4,234 results match your criteria Respiratory care[Journal]


A Comparison of Methods to Count Breathing Frequency.

Respir Care 2019 Apr 16. Epub 2019 Apr 16.

Jichi Medical University Center for Community Medicine, Division of Community and Family Medicine, Shimotsuke, Tochigi, Japan.

Background: Counting breaths for a full minute for all patients to determine breathing frequency could result in excessive work load for many medical staff. The aim of this study was to verify the agreement of 2 quick screening methods with counting breaths for a full minute.

Methods: We conducted a cross-sectional study to compare the breathing frequency estimates from a 15-s period multiplied by 4 (15-s quadruple) and a value which is 60 divided by the time measured for a single breath (ie, breathing time measurement) against counting breaths for a full minute. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06451DOI Listing

Characteristics of Nonpulmonary Organ Dysfunction at Onset of ARDS Based on the Berlin Definition.

Respir Care 2019 Apr 16. Epub 2019 Apr 16.

Department of Pulmonary and Critical Care Medicine, University of California, San Francisco at San Francisco General Hospital, San Francisco, California.

Background: The Berlin definition of ARDS does not account for nonpulmonary organ failure, which is a major determinant of outcome. We examined whether an increasing severity of hypoxemia across the Berlin definition classifications also corresponded with evidence of multiple organ dysfunction on the day of ARDS onset. We also examined the representation of major etiologies for ARDS across the Berlin definition classifications. Read More

View Article

Download full-text PDF

Source
http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06165
Publisher Site
http://dx.doi.org/10.4187/respcare.06165DOI Listing
April 2019
1 Read

Reference Equations for the ADL-Glittre Test in Pediatric Subjects.

Respir Care 2019 Apr 16. Epub 2019 Apr 16.

Health and Sports Science Center, Physiotherapy Department and Postgraduate Program, Santa Catarina State University, Florianópolis, Brazil.

Background: The ADL-Glittre test (TGlittre) was initially proposed to evaluate the activities of daily life (ADL) of adults with COPD that involve activities with the upper limbs in addition to walking. Recently, the test has been adapted for children (TGlittre-P), but no reference values have been proposed for its use in this population. The main objective of this study was to develop reference equations for the pediatric adaptation of the TGlittre. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06619DOI Listing

Inhaled Iloprost Versus Epoprostenol in Heart Transplant Recipients.

Respir Care 2019 Apr 9. Epub 2019 Apr 9.

Department of Anesthesiology & Perioperative Medicine, Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon.

Background: Acute right ventricular dysfunction is a challenging problem in the immediate postoperative period following orthotopic heart transplantation. There are no prior reports of the use of inhaled iloprost in the setting of acute right ventricular dysfunction and acute pulmonary hypertension. Our hypothesis was that the use of inhaled iloprost in heart transplant recipients would be associated with a reduction in the duration of mechanical ventilation compared to patients being treated with continuous inhaled epoprostenol. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06426DOI Listing
April 2019
1 Read

Editor's Commentary.

Authors:

Respir Care 2019 Apr;64(4)

View Article

Download full-text PDF

Source

Endotracheal Tube Depth in Premature Newborns.

Authors:
Carlo Bellini

Respir Care 2019 Apr;64(4):491

Neonatal Intensive Care Unit IRCCS Istituto Giannina Gaslini Genoa, Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06657DOI Listing

Hammocks in the Neonatal ICU: Still a Long Way From Vacation.

Authors:
Shantanu Rastogi

Respir Care 2019 Apr;64(4):489-490

Associate Professor of Clinical Pediatrics SUNY-HSC at Brooklyn Maimonides Medical Center Brooklyn, New York

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06983DOI Listing

Artificial Cough Maneuvers: A New Method of Secretion Clearance?

Respir Care 2019 Apr;64(4):487-488

Pulmonary and Critical Care Medicine China-Japan Friendship Hospital National Clinical Research Center for Respiratory Diseases Institute of Respiratory Medicine Chinese Academy of Medical Sciences Beijing, China.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.07000DOI Listing
April 2019
1.840 Impact Factor

The Search for Accuracy in Neonatal Volume-Targeted Ventilation: For Whom, the Manufacturer, the Physician, or the Patient?

Respir Care 2019 Apr;64(4):484-486

Service of Neonatology and Pediatric Intensive Care Department of Pediatrics University Hospital and University of Geneva Geneva, Switzerland

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06962DOI Listing

Mortality in Critically Ill Elderly Individuals Receiving Mechanical Ventilation.

Respir Care 2019 Apr;64(4):473-483

School of Medicine, University of Magallanes, Punta Arenas, Chile.

Background: Previous studies that evaluated mortality in elderly subjects who received mechanical ventilation had conflicting results. The aim of this systematic review was to evaluate the effects of age on mortality.

Methods: A number of medical literature databases and the references listed (from 1974 to May 2015) were searched for studies that compared 2 different age groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06586DOI Listing
April 2019
1 Read

Oscillating Positive Expiratory Pressure Therapy May Be Performed Poorly by Children With Cystic Fibrosis.

Respir Care 2019 Apr;64(4):398-405

Graduate Entry Medical School and Centre for Interventions in Infection, Inflammation and Immunity (4i), University of Limerick, Limerick, Ireland.

Background: Oscillating positive expiratory pressure devices aid removal of excess secretions and reduce gas trapping in patients with hypersecretory pulmonary diseases, for example, cystic fibrosis. Oscillating positive expiratory pressure works when the patient exhales actively against a fixed resistor, which generates mean intrapulmonary pressures of 10-20 cm HO with rapid fluctuations of at least 1 cm HO from the mean. In this study, we evaluated the performance of oscillating positive expiratory pressure therapy by pediatric subjects with cystic fibrosis to determine adherence to target therapeutic pressures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06329DOI Listing
April 2019
3 Reads

Effectiveness of Hammock Positioning in Reducing Pain and Improving Sleep-Wakefulness State in Preterm Infants.

Respir Care 2019 Apr;64(4):384-389

Department of Prevention and Rehabilitation in Physical Therapy, and Internal Medicine Masters/Doctorate Programme, Federal University of Paraná, Curitiba, Brazil.

Background: Hammock positioning is now frequently used with preterm infants admitted to ICUs. However, few studies have investigated the extent to which hammock positioning reduces pain and improves the sleep-wakefulness state compared with traditional positioning.

Methods: Twenty-six clinically stable newborns with gestational ages from 30 to 37 weeks who were breathing spontaneously were randomly assigned to 2 groups: a hammock-positioning group ( = 13), in which newborns were placed in hammocks in the lateral position, and a traditional-positioning group ( = 13), in which they were kept nested, also in the lateral position. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06265DOI Listing

Noninvasive Ventilation to Treat Respiratory Failure After Cardiac Surgery: Predictors of Application and Outcome.

Respir Care 2019 Apr 2. Epub 2019 Apr 2.

Department of Cardiothoracic Surgery, "G. Papanikolaou" General Hospital, Thessaloniki, Greece.

Background: Respiratory complications remain a major cause of morbidity in cardiac surgery patients. This study aimed to determine the prognostic parameters associated with the application of noninvasive ventilation (NIV) for the treatment of acute respiratory failure, along with the possible predictors associated with NIV failure, among the subjects who underwent cardiac surgery.

Methods: This was a retrospective cohort study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06062DOI Listing
April 2019
3 Reads

2018 Year in Review: Adult Invasive Mechanical Ventilation.

Respir Care 2019 Apr 2. Epub 2019 Apr 2.

Hospital of the University of Pennsylvania, Department of Respiratory Care Services, Philadelphia, Pennsylvania.

Research in the area of adult invasive mechanical ventilation is rich and diverse. With more than 3,200 articles on mechanical ventilation published in 2018, isolating the most relevant literature is a challenge. Separated into 5 themes (ie, ventilatory support, hyperoxia, ventilator-associated events, prevention, and ventilator liberation), this article will describe the most important papers published on adult invasive mechanical ventilation in 2018. Read More

View Article

Download full-text PDF

Source
http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06927
Publisher Site
http://dx.doi.org/10.4187/respcare.06927DOI Listing
April 2019
3 Reads

Impact of Gas Masks on the Work of Breathing and Breathing Pattern in Subjects With Stable COPD.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

Centre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Université Laval, Quebec City, Quebec, Canada.

Background: The gas mask constitutes the main respiratory protective equipment in a Chemical, biological, radiological, or nuclear environment. The aim of the study was to evaluate the impact of the gas mask on respiratory pattern, gas exchange, and indexes of respiratory effort in patients with moderate to severe stable COPD.

Methods: Crossover evaluation with 3 randomized-order, 10-min conditions: at rest and with and without a gas mask using 2 different filtered cartridges, each with a distinct inspiratory resistance (cartridge A = 3. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06550DOI Listing
March 2019
1 Read

The Impact of Delayed Diagnosis of Alpha-1 Antitrypsin Deficiency: The Association Between Diagnostic Delay and Worsened Clinical Status.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

Education Institute, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio.

Background: Alpha-1 antitrypsin deficiency is frequently underrecognized. Individuals with symptoms often experience long diagnostic delays. Although a delayed diagnosis is logically presumed to be associated with adverse effects, confirmatory evidence that a delay in diagnosis confers harm is sparse. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06555DOI Listing
March 2019
2 Reads

Serial Weekly Measurements of the Timed Inspiratory Effort Index Can Predict Successful Prolonged Weaning.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

Nephrology Division, Department of Medicine, Universidade Federal Fluminense, Niteroi, Brazil.

Background: Patients who require prolonged weaning from mechanical ventilation represent a major challenge in intensive care, and the timed inspiratory effort (TIE) index has been shown to be a clinically valuable tool to predict weaning success.

Objective: To evaluate whether weekly serial measurements of the TIE index can predict the success in prolonged weaning.

Methods: A prospective observational study in which the subjects who started the weaning process off mechanical ventilation underwent weekly measurements of the TIE index. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06367DOI Listing
March 2019
1 Read
1.840 Impact Factor

Safety of Positive Pressure Extubation Technique.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

Division of Respiratory Care and Physical Therapy, Hospital Donación Francisco Santojanni, Ciudad Autónoma de Buenos Aires, Argentina.

Background: Laboratory studies suggest applying positive pressure without endotracheal suction during cuff deflation and extubation. Although some studies reported better physiological outcomes (e.g. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06541DOI Listing
March 2019
1 Read

Accuracy of Point-of-Care Testing for Anemia in the Emergency Department.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

Department of Surgery, Larner College of Medicine, University of Vermont, Burlington, Vermont.

Background: Pulse oximetry has become the standard of care in emergency medicine, operating rooms, and medical wards for the monitoring of oxygenation, but the use of pulse oximetry for assessment of hemoglobin (Hb) is controversial. The purpose of this study was to compare the accuracy and precision of 2 point-of-care Hb measurement devices, the Pronto-7 and the HemoCue 201+, to laboratory testing.

Methods: We studied a convenience sample of patients in the emergency department who required a complete blood count. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06364DOI Listing

Effect of Health Coaching Delivered by a Respiratory Therapist or Nurse on Self-Management Abilities in Severe COPD: Analysis of a Large Randomized Study.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

HealthPartners Institute for Education and Research, Bloomington, Minnesota.

Background: Self-management of patients with COPD has received increasing attention in recent years given its association with improved outcomes. There is a scarcity of feasible interventions that can improve self-management abilities. We recently reported the positive effect of health coaching, started at the time of hospital discharge, on re-hospitalizations and emergency department visits for patients with COPD admitted for an exacerbation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.05927DOI Listing

Race/Ethnicity and 30-Day Readmission Rates in Medicare Beneficiaries With COPD.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

Department of Occupational Therapy, Colorado State University, Fort Collins, Colorado.

Background: COPD is now included in Medicare's hospital readmission reduction program. Hospitals with excessive risk-adjusted 30-d readmission rates receive financial penalties. Race/ethnicity is not included in the risk-adjustment models. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06475DOI Listing

Predictors of Impaired Survival in Subjects With Long-Term Oxygen Therapy.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Background: The need for long-term oxygen therapy (LTOT) is usually a sign of advanced disease, which could trigger advance care planning. However, LTOT is used in patients with different characteristics and multiple diagnoses beyond COPD. We studied the factors associated with survival in an unselected sample of subjects who started LTOT. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06615DOI Listing
March 2019
1 Read

Development and Validation of the Tele-Pulmonary Rehabilitation Acceptance Scale.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

Department of Occupational Therapy, School of Applied Health Sciences, Brooks Rehabilitation College of Healthcare Sciences, Jacksonville University, Jacksonville, Florida.

Background: Using telehealth in pulmonary rehabilitation (telerehabilitation) is a new field of health-care practice. To successfully implement a telerehabilitation program, measures of acceptance of this new type of program need to be assessed among potential users. The purpose of this study was to develop a scale to measure acceptance of using telerehabilitation by health-care practitioners and patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06432DOI Listing
March 2019
3 Reads

Effect of Face Mask Design and Flow-by on Rebreathing During Noninvasive Ventilation.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

School of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy.

Background: Noninvasive ventilation (NIV) is used to treat respiratory failure because it reduces the risks of endotracheal intubation and postextubation respiratory failure. A wide range of different interfaces is available, but concerns exist about rebreathing. This study evaluated a total face mask with a 2-limb ventilation circuit and separate access for inflow and outflow gas, which was developed to reduce rebreathing. Read More

View Article

Download full-text PDF

Source
http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06269
Publisher Site
http://dx.doi.org/10.4187/respcare.06269DOI Listing
March 2019
11 Reads

Safety of High-Flow Nasal Cannula Outside Intensive Care Units for Previously Healthy Children With Bronchiolitis.

Respir Care 2019 Mar 26. Epub 2019 Mar 26.

Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine Bronx, New York.

Background: High-flow nasal cannula (HFNC), a form of noninvasive respiratory support, is effective for the treatment of respiratory distress in ICUs. Although HFNC has been used outside of the ICU, there is little research that examines its safety in this less-monitored setting.

Methods: Children ≤ 24 months old admitted with bronchiolitis to a pediatric floor at a tertiary care center from April 1 2013, to March 31 2015, were identified by using standard diagnostic codes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06352DOI 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06346DOI Listing
March 2019
2 Reads

Persistent Adherence to Airway Clearance Therapy in Adults With Cystic Fibrosis.

Respir Care 2019 Mar 19. Epub 2019 Mar 19.

Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Background: Airway clearance therapy (ACT) is a core component of daily treatment for cystic fibrosis (CF). However, surprisingly little is known about sustained or persistent use of ACT over time among adults with CF. This longitudinal study examined persistent adherence to ACT over 12 months and its modifiable predictors, drawing on aspects of Social Cognitive Theory and the Theory of Planned Behavior. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06500DOI Listing
March 2019
1 Read

Pediatric Respiratory Therapists Lack a Standard Mental Model for Managing the Patient Who Is Difficult to Ventilate: A Video Review.

Respir Care 2019 Mar 19. Epub 2019 Mar 19.

The Johns Hopkins Medicine Simulation Center, The Johns Hopkins University, Department of Pediatric Anesthesiology and Critical Care Medicine, Baltimore, Maryland.

Background: All health-care providers who care for infants and children should be able to effectively provide ventilation with a bag and a mask. Respiratory therapists (RTs'), as part of rapid response teams, need to quickly identify the need for airway support and use adjunct airway interventions when subjects are difficult to mask ventilate. Before implementation of an educational curriculum for airway management, we assessed whether pediatric RTs' who enter the room of a simulated infant mannequin in severe respiratory distress are able to apply bag-mask ventilation within 60 s and implement 2 adjunct airway maneuvers in a patient who is difficult to ventilate. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06369DOI Listing
March 2019
1 Read

Comparison of the Forced and Slow Vital Capacity Maneuvers in Defining Airway Obstruction.

Respir Care 2019 Mar 19. Epub 2019 Mar 19.

Graduate Medical Education, Brooke Army Medical Center, JBSA Fort Sam Houston, Texas.

Background: Obstructive lung disease is diagnosed by a decreased ratio of FEV to the vital capacity (VC). Although the most commonly used VC is FVC, American Thoracic Society guidelines suggest alternative VCs, for example, slow VC (SVC), may offer a more-accurate evaluation of breathing capacity. There is recent evidence that using only FEV/FVC underrecognizes obstruction in subjects at high risk and who are symptomatic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06419DOI Listing
March 2019
1 Read

Higher Levels of Education Are Associated With Full-Time Work in Adults With Cystic Fibrosis.

Respir Care 2019 Mar 19. Epub 2019 Mar 19.

School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, Western Australia.

Background: This study sought to explore factors in adults with cystic fibrosis (CF) that predicted whether (i) someone was engaged in full-time paid work, and (ii) those engaged in paid work reported problems with absenteeism and/or presenteeism.

Methods: Adults with cystic fibrosis who live in Western Australia completed absenteeism and presenteeism questions from the World Health Organization's Health Performance Questionnaire. The participants were grouped by work status (full time vs part time or unemployed) and by self-reported absenteeism and presenteeism (evidence of vs no evidence of). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06607DOI Listing
March 2019
1 Read

Variations in the Efficiency of Albuterol Delivery and Intrapulmonary Effects With Differential Parameter Settings on Intrapulmonary Percussive Ventilation.

Respir Care 2019 Mar 19. Epub 2019 Mar 19.

Department of Clinical Research, National Hospital Organization Yamaguchi-Ube Medical Center, Ube, Japan.

Background: Intrapulmonary percussive ventilation (IPV) is used for airway clearance and delivery of aerosol medications, including bronchodilators. Despite the common use of IPV for drug delivery, few data are available regarding optimization of inhalation therapy with IPV. In this study, we investigated the influence of IPV setting parameters and lung mechanics on drug delivery via IPV alone. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06348DOI Listing

Implementing a Respiratory Therapist-Driven Continuous Albuterol Weaning Protocol in the Pediatric ICU.

Respir Care 2019 Mar 19. Epub 2019 Mar 19.

Department of Pediatrics, Division of Critical Care Medicine, Indiana University School of Medicine/Riley Hospital for Children at IU Health, Indianapolis, IN.

Background: Status asthmaticus is one of the most frequent admission diagnoses in the pediatric ICU (PICU). Collaboration between respiratory therapists (RTs) and physicians may help efficiently deliver care to a patient in status asthmaticus. The Pediatric Asthma Severity Score (PASS) is a measure of severity of a patient's asthma exacerbation at a point in time. Read More

View Article

Download full-text PDF

Source
http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06447
Publisher Site
http://dx.doi.org/10.4187/respcare.06447DOI Listing
March 2019
10 Reads

Bench Assessment of the Effect of a Collapsible Tube on the Efficiency of a Mechanical Insufflation-Exsufflation Device.

Respir Care 2019 Mar 12. Epub 2019 Mar 12.

Réanimation médicale, Hospices Civils de Lyon, Lyon, France.

Background: Collapsibility of upper airways may impair the efficacy of mechanical insufflation-exsufflation (MI-E) devices. The aim of this study was to determine the effect of a collapsible tube on peak expiratory flow (PEF) when using an MI-E device.

Methods: An MI-E device was attached to a lung simulator. Read More

View Article

Download full-text PDF

Source
http://rc.rcjournal.com/lookup/doi/10.4187/respcare.06478
Publisher Site
http://dx.doi.org/10.4187/respcare.06478DOI Listing
March 2019
3 Reads

Editor's Commentary.

Authors:

Respir Care 2019 Mar;64(3)

View Article

Download full-text PDF

Source

CORRECTION.

Authors:

Respir Care 2019 Mar;64(3):e1

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06918DOI Listing

Music, Dance, and Harmonicas for People With COPD.

Respir Care 2019 Mar;64(3):359

University of Plymouth Faculty of Medicine and Dentistry Plymouth, United Kingdom.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06701DOI Listing

New Frontiers in Ultrasonography of the Mediastinum: Pediatric EBUS-TBNA.

Respir Care 2019 Mar;64(3):358-359

Unità Operativa Complessa di Pneumologia Università Cattolica del Sacro Cuore Fondazione Policlinico A. Gemelli, IRCSS Rome, Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06831DOI Listing

New Frontiers in Ultrasonography of the Mediastinum: Pediatric EBUS-TBNA.

Authors:
Karan Madan

Respir Care 2019 Mar;64(3):358-359

Department of Pulmonary Medicine and Sleep Disorders All India Institute of Medical Sciences Ansari Nagar, New Delhi, India

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06739DOI Listing
March 2019
1.840 Impact Factor

Augmenting Cough via Home Ventilators in Subjects With Neuromuscular Disease: Simple, Effective, and Clever.

Authors:
Michel Toussaint

Respir Care 2019 Mar;64(3):355-357

Centre for Home Mechanical Ventilation and Neuromuscular Disorders Department of Rehabilitation, Rehabilitation Hospital Inkendaal Vlezenbeek, Belgium

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06942DOI Listing
March 2019
1 Read

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.

View Article

Download full-text PDF

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

Evaluating Endotracheal Tube Depth in Infants Weighing Less Than 1 Kilogram.

Authors:
Teresa A Volsko

Respir Care 2019 Mar;64(3):350-351

Nursing Administration Akron Children's Hospital Akron, Ohio

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06939DOI Listing

Chlorhexidine-Related Mortality Rate in Critically Ill Subjects in Intensive Care Units: A Systematic Review and Meta-Analysis.

Respir Care 2019 Mar;64(3):337-349

Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.

Background: This meta-analysis aimed to explore the chlorhexidine-related mortality rate for subjects on mechanical ventilation and in an ICU when compared with subjects who received standard ICU care.

Methods: We searched a number of medical literature databases and the first 100 results in an internet search. Two of us independently reviewed the titles and abstracts of the identified articles. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06434DOI Listing
March 2019
1 Read

Humidification in Very-High-Flow Nasal-Cannula Therapy in an Adult Lung Model.

Respir Care 2019 Mar 5. Epub 2019 Mar 5.

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

Background: High-flow nasal cannula (HFNC) therapy is used for patients with respiratory failure. Recently, HFNC therapy with very high gas flows (ie, gas flows of 60-100 L/min) was reported to generate higher positive airway pressure and an associated decrease in breathing frequency. However, the humidification of HFNC therapy with very high gas flow remains to be clarified. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06417DOI Listing
March 2019
3 Reads

Low-Flow Domiciliary Oxygen as a Mechanism of Ongoing Oxidative Stress.

Respir Care 2019 Mar 5. Epub 2019 Mar 5.

School of Nursing, Nurse Anesthesia Program, Duke University, Durham North Carolina.

Background: Oxidative stress occurs when imbalances exist between the production of oxygen free radicals and endogenous antioxidants that neutralize their harmful effects, causing irreversible tissue damage. Oxygen free radicals readily interact with DNA, proteins, and lipids, instigating conformational changes to cellular structures and leading to derangement and dysfunction. Oxidative stress is a key feature in the pathology of COPD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.05618DOI Listing
March 2019
1 Read

Using a Mindfulness-Based Intervention to Support the Resiliency of In-Patient Pediatric Respiratory Therapists.

Respir Care 2019 Feb 26. Epub 2019 Feb 26.

Division of Palliative Care, Department of Pediatrics, Children's Hospital and Medical Center Omaha, Omaha, Nebraska.

Background: Respiratory therapists (RTs) are care providers in highly stressful work environments with limited time and resources for self-care. Mindfulness-based interventions teach non-reactive awareness to the present situation or the ability to respond versus react in the moment, to shift away from a physical and emotional stress response.

Methods: Mindfulness-based group learning was offered during 2 regularly scheduled RT staff meetings for ∼30 min each session. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06483DOI Listing
February 2019

Influence of Mouth Pressure on Measurement of Diffusing Capacity in the Clinical Pulmonary Function Laboratory.

Respir Care 2019 Feb 26. Epub 2019 Feb 26.

Tufts Medical Center, Boston, Massachusetts.

Background: Current American Thoracic Society/European Respiratory Society guidelines recommend that patients hold their breath with minimum effort at total lung capacity during measurement of the single-breath diffusing capacity of the lung for carbon monoxide (D) to avoid excessively positive or negative mouth pressures. We asked to what extent do these pressures range during single-breath D testing and whether mouth pressures are associated with single-breath D.

Methods: We analyzed mouth pressures measured during clinical single-breath D testing in an academic pulmonary function laboratory over a 3-month period. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06469DOI Listing
February 2019
1 Read

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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
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 Apr 5;64(4):361-371. 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4187/respcare.06271DOI Listing
April 2019
1 Read
1.840 Impact Factor

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

Respir Care 2019 Mar 5;64(3):262-271. 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

View Article

Download full-text PDF

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