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Non invasive ventilation ventilators

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https://www.readbyqxmd.com/read/30115127/epidemiology-and-patterns-of-tracheostomy-practice-in-patients-with-acute-respiratory-distress-syndrome-in-icus-across-50-countries
#1
Toshikazu Abe, Fabiana Madotto, Tài Pham, Isao Nagata, Masatoshi Uchida, Nanako Tamiya, Kiyoyasu Kurahashi, Giacomo Bellani, John G Laffey
BACKGROUND: To better understand the epidemiology and patterns of tracheostomy practice for patients with acute respiratory distress syndrome (ARDS), we investigated the current usage of tracheostomy in patients with ARDS recruited into the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG-SAFE) study. METHODS: This is a secondary analysis of LUNG-SAFE, an international, multicenter, prospective cohort study of patients receiving invasive or noninvasive ventilation in 50 countries spanning 5 continents...
August 17, 2018: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/30111466/-comparison-of-clinical-efficacy-of-two-noninvasive-respiratory-support-therapies-for-respiratory-distress-syndrome-in-very-low-birth-weight-preterm-infants
#2
Zhu Wang, Jian-Wen Xiang, Wei-Wei Gao, Yong-Zhen Shen, Wen-Ji Zhou, Jia Chen, Fang Xu, Jie Yang
OBJECTIVE: To compare the clinical efficacy of nasal intermittent positive pressure ventilation (NIPPV) and heated humidified high flow nasal cannula (HHHFNC) in the treatment of respiratory distress syndrome (RDS) among very low birth weight (VLBW) preterm infants. METHODS: A total of 89 very low birth weight premature infants with respiratory distress syndrome (RDS) who were randomly administered with NIPPV (n=46) and HHHFNC (n=43) as an initial respiratory support...
August 2018: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/30111065/-procalcitonin-impact-analysis-respiratory-function-and-blood-gas-analysis-on-xiaoqinglong-decoction-combined-with-non-invasive-ventilation-in-treatment-of-aecopd-patients
#3
Lian-Jiang Zhong, Lian-Sheng Zhang, Chun-Feng Gu, Jun Long, Juan-Hui Shen, Chen-Yang Zhu, Ling-Zhi Cheng, Ying-Zhang Zhang
To observe the effect of Xiaoqinglong decoction combined with noninvasive ventilation on procalcitonin (PCT), blood gas analysis and respiratory functions in acute exacerbation of chronic obstructive pulmonary disease in the elderly (AECOPD), and investigate its correlation and clinical significance. Eighty-four elderly AECOPD patients with respiratory failure in our hospital from January 2015 to October 2017, were randomly divided into control group and observation group, 42 cases in each group. The control group received western medicine combined with noninvasive ventilator therapy, and the patients in observation group additionally received Xiaoqinglong decoction on the basis of the treatment in control group...
July 2018: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
https://www.readbyqxmd.com/read/30109275/introducing-high-flow-nasal-cannula-oxygen-therapy-at-the-intermediate-care-unit-expanding-the-range-of-supportive-pulmonary-care
#4
Joost D J Plate, Luke P H Leenen, Marc Platenkamp, Joost Meijer, Falco Hietbrink
Background: Non-invasive respiratory support is a frequent indication for intermediate care unit (IMCU) admission. Extending the possibilities of respiratory support at the IMCU with high-flow nasal cannula oxygen therapy (HFNC) may prevent intensive care unit (ICU) transfer and invasive ventilation. However, the safety and limitations of HFNC administration in the stand-alone IMCU setting are not yet studied. This study therefore aims to investigate to what extent and in which patients HFNC can safely be administered at a stand-alone mixed surgical IMCU...
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/30106482/cough-peak-flow-decline-rate-predicts-survival-in-patients-with-amyotrophic-lateral-sclerosis
#5
Chiharu Matsuda, Toshio Shimizu, Yuki Nakayama, Michiko Haraguchi
INTRODUCTION: This study investigated the prognostic significance of the cough peak flow (CPF) decline rate in patients with amyotrophic lateral sclerosis (ALS). METHODS: Thirty-four patients with ALS participated. We examined CPF, forced vital capacity (FVC), body mass index, and the revised ALS Functional Rating Scale (ALSFRS-R), and followed patients to death, tracheostomy or non-invasive ventilator dependency. We analyzed the relationship between the rate of decline of each parameter and survival prognosis...
August 14, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/30105600/association-of-frailty-with-short-term-outcomes-organ-support-and-resource-use-in-critically-ill-patients
#6
Fernando G Zampieri, Theodore J Iwashyna, Elizabeth M Viglianti, Leandro U Taniguchi, William N Viana, Roberto Costa, Thiago D Corrêa, Carlos Eduardo N Moreira, Marcelo O Maia, Giulliana M Moralez, Thiago Lisboa, Marcus A Ferez, Carlos Eduardo F Freitas, Clayton B de Carvalho, Bruno F Mazza, Mariza F A Lima, Grazielle V Ramos, Aline R Silva, Fernando A Bozza, Jorge I F Salluh, Marcio Soares
PURPOSE: Frail patients are known to experience poor outcomes. Nevertheless, we know less about how frailty manifests itself in patients' physiology during critical illness and how it affects resource use in intensive care units (ICU). We aimed to assess the association of frailty with short-term outcomes and organ support used by critically ill patients. METHODS: Retrospective analysis of prospective collected data from 93 ICUs in Brazil from 2014 to 2015. We assessed frailty using the modified frailty index (MFI)...
August 13, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/30105416/hypoxemia-in-the-icu-prevalence-treatment-and-outcome
#7
(no author information available yet)
BACKGROUND: Information is limited regarding the prevalence, management, and outcome of hypoxemia among intensive care unit (ICU) patients. We assessed the prevalence and severity of hypoxemia in ICU patients and analyzed the management and outcomes of hypoxemic patients. METHODS: This is a multinational, multicenter, 1-day point prevalence study in 117 ICUs during the spring of 2016. All patients hospitalized in an ICU on the day of the study could be enrolled...
August 13, 2018: Annals of Intensive Care
https://www.readbyqxmd.com/read/30101630/the-challenge-of-avoiding-intubation-in-immunocompromised-patients-with-acute-respiratory-failure
#8
Audrey de Jong, Laure Calvet, Virginie Lemiale, Alexandre Demoule, Djamel Mokart, Michael Darmon, Samir Jaber, Elie Azoulay
A growing number of immunocompromised (IC) patients with acute hypoxemic respiratory failure (ARF) is admitted to the intensive care unit (ICU) worldwide. Initial management of these patients aims primarily to avoid invasive mechanical ventilation (IMV), while adequately managing hypoxemia. Areas covered: This review provides an overview of the current knowledge of the ways to prevent intubation in IC patients with ARF, including discussion about optimal timing of ICU admission, available respiratory support therapies and the best ways to identify ARF etiology...
August 12, 2018: Expert Review of Respiratory Medicine
https://www.readbyqxmd.com/read/30099609/peak-oxygen-uptake-ventilatory-threshold-and-arterial-stiffness-in-adolescents
#9
Eero A Haapala, Jari A Laukkanen, Tim Takken, Urho M Kujala, Taija Finni
PURPOSE: To investigate the associations of peak oxygen uptake ([Formula: see text]) and [Formula: see text] at ventilatory threshold ([Formula: see text] at VT) with arterial stiffness in adolescents. METHODS: The participants were 55 adolescents (36 girls, 19 boys) aged 16-19 years. Aortic pulse wave velocity (PWVao) and augmentation index (AIx%) were measured by non-invasive oscillometric device from right brachial artery level. [Formula: see text] was directly measured during a maximal ramp test on a cycle ergometer...
August 11, 2018: European Journal of Applied Physiology
https://www.readbyqxmd.com/read/30098575/non-invasive-positive-pressure-ventilation-in-lung-transplant-recipients-with-acute-respiratory-failure-beyond-the-perioperative-period
#10
Samuel P Wiles, Charles R Lane, Ali Ataya, Mourad H Senussi, Madhu Sasidhar, Xiaofeng Wang, Tarik Hanane
PURPOSE: The purpose of this study is to evaluate outcomes in MICU lung transplant recipients with acute respiratory failure treated with non-invasive positive pressure ventilation (NPPV) and identify factors associated with NPPV failure (need for intubation). METHODS: Retrospective chart review of all lung transplant recipients who were admitted with acute respiratory failure to the MICU from January 2009-August 2016 was completed. Logistic regression analysis was performed to determine which factors were independently associated with NPPV failure...
August 1, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/30092679/insight-to-the-growing-utilizations-of-high-flow-nasal-oxygen-therapy-over-non-invasive-ventilation-in-community-teaching-hospital-alternative-or-complementary
#11
Antonio M Esquinas, Habib M R Karim, Guy W Soo Hoo
No abstract text is available yet for this article.
August 9, 2018: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/30089091/less-is-more-modern-neonatology
#12
REVIEW
Amir Kugelman, Liron Borenstein-Levin, Huda Jubran, Gil Dinur, Shlomit Ben-David, Elena Segal, Julie Haddad, Fanny Timstut, Iris Stein, Imad R Makhoul, Ori Hochwald
Iatrogenesis is more common in neonatal intensive care units (NICUs) because the infants are vulnerable and exposed to prolonged intensive care. Sixty percent of extremely low-birth-weight infants are exposed to iatrogenesis. The risk factors for iatrogenesis in NICUs include prematurity, mechanical or non-invasive ventilation, central lines, and prolonged length of stay. This led to the notion that "less is more." In the delivery room delayed cord clamping is recommended for term and preterm infants, and suction for the airways in newborns with meconium-stained fluid is not performed anymore...
July 30, 2018: Rambam Maimonides Medical Journal
https://www.readbyqxmd.com/read/30083347/lung-thorax-compliance-measured-during-a-spontaneous-breathing-trial-is-a-good-index-of-extubation-failure-in-the-surgical-intensive-care-unit-a-retrospective-cohort-study
#13
Yugo Okabe, Takehiko Asaga, Sayuri Bekku, Hiromi Suzuki, Kanae Kanda, Takeshi Yoda, Tomohiro Hirao, Gotaro Shirakami
Background: Extubation failure is associated with mortality and morbidity in the intensive care unit. Ventilator weaning protocols have been introduced, and extubation is conducted based on the results of a spontaneous breathing trial. Room for improvement still exists in extubation management, and additional objective indices may improve the safety of the weaning and extubation process. Static lung-thorax compliance reflects lung expansion difficulty that is caused by several conditions, such as atelectasis, fibrosis, and pleural effusion...
2018: Journal of Intensive Care
https://www.readbyqxmd.com/read/30080234/critical-evaluation-of-muscle-mass-loss-as-a-prognostic-marker-of-morbidity-in-critically-ill-patients-and-methods-for-its-determination
#14
Vera Joskova, Anna Patkova, Eduard Havel, Simona Najpaverova, Daniela Uramova, Miroslav Kovarik, Zdenek Zadak, Miloslav Hronek
OBJECTIVE: Loss of muscle mass in critically ill patients is associated with serious consequences, such as prolonged mechanical ventilation, intensive care unit confinement, and higher mortality. Thus, monitoring muscle mass, and especially its decline, should provide a useful indicator of morbidity and mortality. Performing evaluations according only to body mass index is imperfect, therefore the aim of this article was to evaluate appropriate methods for muscle mass loss determination in ICU patients...
August 6, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/30076547/characteristics-and-outcome-of-patients-with-newly-diagnosed-advanced-or-metastatic-lung-cancer-admitted-to-intensive-care-units-icus
#15
C Barth, M Soares, A C Toffart, J F Timsit, G Burghi, C Irrazabal, N Pattison, E Tobar, B F Almeida, U V Silva, L C Azevedo, A Rabbat, C Lamer, A Parrot, V C Souza-Dantas, F Wallet, F Blot, G Bourdin, C Piras, J Delemazure, M Durand, J Salluh, E Azoulay, Virginie Lemiale
BACKGROUND: Although patients with advanced or metastatic lung cancer have poor prognosis, admission to the ICU for management of life-threatening complications has increased over the years. Patients with newly diagnosed lung cancer appear as good candidates for ICU admission, but more robust information to assist decisions is lacking. The aim of our study was to evaluate the prognosis of newly diagnosed unresectable lung cancer patients. METHODS: A retrospective multicentric study analyzed the outcome of patients admitted to the ICU with a newly diagnosed lung cancer (diagnosis within the month) between 2010 and 2013...
August 4, 2018: Annals of Intensive Care
https://www.readbyqxmd.com/read/30066095/long-term-outcomes-after-acute-hypercapnic-copd-exacerbation-first-ever-episode-of-non-invasive-ventilation
#16
Andreas S Fazekas, Mei Aboulghaith, Ruxandra C Kriz, Matthias Urban, Marie-Kathrin Breyer, Robab Breyer-Kohansal, Otto-Chris Burghuber, Sylvia Hartl, Georg-Christian Funk
BACKGROUND: Non-invasive ventilation (NIV) is used to treat acute hypercapnic respiratory failure (AHRF) in patients with chronic obstructive pulmonary disease (COPD); however, long-term outcomes following discharge are largely unknown. This study aimed to characterize long-term outcomes and identify associated markers in patients with COPD after surviving the first episode of HRF requiring NIV. METHODS: This study retrospectively analyzed 122 patients, mean age 62 ± 8 years, 52% female and forced expiratory volume in 1 s (FEV1) predicted 30 ± 13%, admitted with an acute hypercapnic exacerbation of COPD and receiving a first-ever NIV treatment between 2000 and 2012...
July 31, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/30059785/calipso-a-randomized-controlled-trial-of-calfactant-for-acute-lung-injury-in-pediatric-stem-cell-and-oncology-patients
#17
Neal J Thomas, Debbie Spear, Emily Wasserman, Steven Pon, Barry Markovitz, Aalok R Singh, Simon Li, Shira J Gertz, Courtney M Rowan, Allen Kunselman, Robert F Tamburro
OBJECTIVE: To assess if calfactant reduces mortality among children with leukemia/lymphoma or following hematopoietic cell transplantation (HCT) with pediatric acute respiratory distress syndrome (PARDS) DESIGN: Multicenter, randomized, placebo-controlled, double-blinded trial SETTING: Seventeen pediatric intensive care units (PICU) of tertiary care children's hospitals PATIENTS: Patients age 18 months to 25 years with leukemia/lymphoma or having undergone HCT who required invasive mechanical ventilation for bilateral lung disease with an oxygenation index (OI) >10 and < 37...
July 27, 2018: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/30056219/safety-incidents-in-airway-and-mechanical-ventilation-in-spanish-icus-the-ivemva-study
#18
Ángela Alonso-Ovies, Nicolás Nin, Maria Cruz Martín, Federico Gordo, Paz Merino, José M Añón, Blanca Obón, Mónica Magret, Isabel Gutiérrez
PURPOSE: To assess incidence, related factors and characteristics of safety incidents associated with the whole process of airway management and mechanical ventilation (MV) in Spanish ICUs. MATERIALS AND METHODS: Observational, prospective, 7 days cross-sectional multicenter study. Airway and MV related incidents were reported using structured questionnaire. Type, characteristics, severity, avoidability and contributing factors of the incidents were assessed. RESULTS: Participant ICUs: 104...
July 17, 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/30053970/respiratory-care-in-familial-dysautonomia-systematic-review-and-expert-consensus-recommendations
#19
REVIEW
Mikhail Kazachkov, Jose-Alberto Palma, Lucy Norcliffe-Kaufmann, Bat-El Bar-Aluma, Christy L Spalink, Erin P Barnes, Nancy E Amoroso, Stamatela M Balou, Shay Bess, Arun Chopra, Rany Condos, Ori Efrati, Kathryn Fitzgerald, David Fridman, Ronald M Goldenberg, Ayelet Goldhaber, David A Kaufman, Sanjeev V Kothare, Jeremiah Levine, Joseph Levy, Anthony S Lubinsky, Channa Maayan, Libia C Moy, Pedro J Rivera, Alcibiades J Rodriguez, Gil Sokol, Mark F Sloane, Tina Tan, Horacio Kaufmann
BACKGROUND: Familial dysautonomia (Riley-Day syndrome, hereditary sensory autonomic neuropathy type-III) is a rare genetic disease caused by impaired development of sensory and afferent autonomic nerves. As a consequence, patients develop neurogenic dysphagia with frequent aspiration, chronic lung disease, and chemoreflex failure leading to severe sleep disordered breathing. The purpose of these guidelines is to provide recommendations for the diagnosis and treatment of respiratory disorders in familial dysautonomia...
August 2018: Respiratory Medicine
https://www.readbyqxmd.com/read/30050497/associative-increases-in-amyotrophic-lateral-sclerosis-survival-duration-with-non-invasive-ventilation-initiation-and-usage-protocols
#20
Nishad Khamankar, Grant Coan, Barry Weaver, Cassie S Mitchell
Objective: It is hypothesized earlier non-invasive (NIV) ventilation benefits Amyotrophic Lateral Sclerosis (ALS) patients. NIV typically consists of the removable bi-level positive airway pressure (Bi-PAP) for adjunctive respiratory support and/or the cough assist intervention for secretion clearance. Historical international standards and current USA insurance standards often delay NIV until percent predicted forced vital capacity (FVC %predict) is <50. We identify the optimal point for Bi-PAP initiation and the synergistic benefit of daily Bi-PAP and cough assist on associative increases in survival duration...
2018: Frontiers in Neurology
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