6,113 results match your criteria Noninvasive Ventilation


Long-term management and outcomes of tracheobronchial stent by flexible bronchoscopy in infants < 5 kg: a 13-year single-center experience.

J Chin Med Assoc 2019 Mar 11. Epub 2019 Mar 11.

Department of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Background: Tracheobronchial (TB) lumen narrowing may require prolonged positive-pressure ventilation, endotracheal tube intubation or even surgical interventions. Therapeutic flexible bronchoscopy (TFB) of balloon-expandable metallic stent (BEMS) placement and subsequent forceps, laser and balloon dilatation management might be less invasive and helpful. This study aimed to analyse the placement, follow-up management with TFB and long-term outcomes in small infants with BEMS. Read More

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http://dx.doi.org/10.1097/JCMA.0000000000000048DOI Listing
March 2019
2 Reads

Long-term ventilation for children with chronic lung disease of infancy.

Curr Opin Pediatr 2019 Mar 18. Epub 2019 Mar 18.

Section of Pulmonary Medicine and Pediatric Heart Lung Center, Department of Pediatrics, University of Colorado, School of Medicine, Aurora, Colorado, USA.

Purpose Of Review: Modern medical advances have resulted in an increased survival after extremely preterm birth. However, some infants will develop severe bronchopulmonary dysplasia (BPD) and fail to wean from invasive or noninvasive positive pressure support. It remains unclear which infants will benefit from tracheostomy placement for chronic ventilation. Read More

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http://dx.doi.org/10.1097/MOP.0000000000000757DOI Listing
March 2019
1 Read

Outcome of Frail Do-Not-Intubate Subjects With End-Stage Chronic Respiratory Failure and Their Opinion of Noninvasive Ventilation to Reverse Hypercapnic Coma.

Respir Care 2019 Mar 19. Epub 2019 Mar 19.

Department of Respiratory and Critical Care Medicine, Schaffner Hospital, Lens, France.

Background: The use of noninvasive ventilation (NIV) in the emergency setting to reverse hypercapnic coma in frail patients with end-stage chronic respiratory failure and do-not-intubate orders remains a questionable issue given the poor outcome of this vulnerable population. We aimed to answer this issue by assessing not only subjects' outcome with NIV but also subjects' point of view regarding NIV for this indication.

Methods: A prospective observational case-control study was conducted in 3 French tertiary care hospitals during a 2-y period. Read More

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http://dx.doi.org/10.4187/respcare.06346DOI Listing

Comparison of high flow nasal cannula with noninvasive ventilation in chronic obstructive pulmonary disease patients with hypercapnia in preventing postextubation respiratory failure: A pilot randomized controlled trial.

Res Nurs Health 2019 Mar 18. Epub 2019 Mar 18.

Department of Pulmonary and Critical Care Medicine, Binzhou Medical University Hospital, Binzhou Medical University, Binzhou, China.

High flow nasal cannula (HFNC) has been shown to improve extubation outcomes in patients with hypoxemia, but the role of HFNC in weaning patients with chronic obstructive pulmonary disease (COPD) with hypercapnia from invasive ventilation is unclear. We compared the effects of HFNC to noninvasive ventilation (NIV) on postextubation vital signs and arterial blood gases (ABGs) among patients with COPD. Other outcomes included comfort scores, need for bronchoscopy, use of pulmonary medications, and chest physiotherapy. Read More

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http://dx.doi.org/10.1002/nur.21942DOI Listing
March 2019
1 Read

Effects of Budesonide Combined with Noninvasive Ventilation on PCT, sTREM-1, Chest Lung Compliance, Humoral Immune Function and Quality of Life in Patients with AECOPD Complicated with Type II Respiratory Failure.

Open Med (Wars) 2019 2;14:271-278. Epub 2019 Mar 2.

Department of Emergency, 1st Hospital of Yulin, Yulin City, Shaanxi Province 719000, China.

Objective: Our objective is to explore the effects of budesonide combined with noninvasive ventilation on procalcitonin (PCT), soluble myeloid cell triggering receptor-1 (sTREM-1), thoracic and lung compliance, humoral immune function, and quality of life in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) complicated with type II respiratory failure.

Methods: There were 82 patients with AECOPD complicated with type II respiratory failure admitted into our hospital between March, 2016-September, 2017. They were selected and randomly divided into observation group (n=41) and control group (n=41). Read More

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http://dx.doi.org/10.1515/med-2019-0023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419390PMC
March 2019
1 Read

Noninvasive ventilation in critically ill patients with the Middle East respiratory syndrome.

Influenza Other Respir Viruses 2019 Mar 18. Epub 2019 Mar 18.

Intensive Care Department, King Abdullah International Medical Research Center, College of Medicine, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Background: Noninvasive ventilation (NIV) has been used in patients with the Middle East respiratory syndrome (MERS) with acute hypoxemic respiratory failure, but the effectiveness of this approach has not been studied.

Methods: Patients with MERS from 14 Saudi Arabian centers were included in this analysis. Patients who were initially managed with NIV were compared to patients who were managed only with invasive mechanical ventilation (invasive MV). Read More

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http://dx.doi.org/10.1111/irv.12635DOI Listing
March 2019
1 Read

High-Flow Oxygen Therapy After Noninvasive Ventilation Interruption in Patients Recovering From Hypercapnic Acute Respiratory Failure: A Physiological Crossover Trial.

Crit Care Med 2019 Mar 15. Epub 2019 Mar 15.

Intensive Care Unit, University Hospital Mater Domini, Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy.

Objectives: Assessing gas exchange, diaphragm function, respiratory rate, and patient comfort during high-flow oxygen therapy and standard oxygen at the time of noninvasive ventilation discontinuation.

Design: Randomized crossover physiologic study.

Setting: Two ICUs. Read More

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http://dx.doi.org/10.1097/CCM.0000000000003740DOI Listing
March 2019
1 Read

Noninvasive high-frequency oscillatory ventilation as respiratory support in preterm infants: a meta-analysis of randomized controlled trials.

Respir Res 2019 Mar 15;20(1):58. Epub 2019 Mar 15.

Department of Neonatology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, China, No. 261 Huansha Road, Hangzhou City, Zhejiang, 310002, China.

Background: Noninvasive high-frequency oscillatory ventilation (nHFOV), a relatively new modality, is gaining popularity despite scarce evidence. This meta-analysis was designed to evaluate the efficacy and safety of nHFOV as respiratory support in premature infants.

Methods: We searched MEDLINE, EMBASE, CINAHL, and Cochrane CENTRAL from inception of the database to January 2019. Read More

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http://dx.doi.org/10.1186/s12931-019-1023-0DOI Listing

Obesity hypoventilation syndrome.

Eur Respir Rev 2019 Mar 14;28(151). Epub 2019 Mar 14.

CIBER de enfermedades respiratorias (CIBERES), Madrid, Spain.

Obesity hypoventilation syndrome (OHS) is defined as a combination of obesity (body mass index ≥30 kg·m), daytime hypercapnia (arterial carbon dioxide tension ≥45 mmHg) and sleep disordered breathing, after ruling out other disorders that may cause alveolar hypoventilation. OHS prevalence has been estimated to be ∼0.4% of the adult population. Read More

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http://err.ersjournals.com/lookup/doi/10.1183/16000617.0097-
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http://dx.doi.org/10.1183/16000617.0097-2018DOI Listing
March 2019
2 Reads

Patient self-inflicted lung injury: implications for acute hypoxemic respiratory failure and ARDS patients on non-invasive support.

Minerva Anestesiol 2019 Mar 12. Epub 2019 Mar 12.

Istituto di Anestesiologia e Rianimazione, Università Cattolica del Sacro Cuore, Rome, Italy.

The role of spontaneous breathing among patients with acute hypoxemic respiratory failure and ARDS is debated: while avoidance of intubation with noninvasive ventilation (NIV) or high-flow nasal cannula improves clinical outcome, treatment failure worsens mortality. Recent data suggest patient self-inflicted lung injury (P-SILI) as a possible mechanism aggravating lung damage in these patients. P-SILI is generated by intense inspiratory effort yielding: (A) swings in transpulmonary pressure (i. Read More

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http://dx.doi.org/10.23736/S0375-9393.19.13418-9DOI Listing
March 2019
1 Read
2.134 Impact Factor

Different particle flow patterns from the airways after recruitment manoeuvres using volume-controlled or pressure-controlled ventilation.

Intensive Care Med Exp 2019 Mar 13;7(1):16. Epub 2019 Mar 13.

Department of Cardiothoracic Surgery and Transplantation, Skane University Hospital, Lund University, Lund, Sweden.

Objectives: Noninvasive online monitoring of different particle flows from the airways may serve as an additional tool to assess mechanical ventilation. In the present study, we used a customised PExA, an optical particle counter for monitoring particle flow and size distribution in exhaled air, to analyse airway particle flow for three subsequent days. We compared volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV) and performed recruitment manoeuvres (RM). Read More

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http://dx.doi.org/10.1186/s40635-019-0231-8DOI Listing
March 2019
1 Read

Respiratory management of acute exacerbation of interstitial pneumonia using high-flow nasal cannula oxygen therapy: a single center cohort study.

J Thorac Dis 2019 Jan;11(1):103-112

Department of Respiratory Medicine, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.

Background: The role of high-flow nasal cannula oxygen therapy (HFNC) in respiratory management of acute exacerbation of interstitial pneumonia (AE-IP) is unknown.

Methods: We retrospectively reviewed patients with AE-IP who were admitted to our hospital from June 2009 - May 2015 and compared mortality, complications, sedatives and analgesia use, and oral intake between cohorts before (pre-HFNC: June 2009 - May 2012) and after (post-HFNC: June 2012 - May 2015) the introduction of HFNC. In the pre-HFNC cohort, standard oxygen therapy, noninvasive ventilation (NIV), and invasive mechanical ventilation (IMV) were used for respiratory management of AE-IP. Read More

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http://jtd.amegroups.com/article/view/26384/19816
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http://dx.doi.org/10.21037/jtd.2018.12.114DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384362PMC
January 2019
8 Reads

Comparison of high flow nasal cannula oxygen administration to traditional nasal cannula oxygen therapy in healthy dogs.

J Vet Emerg Crit Care (San Antonio) 2019 Mar 12. Epub 2019 Mar 12.

Department of Clinical Sciences, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.

Objective: To determine the feasibility, degree of respiratory support, and safety of high flow nasal cannula (HFNC) oxygen therapy in sedated and awake healthy dogs, when compared to traditional nasal cannula (TNC) oxygen administration.

Design: Randomized experimental crossover study.

Setting: University research facility. Read More

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http://dx.doi.org/10.1111/vec.12817DOI Listing
March 2019
2 Reads

Swallowing with Noninvasive Positive-Pressure Ventilation (NPPV) in Individuals with Muscular Dystrophy: A Qualitative Analysis.

Dysphagia 2019 Mar 11. Epub 2019 Mar 11.

Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.

The purpose of the study is to describe experiences of swallowing with two forms of noninvasive positive-pressure ventilation (NPPV): mouthpiece NPPV (M-NPPV) and nasal bilevel positive airway pressure (BPAP) in people with muscular dystrophy. Ten men (ages 22-42 years; M = 29.3; SD = 7. Read More

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http://dx.doi.org/10.1007/s00455-019-09997-6DOI Listing
March 2019
1 Read

New modalities for non-invasive positive pressure ventilation: A review article.

Caspian J Intern Med 2019 ;10(1):1-6

Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babal, Iran.

Efficiency of non-invasive positive pressure ventilation in the treatment of respiratory failure has been shown in many published studies. In this review article, we introduced new modalities of non-invasive ventilation (NIV), clinical settings in which NIV can be used and a practical summary of the latest official guidelines published by the European Respiratory Clinical Practice. Clinical trials and review articles in four databases up to 25 February 2018 about new modalities of non-invasive positive pressure ventilation were reviewed. Read More

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http://dx.doi.org/10.22088/cjim.10.1.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386330PMC
January 2019
1 Read

Development of a High-Flow Nasal Cannula and Pharmaceutical Aerosol Combination Device.

J Aerosol Med Pulm Drug Deliv 2019 Mar 21. Epub 2019 Mar 21.

2 Department of Pharmaceutics, Virginia Commonwealth University, Richmond, Virginia.

Background: Aerosol drug delivery to the lungs is known to be very inefficient during all forms of noninvasive ventilation, especially when the aerosol is administered simultaneously with high-flow nasal cannula (HFNC) therapy. The objective of this study was to develop a new combination device based on vibrating mesh nebulizers that can provide continuously heated and humidified HFNC therapy as well as on-demand pharmaceutical aerosols with high efficiency.

Methods: The combination device implemented separate mesh nebulizers for generating humidity (humidity nebulizer) and delivering the medical aerosol (drug nebulizer). Read More

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https://www.liebertpub.com/doi/10.1089/jamp.2018.1488
Publisher Site
http://dx.doi.org/10.1089/jamp.2018.1488DOI Listing
March 2019
3 Reads

Noninvasive Ventilation in Unplanned Endotracheal Extubation: Just a Little Help From My Friend?

Respir Care 2019 Mar;64(3):352-354

Respiratory and Critical Care Unit University Hospital St. Orsola-Malpighi Bologna, Italy.

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http://dx.doi.org/10.4187/respcare.06886DOI Listing
March 2019
1 Read

European Respiratory Society International Congress 2018: highlights from Assembly 2 on respiratory intensive care.

ERJ Open Res 2019 Feb 4;5(1). Epub 2019 Mar 4.

Pulmonology and Respiratory Intensive Care Unit, S. Donato Hospital, Arezzo, Italy.

The respiratory intensive care Assembly of the European Respiratory Society is proud to present a summary of several important sessions held at the International Congress in Paris in 2018. For the highly esteemed reader who may have missed the Congress, a concise review was written on three topics: the state-of-the-art session on respiratory critical care, hot topics in weaning and the best abstracts in noninvasive ventilation. Read More

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http://dx.doi.org/10.1183/23120541.00198-2018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397914PMC
February 2019
5 Reads

Current Status of Noninvasive Ventilation Use in Korean Intensive Care Units: A Prospective Multicenter Observational Study.

Tuberc Respir Dis (Seoul) 2019 Feb 28. Epub 2019 Feb 28.

Department of Pulmonary, Allergy and Critical Care Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.

Background: Data on noninvasive ventilation (NIV) use in intensive care units (ICUs) are very limited in South Korea.

Methods: A prospective observational study was performed in 20 ICUs of university-affiliated hospitals from June 2017 to February 2018. Adult patients (age>18 years) who were admitted to the ICU and received NIV treatment for acute respiratory failure were included. Read More

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http://dx.doi.org/10.4046/trd.2018.0064DOI Listing
February 2019
2 Reads

Evaluation of Neonatal Services Provided in a Level II NICU Utilizing Hybrid Telemedicine: A Prospective Study.

Telemed J E Health 2019 Mar 5. Epub 2019 Mar 5.

Division of Newborn Medicine, Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

Objective: To evaluate the safety and efficacy of premature infant treatment managed by hybrid telemedicine versus conventional care.

Methods: Prospective, noninferiority study comparing outcomes of premature infants at Comanche County Memorial Hospital's (CCMH) Level II NICU with outcomes at OU Medical Center's (OUMC) Level IV NICU. All 32-35 weeks gestational age (GA) infants admitted between May 2015 and October 2017 were included. Read More

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http://dx.doi.org/10.1089/tmj.2018.0262DOI Listing
March 2019
3 Reads

Is early detection of late-onset Pompe disease a pneumologist's affair? A lesson from an Italian screening study.

Orphanet J Rare Dis 2019 Mar 4;14(1):62. Epub 2019 Mar 4.

Respiratory Pathophysiology and Intensive Care Unit, Department of Cardio-Thoracic, University-City Hospital of Padova, Padova, Italy.

Background: Late-onset Pompe disease (LOPD) is a recessive disease caused by α-glucosidase (GAA) deficiency, leading to progressive muscle weakness and/or respiratory failure in children and adults. Respiratory derangement can be the first indication of LOPD, but the diagnosis may be difficult for pneumologists. We hypothesize that assessing the GAA activity in suspected patients by a dried blood spot (DBS) may help the diagnosis of LOPD in the pneumological setting. Read More

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http://dx.doi.org/10.1186/s13023-019-1037-1DOI Listing
March 2019
1 Read
3.358 Impact Factor

Noninvasive Ventilation: Education and Training. A Narrative Analysis and an International Consensus Document.

Adv Respir Med 2019 Mar 4. Epub 2019 Mar 4.

Intensive Care Unit. Hospital Morales Meseguer Murcia, Murcia, 30008, Spain.

Background: Noninvasive ventilation (NIV) is an increasingly used method of respiratory support. The use of the NIV is expanding over the time and if properly used, it can save patients life and improve long-term prognosis. However, both knowledge and skills for its proper use as a life-support are paramount. Read More

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http://dx.doi.org/10.5603/ARM.a2019.0006DOI Listing
March 2019
1 Read

High-flow nasal cannula use for bronchiolitis treatment in French intensive care units: A transversal study.

Arch Pediatr 2019 Feb 28. Epub 2019 Feb 28.

Pediatric intensive care unit, hôpital Raymond-Poincaré, AP-HP, 104, boulevard Raymond-Poincaré, 92370 Garches, France; Versailles Saint-Quentin University, UFR des sciences de la santé Simone Veil, 2, avenue de la source de la Biévre, 78180 Montigny le Bretonneux, France. Electronic address:

Over the past 10 years, continuous positive airway pressure (CPAP) has revolutionized the prognosis and management of bronchiolitis patients hospitalized in pediatric intensive care units (PICUs). High-flow nasal cannula (HFNC) is emerging as an alternative to CPAP. Despite encouraging results of several clinical and physiological studies, HFNC use remains controversial and its indications heterogeneous. Read More

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http://dx.doi.org/10.1016/j.arcped.2019.02.002DOI Listing
February 2019
1 Read

High-flow Nasal Cannula Versus Noninvasive ventilation for Postextubation Acute Respiratory Failure after Pediatric Cardiac Surgery.

Acta Med Okayama 2019 Feb;73(1):15-20

Department of Anesthesiology and Resuscitology, Okayama University Hospital, Okayama 700-8558, Japan.

We compared the reintubation rate in children who received high-flow nasal cannula (HFNC) therapy to the rate in children who received noninvasive ventilation (NIV) therapy for acute respiratory failure (ARF) after cardiac surgery. This was a retrospective analysis of 35 children who received HFNC therapy for ARF after cardiac surgery in 2014-2015 (the HFNC group). We selected 35 children who had received NIV therapy for ARF after cardiac surgery in 2009-2012 as a control group. Read More

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http://dx.doi.org/10.18926/AMO/56454DOI Listing
February 2019
3 Reads

Early nasal high-flow versus Venturi mask oxygen therapy after lung resection: a randomized trial.

Crit Care 2019 Feb 28;23(1):68. Epub 2019 Feb 28.

Dipartimento delle Scienze dell'Emergenza, Anestesiologiche e della Rianimazione, UOC di Anestesia, Rianimazione, Terapia Intensiva e Tossicologia Clinica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Background: Data on high-flow nasal oxygen after thoracic surgery are limited and confined to the comparison with low-flow oxygen. Different from low-flow oxygen, Venturi masks provide higher gas flow at a predetermined fraction of inspired oxygen (FiO). We conducted a randomized trial to determine whether preemptive high-flow nasal oxygen reduces the incidence of postoperative hypoxemia after lung resection, as compared to Venturi mask oxygen therapy. Read More

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http://dx.doi.org/10.1186/s13054-019-2361-5DOI Listing
February 2019
1 Read

Estimation of respiratory variables from thoracoabdominal breathing distance: a review of different techniques and calibration methods.

Physiol Meas 2019 Feb 28. Epub 2019 Feb 28.

Département Sciences du sport et éducation physique, Ecole normale supérieure de Rennes, Campus de Ker Lann, Avenue Robert Schuman , 35170 Bruz, FRANCE.

The precise measurement of respiratory variables, such that tidal volume, minute ventilation, respiratory rate is necessary to monitor respiratory status to overcome several diseases, improve patient health conditions and reduce health care costs. This measurement has conventionally been performed by breathing into a mouthpiece connected to a flow rate measuring device. However, a mouthpiece is uncomfortable for the subject and it is difficult to use for long term monitoring. Read More

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http://dx.doi.org/10.1088/1361-6579/ab0b63DOI Listing
February 2019
1 Read

Noninvasive ventilation versus oxygen therapy in patients with acute respiratory failure.

Curr Opin Anaesthesiol 2019 Apr;32(2):150-155

Médecine Intensive Réanimation, CHU de Poitiers.

Purpose Of Review: High-flow nasal cannula oxygen therapy (HFOT) is becoming an alternative to noninvasive ventilation (NIV) and standard oxygen in management of patients with acute respiratory failure.

Recent Findings: Patients with de novo acute respiratory failure should be managed with HFOT rather than NIV. Indeed, the vast majority of patients with de novo respiratory failure meet the criteria for ARDS, and NIV does not seem protective, as patients generate overly high tidal volume that may worsen underlying lung injury. Read More

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http://dx.doi.org/10.1097/ACO.0000000000000705DOI Listing
April 2019
1 Read

Non-invasive positive pressure ventilation in the home setting.

Authors:
Sandy Rolfe

Br J Community Nurs 2019 Mar;24(3):102-109

Respiratory Nurse Specialist, NHS Tayside and Clinical Academic Lecturer, School of Nursing and Health Sciences, University of Dundee.

Noninvasive ventilation is becoming a more commonly used long-term treatment for various conditions in which the patient experiences chronic hypercapnic respiratory failure (type 2 respiratory failure). This article aims to discuss why patients require long-term noninvasive positive pressure ventilation (NPPV), and to describe some of the care considerations required for this patient group, in addition to challenges that nurses in the home care environment face when supporting these patients at home. The article provides a brief pathophysiological overview, while also discussing the use of NPPV as symptom support for patients with severe disease in the later stages of their lives. Read More

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http://dx.doi.org/10.12968/bjcn.2019.24.3.102DOI Listing
March 2019
4 Reads

Postoperative noninvasive ventilation and complications in esophageal atresia-tracheoesophageal fistula.

J Pediatr Surg 2019 Jan 31. Epub 2019 Jan 31.

Pediatric Surgery, Centre Hospitalier Universitaire, Sainte-Justine, Canada; Esophageal Atresia Clinic, Department of Pediatric Gastroenterology, Centre Hospitalier Universitaire, Sainte Justine, Canada. Electronic address:

Purpose: This study examines the impact of postoperative noninvasive ventilation strategies on outcomes in esophageal atresia-tracheoesophageal fistula (EA-TEF) patients.

Methods: A single center retrospective chart review was conducted on all neonates followed at the EA-TEF Clinic from 2005 to 2017. Primary outcomes were: survival, anastomotic leak, stricture, pneumothorax, and mediastinitis. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.01.023DOI Listing
January 2019
2 Reads

Diffuse alveolar hemorrhage in a patient with ANCA-associated vasculitis after thyroidectomy: A case report.

Medicine (Baltimore) 2019 Feb;98(8):e14630

Department of Anesthesiology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Zhejiang, China.

Rationale: Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is an autoimmune disease that mainly affects the lungs and kidneys. Limited reports of perioperative management of such patients were primarily concerned with airway stenosis. Here, we report a patient with AAV who developed diffuse alveolar hemorrhage (DAH) early after radical thyroidectomy. Read More

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http://dx.doi.org/10.1097/MD.0000000000014630DOI Listing
February 2019
2 Reads

Beyond Reporting Early Warning Score Sensitivity: The Temporal Relationship and Clinical Relevance of "True Positive" Alerts that Precede Critical Deterioration.

J Hosp Med 2019 Mar;14(3):138-143

Center for Pediatric Clinical Effectiveness, Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Background: Clinical deterioration is difficult to detect in hospitalized children. The pediatric Rothman Index (pRI) is an early warning score that incorporates vital signs, laboratory studies, and nursing assessments to generate deterioration alerts.

Objectives: (1) Evaluate the timing of pRI alerts and clinicians recognizing deterioration or escalating care prior to critical deterioration events (CDEs) and (2) determine whether the parameters triggering alerts were clinically related to deterioration. Read More

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https://www.journalofhospitalmedicine.com/jhospmed/article/1
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http://dx.doi.org/10.12788/jhm.3066DOI Listing
March 2019
2 Reads
2.081 Impact Factor

Comparing the Effects and Compliance between Volume Assured and Pressure Support Non-invasive Ventilation in Patients with Chronic Respiratory Failure.

Clin Respir J 2019 Feb 25. Epub 2019 Feb 25.

Fujian Medical University Union Hospital, Zhongshan Hospital, Fuzhou, China.

Introduction: Standard bi-level noninvasive ventilation with fixed-level pressure support (PS) delivery may not maintain ventilation during the changes in pulmonary mechanics that occur throughout day and night, so average volume-assured pressure support (AVAPS) modes that target a pre-set volume by adjustment of PS may be effective.

Objective: Our meta-analysis wants to compare AVAPS and pressure support noninvasive ventilation (PS-NIV) regarding arterial blood gases (ABGs), sleep efficiency and compliance.

Method: Relevant publications indexed in PubMed, Cochrane Library, Embase, Web of Science, Wanfang Data, China National Knowledge Infrastructure (CNKI) and VIPI were identified. Read More

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http://dx.doi.org/10.1111/crj.13009DOI Listing
February 2019
1 Read

Fast-track off-pump coronary artery bypass: single-center experience.

Asian Cardiovasc Thorac Ann 2019 Feb 24:218492319833266. Epub 2019 Feb 24.

NM Virani Wockhardt Hospitals, Rajkot, Gujarat, India.

Aim: The primary goal of the study was to perform retrospective analysis of fast-track coronary artery bypass grafting at our institute to identify risk factors for prolonged hospital stay. A secondary goal was to identify and compare survival statistics with those published in literature.

Method: We performed a retrospective analysis of patients enrolled in our fast-track coronary artery bypass protocol. Read More

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http://dx.doi.org/10.1177/0218492319833266DOI Listing
February 2019
1 Read

Importance of sympathetic nervous system activity during left ventricular functional recovery and its association with in-hospital complications in Takotsubo syndrome.

Heart Vessels 2019 Feb 22. Epub 2019 Feb 22.

Division of Cardiology, Department of Medicine, Faculty of Medicine, Kindai University, 377-2 Ohnohigashi, Osakasayama, Osaka, 589-8511, Japan.

The relationship between activation of the sympathetic nervous system (SNS) and improvement of left ventricular (LV) function and how this correlates with clinical outcomes are not fully explored in Takotsubo syndrome (TS). The purpose of this study is to evaluate the relationship between activation of the SNS and LV function improvement and how this correlates with clinical outcomes in TS. Patients with TS were retrospectively identified. Read More

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http://dx.doi.org/10.1007/s00380-019-01359-4DOI Listing
February 2019
2 Reads

Influence of impaired right ventricular contractile reserve on exercise capacity in patients with precapillary pulmonary hypertension: A study with exercise stress echocardiography.

Echocardiography 2019 Feb 22. Epub 2019 Feb 22.

Department of Echocardiography, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.

Objectives: Right ventricular (RV) contractile reserve reflects the ability of RV to accommodate the increased afterload and may play an essential role in the evaluation of precapillary pulmonary hypertension (PH). This study aimed to assess RV contractile reserve based on exercise stress echocardiography (ESE) and to determine the echocardiographic determinants of exercise capacity in patients with precapillary PH.

Methods: A total of 31 patients with precapillary PH and 15 age- and sex-matched healthy control subjects were prospectively recruited. Read More

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http://dx.doi.org/10.1111/echo.14283DOI Listing
February 2019
1 Read

Comparison of Endotracheal Reintubation between Nasal High-Frequency Oscillation and Continuous Positive Airway Pressure in Neonates.

Am J Perinatol 2019 Feb 19. Epub 2019 Feb 19.

Division of Neonatology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

Objective:  To compare the endotracheal reintubation between nasal high-frequency oscillation (nHFO) and nasal continuous positive airway pressure (nCPAP) with face mask groups who were followed up for up to 7 days.

Study Design:  We performed a retrospective cohort study of extubated neonates admitted between 2013 and 2017. We used a Cox's proportional hazards model to adjust for significant between-group differences in baseline characteristics. Read More

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http://dx.doi.org/10.1055/s-0039-1679932DOI Listing
February 2019
2 Reads

How important is oxygen titration in hypercapnic COPD exacerbation?

Wien Klin Wochenschr 2019 03 18;131(5-6):132-133. Epub 2019 Feb 18.

Intensive Care Unit, Hospital Morales Meseguer, Murcia, Spain.

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http://dx.doi.org/10.1007/s00508-019-1464-yDOI Listing
March 2019
2 Reads

Acute Respiratory Failure in Renal Transplant Recipients: A Single Center Experience.

Exp Clin Transplant 2019 01;17(Suppl 1):172-174

From the Pulmonary Medicine, Baskent University, Adana, Turkey.

Objectives: We evaluated the frequency and cause of acute respiratory failure in renal transplant recipients.

Materials And Methods: Our single-center retrospective observational study included consecutive renal transplant recipients who were admitted to an intensive care unit for acute respiratory failure between 2011 and 2017. Acute respiratory failure was defined as oxygen saturation < 92% or partial pressure of oxygen in arterial blood < 60 mm Hg on room air and/or requirement of noninvasive or invasive mechanical ventilation. Read More

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http://www.ectrx.org/forms/ectrxcontentshow.php?doi_id=10.60
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http://dx.doi.org/10.6002/ect.MESOT2018.P49DOI Listing
January 2019
3 Reads

A standard operating procedure for King's ALS clinical staging.

Amyotroph Lateral Scler Frontotemporal Degener 2019 Feb 18:1-6. Epub 2019 Feb 18.

c Department of Basic and Clinical Neuroscience , Maurice Wohl Clinical Neuroscience Institute, King's College London , London , UK.

Objective: Clinical stages in amyotrophic lateral sclerosis (ALS) can be measured using a simple system based on the number of CNS regions involved and requirement for gastrostomy or noninvasive ventilation (NIV). We aimed to design a standard operating procedure (SOP) to define the standardized use and application of the King's staging system.

Methods: We designed a SOP for the King's staging system. Read More

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http://dx.doi.org/10.1080/21678421.2018.1556696DOI Listing
February 2019
1 Read

Prophylactic, Postoperative, Noninvasive Ventilation After Thoracoabdominal Surgery.

J Cardiothorac Vasc Anesth 2019 Jan 17. Epub 2019 Jan 17.

Department of Intensive Care Medicine, Fiona Stanley Hospital, Perth, Australia.

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http://dx.doi.org/10.1053/j.jvca.2019.01.034DOI Listing
January 2019
2 Reads

Post-extubation continuous positive airway pressure improves oxygenation after pediatric laparoscopic surgery: A randomized controlled trial.

Acta Anaesthesiol Scand 2019 Feb 14. Epub 2019 Feb 14.

Anesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Assiut, Egypt.

Background: Effects of intraoperative recruitment maneuvers (RMs) on oxygenation and pulmonary compliance are lost during recovery if high inspired oxygen and airway suctioning are used. We investigated the effect of post-extubation noninvasive CPAP mask application on the alveolar arterial oxygen difference [(A-a) DO ] after pediatric laparoscopic surgery.

Methods: Sixty patients (1-6 years) were randomly allocated to three groups of 20 patients, to receive zero end-expiratory pressure (ZEEP group), RM with decremental PEEP titration only (RM group), or followed with post-extubation CPAP for 5 minutes (RM-CPAP group). Read More

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http://dx.doi.org/10.1111/aas.13324DOI Listing
February 2019
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Neurally-Adjusted Ventilatory Assist for Noninvasive Ventilation via a Helmet in Subjects With COPD Exacerbation: A Physiologic Study.

Respir Care 2019 Feb 12. Epub 2019 Feb 12.

Department of Critical Care Medicine, Zhongda Hospital, Southeast University, School of Medicine, Nanjing, China.

Background: In patients with COPD exacerbation, noninvasive ventilation (NIV) is strongly recommended. NIV is generally delivered by using pneumatically triggered and cycled pressure support through a face mask. A specific method to generate neurally-controlled pressure support has been shown to improve comfort and patient-ventilator interaction. Read More

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http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06502
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http://dx.doi.org/10.4187/respcare.06502DOI Listing
February 2019
6 Reads
1.840 Impact Factor

Eliminating Risk of Intubation in Very Preterm Infants with Noninvasive Cardiorespiratory Support in the Delivery Room and Neonatal Intensive Care Unit.

Biomed Res Int 2019 13;2019:5984305. Epub 2019 Jan 13.

Santa Clara Valley Medical Center: Hospitals and Clinics, Department of Pediatrics, Newborn Medicine, San Jose, CA, USA.

Introduction: Avoiding intubation and promoting noninvasive modes of ventilator support including continuous positive airway pressure (CPAP) in preterm infants minimizes lung injury and optimizes neonatal outcomes. Discharge home on oxygen is an expensive morbidity in very preterm infants (VPI) with lung disease. In 2007 a standardized bundle was introduced for VPI admitted to the neonatal care unit (NICU) which included delayed cord clamping (DCC) at birth and noninvasive ventilation as first-line cardiorespiratory support in the delivery room (DR), followed by bubble CPAP upon NICU admission. Read More

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https://www.hindawi.com/journals/bmri/2019/5984305/
Publisher Site
http://dx.doi.org/10.1155/2019/5984305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348842PMC
January 2019
7 Reads

Assessment of patients' self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREA.

Health Qual Life Outcomes 2019 Feb 7;17(1):29. Epub 2019 Feb 7.

Réanimation polyvalente, Hôpital Louis Pasteur, CH de Chartres, Le Coudray, France.

Background And Aims: We reported the validation of the 18-item version of the 'Inconforts des Patients de REAnimation (IPREA)' questionnaire that includes 2 new items exploring feeling depressed and shortness of breath during an intensive care unit (ICU) stay.

Methods: The validation process was integrated in a multicenter, cluster-randomized, controlled, two-parallel group study built to assess the effectiveness of a tailored multicomponent program for reducing self-perceived discomfort in the ICU. All patients aged 18 years or older who survived an ICU stay of 3 calendar days or more were eligible for inclusion. Read More

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http://dx.doi.org/10.1186/s12955-019-1101-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367827PMC
February 2019
3 Reads

Diaphragm shear modulus reflects transdiaphragmatic pressure during isovolumetric inspiratory efforts and ventilation against inspiratory loading.

J Appl Physiol (1985) 2019 Mar 7;126(3):699-707. Epub 2019 Feb 7.

Service de Pneumologie, Médecine Intensive et Réanimation (Département "R3S"), Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Assistance Publique-Hôpitaux de Paris, Paris , France.

The reference method for the assessment of diaphragm function relies on the measurement of transdiaphragmatic pressure (Pdi). Local muscle stiffness measured using ultrafast shear wave elastography (SWE) provides reliable estimates of muscle force in locomotor muscles. This study aimed at investigating whether SWE could be used as a surrogate of Pdi to evaluate diaphragm function. Read More

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http://dx.doi.org/10.1152/japplphysiol.01060.2018DOI Listing
March 2019
3 Reads

Use of a Hydrocolloid Dressing in the Prevention of Device-related Pressure Ulcers During Noninvasive Ventilation: A Meta-analysis of Randomized Controlled Trials.

Wound Manag Prev 2019 Feb;65(2):30-38

Nantong University, Nantong City, Jiangsu Province, PR China.

Use of a hydrocolloid dressing (HCD) is generally recommended to help prevent pressure ulcers (PUs) in high-risk patients, including ulcers caused by noninvasive ventilation (NIV).

Purpose: The study was conducted to compare the effect of preventive use of HCD to other methods in the rate of facial PUs caused by NIV.

Methods: PubMed, Web of Science, China National Knowledge Infrastructure, and Wanfang Data were searched from date of index inception to August 2018 without language restrictions to identify randomized controlled trials (RCTs) that compared HCD use to other NIV-related PU prevention measures. Read More

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February 2019
8 Reads

Obesity hypoventilation syndrome: a current review.

J Bras Pneumol 2018 Nov-Dec;44(6):510-518

. Laboratório do Sono, Disciplina de Pneumologia, Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.

Obesity hypoventilation syndrome (OHS) is defined as the presence of obesity (body mass index ≥ 30 kg/m²) and daytime arterial hypercapnia (PaCO2 ≥ 45 mmHg) in the absence of other causes of hypoventilation. OHS is often overlooked and confused with other conditions associated with hypoventilation, particularly COPD. The recognition of OHS is important because of its high prevalence and the fact that, if left untreated, it is associated with high morbidity and mortality. Read More

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http://dx.doi.org/10.1590/S1806-37562017000000332DOI Listing
March 2019
2 Reads

Noninvasive Ventilation After Pediatric Cardiac Surgery: To Flow or Not to Flow?

Authors:
Asma Razavi

Pediatr Crit Care Med 2019 Feb;20(2):195-196

Division of Pediatric Critical Care Medicine, Department of Pediatrics, Loma Linda University Children's Hospital, Loma Linda, CA.

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http://dx.doi.org/10.1097/PCC.0000000000001821DOI Listing
February 2019
1 Read

Outcomes of Children With Bronchiolitis Treated With High-Flow Nasal Cannula or Noninvasive Positive Pressure Ventilation.

Pediatr Crit Care Med 2019 Feb;20(2):128-135

All authors: Division of Pediatric Critical Care Medicine, Department of Pediatrics, UH Rainbow Babies & Children's Hospital, Cleveland, OH.

Objectives: Initial respiratory support with noninvasive positive pressure ventilation or high-flow nasal cannula may prevent the need for invasive mechanical ventilation in PICU patients with bronchiolitis. However, it is not clear whether the initial choice of respiratory support modality influences the need for subsequent invasive mechanical ventilation. The purpose of this study is to compare the rate of subsequent invasive mechanical ventilation after initial support with noninvasive positive pressure ventilation or high-flow nasal cannula in children with bronchiolitis. Read More

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http://dx.doi.org/10.1097/PCC.0000000000001798DOI Listing
February 2019
9 Reads