日期:2002-04-01 00:00:00