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https://www.readbyqxmd.com/read/27687452/effect-of-boussignac-continuous-positive-airway-pressure-ventilation-on-pao2-and-pao2-fio2-ratio-immediately-after-extubation-in-morbidly-obese-patients-undergoing-bariatric-surgery-a-randomized-controlled-trial
#1
Joana Guimarães, Daniela Pinho, Catarina S Nunes, Carla S Cavaleiro, Humberto S Machado
STUDY OBJECTIVE: Pathophysiological changes after laparoscopic Roux-en-Y gastric bypass may increase the risk of pulmonary complications in morbidly obese patients. The purpose of the study was to assess the impact of immediate postextubation use of Boussignac continuous positive airway pressure (CPAP) on arterial oxygenation in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass. The hypothesis is that the use of CPAP may improve oxygenation in the postoperative period when compared to Venturi mask...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27101650/-cpap-generation-by-a-non-mechanical-device-the-bousignac-system
#2
Francisco José Clemente López
CPAP (continuous positive airway pressure) is to establish a supraatmosferica pressure throughout the respiratory cycle on which the patient vent spontaneously. Its use improves the clinical and gasometrics parameters when applied with appropriate selection criteria in the context of respiratory failure acute (IRA) hypoxemic. It has been demonstrated that applying CPAP early, decreases the need for intubation and associated complications, as well as survival, reducing health care costs and hospital stay. The use of valve Boussignac for applying a CPAP is spreading especially in the delivered environment and emergencies as a device not mechanical, simple, easy to use and transport, which can manage enough pressures to manage the patient hypoxemia...
February 2016: Revista de Enfermería
https://www.readbyqxmd.com/read/26912824/prehospital-cpap-therapy-by-emergency-physicians-in-patients-with-acute-respiratory-failure-due-to-acute-cardiogenic-pulmonary-edema-or-acutely-exacerbated-copd
#3
Thomas Luiz, Marc Kumpch, Joachim Grüttner, Christian Madler, Tim Viergutz
BACKGROUND: Acute respiratory failure is a frequent cause of emergency medical missions. Continuous positive airway pressure (CPAP) therapy could be particularly beneficial, avoiding risks associated with intubation and invasive ventilation. Hardly any data exist from Germany on this matter. PATIENTS AND METHODS: CPAP therapy with the Boussignac system as additional measure was introduced in cases of acute cardiogenic pulmonary edema (ACPE) or decompensated chronic obstructive pulmonary disease (COPD) in a physician-supported emergency medical services system (EMS)...
March 2016: In Vivo
https://www.readbyqxmd.com/read/26861639/passive-continuous-positive-airway-pressure-ventilation-during-cardiopulmonary-resuscitation-a-randomized-cross-over-manikin-simulation-study
#4
Bernd E Winkler, Ralf M Muellenbach, Thomas Wurmb, Manuel F Struck, Norbert Roewer, Peter Kranke
While controlled ventilation is most frequently used during cardiopulmonary resuscitation (CPR), the application of continuous positive airway pressure (CPAP) and passive ventilation of the lung synchronously with chest compressions and decompressions might represent a promising alternative approach. One benefit of CPAP during CPR is the reduction of peak airway pressures and therefore a potential enhancement in haemodynamics. We therefore evaluated the tidal volumes and airway pressures achieved during CPAP-CPR...
February 9, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/26420898/cpap-devices-for-emergency-prehospital-use-a-bench-study
#5
COMPARATIVE STUDY
Claudia Brusasco, Francesco Corradi, Alessandra De Ferrari, Lorenzo Ball, Robert M Kacmarek, Paolo Pelosi
BACKGROUND: CPAP is frequently used in prehospital and emergency settings. An air-flow output minimum of 60 L/min and a constant positive pressure are 2 important features for a successful CPAP device. Unlike hospital CPAP devices, which require electricity, CPAP devices for ambulance use need only an oxygen source to function. The aim of the study was to evaluate and compare on a bench model the performance of 3 orofacial mask devices (Ventumask, EasyVent, and Boussignac CPAP system) and 2 helmets (Ventukit and EVE Coulisse) used to apply CPAP in the prehospital setting...
December 2015: Respiratory Care
https://www.readbyqxmd.com/read/26124664/boussignac-cpap-system-for-brain-death-confirmation-with-apneic-test-in-case-of-acute-lung-injury-adult-respiratory-distress-syndrome-series-of-cases
#6
Andrzej Wieczorek, Tomasz Gaszynski
INTRODUCTION: There are some patients with severe respiratory disturbances like adult respiratory distress syndrome (ARDS) and suspicion of brain death, for whom typical performance of the apneic test is difficult to complete because of quick desaturation and rapid deterioration without effective ventilation. To avoid failure of brain death confirmation and possible loss of organ donation another approach to apneic test is needed. We present two cases of patients with clinical symptoms of brain death, with lung pathology (acute lung injury, ARDS, lung embolism and lung infection), in whom apneic tests for recognizing brain death were difficult to perform...
2015: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/25129186/a-cross-sectional-study-on-the-acceptance-of-pre-hospital-continuous-positive-airway-pressure-ventilation-among-ambulance-paramedic-in-an-urban-emergency-medical-service-system-in-a-developing-country
#7
Mohd S Hafis, Mohd J Johar, Abdul-Wahab Mahathar, Ismail M Saiboon
OBJECTIVES: To assess the acceptance among the developing country urban paramedics towards pre-hospital continuous positive airway pressure (CPAP) ventilation. METHODS: A cross-sectional prospective study was conducted among the ambulance paramedics working at the pre-hospital care unit of the Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia from March 2012 to August 2012 on ambulance paramedics. Questionnaires were used to assess their experience, knowledge, and perception, while their competencies were assessed using an Objective Structured Clinical Examination by 2 independent-calibrated raters on the use of the Boussignac CPAP system...
August 2014: Saudi Medical Journal
https://www.readbyqxmd.com/read/24496783/comparison-of-gas-exchange-after-lung-resection-with-a-boussignac-cpap-or-venturi-mask
#8
RANDOMIZED CONTROLLED TRIAL
I Garutti, L Puente-Maestu, J Laso, R Sevilla, A Ferrando, I Frias, A Reyes, E Ojeda, F Gónzalez-Aragoneses
BACKGROUND: Postoperative continuous positive airway pressure (CPAP) can improve lung function. The aim of our study was to assess the efficacy of prophylactic CPAP on the Pa(O2)/FI(O2) ratio measured the day after surgery in patients undergoing lung resection surgery (LRS). METHODS: The study population comprised 110 patients undergoing LRS. On arrival in the postanaesthesia care unit (PACU), patients were randomized to receive CPAP at 5-7 cm H2O during the first 6 h after surgery (CPAP group) or supplemental oxygen through a Venturi mask (Venturi group)...
May 2014: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/24469985/post-intubation-tracheal-rupture-poor-healing-of-the-tracheal-wall
#9
Charles Tacquard, Olivier Collange, Anne Olland, Tristan Dégot, Annick Steib
PURPOSE: To describe tracheal rupture after orotracheal intubation assisted by a tracheal tube introducer. CLINICAL FEATURES: A 73-yr-old morbidly obese female patient with a history of hypertension underwent a total knee replacement. There were no anticipated signs of difficult intubation. Orotracheal intubation was attempted twice by direct laryngoscopy, and a Boussignac bougie was used as a tube exchanger for the second attempt. Seven hours after tracheal extubation, the patient became dyspneic and showed a large subcutaneous emphysema...
April 2014: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/23857440/comparison-of-three-high-flow-oxygen-therapy-delivery-devices-a-clinical-physiological-cross-over-study
#10
COMPARATIVE STUDY
G Chanques, F Riboulet, N Molinari, J Carr, B Jung, A Prades, F Galia, E Futier, J M Constantin, S Jaber
AIM: High-flow-oxygen-therapy is provided by various techniques and patient interfaces, resulting in various inspired-fraction of oxygen (FiO2) and airway-pressure levels. However, tracheal measurements have never been performed. METHODS: Three oxygen-delivery-devices were evaluated: 1) standard-high-flow-oxygen-facemask with reservoir-bag, 2) Optiflow(TM)-high-flow-nasal-cannulae and 3) Boussignac(TM)-oxygen-therapy-system. Main judgment criteria were airway-pressure and FiO2 measured in the trachea...
December 2013: Minerva Anestesiologica
https://www.readbyqxmd.com/read/23612619/comparison-of-haemodynamic-effects-of-noninvasive-ventilation-delivered-via-resqgard-and-cpap-boussignac-masks
#11
COMPARATIVE STUDY
Ewelina Gaszyńska, Krzysztof Roguszka, Michał Stankiewicz-Rudnicki, Andrzej Wieczorek, Tomasz Gaszyński
UNLABELLED: Noninvasive ventilation (NIV) is a technique of mechanical ventilation which does not require invasive airway management, i.e. intubation or tracheostomy. In emergency medicine Continuous Positive Airway Pressure (CPAP) is used often. A new method of NIV is Impedance Threshold Device (ITD). Breathing through an ITD is utilized to raise blood pressure in hypotensive patients. AIM OF THE STUDY: was to compare haemodynamic effects of NIV ITD and NIV CPAP...
March 2013: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/23566337/practical-use-effects-and-complications-of-prehospital-treatment-of-acute-cardiogenic-pulmonary-edema-using-the-boussignac-cpap-system
#12
Eva Eiske Spijker, Maarten de Bont, Matthijs Bax, Maro Sandel
BACKGROUND: Early use of continuous positive airway pressure (CPAP) has been shown to be beneficial within the setting of acute cardiogenic pulmonary edema (ACPE). The Boussignac CPAP system (BCPAP) was therefore introduced into the protocols of emergency medical services (EMS) in a large urban region. This study evaluates the implementation, practical use and complications of this prehospital treatment. METHODS: This was a retrospective case series study. The study was carried out in a period shortly after the implementation of the BCPAP system on all EMS ambulances in the The Hague region...
2013: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/23419338/the-usage-of-the-boussignac-continuous-positive-airway-pressure-system-in-acute-respiratory-failure
#13
REVIEW
D T Wong, A D Tam, T C R V Van Zundert
Traditionally, continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP) devices have been used to treat patients in acute respiratory failure. However they require an electric power source, are relatively large in size, and may be difficult to use in prehospital settings. The recently introduced Boussignac CPAP system is capable of delivering 10 cmH2O of CPAP, is compact, portable and requires only an oxygen source. This paper reviews the efficacy of using Boussignac CPAP as a treatment for acute respiratory failure in both prehospital and hospital settings...
May 2013: Minerva Anestesiologica
https://www.readbyqxmd.com/read/22906896/active-humidification-with-boussignac-cpap-in-vitro-study-of-a-new-method
#14
José M Alonso-Iñigo, Amadeo Almela, Alejandro Albert, José M Carratalá, María J Fas
OBJECTIVE: To carry out an in vitro study of Boussignac CPAP valve performance with a new humidification method, using a heated humidifier. METHODS: Two heated humidifiers were evaluated: Fisher & Paykel MR850, and Covidien Kendall Aerodyne 2000. Baseline measurements were taken in all experimental conditions without humidification. The Boussignac valve was adapted to the input of the humidification chamber. The system was connected to a test lung to assess the degree of pressurization...
April 2013: Respiratory Care
https://www.readbyqxmd.com/read/22709435/noninvasive-cpap-with-face-mask-comparison-among-new-air-entrainment-masks-and-the-boussignac-valve
#15
Giovanni Mistraletti, Matteo Giacomini, Giovanni Sabbatini, Riccardo Pinciroli, Elena S Mantovani, Michele Umbrello, Debora Palmisano, Paolo Formenti, Anne Ll Destrebecq, Gaetano Iapichino
BACKGROUND: The performances of 2 noninvasive CPAP systems (high flow and low flow air-entrainment masks) were compared to the Boussignac valve in 3 different scenarios. METHODS: Scenario 1: pneumatic lung simulator with a tachypnea pattern (tidal volume 800 mL at 40 breaths/min). Scenario 2: Ten healthy subjects studied during tidal breaths and tachypnea. Scenario 3: Twenty ICU subjects enrolled for a noninvasive CPAP session. Differences between set and effective CPAP level and FIO2, as well as the lowest airway pressure and the pressure swing around the imposed CPAP level, were analyzed...
February 2013: Respiratory Care
https://www.readbyqxmd.com/read/21822754/management-of-a-patient-with-tracheomalacia-and-supraglottic-obstruction-after-thyroid-surgery
#16
Corina Lee, Richard M Cooper, David Goldstein
PURPOSE: We describe an unusual combination of dynamic supraglottic, glottic, subglottic, and intrathoracic airway obstructions following a total thyroidectomy. These problems were anticipated, documented videographically, and managed preemptively. CLINICAL FEATURES: Following a total thyroidectomy, we replaced the endotracheal tube with a laryngeal mask airway, namely, the LMA-Classic™, in a patient with symptomatic tracheal compression and probable obstructive sleep apnea...
November 2011: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/21600675/-noninvasive-mechanical-ventilation-in-severe-pneumonia-due-to-h1n1-virus
#17
A Belenguer-Muncharaz, R Reig-Valero, S Altaba-Tena, P Casero-Roig, A Ferrándiz-Sellés
OBJECTIVE: The use of noninvasive mechanical ventilation was evaluated in our series of patients admitted to our ICU with pneumonia due to influenza A virus H1N1, assessing the need for intubation, arterial blood gases and clinical improvement, the development of complications and ICU and hospital stay. DESIGN: Retrospective and observational study. SETTING: ICU of Castellón University General Hospital (Castellón, Spain). POPULATION: Patients admitted to ICU with pneumonia due to influenza A virus H1N1 and acute hypoxemic respiratory failure...
November 2011: Medicina Intensiva
https://www.readbyqxmd.com/read/21572483/-continuous-positive-airway-pressure-in-acute-pulmonary-edema-application-in-a-general-medical-ward
#18
RANDOMIZED CONTROLLED TRIAL
Federico Lari, Fabrizio Giostra, Gianpaolo Bragagni, Nicola Di Battista
BACKGROUND: The application of a Continuous Positive pressure to Patient's airway (CPAP) represents one of the most important respiratory treatments during Acute Respiratory Failure (ARF) due to Acute Cardiogenic Pulmonary Edema (ACPE). Thanks to its hemodynamic and ventilatory effects, CPAP improves clinical and gasanalytic parameters and lead to a decrease of mortality and need of intubation in these patients. CPAP can be applied with different devices: ventilators, Venturi-like flow generators and Boussignac's device...
March 2011: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/21513584/aerosol-delivery-and-humidification-with-the-boussignac-continuous-positive-airway-pressure-device
#19
Arnaud W Thille, Jean-François Bertholon, Marie-Hélène Becquemin, Monique Roy, Aissam Lyazidi, François Lellouche, Esther Pertusini, Georges Boussignac, Bernard Maître, Laurent Brochard
BACKGROUND: A simple method for effective bronchodilator aerosol delivery while administering continuing continuous positive airway pressure (CPAP) would be useful in patients with severe bronchial obstruction. OBJECTIVE: To assess the effectiveness of bronchodilator aerosol delivery during CPAP generated by the Boussignac CPAP system and its optimal humidification system. METHODS: First we assessed the relationship between flow and pressure generated in the mask with the Boussignac CPAP system...
October 2011: Respiratory Care
https://www.readbyqxmd.com/read/21465320/a-comparison-between-the-boussignac%C3%A2-continuous-positive-airway-pressure-mask-and-the-venturi-mask-in-terms-of-improvement-in-the-pao2-f-i-o2-ratio-in-morbidly-obese-patients-undergoing-bariatric-surgery-a-randomized-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
David T Wong, Elaheh Adly, Hui Yun Vivian Ip, Shikha Thapar, Grant R Maxted, Frances F Chung
PURPOSE: This study compared the Boussignac™ continuous positive airway pressure (CPAP) mask with the venturi face mask in terms of the postoperative PaO2/F(I)O2 (PF) ratio in morbidly obese patients after bariatric surgery. METHODS: Following hospital Research Ethics Board approval and written informed consent, morbidly obese (body mass index > 35 kg·m(-2)) patients undergoing bariatric surgery were recruited. The patients were anesthetized and laparoscopic Roux-en-Y gastric bypass was performed...
June 2011: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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