4,188 results match your criteria Respiratory care[Journal]


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
3 Reads

Bacterial Contamination of Circuit Inner Surfaces After High-Flow Oxygen Therapy.

Respir Care 2019 Feb 5. Epub 2019 Feb 5.

Emergency and Critical Care Medicine, Tokushima University Graduate School, Tokushima, Japan.

Background: During high-flow oxygen therapy, heated humidified gas is delivered at high flow. Although the warmth and humidity of this gas facilitates mucociliary function in the lower airway, warm and humid conditions also promote bacterial growth. Bacterial contamination of high-flow oxygen therapy circuits has not been well investigated. Read More

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http://dx.doi.org/10.4187/respcare.06299DOI Listing
February 2019

Physiologic Effects of 3 Different Neonatal Volume-Targeted Ventilation Modes in Surfactant-Deficient Juvenile Rabbits.

Respir Care 2019 Feb 5. Epub 2019 Feb 5.

University of Washington School of Medicine, Seattle, Washington.

Background: Different brands of volume-targeted modes may vary the location of tidal volume (V) monitoring and whether peak inspiratory pressure is adjusted based on inspiratory, expiratory, or leak-compensated V. These variables may result in different levels of support provided to patients, especially when an endotracheal tube (ETT) leak is present. We hypothesized that there would be no differences in gas exchange, triggering, or work of breathing between volume-targeted modes of 3 different brands of equipment in a surfactant-deficient, spontaneously breathing animal model with and without an ETT leak. Read More

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http://dx.doi.org/10.4187/respcare.06271DOI Listing
February 2019
1.840 Impact Factor

Effects of Electrical Muscle Stimulation in Subjects Undergoing Prolonged Mechanical Ventilation.

Respir Care 2019 Feb 5. Epub 2019 Feb 5.

Department of Respiratory Therapy, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Background: Muscle atrophy and deconditioning are common complications in patients on prolonged mechanical ventilation (PMV). There are few studies that reviewed the effects of electrical muscle stimulation in this population. The purpose of this study was to examine the effects of electrical muscle stimulation on muscle function and hospitalization outcomes in subjects with PMV. Read More

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http://dx.doi.org/10.4187/respcare.05921DOI Listing
February 2019

Ventilatory Demand During Stepping and Running: Implications for Exercise-Induced Bronchoconstriction in Children.

Respir Care 2019 Feb 5. Epub 2019 Feb 5.

Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho, São Paulo, Brazil.

Background: Single-step tests have been proposed as simple and inexpensive challenges to diagnose exercise-induced bronchoconstriction (EIB) in the pediatric population. Work performed and the resulting ventilation, however, might be substantially lower in stepping than running. This might decrease the diagnostic yield of step-based challenges. Read More

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http://dx.doi.org/10.4187/respcare.06363DOI Listing
February 2019
1 Read

Relationship of Cough Strength to Respiratory Function, Physical Performance, and Physical Activity in Older Adults.

Respir Care 2019 Feb 5. Epub 2019 Feb 5.

Department of Physical Therapy, School of Health Sciences at Fukuoka, International University of Health and Welfare, Okawa-shi, Fukuoka, Japan.

Background: Age- and lifestyle-related changes in respiratory and physical function affect cough strength. However, in older adults, the main factors that relate to cough strength remain unclear. This study was a preliminary investigation of factors that contribute to cough strength and the relationships between cough strength and respiratory function, physical performance, physical activity, and sedentary behavior in community-dwelling older adults. Read More

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http://dx.doi.org/10.4187/respcare.06490DOI Listing
February 2019

Editor's Commentary.

Authors:

Respir Care 2019 Feb;64(2)

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February 2019

Clinical Usefulness of Functional Tests of Leg Muscle Strength and Power in Adults With Cystic Fibrosis.

Respir Care 2019 Feb;64(2):240-241

Rehabilitation Sciences Institute University of Toronto Toronto, Canada Department of Physical Therapy University of Toronto Toronto, Canada

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http://dx.doi.org/10.4187/respcare.06763DOI Listing
February 2019
4 Reads

Assessment of Peripheral Muscle Function in Cystic Fibrosis: Why and How?

Respir Care 2019 Feb;64(2):238-240

Department of Sport and Exercise Science Faculty of Science University of Portsmouth Portsmouth, United Kingdom.

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http://dx.doi.org/10.4187/respcare.06692DOI Listing
February 2019
4 Reads

Effects of Mechanical Insufflation-Exsufflation on the Breathing Pattern in Stable Subjects With Duchenne Muscular Dystrophy: A Step in a Wrong Direction.

Respir Care 2019 Feb;64(2):235-236

Sleep and Breathing and NIHR Respiratory Biomedical Research Unit Royal Brompton & Harefield NHS Foundation Trust London, United Kingdom.

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http://dx.doi.org/10.4187/respcare.06495DOI Listing
February 2019
1 Read

Conditioning Inspired Gases for Tracheostomy.

Respir Care 2019 Feb;64(2):233-234

Editor-in-Chief, Respiratory Care Irving, Texas University of Cincinnati Cincinnati, Ohio.

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http://dx.doi.org/10.4187/respcare.06893DOI Listing
February 2019
1 Read

Home Oxygen Therapy Devices: Providing the Prescription.

Respir Care 2019 Feb;64(2):230-232

Publisher Emeritus, Respiratory Care Chairman, U.S. COPD Coalition Carrollton, Texas.

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http://dx.doi.org/10.4187/respcare.06850DOI Listing
February 2019

Reproducibility and Validity of the 6-Minute Stationary Walk Test Associated With Virtual Reality in Subjects With COPD.

Respir Care 2019 Jan 29. Epub 2019 Jan 29.

Universidade Federal de São Carlos, São Carlos, São Paulo, Brazil.

Background: The importance of evaluating the functional capacity of patients with COPD is well known, and there is a wide range of tests described in the literature. The 6-min stationary walk test associated with virtual reality (STVR-6) was created in light of the current limitations of evaluation tests. It does not require a large physical space or sophisticated equipment, and it is not costly; furthermore, it can be performed by a single rater. Read More

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http://dx.doi.org/10.4187/respcare.06237DOI Listing
January 2019
1 Read

In Vitro-In Silico Comparison of Pulsed Oxygen Delivery From Portable Oxygen Concentrators Versus Continuous Flow Oxygen Delivery.

Respir Care 2019 Feb 29;64(2):117-129. Epub 2019 Jan 29.

Department of Mechanical Engineering, University of Alberta, Edmonton, Alberta, Canada.

Background: Portable oxygen concentrators (POCs) deliver oxygen in intermittent pulses. The challenge of establishing equivalence between continuous flow oxygen and nominal pulse flow settings on different POCs is well known. In vitro bench measurements and in silico mathematical modeling were used to compare the performance of 4 POCs versus continuous flow oxygen by predicting the F at the trachea and entering the acini. Read More

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http://dx.doi.org/10.4187/respcare.06359DOI Listing
February 2019
1 Read

Reduced FEV/FVC and FEV in the Normal Range as a Physiological Variant.

Respir Care 2019 Jan 22. Epub 2019 Jan 22.

Postgraduate Program in Internal Medicine, Civil Servant State Public Hospital of São Paulo, São Paulo, Brazil.

Background: Healthy individuals without respiratory symptoms can sometimes present with low FEV/FVC. The objective of this study was to characterize and compare subjects without symptoms and with reduced FEV/FVC but normal FEV with subjects with mild obstructive lung disease.

Methods: Fifty healthy subjects with FEV/FVC below the fifth percentile of reference values (normal variants) were compared with 52 subjects with asthma and 48 subjects with COPD who had similar FEV/FVC. Read More

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http://dx.doi.org/10.4187/respcare.06131DOI Listing
January 2019
2 Reads

Aerosol Delivery Through an Adult High-Flow Nasal Cannula Circuit Using Low-Flow Oxygen.

Respir Care 2019 Jan 22. Epub 2019 Jan 22.

Clinical Pharmacy Department, Faculty of Pharmacy, Beni-Suef University, Beni-Suef, Egypt.

Background: There has been a growing trend toward delivering aerosolized medications using high-flow nasal cannula (HFNC). In some cases, patients who do not require high-flow oxygen to maintain adequate oxygenation may benefit from aerosol delivery while receiving low-flow oxygen via HFNC. The objective of this study was to quantify and compare the relative pulmonary and systemic delivery of salbutamol, with 2 different nebulizers, in patients with COPD receiving low-flow oxygen therapy through an HFNC. Read More

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http://dx.doi.org/10.4187/respcare.06345DOI Listing
January 2019
1 Read

Comparing the Performance Characteristics of Different Positive Expiratory Pressure Devices.

Respir Care 2019 Jan 22. Epub 2019 Jan 22.

School of Allied Health Sciences, Griffith University, Queensland, Australia.

Background: Positive expiratory pressure (PEP) devices are widely used in clinical settings, yet the performance characteristics of these devices remain relatively unknown. This study compared the performance characteristics of 6 airway clearance devices by varying resistance and flow.

Methods: Mean PEP, peak PEP, oscillation frequency, and amplitude PEP of the Flutter, Pari PEP S, Acapella Choice, Acapella DM, Acapella DH, and Aerobika devices were obtained across flows of 5, 10, 15, 20, 25 and 30 L/min and at low, medium, and high resistance using an experimental apparatus custom-built for this bench study. Read More

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http://dx.doi.org/10.4187/respcare.06410DOI Listing
January 2019
1 Read

Evaluation of Diaphragmatic Ultrasound Indices as Predictors of Successful Liberation From Mechanical Ventilation in Subjects With Abdominal Sepsis.

Respir Care 2019 Jan 22. Epub 2019 Jan 22.

Department of Anesthesia and Critical Care, Cairo University Hospital, Cairo, Egypt.

Background: Sepsis-induced diaphragmatic dysfunction is one of the main risk factors of failure to liberate patients from mechanical ventilation. Several studies addressed diaphragmatic ultrasound as a valuable tool in the assessment of diaphragmatic function during liberation from mechanical ventilation in different populations. However, none of these studies examined the use of diaphragmatic ultrasound to predict failure of liberation from mechanical ventilation in subjects with sepsis METHODS: A prospective observational study was done with subjects on mechanical ventilation and with abdominal sepsis. Read More

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http://dx.doi.org/10.4187/respcare.06391DOI Listing
January 2019
2 Reads
1.840 Impact Factor

Visual Obstruction of Flow Indicator Increases Inspiratory Volumes in Incentive Spirometry.

Respir Care 2019 Jan 22. Epub 2019 Jan 22.

Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Background: Incentive spirometers were developed to facilitate sustained maximum inspiration. In addition to a slow-rising float that indicates volume displacement, the incentive spirometers includes a sensitive, rapid-fluttering flow indicator. Achieving the target inspiratory volume is believed to be the most important factor in successful incentive spirometers use. Read More

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http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06331
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http://dx.doi.org/10.4187/respcare.06331DOI Listing
January 2019
6 Reads

Predicting Respiratory Therapists' Intentions to Use the Modified Early Warning Score by Using an Enhanced Technology Acceptance Model.

Respir Care 2019 Jan 22. Epub 2019 Jan 22.

Division of Respiratory Care, Department of Cardiopulmonary Sciences, Rush University Medical Center, Chicago, Illinois.

Background: The modified early warning score (MEWS) is used to detect early clinical deterioration and to escalate care as needed. Respiratory therapists (RTs) usually do not use the MEWS even when it is implemented as a default in the electronic health record system. This study explored whether the technology acceptance model could predict the intentions of RTs to use the MEWS. Read More

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http://dx.doi.org/10.4187/respcare.06428DOI Listing
January 2019
6 Reads

Lung Ultrasound Combined With Procalcitonin for a Diagnosis of Ventilator-Associated Pneumonia.

Respir Care 2019 Jan 22. Epub 2019 Jan 22.

Department of Critical Care Medicine, Ningbo Medical Center Lihuili Eastern Hospital, Ningbo, China.

Background: Lung ultrasound is a valuable imaging tool in the diagnosis of community-acquired pneumonia. However, its diagnostic accuracy in ventilator-associated pneumonia (VAP) has not been fully investigated. The aim of this study was to evaluate the diagnostic performance of the combination of a lung ultrasound with procalcitonin (PCT) in mechanically ventilated subjects with symptoms suggestive of pneumonia. Read More

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http://dx.doi.org/10.4187/respcare.06377DOI Listing
January 2019
2 Reads

Inspiratory Capacity and Vital Capacity of Healthy Subjects 9-81 Years of Age at Moderate-High Altitude.

Respir Care 2019 Feb 15;64(2):153-160. Epub 2019 Jan 15.

Department of Respiratory Physiology, Instituto Nacional de Enfermedades Respiratorias "Ismael Cosío Villegas," Mexico City, Mexico.

Background: Measurements of inspiratory capacity (IC) and vital capacity (VC) are used to recognize dynamic hyperinflation, but appropriate reference values are required to achieve accurate clinical interpretations. Altitude above sea level is a potential determining factor for lung volumes, including IC and VC.

Objective: To describe IC and VC for healthy people who live in Mexico City at an altitude of 2,240 m above sea level. Read More

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http://dx.doi.org/10.4187/respcare.06284DOI Listing
February 2019
3 Reads

Lung Ultrasound: The Emerging Role of Respiratory Therapists.

Respir Care 2019 Feb 15;64(2):217-229. Epub 2019 Jan 15.

College of Health Sciences, Srinivas University, Mangalore, Karnataka, India.

Lung ultrasound is a point-of-care imaging tool that is routinely used in acute care medicine. Traditionally, radiology physicians were the primary practitioners of diagnostic ultrasound, but with the recognition of its importance in intensive care medicine, critical care physicians have also adopted this practice. Within the intensive care unit inter-professional team is the respiratory therapist, who participates actively in the care of ventilated patients. Read More

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http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06179
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http://dx.doi.org/10.4187/respcare.06179DOI Listing
February 2019
17 Reads

An Artificial Cough Maneuver to Remove Secretions From Below the Endotracheal Tube Cuff.

Respir Care 2019 Jan 8. Epub 2019 Jan 8.

Dipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Università degli Studi di Milano, Milan, Italy.

Background: Endotracheal suctioning is mandatory to prevent complications caused by the retention of tracheal secretions. Endotracheal suctioning is often performed late, when patients show signs of respiratory and hemodynamic alterations. We conceived a prototype device that, when synchronized with the ventilator, automatically removes secretions collected below the endotracheal tube (ETT) cuff, thus avoiding endotracheal suctioning. Read More

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http://dx.doi.org/10.4187/respcare.06076DOI Listing
January 2019
3 Reads

STudy of Active Duty Military Personnel for Environmental Deployment Exposures: Pre- and Post-Deployment Spirometry (STAMPEDE II).

Respir Care 2019 Jan 8. Epub 2019 Jan 8.

Pulmonary/Critical Care Service, Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, San Antonio Texas.

Background: There is significant concern about the respiratory health of deployed military service members given the reported airborne hazards in southwest Asia, which range from geologic dusts, burn pit emissions, chemical exposures, and increased rates of smoking. There has been no previous comparison of pre- and post-deployment lung function in these individuals.

Methods: Military personnel who deployed to southwest Asia in support of ongoing military operations were recruited from the Soldier Readiness Processing Center at Fort Hood, Texas, from 2011 to 2014. Read More

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http://dx.doi.org/10.4187/respcare.06396DOI Listing
January 2019
5 Reads

Home Mechanical Ventilation Use in South Korea Based on National Health Insurance Service Data.

Respir Care 2018 Dec 24. Epub 2018 Dec 24.

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

Background: In Asian countries, nationwide data on patients undergoing home mechanical ventilation are limited.

Methods: This study investigated the prevalence and primary indications for home mechanical ventilation use in South Korea by using nationwide registry data from the National Health Insurance Service.

Results: The study period included a total of 4,785 subjects on home mechanical ventilation (mean ± SD age, 56. Read More

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http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06310
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http://dx.doi.org/10.4187/respcare.06310DOI Listing
December 2018
12 Reads

Measurement of Dynamic Hyperinflation During the 6-Minute Walk Test Using a Mobile Device.

Respir Care 2019 Feb 24;64(2):182-188. Epub 2018 Dec 24.

Department of Pulmonary Medicine, Zuyderland Medical Center, Heerlen, The Netherlands.

Background: Dynamic hyperinflation is a major cause of dyspnea in patients with COPD. Dynamic hyperinflation is usually measured with cardiopulmonary exercise testing, but this test requires maximal effort from the patient, and inspiratory capacity (IC) measurements may influence test results. This study investigated another approach by measuring dynamic hyperinflation during the more natural and better-tolerated 6-min walk test (6MWT), using a mobile system for IC measurements. Read More

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http://dx.doi.org/10.4187/respcare.06307DOI Listing
February 2019
1 Read

Pulmonary Thromboses in Pediatric Acute Respiratory Distress Syndrome.

Respir Care 2019 Feb 24;64(2):209-216. Epub 2018 Dec 24.

Division of Pediatric Critical Care, Department of Pediatrics, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Pediatric ARDS continues to be a management challenge in the ICU with prolonged hospitalizations and high mortality. Thromboembolic pulmonary embolism and in situ pulmonary artery thrombosis might represent underappreciated thrombotic processes for a subset of these patients. Although well described in the adult literature, descriptions of pulmonary thromboses with pediatric ARDS are limited to case reports. Read More

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http://dx.doi.org/10.4187/respcare.06106DOI Listing
February 2019
3 Reads

Editor's Commentary.

Authors:

Respir Care 2019 Jan;64(1)

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January 2019
1 Read

Noninvasive Ventilation after Surgical Myocardial Revascularization for Left-Ventricular Dysfunction: A Hypothesis-Generating Study.

Respir Care 2019 Jan;64(1):115-116

Cardiac Surgery Division Clinica Montevergine, GMV Health Care and Research Mercogliano, Italy.

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http://dx.doi.org/10.4187/respcare.06510DOI Listing
January 2019
2 Reads

Lung Ultrasound: Just B Lines?

Respir Care 2019 Jan;64(1):114-115

Hospital Central de las Fuerzas Armadas (DNSFFAA) Hospital Policial Montevideo, Uruguay.

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http://dx.doi.org/10.4187/respcare.06375DOI Listing
January 2019
1 Read

Early Mobilization of Patients on Mechanical Ventilation: Worth the Effort and Expense?

Authors:
Neil R MacIntyre

Respir Care 2019 Jan;64(1):112-113

Duke University Medical Center Durham, North Carolina.

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http://dx.doi.org/10.4187/respcare.06801DOI Listing
January 2019
1 Read

High-Flow Nasal Cannula: Clinically Speaking, Is There Really a Difference?

Authors:
Brian K Walsh

Respir Care 2019 Jan;64(1):110-111

Respiratory Therapy Liberty University Lynchburg, Virginia.

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http://dx.doi.org/10.4187/respcare.06794DOI Listing
January 2019
1 Read

Improved Endotracheal Tubes for Prevention of Ventilator-Associated Pneumonia: Better Than Silver and Gold?

Respir Care 2019 Jan;64(1):108-109

University Hospital of Lille Lille Inflammation Research International Center CHU Lille Critical Care Center Lille, France

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http://dx.doi.org/10.4187/respcare.06698DOI Listing
January 2019
2 Reads

Significance of Pulmonary Rehabilitation in Improving Quality of Life for Subjects With COPD.

Respir Care 2019 Jan;64(1):99-107

Department of Respiratory and Critical Care Medicine, Beijing Luhe Hospital, Capital Medical University, Beijing, China.

Background: Increasingly, studies have shown that application of pulmonary rehabilitation (PR) may improve the quality of life (QOL) of patients with COPD. However, some studies remain controversial and were limited to small number of participants. We designed a systematic review and meta-analysis to evaluate the efficacy of PR in improving the QOL for subjects with COPD. Read More

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http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06353
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http://dx.doi.org/10.4187/respcare.06353DOI Listing
January 2019
12 Reads

Increased Accuracy After Adjustment of Spirometry Threshold for Diagnosing COPD Based on Pre-Bronchodilator FEV/FVC.

Respir Care 2019 Jan;64(1):85-90

Department of Health Science and Technology, Aalborg University, Denmark.

Background: COPD is a leading cause of morbidity and mortality worldwide. Spirometry is the most common lung function test for diagnosing COPD with a post-bronchodilator FEV/FVC < 0.70 confirming the presence of the disease. Read More

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http://dx.doi.org/10.4187/respcare.06148DOI Listing
January 2019
1 Read

Increase in Body Mass Index Decreases Duration of Apneas and Hypopneas in Obstructive Sleep Apnea.

Respir Care 2019 Jan;64(1):77-84

Department of Clinical Neurophysiology, Diagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland.

Background: Obesity is one of the most prominent risk factors for obstructive sleep apnea (OSA). Weight loss decreases the number of shorter respiratory events (<40 s), whereas the number of longer events remains almost unchanged. However, it is unknown how body mass index (BMI) affects individual obstruction event severity within OSA severity categories when age, sex, smoking, daytime sleepiness, snoring, hypertension, heart failure, and sleeping posture are considered. Read More

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http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06297
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http://dx.doi.org/10.4187/respcare.06297DOI Listing
January 2019
12 Reads

Health Perception and Behaviors in Adults With Bronchiectasis.

Respir Care 2018 Dec 11. Epub 2018 Dec 11.

State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.

Background: Bronchiectasis is a chronic debilitating suppurative disease that significantly impacts quality of life. Clinical outcomes like exacerbations, are usually physician centered; however, the patients' experience, health-related behaviors, and expectations have frequently been neglected. In addition, patients' health perceptions may be influenced by their culture. Read More

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http://dx.doi.org/10.4187/respcare.06394DOI Listing
December 2018
3 Reads

Tailoring Empirical Antimicrobial Therapy in Subjects With Ventilator-Associated Pneumonia With a 10-Hour E-Test Approach.

Respir Care 2018 Dec 11. Epub 2018 Dec 11.

Univ. de Bordeaux, UMR 5234 CNRS 'Microbiologie Cellulaire et Moléculaire et Pathogénicité'', Bordeaux, France.

Background: In a previous study of subjects suspected of having ventilator-associated pneumonia, a rapid susceptibility testing approach by using ETEST (BioMérieux) strips directly applied to bronchoalveolar lavage samples provided valuable information at hour 24. The primary objective of this study was to assess a new direct specimen testing by using an even more-rapid E-test approach (at hour 10), which could promote an early de-escalation of the antimicrobial therapy.

Methods: Twenty-eight subjects with ventilator-associated pneumonia admitted to a medical ICU were prospectively included. Read More

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http://dx.doi.org/10.4187/respcare.06255DOI Listing
December 2018
2 Reads

Impact of Spontaneous Breathing Trial on Work of Breathing Indices Derived From Esophageal Pressure, Electrical Activity of the Diaphragm, and Oxygen Consumption in Children.

Respir Care 2018 Dec 11. Epub 2018 Dec 11.

Pediatric Intensive Care Unit, Centre Hospitalier Universitaire (CHU) Sainte-Justine, Montreal, Québec, Canada.

Background: The present study aimed to characterize the behavior of 3 components of respiratory muscle function during mechanical ventilation weaning in children to better understand the respective impact of a spontaneous breathing trial on ventilatory mechanical action (esophageal pressure [P], ventilatory demand (electrical activity of the diaphragm [EA]), and oxygen consumption.

Methods: This was a prospective single-center study. All children ≥ 1 months and <18 y old who were intubated and on mechanical ventilation, and who were hospitalized in the pediatric ICU were eligible. Read More

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http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06351
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http://dx.doi.org/10.4187/respcare.06351DOI Listing
December 2018
2 Reads

A COPD Case-Finding Program in a Large Cohort of HIV-Infected Persons.

Respir Care 2019 Feb 11;64(2):169-175. Epub 2018 Dec 11.

Department of Infectious and Tropical Diseases, University of Brescia and Spedali Civili General Hospital, Brescia, Italy.

Background: COPD screening guidelines in patients with HIV are lacking, and data about its under-diagnosis are still limited. This study aimed to determinate the feasibility of a case-finding program and the prevalence of COPD under-diagnosis in a large cohort of HIV-infected subjects.

Methods: All out-patients attending their routine visit for HIV monitoring at Spedali Civili General Hospital in Brescia, Italy, from February 2015 to January 2016, were enrolled. Read More

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http://dx.doi.org/10.4187/respcare.06247DOI Listing
February 2019
1 Read

Objective Versus Self-Reported Adherence to Airway Clearance Therapy in Cystic Fibrosis.

Respir Care 2019 Feb 11;64(2):176-181. Epub 2018 Dec 11.

Division of Pediatric Pulmonary and Sleep Medicine, as well as the Gregory Fleming James Cystic Fibrosis Research Center, University of Alabama at Birmingham, Alabama.

Background: Historically, studies of adherence to airway clearance therapy in cystic fibrosis (CF) have relied on self-reporting. We compared self-reported airway clearance therapy adherence to actual usage data from home high-frequency chest wall compressions (HFCWC) vests and identified factors associated with overestimation of adherence in self-reports.

Methods: Pediatric patients who perform airway clearance therapy with a HFCWC vest were eligible to participate. Read More

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http://dx.doi.org/10.4187/respcare.06436DOI Listing
February 2019
2 Reads

Editor's Commentary.

Authors:

Respir Care 2018 Dec;63(12)

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December 2018
1 Read

Mechanical Insufflation-Exsufflation Is Safe in Mechanically Ventilated Patients.

Respir Care 2018 Dec;63(12):1584

Intensive Care Unit Hospital Moinhos de Vento Porto Alegre, Brazil.

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http://dx.doi.org/10.4187/respcare.06575DOI Listing
December 2018
1 Read

Weak Cough Strength and Secretion Retention in Mechanically Ventilated Patients: Is There a Role for Cough-Assist Devices?

Respir Care 2018 Dec;63(12):1583-1584

Physical Therapy Department Helvio Auto Hospital University of Health Sciences Maceió, Brazil.

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http://dx.doi.org/10.4187/respcare.06527DOI Listing
December 2018
1 Read

The Importance of Synchronization During Neonatal Noninvasive Ventilation.

Authors:
Robert M DiBlasi

Respir Care 2018 Dec;63(12):1579-1582

Department of Respiratory Care Seattle Children's Hospital and Research Institute Seattle, Washington

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http://dx.doi.org/10.4187/respcare.06741DOI Listing
December 2018
2 Reads

Mechanical Insufflation-Exsufflation to Improve Secretion Clearance During Invasive Ventilation.

Respir Care 2018 Dec;63(12):1577-1578

Service d'Explorations Fonctionnelles, Hôpital Raymond Poincaré, Garches, France INSERM Université de Versailles Saint Quentin en Yvelines, France

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http://dx.doi.org/10.4187/respcare.06700DOI Listing
December 2018
8 Reads

Optoacoustic Evaluation of Endotracheal Tube Depth in Pediatrics.

Respir Care 2018 Dec;63(12):1575-1576

Duke University Medical Center Durham, North Carolina.

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http://dx.doi.org/10.4187/respcare.06687DOI Listing
December 2018
2 Reads