keyword
Keywords non-invasive ventilation AND w...

non-invasive ventilation AND weaning

https://read.qxmd.com/read/38476546/effectiveness-of-high-flow-nasal-cannula-hfnc-versus-bilevel-positive-airway-pressure-bipap-in-preventing-tracheal-reintubation-in-patients-with-high-risk-of-extubation-failure-in-intensive-care-unit-a-randomised-comparative-trial
#1
JOURNAL ARTICLE
Nisha Kumari, Bibha Kumari, Sanjeev Kumar, Nidhi Arun, Ritu Kumari
BACKGROUND AND AIMS: The incidence of tracheal extubation failure in high-risk patients is higher, and non-invasive ventilation is suggested to avoid tracheal reintubation. This study compares the effectiveness of bilevel positive airway pressure (BiPAP) and high flow nasal cannula (HFNC) to reduce the rate of reintubation in intensive care unit (ICU) patients with increased risk of extubation failure. METHODS: This randomised comparative trial was conducted on 60 high-risk patients on mechanical ventilators admitted to the ICU, ready for weaning after a spontaneous breathing trial...
March 2024: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38442931/-clinical-significance-of-negative-fluid-balance-and-infection-management-in-the-treatment-of-acute-respiratory-distress-syndrome-caused-by-severe-novel-coronavirus-infection
#2
JOURNAL ARTICLE
Zhigang Li, Taizu Zheng, Yinjun Zhang, Zhenchen Li, Xingyan Ling
OBJECTIVE: To explore the clinical significance of negative fluid balance and infection management in the treatment of acute respiratory distress syndrome (ARDS) caused by severe novel coronavirus infection. METHODS: A retrospective survey was conducted. Patients with ARDS caused by severe novel coronavirus infection who were hospitalized in the department of critical care medicine of the Third Affiliated Hospital of Gansu University of Chinese Medicine and received non-invasive ventilator assisted ventilation were selected as the research objects...
February 2024: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/38417700/how-i-do-it-applying-non-invasive-ventilation-in-treatment-of-acute-exacerbation-of-chronic-obstructive-pulmonary-disease-using-evidence-based-interprofessional-clinical-practice
#3
REVIEW
Mary Jo S Farmer, Christine Callahan, Ashley M Hughes, Karen Riska, Nicholas Hill
When administered as first-line intervention to patients admitted with acute hypercapnic respiratory failure secondary to chronic obstructive pulmonary disease exacerbation in conjunction with guideline recommended therapies, noninvasive ventilation (NIV) has been shown to reduce mortality and endotracheal intubation. Opportunities to increase uptake of NIV continue to exist despite inclusion of this therapy in clinical guidelines. Identifying patients appropriate for NIV, and subsequently providing close monitoring to determine an improvement in clinical condition involves a team consisting of physician, nurse and respiratory therapist in institutions that successfully implement NIV...
February 26, 2024: Chest
https://read.qxmd.com/read/38344580/critical-case-of-a-preterm-infant-infected-with-respiratory-syncytial-virus-managed-in-the-pediatric-intensive-care-unit-a-case-report
#4
Amaal F Alshihabi, Saleh A Alnass, Fatimah S Alsammak, Muhammad S Al Abdrabalnabi
We describe a critical case of a respiratory syncytial virus (RSV) infection in a preterm infant resulting in respiratory failure with advanced respiratory interventions and discharge from our hospital without the requirement for home oxygen therapy or tube feeding. The infant, delivered at 35 weeks gestation due to a premature rupture of the membranes with a birth weight of 2 kg, initially demonstrated a stable postnatal course. The baby required no resuscitation, with Apgar scores of 8 and 9 at one and five minutes, respectively...
January 2024: Curēus
https://read.qxmd.com/read/38337565/ventilation-management-in-a-patient-with-ventilation-perfusion-mismatch-in-the-early-phase-of-lung-injury-and-during-the-recovery
#5
Ana Cicvarić, Josipa Glavaš Tahtler, Tajana Turk, Sanda Škrinjarić-Cincar, Despoina Koulenti, Nenad Nešković, Mia Edl, Slavica Kvolik
Chest trauma is one of the most serious and difficult injuries, with various complications that can lead to ventilation-perfusion (V/Q) mismatch and systemic hypoxia. We are presenting a case of a 53-year-old male with no chronic therapy who was admitted to the Intensive Care Unit due to severe respiratory failure after chest trauma. He developed a right-sided pneumothorax, and then a thoracic drain was placed. On admission, the patient was hemodynamically unstable and tachypneic. He was intubated and mechanically ventilated, febrile (38...
February 2, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38326140/predictive-performance-of-the-variation-rate-of-the-driving-pressure-on-the-outcome-of-invasive-mechanical-ventilation-in-patients-with-acute-respiratory-distress-syndrome
#6
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 (ICU) between January 2022 and December 2022 and received invasive mechanical ventilation for at least 48 h were enrolled...
January 28, 2024: Chinese Journal of Traumatology
https://read.qxmd.com/read/38317197/role-of-multidrug-resistant-bacteria-in-weaning-from-invasive-mechanical-ventilation
#7
JOURNAL ARTICLE
Julia D Michels-Zetsche, Vicky Gassmann, Jasmin K Jasuja, Benjamin Neetz, Philipp Höger, Jan Meis, Simone Britsch, Urte Sommerwerck, Sebastian Fähndrich, Florian Bornitz, Michael M Müller, Felix J F Herth, Franziska C Trudzinski
BACKGROUND: Although multidrug-resistant bacteria (MDR) are common in patients undergoing prolonged weaning, there is little data on their impact on weaning and patient outcomes. METHODS: This is a retrospective analysis of consecutive patients who underwent prolonged weaning and were at a university weaning centre from January 2018 to December 2020. The influence of MDR colonisation and infection on weaning success (category 3a and 3b), successful prolonged weaning from invasive mechanical ventilation (IMV) with or without the need for non-invasive ventilation (NIV) compared with category 3c (weaning failure 3cI or death 3cII) was investigated...
February 5, 2024: Respiratory Research
https://read.qxmd.com/read/38309965/-clinical-research-progress-in-non-invasive-positive-pressure-ventilation-in-2023
#8
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
https://read.qxmd.com/read/38295905/efficacy-of-preventive-interventions-against-ventilator-associated-pneumonia-in-critically-ill-patients-an-umbrella-review-of-meta-analyses
#9
REVIEW
Dongwei Zhu, Qi Zhao, Shenhao Guo, Le Bai, Shuang Yang, Yisheng Zhao, Yong Xu, Xianmei Zhou
BACKGROUND: Many meta-analyses have assessed the efficacy of preventive interventions against ventilator-associated pneumonia (VAP) in critically ill patients. However, there has been no comprehensive analysis of the strength and quality of evidence to date. METHODS: Systematic reviews of randomized and quasi-randomized controlled trials, which evaluated the effect of preventive strategies on the incidence of VAP in critically ill patients receiving mechanical ventilation for at least 48 h, were enrolled in this article...
January 29, 2024: Journal of Hospital Infection
https://read.qxmd.com/read/38261630/extracorporeal-carbon-dioxide-removal-to-avoid-invasive-ventilation-during-exacerbations-of-chronic-obstructive-pulmonary-disease-vent-avoid-trial
#10
JOURNAL ARTICLE
Abhijit Duggal, Steven A Conrad, Nicholas A Barrett, Mohamed Saad, Tariq Cheema, Sonal Pannu, Ramiro Saavedra Romero, Laurent Brochard, Stefano Nava, V Marco Ranieri, Alexandra May, Daniel Brodie, Nicholas S Hill
Rationale: It is unclear whether extracorporeal CO2 removal (ECCO2 R) can reduce the rate of intubation or the total time on invasive mechanical ventilation (IMV) in adults experiencing an exacerbation of COPD. Objective: To determine whether ECCO2 R increases the number of ventilator-free days within the first 5 days following randomization (VFD-5) in exacerbation of COPD patients who are either failing non-invasive ventilation (NIV) or who are failing to wean from IMV. Methods: This randomized, clinical trial was conducted in 41 US institutions (2018-2022) (NCT03255057)...
January 23, 2024: American Journal of Respiratory and Critical Care Medicine
https://read.qxmd.com/read/38257123/validation-of-indirect-calorimetry-in-children-undergoing-single-limb-non-invasive-ventilation-a-proof-of-concept-cross-over-study
#11
JOURNAL ARTICLE
Veronica D'Oria, Giulia Carla Immacolata Spolidoro, Carlo Virginio Agostoni, Cinzia Montani, Ludovica Ughi, Cristina Villa, Tiziana Marchesi, Giovanni Babini, Stefano Scalia Catenacci, Giada Donà, Marta Guerrini, Giovanna Chidini, Edoardo Calderini, Thomas Langer
BACKGROUND: The accurate assessment of resting energy expenditure (REE) is essential for personalized nutrition, particularly in critically ill children. Indirect calorimetry (IC) is the gold standard for measuring REE. This methodology is based on the measurement of oxygen consumption (VO2 ) and carbon dioxide production (VCO2 ). These parameters are integrated into the Weir equation to calculate REE. Additionally, IC facilitates the determination of the respiratory quotient (RQ), offering valuable insights into a patient's carbohydrate and lipid consumption...
January 11, 2024: Nutrients
https://read.qxmd.com/read/38233181/onasemnogene-abeparvovec-treatment-after-nusinersen-in-an-infant-with-spinal-muscular-atrophy-type-1
#12
JOURNAL ARTICLE
Daiki Nanri, Kotaro Yuge, Kohei Goto, Takuro Kimura, Yukako Yae, Tatsuki Mizuochi, Ryosuke Sato, Tomoyo Itonaga, Tomoki Maeda, Yushiro Yamashita
BACKGROUND: Until recently, the treatment of spinal muscular atrophy (SMA) was limited to symptomatic treatment with no cure. Three innovative drugs, nusinersen, onasemnogene abeparvovec (OA), and risdiplam have been developed to treat SMA. Although the clinical trials for these drugs have demonstrated their efficacy, there is limited information on real world treatment strategies. In this study, we present a case of a male infant with SMA type 1 who underwent OA treatment after nusinersen treatment...
January 16, 2024: Kurume Medical Journal
https://read.qxmd.com/read/38198807/-home-mechancial-ventilation-quality-of-life-and-the-final-stage-of-life
#13
JOURNAL ARTICLE
Sarah Bettina Stanzel, Bernd Schönhofer
The evaluation of health-related quality of life (HRQL) has gained importance in recent years. Disease-specific questionnaires are available for respiratory insufficiency, which enable the assessment of HRQL. The Severe Respiratory Insufficiency (SRI) questionnaire, which was specially developed for patients with respiratory insufficiency, is ideal for quantifying the quality of life in patients receiving home mechanical ventilation (HMV). Studies using the SRI questionnaire demonstrated that the physical functioning of patients with chronic lung diseases of various etiologies is significantly impaired, but frequently without significant impairment of psychological well-being...
January 10, 2024: Pneumologie
https://read.qxmd.com/read/38109016/phrenic-nerve-stimulation-to-prevent-diaphragmatic-dysfunction-and-ventilator-induced-lung-injury
#14
REVIEW
Alessandro Panelli, Michael A Verfuß, Martin Dres, Laurent Brochard, Stefan J Schaller
Side effects of mechanical ventilation, such as ventilator-induced diaphragmatic dysfunction (VIDD) and ventilator-induced lung injury (VILI), occur frequently in critically ill patients. Phrenic nerve stimulation (PNS) has been a valuable tool for diagnosing VIDD by assessing respiratory muscle strength in response to magnetic PNS. The detection of pathophysiologically reduced respiratory muscle strength is correlated with weaning failure, longer mechanical ventilation time, and mortality. Non-invasive electromagnetic PNS designed for diagnostic use is a reference technique that allows clinicians to measure transdiaphragm pressure as a surrogate parameter for diaphragm strength and functionality...
December 18, 2023: Intensive Care Medicine Experimental
https://read.qxmd.com/read/38061053/-in-vivo-characterization-of-the-optical-and-hemodynamic-properties-of-the-human-sternocleidomastoid-muscle-through-ultrasound-guided-hybrid-near-infrared-spectroscopies
#15
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
https://read.qxmd.com/read/38036038/comparison-of-the-effectiveness-of-different-high-flow-devices-in-neonatal-care
#16
JOURNAL ARTICLE
Diogo Machado Kaminski, Graziela Ferreira Biazus, Rita C Silveira, Renato Soibelmann Procianoy
OBJECTIVE: To evaluate the success rate of high-flow nasal cannula (HFNC) therapy using an adapted obsolete mechanical ventilator (MV), Optiflow™ and Vapotherm™ in newborns (NBs). METHOD: This was a retrospective observational study conducted in the neonatal intensive care unit (NICU). The sample comprised NBs who underwent HFNC therapy due to ventilatory dysfunction, for weaning from non-invasive ventilation (NIV), or post-extubation. The three groups, stratified according to gestational age (GA) and birth weight, and corrected GA and weight at the beginning of HFNC use, were as follows: Optiflow ™, Vapotherm ™, and obsolete Mechanical Ventilator (MV) adapted for high flow therapy...
November 27, 2023: Jornal de Pediatria
https://read.qxmd.com/read/38002763/perioperative-right-ventricular-dysfunction-and-abnormalities-of-the-tricuspid-valve-apparatus-in-patients-undergoing-cardiac-surgery
#17
REVIEW
Alessia Mattei, Alessandro Strumia, Maria Benedetto, Antonio Nenna, Lorenzo Schiavoni, Raffaele Barbato, Ciro Mastroianni, Omar Giacinto, Mario Lusini, Massimo Chello, Massimiliano Carassiti
Right ventricular (RV) dysfunction frequently occurs after cardiac surgery and is linked to adverse postoperative outcomes, including mortality, reintubation, stroke, and prolonged ICU stays. While various criteria using echocardiography and hemodynamic parameters have been proposed, a consensus remains elusive. Distinctive RV anatomical features include its thin wall, which presents a triangular shape in a lateral view and a crescent shape in a cross-sectional view. Principal causes of RV dysfunction after cardiac surgery encompass ischemic reperfusion injury, prolonged ischemic time, choice of cardioplegia and its administration, cardiopulmonary bypass weaning characteristics, and preoperative risk factors...
November 17, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37982427/early-versus-late-tracheostomy-in-critically-ill-covid-19-patients
#18
REVIEW
Agnieszka Szafran, Karolina Dahms, Kelly Ansems, Nicole Skoetz, Ina Monsef, Thomas Breuer, Carina Benstoem
BACKGROUND: The role of early tracheostomy as an intervention for critically ill COVID-19 patients is unclear. Previous reports have described prolonged intensive care stays and difficulty weaning from mechanical ventilation in critically ill COVID-19 patients, particularly in those developing acute respiratory distress syndrome. Pre-pandemic evidence on the benefits of early tracheostomy is conflicting but suggests shorter hospital stays and lower mortality rates compared to late tracheostomy...
November 20, 2023: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/37876393/comparison-of-high-flow-nasal-cannula-and-continuous-positive-airway-pressure-in-covid-19-patients-with-acute-respiratory-distress-syndrome-in-critical-care-unit-a-randomized-control-study
#19
JOURNAL ARTICLE
Gunaseelan Mirunalini, Kuppusamy Anand, Anand Pushparani, Gunasri Kadirvelu
Background and objective Acute hypoxic respiratory failure in coronavirus disease 2019 (COVID-19) pneumonia has been treated with oxygen delivered by oxygen masks and non-invasive ventilation (NIV) with continuous positive airway pressure (CPAP), and more recently with high-flow nasal cannula (HFNC) devices. There is a paucity of randomized controlled trials to compare the efficacy of CPAP with HFNC in COVID-19 pneumonia. We conceptualized a randomized control study to compare the efficacy of HFNC and CPAP in reducing the need for invasive mechanical ventilation, estimation of mechanical ventilation-free days, and risk of intubation in COVID-19 patients with hypoxic respiratory failure...
September 2023: Curēus
https://read.qxmd.com/read/37873714/-predictive-value-of-diaphragmatic-thickening-fraction-combined-with-mrc-score-for-the-outcome-of-weaning-from-mechanical-ventilation-in-icu-acquired-weakness-patients
#20
JOURNAL ARTICLE
Ruixiang Sun, Ke Fang, Haijiao Jiang, Jintian Yu, Xiubin Tao
OBJECTIVE: To explore the predictive value of diaphragmatic thickening fraction (DTF) combined with Medical Research Council-score (MRC score) on the outcome of weaning from mechanical ventilation in ICU-acquired weakness (ICU-AW) patients. METHODS: A retrospective case-control study was conducted. The clinical data of mechanically ventilated patients with an MRC score of less than 48 admitted to the department of critical care medicine of the First Affiliated Hospital of Wannan Medical College from January 2022 to March 2023 were collected, including general information, ultrasound indicators, MRC scores, main clinical outcomes, and weaning outcomes...
October 2023: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
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