133 results match your criteria Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR[Journal]


Variability in expiratory flow requirements among oscillatory positive expiratory pressure.

Can J Respir Ther 2019 4;56:7-10. Epub 2020 Mar 4.

Department of Anesthesia and Critical Care, 5841 S. Maryland Ave MC4028, University of Chicago, Chicago, IL 60637.

Introduction: Oscillatory positive expiratory pressure (OPEP) devices facilitate secretion clearance by generating positive end expiratory pressure. However, different device designs may produce different levels of expiratory pressure with the same expiratory flow rate. We bench tested four devices to determine the relationship between expiratory flow and expiratory pressure in each. Read More

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http://dx.doi.org/10.29390/cjrt-2019-025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055957PMC

High-flow nasal cannula for bronchiolitis in an ICU and step-down unit.

Can J Respir Ther 2019 28;56:5-6. Epub 2020 Feb 28.

Department of Pediatrics, Division of Pediatric Emergency Medicine, Medical University of South Carolina, Charleston, SC, USA.

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http://dx.doi.org/10.29390/cjrt-2019-023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7058108PMC
February 2020

Endotracheal cuff pressures in the PICU: Incidence of underinflation and overinflation.

Can J Respir Ther 2019 21;56:1-4. Epub 2020 Jan 21.

Division of Respiratory Care, The University of Texas Health Science Center at San Antonio, San Antonio, TX.

Background: While uncuffed endotracheal tubes have been traditionally used in the pediatric intensive care unit (PICU) population, evidence suggests cuffed endotracheal tubes (ETTs) are also safe to use within this population. Nevertheless, risks related to the use of cuffed ETTs increase when guidelines for safe and appropriate use are not followed. The primary goal of this study was to measure the cuff pressure (CP) using a cuff pressure manometer in a group of intubated pediatric subjects and determine the rate of cuff underinflation (<20 cm H0) or overinflation (>30 cm H0). Read More

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http://dx.doi.org/10.29390/cjrt-2019-018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011854PMC
January 2020

Inside the Publication Process.

Authors:
Justin Sorge

Can J Respir Ther 2019 15;55:v-vi. Epub 2019 Oct 15.

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http://dx.doi.org/10.29390/cjrt-2019-012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6797063PMC
October 2019

Effects of an extubation readiness test protocol at a tertiary care fully outborn neonatal intensive care unit.

Can J Respir Ther 2019 15;55:81-88. Epub 2019 Oct 15.

Department of Respiratory Therapy, The Hospital for Sick Children, Toronto, ON, Canada.

Background And Objectives: Extubation readiness testing (ERT) in the Neonatal Intensive Care Unit (NICU) is highly variable and lacking standardized criteria. To address this gap, an evidence-based, inter-professionally developed ERT protocol was implemented to assess effectiveness on extubation failure within 72 h and on duration of intubation (DOI).

Methods: A longitudinal retrospective chart review in a level III, fully outborn NICU, of intubated infants admitted 1-year prior (Group 1), and 1 year after implementation (Group 2). Read More

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http://dx.doi.org/10.29390/cjrt-2019-011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6797061PMC
October 2019

Palliative care as an emerging role for respiratory health professionals: Findings from a cross-sectional, exploratory Canadian survey.

Can J Respir Ther 2019 16;55:73-80. Epub 2019 Sep 16.

Lung Association of Saskatchewan, Saskatoon, SK.

Introduction: Respiratory Health Professionals (RHPs) with specialty training in the management of asthma and COPD, often care for patients with advanced respiratory disease, who have less access to palliative care than patients with similar disease burden. The aims of this study were to: () explore the current and desired roles of RHPs in terms of palliative care and () examine barriers to discussions with patients about palliative care.

Methods: An online survey addressing the aims of this study was developed and pilot tested. Read More

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http://dx.doi.org/10.29390/cjrt-2019-010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6762004PMC
September 2019

Erratum: Ventilatory equivalent for oxygen as an extubation outcome predictor: A pilot study.

Can J Respir Ther 2019;55:72. Epub 2019 Sep 16.

Department of Cardiopulmonary Sciences, Division of Respiratory Care, Rush University, Chicago, IL, USA.

[This corrects the article on p. 65 in vol. 55, PMID: 31489359. Read More

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http://dx.doi.org/10.29390/cjrt-2019-009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6762003PMC
September 2019

Ventilatory equivalent for oxygen as an extubation outcome predictor: A pilot study.

Can J Respir Ther 2019 9;55:65-71. Epub 2019 Jul 9.

Department of Cardiopulmonary Sciences, Division of Respiratory Care, Rush University, Chicago, IL, USA.

Introduction: Weaning predictors can help liberate patients in a timely manner from mechanical ventilation. Ventilatory equivalent for oxygen (VEqO), a surrogate for work of breathing and a measure of the efficiency of breathing, may be an important noninvasive alternative to other weaning predictors. Our study's purpose was to observe any differences in VEqO between extubation outcome groups. Read More

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http://dx.doi.org/10.29390/cjrt-2019-007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699067PMC
July 2019
1 Read

Reflecting back to move forward.

Authors:
Justin Sorge

Can J Respir Ther 2019 9;55:iii-iv. Epub 2019 Jul 9.

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http://dx.doi.org/10.29390/cjrt-2019-008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690264PMC

High-frequency oscillatory ventilation: A narrative review.

Can J Respir Ther 2019 2;55:40-46. Epub 2019 May 2.

Department of Respiratory Care, Texas State University, Round Rock, TX, USA.

High-frequency oscillatory ventilation (HFOV) is a lung-protective strategy that can be utilized in the full spectrum of patient populations ranging from neonatal to adults with acute lung injury. HFOV is often utilized as a rescue strategy when conventional mechanical ventilation (CV) has failed. HFOV uses low tidal volumes and constant mean airway pressures in conjunction with high respiratory rates to provide beneficial effects on oxygenation and ventilation, while eliminating the traumatic "inflate-deflate" cycle imposed by CV. Read More

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http://dx.doi.org/10.29390/cjrt-2019-004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591785PMC
May 2019
2 Reads

The impact of a research elective on a respiratory therapy student's perspective.

Can J Respir Ther 2019 1;55:36-39. Epub 2019 Mar 1.

Centre of Excellence in Mechanical Ventilation, St. Michael's Hospital, Toronto, ON, Canada and Department of Anesthesia Division of Critical Care, McMaster University, Hamilton, ON, Canada.

As the infrastructure of the healthcare landscape continues to change, Registered Respiratory Therapists (RRTs) may be required to assume nontraditional roles in health care. One such role is RRTs as researchers. However, there are few opportunities for students to explore research as a career option given current rigidly structured didactic curriculums. Read More

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http://dx.doi.org/10.29390/cjrt-2019-003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591789PMC
March 2019
1 Read

The impact of a research elective on a respiratory therapy student's perspective.

Can J Respir Ther 2019 1;55:36-39. Epub 2019 Mar 1.

Centre of Excellence in Mechanical Ventilation, St. Michael's Hospital, Toronto, ON, Canada and Department of Anesthesia Division of Critical Care, McMaster University, Hamilton, ON, Canada.

As the infrastructure of the healthcare landscape continues to change, Registered Respiratory Therapists (RRTs) may be required to assume nontraditional roles in health care. One such role is RRTs as researchers. However, there are few opportunities for students to explore research as a career option given current rigidly structured didactic curriculums. Read More

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http://dx.doi.org/10.29390/cjrt-2019-003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591788PMC
March 2019
1 Read

Assessing noncognitive domains of respiratory therapy applicants: Messick's framework appraisal of the multiple mini-interview.

Authors:
Marco Zaccagnini

Can J Respir Ther 2019 13;55:31-35. Epub 2019 Mar 13.

Department of Anesthesia & Critical Care, McGill University Health Centre, Montréal, QC, Canada.

Educators who assess incoming applicants into a health professional training program are looking for a wide array of cognitive and noncognitive skills that best predict success in the program and as a future practicing professional. While aptitude tests generally measure cognitive skills, noncognitive constructs are more difficult to measure appropriately. The traditional method of measuring noncognitive constructs has been the panel interview. Read More

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http://dx.doi.org/10.29390/cjrt-2019-002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591782PMC

Actioning our understanding of respiratory compromise.

Can J Respir Ther 2019 15;55:28-29. Epub 2019 Feb 15.

Canadian Society of Respiratory Therapists, Saint John, NB, Canada.

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http://dx.doi.org/10.29390/cjrt-2018-026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591781PMC
February 2019
9 Reads

Implementing a peer-learning approach for the clinical education of respiratory therapy students.

Can J Respir Ther 2019 15;55:21-27. Epub 2019 Feb 15.

Centre for Interprofessional Education, University of Toronto/University Health Network, Toronto, Ontario, Canada; and Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada.

Introduction: With recent clinical placement demands exceeding supply, the University Health Network (UHN) Respiratory Therapy (RT) department implemented a 2:1 student-to-preceptor model where a focus on peer learning (PL) becomes a key component of program success. PL can be defined as students learning from and with each other in both formal and informal ways. The shift towards facilitative student-directed models in other health care professions can be seen globally with the literature suggesting that 2:1 models not only support increases in student capacity but also improve the student learning experience through PL strategies. Read More

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http://dx.doi.org/10.29390/cjrt-2018-022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591784PMC
February 2019
1 Read

Assessing physical and respiratory distress in children with bronchiolitis admitted to a community hospital emergency department: A retrospective chart review.

Can J Respir Ther 2019 15;55:16-20. Epub 2019 Feb 15.

Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada.

Introduction: Bronchiolitis is a leading cause of infant hospitalization with wide variation in its diagnosis and management, especially in smaller community hospitals. The objective of this study is to describe children admitted to a community-based hospital emergency department (ED) for bronchiolitis and explore alternate assessments of illness severity.

Methods: A retrospective chart review (January to September 2014) of 100 children, < 2 years old and meeting International Classification of Diseases 10 for bronchiolitis. Read More

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http://dx.doi.org/10.29390/cjrt-2018-021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591780PMC
February 2019
3 Reads

Practical implementation of noninvasive ventilation in Amyotrophic Lateral Sclerosis: lessons learned from a clinical case series.

Can J Respir Ther 2019 9;55:13-15. Epub 2019 Jan 9.

Division of Pulmonary, Critical Care and Sleep Medicine, Veterans Affairs Puget Sound Health Care System, University of Washington, Seattle, WA.

Purpose: Noninvasive ventilation (NIV) may improve survival and quality of life in Amyotrophic Lateral Sclerosis (ALS) patients. There is a surprising paucity of practical guidelines for office-based implementation and management of NIV outside of tertiary ALS centers. We saw the need for a clinical protocol to allow feasible and consistent NIV management in this patient population. Read More

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http://dx.doi.org/10.29390/cjrt-2018-020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591783PMC
January 2019
5 Reads

Fluid management in Acute Respiratory Distress Syndrome: A narrative review.

Can J Respir Ther 2019 5;55:1-8. Epub 2018 Dec 5.

Section of Pulmonary, Critical Care and Sleep Medicine, The Oklahoma City VA HealthCare System and the University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.

Acute Respiratory Distress Syndrome remains a major source of morbidity and mortality in the modern intensive care unit (ICU). Major advances in the understanding and management of this condition were made in the last two decades. The use of low tidal ventilation is a well-established therapy. Read More

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http://dx.doi.org/10.29390/cjrt-2018-016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591787PMC
December 2018
1 Read

"Tea" time? Cannabis legalization in Canada.

Authors:
Justin Sorge

Can J Respir Ther 2018 1;54(2):33-34. Epub 2018 Aug 1.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591800PMC

Patterns of bronchial challenge testing in Canada.

Can J Respir Ther 2018 1;54(2). Epub 2018 Aug 1.

Faculty of Medicine, McGill University, Montréal, QC, Canada.

Background: Bronchial challenge testing (BCT) measures airway hyperresponsiveness; asthma guidelines recommend using BCT when symptoms manifest despite normal spirometry. Improper application of these guidelines commonly results in the misdiagnosis of asthma. Yet, statistics concerning BCT remain largely obscure. Read More

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http://dx.doi.org/10.29390/cjrt-2018-006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591799PMC

Medical Air: What you don't know won't hurt you, but what about your patients?

Can J Respir Ther 2018 1;54(2). Epub 2018 Aug 1.

Manager of Clinical Affairs, VitalAire Canada Inc - Air Liquide Healthcare, Blainville, QC, Canada; Board member of CSRT and FCSRT.

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http://dx.doi.org/10.29390/cjrt-2018-009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6591798PMC
August 2018
3 Reads

Erratum: Medical Air: What you don't know won't hurt you, but what about your patients?

Can J Respir Ther 2018 1;54(3):71. Epub 2018 Nov 1.

Manager of Clinical Affairs, VitalAire Canada Inc - Air Liquide Healthcare, Blainville, QC, Canada; Board member of CSRT and FCSRT.

[This corrects the article on p. 48 in vol. 54. Read More

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http://dx.doi.org/10.29390/cjrt-2018-011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422110PMC
November 2018
7 Reads

Considerations for chest clearance and cough augmentation in severe bulbar dysfunction: a case study.

Can J Respir Ther 2018 1;54(3):66-70. Epub 2018 Nov 1.

Department of Therapy and Rehabilitation, The National Hospital for Neurology and Neurosurgery, London, United Kingdom.

This case study describes a 21-year-old male with congenital myotonic dystrophy referred to respiratory physiotherapy with a weak cough and upper respiratory tract secretions. Mechanical insufflation-exsufflation (MI-E) was prescribed. Post initiation, the patient described a worsening of secretions and increased attendances to hospital with suspected chest infection. Read More

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http://dx.doi.org/10.29390/cjrt-2018-014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422109PMC
November 2018
12 Reads

Respiratory compromise needs a useful definition.

Authors:
Sorge Justin

Can J Respir Ther 2018 1;54(3):57. Epub 2018 Nov 1.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422111PMC
November 2018

Esophageal pressure balloon and transpulmonary pressure monitoring in airway pressure release ventilation: a different approach.

Can J Respir Ther 2018 1;54(3):62-65. Epub 2018 Nov 1.

Respiratory Department, Castle Medical Center, Kailua, Hawaii, USA.

This is a case of Acute Respiratory Distress Syndrome managed using esophageal balloon catheter to adjust inspiratory pressure and positive end expiratory pressure according to the inspiratory and expiratory transpulmonary pressures. There are no studies that examine the transpulmonary pressures in airway pressure release ventilation (APRV). We aimed to test the feasibility of using the esophageal balloon in the nonconventional mode of APRV. Read More

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http://dx.doi.org/10.29390/cjrt-2018-010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422107PMC
November 2018
2 Reads

The use of high-frequency percussive ventilation after cardiac surgery significantly improves gas exchange without impairment of hemodynamics.

Can J Respir Ther 2018 1;54(3):58-61. Epub 2018 Nov 1.

Department of Respiratory Therapy, Mercy Hospital Springfield, Springfield, MO, USA.

Objective: Respiratory failure represents a significant source of morbidity and mortality for surgical patients. High-frequency percussive ventilation (HFPV) is emerging as a potentially effective rescue therapy in patients failing conventional mechanical ventilation (CMV). Use of HFPV is often limited by concerns for potential effects on hemodynamics, which is particularly tenuous in patients immediately after cardiac surgery. Read More

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http://dx.doi.org/10.29390/cjrt-2018-013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422108PMC
November 2018
16 Reads

Obstructive sleep apnoea in patients with fibrotic diffuse parenchymal lung disease-characterization and treatment compliance assessment.

Can J Respir Ther 2018 1;54(2):35-40. Epub 2018 Aug 1.

Pulmonology Department, Centro Hospitalar São João, Oporto, Portugal.

Introduction: Recent studies have reported a high prevalence of obstructive sleep apnoea (OSA) among patients with diffuse parenchymal lung disease (DPLD), mainly idiopathic pulmonary fibrosis (IPF). Effective OSA treatment appears to have a positive impact on morbidity and mortality in these patients. However, poor compliance to positive airway pressure (PAP) treatment in fibrotic DPLD patients has been reported. Read More

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http://dx.doi.org/10.29390/cjrt-2018-005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422053PMC
August 2018
11 Reads

Looking ahead: The state and future of the .

Authors:
Sorge Justin

Can J Respir Ther 2018 1;54(1). Epub 2018 May 1.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422013PMC
May 2018
1 Read

Whole-lung lavage for severe pulmonary alveolar proteinosis assisted by veno-venous extracorporeal membrane oxygenation: a case report.

Can J Respir Ther 2018 Dec 5;55(1). Epub 2018 Dec 5.

Department of Anesthesiology, Centro Hospitalar São João, Porto, Portugal.

Pulmonary alveolar proteinosis (PAP) is a rare pathology characterized by accumulation of phospholipoproteinaceous material within the alveoli. The evolution of PAP is variable and treatment modalities are limited. Pharmacological therapeutic targets are being actively developed, but whole-lung lavage (WLL), first described in the 1960s, remains the cornerstone of therapy. Read More

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http://dx.doi.org/10.29390/cjrt-2018-019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345579PMC
December 2018
13 Reads

A pilot study to assess short-term physiologic outcomes of transitioning infants with severe bronchopulmonary dysplasia from ICU to two subacute ventilators.

Can J Respir Ther 2018 1;54(1). Epub 2018 May 1.

Division of Pulmonary and Sleep Medicine, Banner Health, Phoenix, AZ, USA.

Introduction: This study was designed to evaluate short-term physiologic outcomes of transitioning neonates with bronchopulmonary dysplasia (BPD) from intensive care unit (ICU) ventilators to both the Trilogy 202 (Philips Healthcare, Andover, MA) and LTV 1200 (CareFusion, Yorba Linda, CA) subacute ventilators.

Methods: Six infants with BPD requiring tracheostomies for support with a neonatal-specific ICU ventilator underwent placement of esophageal balloon catheters, airway pressure transducers, flow sensors, oxygen saturation (SpO), and end tidal carbon dioxide (PCO) monitors. Noninvasive gas exchange, airflow, and airway and esophageal pressures (P) were recorded following 20 min on the ICU ventilator. Read More

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http://dx.doi.org/10.29390/cjrt-2018-001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875982PMC
May 2018
22 Reads

The effect of an e-learning module on health sciences students' venipuncture skill development.

Can J Respir Ther 2018 1;54(1):12-16. Epub 2018 Feb 1.

School of Health Sciences, Fanshawe College, London, ON, Canada.

Introduction: Venipuncture is a psychomotor skill required in many healthcare professions. E-learning could be used to overcome current barriers in face-to-face learning in healthcare education such as insufficient classroom space or qualified instructors. We sought to evaluate the effectiveness of an e-learning module on students' performance when used in addition to in-class training. Read More

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http://dx.doi.org/10.29390/cjrt-2018-002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882240PMC
February 2018
1 Read

Respiratory therapists in a primary role as disease manager.

Can J Respir Ther 2018 1;54(4). Epub 2018 Feb 1.

Supervisor Respiratory, EEG/ Crouse Hospital, 736 Irving Ave, Syracuse, NY 13210/ 315-470-7133

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http://dx.doi.org/10.29390/cjrt-2018-023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6516141PMC
February 2018
1 Read

Basic spirometry testing and interpretation for the primary care provider.

Authors:
Jeffrey M Haynes

Can J Respir Ther 2018 1;54(4). Epub 2018 Feb 1.

Pulmonary Function Laboratory, St. Joseph Hospital, Nashua, NH, USA.

Spirometry testing plays an important role in the diagnosis and management of COPD and asthma in the primary care setting. Verifying the accuracy of the spirometer, using accurate patient demographics and appropriate reference equations, and ensuring the competency of testing personnel are key components of spirometry test interpretation. Spirometry testing plays an important role in the diagnosis and management of lung disease in the primary care setting. Read More

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http://dx.doi.org/10.29390/cjrt-2018-017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6516140PMC
February 2018
14 Reads

The roles, they are a changing: Respiratory Therapists as part of the multidisciplinary, community, primary health care team.

Can J Respir Ther 2018 1;54(4). Epub 2018 Feb 1.

Assistant Professor, Embedded Clinician Researcher, Faculty of Nursing, University of New Brunswick, Fredricton, New Brunswick.

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http://dx.doi.org/10.29390/cjrt-2018-024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6516139PMC
February 2018

The Community Pediatric Asthma Service-Together We're Better: Asthma care in the Calgary zone.

Can J Respir Ther 2018 1;54(4). Epub 2019 Feb 1.

Community Pediatric Asthma Service, Alberta Health Services, South Calgary Health Centre, Cube 2270, 31 Sunpark Plaza SE Calgary AB T2X 3W5 403-943-9139.

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http://dx.doi.org/10.29390/cjrt-2018-015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6516138PMC
February 2019
1 Read

The Calgary COPD & Asthma Program: The role of the respiratory therapy profession in primary care.

Can J Respir Ther 2018 1;54(4). Epub 2018 Feb 1.

Canadian Network for Respiratory Care, Eldorado, ON, Canada.

Respiratory therapy is a profession with the depth and breadth required to care for clients by "" [1]. Registered Respiratory Therapists (RRTs) work in a variety of settings from critical and acute care to primary and home care. After a brief overview of the models and competencies that underpin the work of the Calgary COPD & Asthma Program, the article provides a description of the program and discuss how RRT Certified Respiratory Educators provide services within the program. Read More

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http://dx.doi.org/10.29390/cjrt-2018-018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6516137PMC
February 2018
1 Read

: Shaping future healthcare teams through simulation-enhanced interprofessional education.

Can J Respir Ther 2017 1;53(4):81-87. Epub 2017 Nov 1.

Department of Nursing and Health Science, University of New Brunswick Saint John, Saint John, NB, Canada.

Background: Simulation-enhanced interprofessional education (sim-IPE) is a growing component of undergraduate health curricula, preparing learners for the practice environment and, in doing so, redefining practice culture. The Canadian Interprofessional Health Collaborative (CIHC) has established a national competency framework of integrative competency domains focused on fostering core skills, attitudes, and values in an effort to evolve interprofessional collaboration (IPC). This framework serves as the foundational underpinning for IPE within all health professions. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422223PMC
November 2017
16 Reads

The effects of introducing high-fidelity simulation to preclinical student respiratory therapists.

Authors:
David Wall

Can J Respir Ther 2017 1;53(4):75-80. Epub 2017 Nov 1.

Yorkville University, Fredericton, NB, Canada.

Introduction: This action research study examines the use of high-fidelity simulation (HFS) in a 3-year Respiratory Therapy advanced diploma program offered at a community college located in southwestern Ontario. It seeks to identify if the use of preclinical experiential learning offered through various HFS scenarios had an impact on learners' ability to transition into clinical practicum. The experiential learning theory provided the framework that guided this study as it sought to determine the effect, if any, of HFS on confidence and student anxiety. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422224PMC
November 2017
1 Read

Towards an enhanced conceptualization of fidelity for instructional design in simulation-based respiratory therapy education.

Can J Respir Ther 2017 1;53(4):69-74. Epub 2017 Nov 1.

College of Education, University of Saskatchewan, Saskatoon, SK, Canada.

Despite the apparent centrality of fidelity to clinical simulation instructional design and practice in respiratory therapy education, it remains one of most contested constructs in the simulation literature. Fidelity has been described as educationally under-theorized resulting in an emphasis often being placed on technological sophistication rather than theory-informed design, particularly in respiratory therapy. This article critically examines various conceptualizations of fidelity in the field of clinical simulation in an effort to inform its instructional design practices. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422225PMC
November 2017
1 Read

Simulation-an invaluable tool in the respiratory therapist's tool kit.

Authors:
Kevin Middleton

Can J Respir Ther 2017 1;53(4):66-68. Epub 2017 Nov 1.

Simulation and Outreach Program, McMaster Children's Hospital, Hamilton, Ontario, Canada.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422220PMC
November 2017
1 Read

Simulation Specialists: setting the stage for a new role for Respiratory Therapists in education?

Authors:
Jessica Bernard

Can J Respir Ther 2017 1;53(4):64-65. Epub 2017 Nov 1.

J Bernard. Simulation Specialists: setting the stage for a new role for Respiratory Therapists in education? Can J Respir Ther 2017;53(4):64-65.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422221PMC
November 2017
1 Read

Simulation use in paediatric student respiratory therapy training.

Can J Respir Ther 2017 1;53(4):62-63. Epub 2017 Nov 1.

The Hospital for Sick Children, Toronto, ON, Canada.

At SickKids it is a perennial challenge for clinical leads and preceptors to ensure that student respiratory therapists (SRTs) acquire the entire scope of the paediatric skill set as set out by the 2016 National Competency Profile. As such, simulation has historically been used to supplement the clinical experience for SRTs at Sick Kids; however, the extent to which simulation-based education can replace clinical experience is not clearly established in the literature. At SickKids, we have created an alternative paediatric rotation where the percentage of time spent in the simulation environment is greater than in the traditional, clinical-based rotation. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422219PMC
November 2017
6 Reads

There is nothing so practical as a good (simulation) theory.

Authors:
Andrew West

Can J Respir Ther 2017 1;53(4):61. Epub 2017 Nov 1.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422222PMC
November 2017

Pulmonary rehabilitation after lung transplantation with severe complications: A case report.

Can J Respir Ther 2017 1;53(3):45-47. Epub 2017 Aug 1.

Pulmonary and critical care medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing Institute of Respiratory Medicine, Beijing 100020, PR China.

This case study describes a 59-year-old male with a body mass index of 14.4 kg/m and a diagnosis of interstitial lung disease, pneumoconiosis, and severe pulmonary hypertension who received a bilateral lung transplant in a hospital in mainland China. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was initiated before the lung transplant; in addition, an emergency thoracotomy was performed three hours afterwards due to uncontrolled bleeding. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422215PMC
August 2017
24 Reads

Comparison of the accuracy of classification models to estimate healthcare use and costs associated with COPD exacerbations in Saskatchewan, Canada: A retrospective cohort study.

Can J Respir Ther 2017 1;53(3):37-44. Epub 2017 Aug 1.

Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.

Objective: COPD is a high-cost disease and results in frequent contacts with the healthcare system. The study objective was to compare the accuracy of classification models with different covariates for classifying COPD patients into cost groups.

Methods: Linked health administrative databases from Saskatchewan, Canada, were used to identify a cohort of newly diagnosed COPD patients (April 1, 2007 to March 31, 2011) and their episodes of healthcare encounters for disease exacerbations. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422214PMC
August 2017
1 Read

Noninvasive ventilation in life-threatening asthma: A case series.

Can J Respir Ther 2017 1;53(3):33-36. Epub 2017 Aug 1.

Duke University Medical Center, Durham, NC.

Background: The use of noninvasive ventilation (NIV) in severe acute asthma is controversial. A pH < 7.25, PaCO > 60 mmHg, and altered mental status have been described as contraindications to NIV in acute asthma. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422218PMC
August 2017
21 Reads

Stewarding our community's journal.

Authors:
Andrew West

Can J Respir Ther 2017 1;53(3):32. Epub 2017 Aug 1.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6422217PMC
August 2017
1 Read