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Weaning vapotherm

Shikha Gupta, Aliya Noor, Homer Twigg
SESSION TYPE: Miscellaneous Cases IIPRESENTED ON: Tuesday, October 23, 2012 at 11:15 AM - 12:30 PMINTRODUCTION: Hepatocellular carcinoma (HCC) is the most common primary liver malignancy. Nonchemotherapeutic (bland) transarterial embolization (TAE) is one of the treatment options for unresectable HCC. We describe a case of hypoxemia after TAE likely due to embolization of microspheres to pulmonary circulation.CASE PRESENTATION: A 76 year old white male presented for bland TAE of HCC, measuring 7.7 x 6.9 cms...
October 1, 2012: Chest
Shalini Ojha, Eleanor Gridley, Jon Dorling
AIM: Heated humidified high-flow nasal cannula (HHHFNC) oxygen is a relatively new form of respiratory support and is increasing in popularity despite lack of supportive evidence and amid safety concerns. We investigated the prevalence of its use in tertiary neonatal units in the UK. METHOD: Electronic survey. RESULTS: A total of 57 units were contacted and replies received from 44 (77%). HHHFNC was used in 34/44 (77%) units. Vapotherm 2000i and Fisher and Paykel RT329 were the most popular devices...
March 2013: Acta Paediatrica
S M Miller, S A Dowd
OBJECTIVE: To compare the effectiveness of Fisher and Paykel (FP) and Vapotherm (VT) high-flow nasal cannula (HFNC) in preventing reintubation either within 72 h or <7 days after extubation of premature infants. The primary outcome was the rate of extubation failure defined as reintubation within 72 h. Secondary outcomes included reintubation after ≤7 days. STUDY DESIGN: This was a prospective, randomized pilot study comparing the extubation success of 40 infants born between 26 and 29 weeks of gestation...
December 2010: Journal of Perinatology: Official Journal of the California Perinatal Association
Morena Armfield, Gill West
Neonatal units in the UK are beginning to use Vapotherm as a means of providing respiratory support. This device reportedly allows the delivery of high flows of gas at body temperature with close to 100 per cent relative humidity. Evidence from the literature and from UK neonatal units suggests that Vapotherm may be an effective and well-tolerated method of providing babies with respiratory support. It has a number of advantages over therapies such as nasal continuous positive airway pressure, including a reduction in the number of ventilator days and reduced nasal trauma...
February 2009: Paediatric Nursing
D D Woodhead, D K Lambert, J M Clark, R D Christensen
OBJECTIVE: We compared two methods of delivering high-flow gas therapy by nasal cannula, applied immediately after planned endotracheal extubations of NICU patients. STUDY DESIGN AND METHODS: Thirty NICU patients who were about to be extubated from mechanical ventilation were randomized into two groups; Group 1 received Vapotherm for the first 24 h after extubation, then standard high-flow nasal cannula for the next 24 h, and Group 2 received standard high-flow therapy for the first 24 h, then Vapotherm for the next 24 h...
August 2006: Journal of Perinatology: Official Journal of the California Perinatal Association
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