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respirology and intensive care

Justin K Yeung, Leslie Tze Fung Leung, Anthony Papp
OBJECTIVE: To summarize current Canadian practice patterns in the diagnosis of and interventions for inhalation injuries (INHI). METHODS: A 10-question survey regarding the diagnosis of and interventions for INHI was sent to the medical directors of all 16 burn centres across Canada. RESULTS: The response rate to the survey was 50%. Fibreoptic bronchoscopy is required for the diagnosis of INHI in only four centres (50%). The departments of intensive care, plastic surgery, otolaryngology and respirology are involved in performing fibreoptic bronchoscopy in 87...
2013: Canadian Journal of Plastic Surgery, Journal Canadien de Chirurgie Plastique
T F Leung, D S Y Lam, T Y Miu, K L Hon, C S K Chau, S W Ku, R S Y Lee, P Y Chow, W K Chiu, D K K Ng
PURPOSE: Respiratory syncytial virus (RSV) is a common cause of lower respiratory tract infection in young children. However, there are limited data on severe RSV infection requiring pediatric intensive care unit (PICU) admission. This retrospective study described features of RSV-associated PICU admissions in Hong Kong and investigated factors for mortality and duration of PICU stay. METHODS: Children with laboratory-confirmed RSV infection and admitted to the PICUs of all eight government hospitals in Hong Kong between January 2009 and June 2011 were identified from computerized auditing systems and PICU databases...
April 2014: Infection
Stacey L Peterson-Carmichael, Margaret Rosenfeld, Simon B Ascher, Christoph P Hornik, H G M Arets, Stephanie D Davis, Graham L Hall
BACKGROUND: Data supporting the clinical use of infant lung function (ILF) tests are limited making the interpretation of clinical ILF measures difficult. OBJECTIVES: To evaluate current ILF testing practices and to survey users regarding the indications, limitations and perceived clinical benefits of ILF testing. METHODS: We created a 26-item survey hosted on the European Respiratory Society (ERS) website between January and May 2010. Notifications were sent to members of the ERS, American Thoracic Society and the Asian Pacific Society of Respirology...
February 2014: Pediatric Pulmonology
Jack J Haitsma, Jesús Villar, Arthur S Slutsky
We summarize all original research in the field of respiratory intensive care medicine published in 2005 in Critical Care. Twenty-seven articles were grouped into the following categories and subcategories to facilitate rapid overview: mechanical ventilation (physiology, spontaneous breathing during mechanical ventilation, high frequency oscillatory ventilation, side effects of mechanical ventilation, sedation, and prone positioning); infection (pneumonia and sepsis); monitoring (ventilatory monitoring, pulmonary artery catheter and pulse oxymeter); and education (training and health outcome)...
2006: Critical Care: the Official Journal of the Critical Care Forum
C R Biscotto, E R P Pedroso, C E F Starling, V R Roth
SETTING: A 150-bed public Brazilian hospital that serves as reference hospital for tuberculosis (TB) patients. OBJECTIVE: To evaluate the use of personal respiratory protection by health care workers (HCWs) as a measure to reduce TB occupational risk. DESIGN: One hundred and forty-five HCWs were randomly observed for the use of a N95 respirator when entering high-risk areas or performing high-risk procedures. RESULTS: N95 respirators were infrequently used, even for high-risk procedures such as endotracheal intubation (25%) and respiratory aspiration (12%), and in high-risk areas such as the respirology ward (69...
May 2005: International Journal of Tuberculosis and Lung Disease
T Sinuff, D Cook, J Randall, C Allen
BACKGROUND: The use of noninvasive positive-pressure ventilation (NIPPV) for acute respiratory failure (ARF) has become more widespread over the past decade, but its prescription, use and outcomes in the clinical setting remain uncertain. The objective of this study was to review the use of NIPPV for ARF with respect to clinical indications, physician ordering, monitoring strategies and patient outcomes. METHODS: A total of 91 consecutive adult patients admitted between June 1997 and September 1998 to a university-affiliated tertiary care hospital in Hamilton, Ont...
October 17, 2000: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
C F Snelling
A burn unit is only as good as its staff. Trained, experienced nurses, therapists and surgeons accustomed to dealing with large open wounds are a major requisite for the care of burned patients, who have a multisystem disease. Equipment needs include monitors, hydrotherapy tank, ready access to the operating room and comprehensive rehabilitation facilities. Skilled anesthesia, consultative support in nephrology, respirology, pediatrics and infectious diseases, a blood bank, access to human allograft and good microbiology support are necessary...
November 1985: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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