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"BiPap" OR "BPap" OR "Bilevel Positive Airway Pressure" OR "Bi-Level Positive Airway Pressure" OR "IPAP" OR "EPAP"

Deanna Britton, Jeannette D Hoit, Joshua O Benditt, Justine Poon, Meghan Hansen, Carolyn R Baylor, Kathryn M Yorkston
The purpose of the study is to describe experiences of swallowing with two forms of noninvasive positive-pressure ventilation (NPPV): mouthpiece NPPV (M-NPPV) and nasal bilevel positive airway pressure (BPAP) in people with muscular dystrophy. Ten men (ages 22-42 years; M = 29.3; SD = 7.1) with muscular dystrophy (9 with Duchenne's; 1 with Becker's) completed the Eating Assessment Tool (EAT-10; Ann Otol Rhinol Laryngol 117(12):919-924 [33]) and took part in semi-structured interviews. The interviews were audio recorded, transcribed, and verified...
March 11, 2019: Dysphagia
Shahram Seyfi, Parviz Amri, Simin Mouodi
Efficiency of non-invasive positive pressure ventilation in the treatment of respiratory failure has been shown in many published studies. In this review article, we introduced new modalities of non-invasive ventilation (NIV), clinical settings in which NIV can be used and a practical summary of the latest official guidelines published by the European Respiratory Clinical Practice. Clinical trials and review articles in four databases up to 25 February 2018 about new modalities of non-invasive positive pressure ventilation were reviewed...
2019: Caspian Journal of Internal Medicine
Martí Pons-Òdena, Alberto Medina, Vicente Modesto, María Anunciación Martín-Mateos, Wooi Tan, Laura Escuredo, Francisco José Cambra
INTRODUCTION: Despite there being limited evidence, non-invasive ventilation (NIV) has become a common treatment for acute respiratory failure (ARF). The aim of this study was to identify the predictive factors of NIV failure, in order to enable early detection of patients failing the treatment. PATIENTS AND METHODS: Prospective cohort study was conducted that included all ARF patients that received NIV as the initial treatment between 2005 and 2009 in a fourteen-bed Paediatric Intensive Care Unit (PICU) of a tertiary university hospital...
February 20, 2019: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Aluem Tark, Mansi Agarwal, Andrew W Dick, Patricia W Stone
BACKGROUND: Physician Orders for Life-Sustaining Treatment (POLST) is an advance care planning tool that is designed to document end-of-life (EoL) care wishes of those living with limited life expectancies. Although positive impacts of POLST program has been studied, variations in state-specific POLST programs across the nation remain unknown. OBJECTIVE: Identify state variations in POLST forms and determine if variations are associated with program maturity status...
February 21, 2019: Journal of Palliative Medicine
Luis Grau, Fabio R Orozco, Andres F Duque, Zachary D Post, Danielle Y Ponzio, Alvin C Ong
BACKGROUND: Pulmonary complications after total joint arthroplasty are a burden to patients and the healthcare system. The aim of this study is to demonstrate the effectiveness of a pulmonary screening questionnaire and intervention protocol developed at our institution to prevent pulmonary complications. METHODS: Between 2010 and 2015, 7658 consecutive total joint arthroplasty patients at our institution were reviewed. Based on our pre-operative pulmonary risk assessment tool, 1625 patients were flagged as high pulmonary risk...
January 29, 2019: Journal of Arthroplasty
Susheel P Patil, Indu A Ayappa, Sean M Caples, R John Kimoff, Sanjay R Patel, Christopher G Harrod
INTRODUCTION: This guideline establishes clinical practice recommendations for positive airway pressure (PAP) treatment of obstructive sleep apnea (OSA) in adults and is intended for use in conjunction with other American Academy of Sleep Medicine (AASM) guidelines in the evaluation and treatment of sleep-disordered breathing in adults. METHODS: The AASM commissioned a task force of experts in sleep medicine. A systematic review was conducted to identify studies, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) process was used to assess the evidence...
February 4, 2019: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Zsolt Mervai, Andrea Reszegi, Ildikó Miklya, József Knoll, Zsuzsa Schaff, Ilona Kovalszky, Kornélia Baghy
BPAP is a potent enhancer substance with catecholaminergic and serotoninergic activity in the brain. It was discovered that it is also effective against certain types of experimental cancers, showing the most promising results in case of lung cancer. That is why we tested its efficacy in two different doses in a newly developed EGFR wild type mouse lung adenocarcinoma xenograft model. Experiments were conducted on FVB/N and SCID mouse strains treated with low and high dose of BPAP. Body weight, survival, and tumor volumes were recorded...
February 8, 2019: Pathology Oncology Research: POR
Johanna Becker, Martin R M Koos, David Schulze-Sünninghausen, Burkhard Luy
Based on Ernst-angle-type excitation and Acceleration by Sharing Adjacent Polarization (ASAP), a fast HSQC-TOCSY experiment is introduced. In the approach, the DIPSI-2 isotropic mixing period of the ASAP-HSQC is simply shifted, which provides a TOCSY period without additional application of rf-energy. The ASAP-HSQC-TOCSY allows the acquisition of a conventional 2D in about 30 s. Alternatively, it allows the acquisition of highly carbon-resolved spectra (several Hz digital resolution) on the order of minutes...
January 18, 2019: Journal of Magnetic Resonance
Joshua D Smith, Marc C Thorne, Aaron L Thatcher
OBJECTIVES: Surgical repair of persistent tracheocutaneous fistula in children may be complicated by tracheal air leak with resultant subcutaneous emphysema, pneumomediastinum, and/or pneumothorax. We first sought to identify clinical risk factors for postoperative complications after primary repair of persistent tracheocutaneous fistula in children. Second, the type and frequency of complications in patients administered positive airway pressure ventilation (e.g., bag-valve mask ventilation, continuous positive airway pressure [CPAP], or bilevel positive airway pressure [BiPAP]) postoperatively was determined and compared to a control population...
January 28, 2019: Laryngoscope
Özden O Dalgıç, F Safa Erenay, Kalyan S Pasupathy, Osman Y Özaltın, Brian A Crum, Mustafa Y Sir
OBJECTIVE: To capture ALS progression in arm, leg, speech, swallowing, and breathing segments using a disease-specific staging system, namely tollgate-based ALS staging system (TASS), where tollgates refer to a set of critical clinical events including having slight weakness in arms, needing a wheelchair, needing a feeding tube, etc. METHODS: We compiled a longitudinal dataset from medical records including free-text clinical notes of 514 ALS patients from Mayo Clinic, Rochester-MN. We derived tollgate-based progression pathways of patients up to a 1-year period starting from the first clinic visit...
January 25, 2019: Journal of Neurology
Gregory Hansen, Joshua Hochman, Meghan Garner, Jeffrey Dmytrowich, Tanya Holt
BACKGROUND: Delivery of noninvasive ventilation commonly occurs in the pediatric intensive care unit (PICU). With the advent of high flow nasal cannula (HFNC), patients with respiratory distress may be rescued on the ward without a PICU admission. We evaluated our ward HFNC algorithm to determine its safety profile and independent predictors for non-responders, defined as requiring a subsequent PICU admission. METHODS: A retrospective chart review for patients <17 years of age admitted with respiratory distress between 2016-17...
January 15, 2019: Pediatrics International: Official Journal of the Japan Pediatric Society
Vittoria Comellini, Angela Maria Grazia Pacilli, Stefano Nava
Non-invasive ventilation (NIV) with bilevel positive airway pressure is a non-invasive technique, which refers to the provision of ventilatory support through the patient's upper airway using a mask or similar device. This technique is successful in correcting hypoventilation. It has become widely accepted as the standard treatment for patients with hypercapnic respiratory failure (HRF). Since the 1980s, NIV has been used in intensive care units and, after initial anecdotal reports and larger series, a number of randomized trials have been conducted...
January 12, 2019: Respirology: Official Journal of the Asian Pacific Society of Respirology
Hua Lu, Zuojia Liu, Biru Li
Rigid spine syndrome is a rare myopathy in children and has a poor prognosis because of its lack of treatment and eventual ventilatory failure. We report the case of a 10-year-old child with RSS and ventilatory disorders. We provided care to the child using bilevel positive airway pressure (BiPAP) non-invasive mechanical ventilation and continuous monitoring of transcutaneous carbon dioxide pressure. A 10-year-old Han Chinese girl presented (6 April 6 2016) to the Shanghai Children's Medical Center with ventilatory disorders, including hypoxia and hypercapnia...
January 7, 2019: Journal of International Medical Research
Stefano Aliberti, Valentina Diana Rosti, Chiara Travierso, Anna Maria Brambilla, Federico Piffer, Giuseppina Petrelli, Chiara Minelli, Daniele Camisa, Antonio Voza, Giovanna Guiotto, Roberto Cosentini
BACKGROUND: During the past three decades conflicting evidences have been published on the use of non-invasive ventilation (NIV) in patients with acute cardiogenic pulmonary edema (ACPE). The aim of this study is to describe the management of acute respiratory failure (ARF) due to ACPE in twelve Italian emergency departments (EDs). We evaluated prevalence, characteristics and outcomes of ACPE patients treated with oxygen therapy, continuous positive airway pressure (CPAP) or Bi-level positive airway pressure (BiPAP) on admission to the EDs...
December 29, 2018: BMC Emergency Medicine
Nigel McArdle
Early in the history of non-invasive ventilation (NIV) for disorders of hypoventilation, treatment was provided by volume-limited (VL) devices. Currently, NIV is commonly provided by pressure-limited (PL) devices because of greater portability, lower cost and studies showing increased patient comfort. There are now volume-targeted (VT) devices, which aim to combine the advantages of more stable ventilation associated with VL and greater comfort of PL mode. VT devices automatically adjust pressure support, within a defined range, to target a preset level of ventilation...
December 21, 2018: Respirology: Official Journal of the Asian Pacific Society of Respirology
Ashutosh Kaushal, Puneet Goyal, Sanjay Dhiraaj, Aarti Agarwal, Prabhat Kumar Singh
Objective: Identification of risk factors that might be responsible for postoperative hypoxaemia, in view of changing profile of surgical patients and better but more complex perioperative care nowadays. Methods: We conducted a prospective observational study that included patients aged 18-65 years, who underwent elective surgery and required general anaesthesia. Oxygen saturation was monitored before the induction in operating room and continued 72 hours post-surgery...
December 2018: Turkish Journal of Anaesthesiology and Reanimation
Michael J Bonios, Stamatis N Adamopoulos, Stavros G Drakos
Clinical investigations in chronic heart failure (HF) have been increasingly including endpoints related to functional and exercise capacity. Noninvasive ventilation support (NIVS) constitutes a therapeutic option that could improve several markers of cardiovascular performance and functional capacity along with improvements in HF symptoms such as dyspnea. NIVS with bilevel positive airway pressure (BiPAP) is a therapeutic option that can be better tolerated by patients than continuous positive airway pressure (cPAP) and potentially improve the adherence of patients with HF to NIVS...
November 16, 2018: Hellenic Journal of Cardiology: HJC
Chunfang Zou, Weiwei Sheng, De Huai, Juan Cao, Mei Su, Ding Ning, Rong Xue, Yanli Wang, Mao Huang, Xilong Zhang
PURPOSE: Our study aims to compare the difference in clinical efficacy between auto-trilevel positive airway pressure (auto-trilevel PAP) ventilator and conventional fixed bilevel positive airway pressure (BiPAP) ventilator for obesity hypoventilation syndrome (OHS) patients with coexisting moderate or severe obstructive sleep apnea hypopnea syndrome (OSAHS). METHODS: Twenty-three OHS patients with moderate or severe OSAHS enrolled between January 2015 and September 2017 underwent ventilation by three different modes of positive airway pressure (PAP) for 8 h per night...
November 13, 2018: Sleep & Breathing
Cinzia Moret Iurilli, Natale Daniele Brunetti, Paola Rita Di Corato, Giuseppe Salvemini, Matteo Di Biase, Marco Matteo Ciccone, Vito Procacci
No abstract text is available yet for this article.
December 2018: Journal of Intensive Care Medicine
K H Briones Claudett
No abstract text is available yet for this article.
December 2018: Journal of Intensive Care Medicine
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