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Keywords
non invasive mechanical ventil...
non invasive mechanical ventilation in acute respiratory failure
#21
JOURNAL ARTICLE
Chun Yip Chong, Aida Bustam, Muhaimin Noor Azhar, Abd Kursi Abdul Latif, Ramzuzaman Ismail, Khadijah Poh
BACKGROUND AND IMPORTANCE: Acute cardiogenic pulmonary oedema (ACPO) is a common indication for non-invasive ventilation (NIV) in the emergency department (ED). HACOR score of >5 is used to predict NIV failure. The predictive ability of HACOR may be affected by altered physiological parameters in ACPO patients due to medications or comorbidities. OBJECTIVES: To validate the HACOR scale in predicting NIV failure among acute cardiogenic pulmonary oedema (ACPO) patients...
February 4, 2024: American Journal of Emergency Medicine
#22
JOURNAL ARTICLE
Hui-Dan Jing, Jun-Ying Tian, Wei Li, Bing-Ling He, Hong-Chao Li, Fu-Xia Jian, Cui Shang, Feng Shen
PURPOSE: To assess the value of the driving pressure variation rate (ΔP%) in predicting the outcome of weaning from invasive mechanical ventilation in patients with acute respiratory distress syndrome. METHODS: In this case-control study, a total of 35 patients with moderate-severe acute respiratory distress syndrome were admitted to the intensive care unit between January 2022 and December 2022 and received invasive mechanical ventilation for at least 48 h were enrolled...
March 2024: Chinese Journal of Traumatology
#23
JOURNAL ARTICLE
Nur Baykara
BACKGROUND: Coronaviruses have been the cause of 3 major outbreaks during the last 2 decades. Information on coronavirus diseases in pregnant women is limited, and even less is known about seriously ill pregnant women. Data are also lacking regarding the real burden of coronavirus disease 2019 (COVID-19) infection in pregnant women from low/middle-income countries. The aim of this study was to determine the characteristics and clinical course of COVID-19 in pregnant/puerperal women admitted to ICUs in Turkey...
February 6, 2024: Journal of Intensive Care Medicine
#24
JOURNAL ARTICLE
S S Zha, Z F He, L L Guan, J Y Niu, Q Y Huang, R C Chen
Non-invasive positive pressure ventilation (NPPV) is a widely used method of providing respiratory support in a variety of clinical settings, including emergency departments, general wards, and intensive care units. The relevant research articles on NPPV published between 1st October 2022 and 30th September 2023 were retrieved from Medline and reviewed. In the management of acute respiratory failure (ARF) associated with COVID-19, studies have highlighted the significant influence of regional economic status on the choice of respiratory support strategies...
February 12, 2024: Chinese Journal of Tuberculosis and Respiratory Diseases
#25
REVIEW
Maximilian Wollsching-Strobel, Karsten Stannek, Daniel Sebastian Majorski, Friederike Sophie Magnet, Doreen Kroppen, Melanie Patricia Berger, Maximilian Zimmermann, Wolfram Windisch, Sarah Bettina Stanzel
The treatment of patients with COPD and chronic hypercapnic respiratory failure using noninvasive ventilation (NIV) is well established. A "deventilation syndrome" (DVS) has been described as acute dyspnea after cessation of NIV therapy. A systematic scoping review reporting according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) searching Embase was conducted in September 2021. A final manual search followed in February 2023. Literature synthesis was blinded using Rayyan by three different reviewers...
2024: Respiration; International Review of Thoracic Diseases
#26
REVIEW
Tayyba Naz Aslam, Andreas Barratt-Due, Arnt Eltvedt Fiane, Camilla M Friis, Kristin Hofsø, Trine Kåsine, Luis Romundstad, Jon Henrik Laake
BACKGROUND: Pregnant women with COVID-19 are probably at increased risk of serious illness. The objective of this study was to describe the course of illness in pregnant women admitted to the intensive care unit (ICU) with acute respiratory distress syndrome triggered by COVID-19. MATERIAL AND METHOD: Pregnant women with COVID-19 were registered on admission to an ICU at Rikshospitalet, Oslo University Hospital in the period March 2020 to May 2023. We reviewed the patients' medical records retrospectively and describe clinical trajectories, management parameters and laboratory data collected during the period in intensive care...
January 23, 2024: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
#27
JOURNAL ARTICLE
Adam Watson, Sina Yadollahi, Alexander Fahmy, Sania Mahar, Dominic Fritche, Ryan Beecham, Kordo Saeed, Ahilanandan Dushianthan
Background and Objectives : The use of non-invasive ventilation (NIV) for community-acquired pneumonia (CAP) remains controversial. NIV failure in the setting of acute hypoxemic respiratory failure is associated with increased mortality, highlighting the need for careful patient selection. Methods and Methods : This is a retrospective observational cohort study. We included 140 patients with severe CAP, treated with either NIV or invasive mechanical ventilation (IMV) as their primary oxygenation strategy. Results: The median PaO2 /FiO2 ratio and SOFA score upon ICU admission were 151 mmHg and 6, respectively...
December 30, 2023: Medicina
#28
JOURNAL ARTICLE
Jonas Frost, Maximilian Gornicec, Alexander C Reisinger, Philipp Eller, Martin Hoenigl, Juergen Prattes
Early after the beginning of the coronavirus disease 2019 (COVID-19)-pandemic, it was observed that critically ill patients in the intensive care unit (ICU) were susceptible to developing secondary fungal infections, particularly COVID-19 associated pulmonary aspergillosis (CAPA). Here we report our local experience on the impact of mold active antifungal prophylaxis on CAPA occurrence in critically ill COVID-19 patients. This is a monocentric, prospective cohort study including all consecutive patients with COVID-19 associated acute respiratory failure who were admitted to our local medical ICU...
January 13, 2024: Mycopathologia
#29
REVIEW
Chiara Chiappero, Alessio Mattei, Luca Guidelli, Serena Millotti, Emiliano Ceccherini, Simon Oczkowski, Raffaele Scala
During the COVID-19 pandemic, the number of patients with hypoxemic acute respiratory failure (ARF) due to SARS-CoV-2 pneumonia threatened to overwhelm intensive care units. To reduce the need for invasive mechanical ventilation (IMV), clinicians tried noninvasive strategies to manage ARF, including the use of awake prone positioning (PP) with continuous positive airway pressure (CPAP). In this article, we review the patho-physiologic rationale, clinical effectiveness and practical issues of the use of PP during CPAP in non-intubated, spontaneously breathing patients affected by SARS-CoV-2 pneumonia with ARF...
2024: Therapeutic Advances in Respiratory Disease
#30
JOURNAL ARTICLE
Guillaume Franchineau, Annemijn H Jonkman, Lise Piquilloud, Takeshi Yoshida, Eduardo Costa, Hadrien Rozé, Luigi Camporota, Thomas Piraino, Elena Spinelli, Alain Combes, Glasiele C Alcala, Marcelo Amato, Tommaso Mauri, Inéz Frerichs, Laurent J Brochard, Matthieu Schmidt
Hypoxemic respiratory failure is one of the leading causes of mortality in intensive care. Frequent assessment of individual physiological characteristics and delivering personalized mechanical ventilation settings is a constant challenge for clinicians caring for these patients. Electrical impedance tomography (EIT) is a bedside and radiation-free monitoring device able to assess regional lung ventilation and changes in aeration. Through a thoracic belt with real-time tomographic functional images of the lungs, clinicians can visualize and estimate the distribution of ventilation at different ventilation settings or following procedures such as prone positioning...
December 21, 2023: American Journal of Respiratory and Critical Care Medicine
#31
JOURNAL ARTICLE
Carlos Ferrando, Albert Carramiñana, Patricia Piñeiro, Lucia Mirabella, Savino Spadaro, Julián Librero, Fernando Ramasco, Gaetano Scaramuzzo, Oriol Cervantes, Ignacio Garutti, Ana Parera, Marta Argilaga, Gracia Herranz, Carmen Unzueta, Marc Vives, Kevin Regi, Marta Costa-Reverte, María Sonsoles Leal, Jesús Nieves-Alonso, Esther García, Aurelio Rodríguez-Pérez, Roberto Fariña, Sergio Cabrera, Elisabeth Guerra, Lucia Gallego-Ligorit, Alba Herrero-Izquierdo, J Vallés-Torres, Silvia Ramos, Daniel López-Herrera, Manuel De La Matta, Sertcakacilar Gokhan, Evrim Kucur, Ana Mugarra, Marina Soro, Laura García, José Alfonso Sastre, Pilar Aguirre, Claudia Jimena Salazar, María Carolina Ramos, Diego Rolando Morocho, Ramón Trespalacios, Félix Ezequiel-Fernández, Angella Lamanna, Leonarda Pia Cantatore, Donato Laforgia, Soledad Bellas, Carlos López, Ricard Navarro-Ripoll, Samira Martínez, Jordi Vallverdú, Adriana Jacas, María José Yepes-Temiño, Francisco Javier Belda, Gerardo Tusman, Fernando Suárez-Sipmann, Jesús Villar
BACKGROUND: It is uncertain whether individualisation of the perioperative open-lung approach (OLA) to ventilation reduces postoperative pulmonary complications in patients undergoing lung resection. We compared a perioperative individualised OLA (iOLA) ventilation strategy with standard lung-protective ventilation in patients undergoing thoracic surgery with one-lung ventilation. METHODS: This multicentre, randomised controlled trial enrolled patients scheduled for open or video-assisted thoracic surgery using one-lung ventilation in 25 participating hospitals in Spain, Italy, Turkey, Egypt, and Ecuador...
December 5, 2023: Lancet Respiratory Medicine
#32
JOURNAL ARTICLE
Francisco J Caballero-Segura, Natividad Cuadrado-Corrales, Rodrigo Jimenez-Garcia, Ana Lopez-de-Andres, David Carabantes-Alarcon, Jose J Zamorano-Leon, Francisco Carricondo, Barbara Romero-Gomez, Javier De-Miguel-Díez
(1) Background: Anaphylaxis is a rapid-onset, life-threatening hypersensitivity reaction. This study explores the epidemiological trends and clinical outcomes of adult patients with and without asthma hospitalized for anaphylaxis in Spain from 2016 to 2021. (2) Methods: Data from the Spanish National Hospital Discharge Database (RAE-CMBD) were analyzed. We stratified patients with anaphylaxis based on their asthma diagnosis and evaluated various comorbidities and clinical outcomes. Propensity score matching was used to match confounders...
November 22, 2023: Healthcare (Basel, Switzerland)
#33
JOURNAL ARTICLE
Lorenzo Cortese, Pablo Fenández Esteberena, Marta Zanoletti, Giuseppe Lo Presti, Gloria Aranda Velazquez, Sabina Ruiz Janer, Mauro Buttafava, Marco Renna, Laura Di Sieno, Alberto Tosi, Alberto Dalla Mora, Stanislaw Wojtkiewicz, Hamid Dehghani, Sixte de Fraguier, An Nguyen-Dinh, Bogdan Rosinski, Udo M Weigel, Jaume Mesquida, Mattia Squarcia, Felicia A Hanzu, Davide Contini, Mireia Mora Porta, Turgut Durduran
Objective. 
In this paper, we present a detailed in vivo characterization of the optical and hemodynamic properties of the human sternocleidomastoid muscle (SCM), obtained through ultrasound-guided near-infrared time-domain and diffuse correlation spectroscopies.
 Approach. 
A total of sixty-five subjects (forty-nine females, sixteen males) among healthy volunteers and thyroid nodule patients have been recruited for the study. Their SCM hemodynamic (oxy-, deoxy- and total hemoglobin concentrations, blood flow, blood oxygen saturation and metabolic rate of oxygen extraction) and optical properties (wavelength dependent absorption and reduced scattering coefficients) have been measured by the use of a novel hybrid device combining in a single unit time-domain near-infrared spectroscopy, diffuse correlation spectroscopy and simultaneous ultrasound imaging...
December 7, 2023: Physiological Measurement
#34
JOURNAL ARTICLE
Louise Baucher, Virginie Lemiale, Adrien Joseph, Florent Wallet, Marc Pineton de Chambrun, Alexis Ferré, Romain Lombardi, Laura Platon, Adrien Contejean, Charline Fuseau, Laure Calvet, Frédéric Pène, Achille Kouatchet, Djamel Mokart, Elie Azoulay, Antoine Lafarge
BACKGROUND: In the last decade, Ibrutinib has become the standard of care in the treatment of several lymphoproliferative diseases such as chronic lymphocytic leukemia (CLL) and several non-Hodgkin lymphoma. Beyond Bruton tyrosine kinase inhibition, Ibrutinib shows broad immunomodulatory effects that may promote the occurrence of infectious complications, including opportunistic infections. The infectious burden has been shown to vary by disease status, neutropenia, and prior therapy but data focusing on severe infections requiring intensive care unit (ICU) admission remain scarce...
December 6, 2023: Annals of Intensive Care
#35
JOURNAL ARTICLE
Liming Yan, Ye Lu, Mingming Deng, Qin Zhang, Yiding Bian, Xiaoming Zhou, Gang Hou
BACKGROUND: Acute heart failure (AHF) is often associated with diffuse insufficiency and arterial hypoxemia, requiring respiratory support for rapid and effective correction. We aimed to compare the effects of high-flow nasal cannula(HFNC) with those of conventional oxygen therapy(COT) or non-invasive ventilation(NIV) on the prognosis of patients with AHF. METHODS: We performed the search using PubMed, Embase, Web of Science, MEDLINE, the Cochrane Library, CNKI, Wanfang, and VIP databases from the inception to August 31, 2023 for relevant studies in English and Chinese...
November 28, 2023: BMC Pulmonary Medicine
#36
JOURNAL ARTICLE
Allan R M França, Eduardo Rocha, Leonardo S L Bastos, Fernando A Bozza, Pedro Kurtz, Elizabeth Maccariello, José Roberto Lapa E Silva, Jorge I F Salluh
PURPOSE: To develop a model to predict the use of renal replacement therapy (RRT) in COVID-19 patients. MATERIALS AND METHODS: Retrospective analysis of multicenter cohort of intensive care unit (ICU) admissions of Brazil involving COVID-19 critically adult patients, requiring ventilatory support, admitted to 126 Brazilian ICUs, from February 2020 to December 2021 (development) and January to May 2022 (validation). No interventions were performed. RESULTS: Eight machine learning models' classifications were evaluated...
November 27, 2023: Journal of Critical Care
#37
JOURNAL ARTICLE
Yanliang Yang, Qianying Wang, Zhiwei Yu
OBJECTIVES: This systematic review aimed to identify independent prognostic factors of severe pneumonia. METHODS: A systematic search was undertaken in Pubmed, Embase, and Web of Science from inception to March 2023 to find cohort studies investigating the association between prognostic factors and adverse outcomes of severe pneumonia in adult patients. The study selection process involved screening the title and abstract of articles to identify relevant studies on severe pneumonia in adult patients...
November 17, 2023: Alternative Therapies in Health and Medicine
#38
JOURNAL ARTICLE
Yash S Kedia, Swapnil M Thorve, Siddharth R Waghmare, Harshita Mishra, Sonal P Karpe, Jairaj P Nair
INTRODUCTION: Acute Respiratory Distress Syndrome (ARDS) is a rare presentation and a major complication of leptospirosis associated with high mortality despite advances in management. METHODS: We conducted a retrospective observational study, in 48 patients presenting with ARDS due to leptospirosis. Clinical presentation, risk factors, management and outcome of patients were noted. Factors associated with survival and mortality were studied. RESULTS: Our study showed a male preponderance (87%) with a mean age of presentation of 31...
2023: Lung India: Official Organ of Indian Chest Society
#39
JOURNAL ARTICLE
Yan-Lin Yang, Yang Liu, Ran Gao, De-Jing Song, Yi-Min Zhou, Ming-Yue Miao, Wei Chen, Shu-Peng Wang, Yue-Fu Wang, Linlin Zhang, Jian-Xin Zhou
BACKGROUND: Assessment of the patient's respiratory effort is essential during assisted ventilation. We aimed to evaluate the accuracy of airway pressure (Paw )-based indices to detect potential injurious inspiratory effort during pressure support (PS) ventilation. METHODS: In this prospective diagnostic accuracy study conducted in four ICUs in two academic hospitals, 28 adult acute respiratory failure patients undergoing PS ventilation were enrolled. A downward PS titration was conducted from 20 cmH2 O to 2 cmH2 O at a 2 cmH2 O interval...
November 13, 2023: Annals of Intensive Care
#40
JOURNAL ARTICLE
Luna Carrillo-Aleman, Angel Andres Agamez-Luengas, Miguel Guia, Ana Renedo-Villarroya, Nuria Alonso-Fernández, Laura Lopez-Gomez, Pablo Bayoumy-Delis, Juan M Sanchez-Nieto, Domingo Pascual-Figal, Andrés Carrillo-Alcaraz
INTRODUCTION AND OBJECTIVES: Cardiogenic shock (CS) has long been considered a contraindication for the use of non-invasive ventilation (NIV). The main objective of this study was to analyze the effectiveness, measured as NIV success, in patients with respiratory failure due to CS. As secondary objective, we studied risk factors for NIV failure and compared the outcome of patients treated with NIV versus invasive mechanical ventilation (IMV). METHODS: Retrospective study on a prospective database, over a period of 25 years, of all consecutively patients admitted to an Intensive Care Unit, with a diagnosis of CS and treated with NIV...
November 8, 2023: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
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