PubMed Journal Database | Respiratory care RSS

12:16 EDT 30th March 2015 | BioPortfolio

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Showing PubMed Articles 1–25 of 307 from Respiratory care


Seven Ventilators Challenged With Leaks During Neonatal Nasal CPAP: An Experimental Pilot Study.

Nasal CPAP is the most common respiratory support for neonates. Several factors are considered important for effective treatment, including leaks at the patient interface and the delivery of pressure-stable CPAP. Investigations of pressure stability during leaks should include both the change in the mean delivered CPAP and the pressure variation during each breath. The aim of this study was to examine the response of ventilators delivering nasal CPAP when challenged with leaks at the patient interface.


Association Between Vitamin D Status and Weaning From Prolonged Mechanical Ventilation in Survivors of Critical Illness.

In this study, we examined the association between 25-hydroxyvitamin D (25(OH)D) concentration and successful weaning from mechanical ventilation in a cohort of ICU survivors requiring prolonged mechanical ventilation.

Wednesday 10th February 1080

Carbon dioxide in the critically ill: too much or too little of a good thing?

Hypercapnia and hypocapnia commonly complicate conditions that are present in critically ill patients. Both conditions have important physiologic effects that may impact the clinical management of these patients. For instance, hypercapnia results in bronchodilation and enhanced hypoxic vasoconstriction, leading to improved ventilation/perfusion matching. Hypocapnia reduces cerebral blood volume through arterial vasoconstriction. These effects have also been exploited for therapeutic aims. In patients with t...

Tuesday 9th February 1080

Neonatal pressure support ventilation: are we doing what we think we are doing?

Monday 8th February 1080

Engineered aerosol medicine and drug delivery methods for optimal respiratory therapy.

Sunday 7th February 1080

Editor's Commentary.


Endobronchial Chondromas.

Endobronchial chondromas are rare benign tumors. They may be part of the Carney triad; however, isolated endobronchial chondromas can occur in the larynx, trachea, and bronchi. We report a case of an endobronchial chondroma in a 61-y-old man with an incidental 5-mm endobronchial polypoid lesion at the proximal left main bronchus that was later found to be an endobronchial chondroma. Flexible bronchoscopy demonstrated a pedunculated, vascularized, pink mass. An excisional biopsy revealed a well-circumscribed...


Identifying Cancer Patients With Acute Respiratory Failure at High Risk for Intubation and Mechanical Ventilation.

We sought to identify risk factors for mechanical ventilation in patients with malignancies and acute respiratory failure (ARF).


The Importance of Controlling PaCO2 Throughout Long-Term Noninvasive Ventilation.

The significance of changes in PaCO2 during long-term noninvasive ventilation (NIV) on prognosis remains unclear. We aimed to clarify whether stabilizing PaCO2 during NIV had a favorable prognostic effect.


Analysis of Radial Artery Catheter Placement by Respiratory Therapists Using Ultrasound Guidance.

The use of ultrasound (US) guidance for radial artery cannulation has been shown to improve first attempt success rate, reduce time to successful cannulation, and reduce complications. We sought to determine whether properly trained respiratory therapists (RTs) could utilize US guidance for the placement of radial artery catheters. Primary outcome measurements were successful cannulation and first attempt success rate. Secondary outcomes included the effect of systolic blood pressure, prior attempts, palpab...


Adherence of Subjects With Cystic Fibrosis to Their Home Program: A Systematic Review.

The management of cystic fibrosis (CF) includes adherence to a home management program (airway clearance, medication, nutritional advice, and exercise). This has led to an increase in life expectancy, although the benefits depend greatly on a patient's level of adherence to daily treatments at home. To date, no systematic review has established adherence rates to all World Health Organization guidelines in the home setting; hence, this review was undertaken.


Awareness of the 2010 Guidelines Implemented by the New York State Education Department for Respiratory Therapists in Their Role as Clinical Preceptors.

In 1993, the New York State (NYS) legislature and governor signed into law the Respiratory Therapy Guide to Practice Education Law to guide and regulate the profession of respiratory care under the auspices of the New York State Education Department. New guidelines were implemented by the New York State Education Department for respiratory therapists (RTs) in 2010 to provide the opportunity for RTs to receive continuing education units (CEUs) when participating as clinical preceptors. This study was conduct...


Spirometric Standards and Patient Characteristics: An Exploratory Study of Factors Affecting Fulfillment in Routine Clinical Practice.

Spirometry is an apparently simple test, yet the recommended criteria for acceptability and reproducibility can be difficult to fulfill. This study aimed (1) to prospectively assess the number of tests that meet the American Thoracic Society/European Respiratory Society (ATS/ERS) 2005 acceptability and repeatability criteria in the routine practice of an experienced technician at a referral hospital's lung function laboratory, (2) to identify the most common errors, and (3) to explore patient characteristic...


Primary Pulmonary Mucosa-Associated Lymphoid Tissue Lymphoma Accompanied by a Hydatid Cyst.


Pulmonary Thromboembolism and Diffuse Alveolar Hemorrhage in Granulomatosis With Polyangiitis Vasculitis.


Pulmonary Necrobiotic Nodules in Crohn's Disease: A Rare Extra-intestinal Manifestation.

Pulmonary necrobiotic nodules represent a rare extra-intestinal manifestation of Crohn's disease. Histologically, they are composed of sterile aggregates of inflammatory cells with necrosis. The differential diagnosis is broad, and exclusion of infectious etiologies is mandatory before starting immunosuppressive therapy. Here, we present the fifth reported case of pulmonary necrobiotic nodules in Crohn's disease. Our patient had new-onset Crohn's disease associated with both cavitating and non-cavitating lu...




Editor's Commentary.


Thomas L Petty's Lessons for the Respiratory Care Clinician of Today.

Because of the importance of his original contributions and their practical relevance today, Thomas L Petty (1932-2009) was arguably the most important physician in the history of respiratory care. As much as any single individual, he was responsible for the concept of intensive and multidisciplinary respiratory care. In the 1960s and 1970s, he made key observations and introduced pioneering therapies in the ICU and in the home. He was the first to describe and name ARDS and to show how to use PEEP to treat...


The hidden consequences of ventilator management decisions.

In the following perspective, we will highlight seemingly remote, downstream consequences of common ventilator management decisions. For example, a change in PEEP may alter venous return, blood pressure, cardiac output, arterial and venous blood gas tensions, metabolic rate, respiratory sensations, breathing pattern, and the work of breathing. If providers consider any of these changes dangerous or maladaptive, they may initiate additional interventions in the form of vasoactive agents, intravenous fluids, ...


The power of suggestion.


Inhaled Epoprostenol in ARDS.


Corticosteroid therapy for severe community-acquired pneumonia: a meta-analysis.


Corticosteroid therapy for severe community-acquired pneumonia: a meta-analysis-reply.


Expiratory rib cage compressions to improve secretion clearance during mechanical ventilation: not only a matter of squeezing the chest.

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