keyword
Keywords "BiPap" OR "BPap" OR "Bilevel ...

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

https://read.qxmd.com/read/38197530/types-of-home-respiratory-support-in-children-with-bronchopulmonary-dysplasia-and-factors-determining-its-duration-a-scoping-review
#21
REVIEW
Adnan Zafar, Michael Hall
Bronchopulmonary dysplasia also known as chronic lung disease of prematurity has changed as a disease entity over the last five decades and children with "new bronchopulmonary dysplasia (BPD)" have better survival rates. This necessitates strategies to prevent severe BPD and provide organized home support. Home respiratory support in these children varies from home oxygen to noninvasive ventilation and tracheostomy ventilation. This review was conducted utilizing Joanna Briggs Institute publications on evidence synthesis and presentation of results for a scoping review...
January 10, 2024: Pediatric Pulmonology
https://read.qxmd.com/read/38196766/positive-pressure-ventilation-treatment-based-on-daytime-and-night-time-titration-in-patients-with-obesity-hypoventilation-syndrome-a-randomized-controlled-trial
#22
JOURNAL ARTICLE
Babak Amra, Marzieh Ghasemi, Forogh Soltaninejad, Mehrzad Salmasi
Objectives  The aim of the present study was to investigate the improvements of gas exchange and excessive daytime sleepiness in patients with obesity hypoventilation syndrome (OHS) in daytime and night-time split polysomnography (DSPSG and NSPSG). Materials and Methods  In the present randomized controlled trial, patients with OHS were enrolled in two DSPSG (51 patients) and NSPSG (50 patients) groups in the Bamdad respiratory and sleep research center in Isfahan, Iran. In both groups, the diagnostic polysomnography (PSG) and titration were conducted in one session according to the guidelines of NSPSG...
September 2023: Sleep Science
https://read.qxmd.com/read/38170527/development-and-validation-of-the-covid-19-hospitalized-patient-deterioration-index
#23
JOURNAL ARTICLE
Claudia Nau, Rebecca K Butler, Cheng-Wei Huang, Vang Kou Khang, Aiyu Chen, Beth Creekmur, Benjamin Broder, Christopher Subject, Adam L Sharp, Luis M Moreta-Sainz, Joon S Park, Akshay J Manek, Robert M Cooper, Sergio M Mendoza, Gang Luo, Michael K Gould
OBJECTIVES: To develop a COVID-19-specific deterioration index for hospitalized patients: the COVID Hospitalized Patient Deterioration Index (COVID-HDI). This index builds on the proprietary Epic Deterioration Index, which was not developed for predicting respiratory deterioration events among patients with COVID-19. STUDY DESIGN: A retrospective observational cohort was used to develop and validate the COVID-HDI model to predict respiratory deterioration or death among hospitalized patients with COVID-19...
December 1, 2023: American Journal of Managed Care
https://read.qxmd.com/read/38164590/negative-pressure-ventilation-in-the-pediatric-icu
#24
JOURNAL ARTICLE
Michelle DeRusso, Andrew G Miller, Melissa Caccamise, Omar Alibrahim
Negative-pressure ventilation (NPV) is a form of noninvasive ventilation that has been recently utilized in pediatric acute respiratory failure. Negative-pressure ventilators apply negative pressure onto the chest wall via a cuirass to recruit areas of atelectasis. Continuous negative extrathoracic pressure, the most common mode, is similar to CPAP, where negative pressure is maintained at a constant level throughout the respiratory cycle while patients initiate their own breaths and continue to breathe spontaneously throughout...
December 19, 2023: Respiratory Care
https://read.qxmd.com/read/38162081/-association-between-different-modes-of-respiratory-support-and-feeding-intolerance-in-preterm-infants-a-retrospective-cohort-study
#25
JOURNAL ARTICLE
Ting Zhang, Yi Feng, Yong Hu, Junjie Ying, Shaopu Wang, Hua Wang
OBJECTIVE: To explore the relationship between different modes of respiratory support and feeding intolerance (FI) in preterm infants over the course of their hospitalization and to provide recommendations for the management of enteral feeding in preterm infants requiring respiratory support. METHODS: A retrospective analysis was performed with the preterm infants admitted to the Neonatal Intensive Care Unit (NICU), West China Second University Hospital, Sichuan University between June 2015 and November 2018...
November 20, 2023: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://read.qxmd.com/read/38116777/endocrine-disruptors-and-estrogens-in-human-prostatic-tissue
#26
JOURNAL ARTICLE
J Vitku, T Skodova, A Varausova, L Gadus, L Michnova, L Horackova, L Kolatorova, M Simkova, J Heracek
Endocrine disruptors (EDs) are ubiquitous substances both in the environment and everyday products that interfere with the hormonal system. Growing evidence demonstrates their adverse effects on the organism, including the reproductive system and the prostate, owing to their (anti)estrogenic or antiandrogenic effects. Since EDs can interact with steroid hormone actions on-site, understanding the levels of intraprostatic EDs in conjunction with steroids may hold particular significance. The aim of this study was to develop and validate a method for determining estrogens, various groups of EDs (bisphenols, parabens, oxybenzone and nonylphenol) and phytoestrogens in their unconjugated and conjugated forms in prostate tissue by liquid chromatography-tandem mass spectrometry, and subsequently analyze 20 human prostate tissue samples...
December 17, 2023: Physiological Research
https://read.qxmd.com/read/38116035/challenges-and-opportunities-of-evaluating-work-based-interprofessional-learning-insights-from-a-pediatric-interprofessional-training-ward
#27
JOURNAL ARTICLE
Christine Straub, Sebastian F N Bode, Jana Willems, Erik Farin-Glattacker, Sebastian Friedrich
INTRODUCTION: Interprofessional collaboration among healthcare professionals is fostered through interprofessional education (IPE). Work-based IPE has demonstrated effectiveness within interprofessional training wards. We developed the Interprofessional Training Ward in Pediatrics (IPAPED) and employ a combination of established assessment tools and a newly created IPAPED questionnaire, directed at to assess both students' learning experiences and program structure. This paper presents the development and analysis of the psychometric properties of the IPAPED questionnaire...
2023: Frontiers in Medicine
https://read.qxmd.com/read/38101583/bilevel-positive-airway-pressure-ventilation-in-patients-susceptible-to-hypoxemia-during-procedural-sedation-for-colonoscopy-a-prospective-randomized-controlled-study
#28
JOURNAL ARTICLE
Shuailei Wang, Tianqiang Sheng, Guoqing Yuan, Huixin Li, Xiaoguang Guo, Jianming Mai, Chaojin Chen, Gangjian Luo
BACKGROUND AND AIMS: Hypoxemia is one of the most common adverse events during colonoscopy, particularly among patients who are diagnosed with obstructive sleep apnea (OSA) or are overweight. Consequently, the objective of this study is to evaluate the effectiveness of bilevel positive airway pressure (BPAP) ventilation for patients with high risk hypoxemia during colonoscopy with sedation. METHODS: In this trial, 127 patients who met the eligibility criteria were randomly assigned to the BPAP oxygen and nasal cannula (NC) group...
December 13, 2023: Gastrointestinal Endoscopy
https://read.qxmd.com/read/38094401/retracted-the-significance-of-implementing-bilevel-positive-airway-pressure-under-cluster-nursing-in-improving-the-survival-possibility-of-patients-with-severe-pulmonary-infection-complicated-by-respiratory-failure
#29
Computational And Mathematical Methods In Medicine
[This retracts the article DOI: 10.1155/2022/2324797.].
2023: Computational and Mathematical Methods in Medicine
https://read.qxmd.com/read/38028754/a-pediatric-patient-with-severe-obstructive-sleep-apnea-and-comorbid-depression-and-substance-abuse
#30
Caitlin E Leconte, Joshua W Ng, Ann M Manzardo, Mitchell M Douglass
Obstructive sleep apnea (OSA), depression, and substance abuse problems share similar symptomatology and have significant interplay. An underlying diagnosis of OSA can often be overlooked in patients with significant psychiatric illness and polysubstance use. Pediatric OSA is often associated with adenotonsillar hypertrophy and frequently requires surgical intervention for resolution of symptoms. Untreated OSA can worsen mental status and encourage polysubstance abuse as a form of self-medication. Proper identification and management of OSA plays an important role in treating psychiatric conditions...
2023: Case Reports in Psychiatry
https://read.qxmd.com/read/38022228/disease-outcomes-of-covid-19-in-diabetic-and-hypertensive-patients-during-the-hospital-stay
#31
JOURNAL ARTICLE
Amina Abid, Arooj Umar, Samina Qamar
Background A single-stranded RNA genome-encapsulated virus known as severe acute respiratory syndrome coronavirus 2 is known to cause severe acute respiratory syndrome in humans. People with diabetes and hypertension are often more susceptible to developing coronavirus disease 2019 (COVID-19) and experience a disproportionately higher rate of morbidity and death compared to the general population. The COVID-19 pandemic has become an urgent worldwide issue. Therefore, the main goal of this study is to assess how diabetes and hypertension, both separately and together, affect clinical outcomes in terms of morbidity and mortality in patients hospitalized with COVID-19...
October 2023: Curēus
https://read.qxmd.com/read/37999949/circular-business-model-for-digital-health-solutions-protocol-for-a-scoping-review
#32
JOURNAL ARTICLE
Camille Rønn, Andreas Wieland, Christiane Lehrer, Attila Márton, Jason LaRoche, Adrien Specker, Pascal Leroy, Daniel Fürstenau
BACKGROUND: The circular economy reshapes the linear "take, make, and dispose" approach and evolves around minimizing waste and recapturing resources in a closed-loop system. The health sector accounts for 4.6% of global greenhouse gas emissions and has, over the decades, been built to rely on single-use devices and deal with high volumes of medical waste. With the increase in the adoption of digital health solutions in the health care industry, leading the industry into a new paradigm of how we provide health care, a focus must be put on the amount of waste that will follow...
November 24, 2023: JMIR Research Protocols
https://read.qxmd.com/read/37993279/high-intensity-non-invasive-ventilation-during-exercise-training-versus-without-in-people-with-very-severe-copd-and-chronic-hypercapnic-respiratory-failure-a-randomised-controlled-trial
#33
RANDOMIZED CONTROLLED TRIAL
Tessa Schneeberger, Clancy John Dennis, Inga Jarosch, Daniela Leitl, Antje Stegemann, Rainer Gloeckl, Wolfgang Hitzl, Maximilian Leidinger, Ursula Schoenheit-Kenn, Carl-Peter Criée, Andreas Rembert Koczulla, Klaus Kenn
BACKGROUND: People with very severe chronic obstructive pulmonary disease (COPD) using nocturnal non-invasive ventilation (NIV) for chronic hypercapnic respiratory failure (CHRF) experience reduced exercise capacity and severe dyspnoea during exercise training (ET). The use of NIV during ET can personalise training during pulmonary rehabilitation (PR) but whether high-intensity NIV (HI-NIV) during exercise is accepted and improves outcomes in these extremely physically limited patients is unknown...
November 22, 2023: BMJ Open Respiratory Research
https://read.qxmd.com/read/37987262/the-association-between-non-invasive-ventilation-and-the-rate-of-ventilator-associated-pneumonia
#34
JOURNAL ARTICLE
Hollie Saunders, Subekshya Khadka, Rabi Shrestha, Arvind Balavenkataraman, Alexander Hochwald, Colleen Ball, Scott A Helgeson
Ventilator-associated pneumonia (VAP) has significant effects on patient outcomes, including prolonging the duration of both mechanical ventilation and stay in the intensive care unit (ICU). The aim of this study was to assess the association between non-invasive ventilation/oxygenation (NIVO) prior to intubation and the rate of subsequent VAP. This was a multicenter retrospective cohort study of adult patients who were admitted to the medical ICU from three tertiary care academic centers in three distinct regions...
October 27, 2023: Diseases (Basel)
https://read.qxmd.com/read/37977386/bisphenol-analogues-in-infant-foods-in-south-china-and-implications-for-infant-exposure
#35
JOURNAL ARTICLE
Quanzhi Zheng, Jinqiu Xiao, Duo Zhang, Xiangyu Li, Jiayi Xu, Jiaojiao Ma, Qinru Xiao, Jinfeng Fu, Zhihui Guo, Yue Zhu, Jiajia Ji, Shaoyou Lu
Bisphenol analogues (BPs) are commonly used as modifiers, stabilizers and photo-initiators in polymer materials, including those used in food packaging. Compared to adults, infants are more sensitive to chemicals because their bodies are growing and not fully developed. Therefore, it is essential to determine the concentrations of BPs in common infant foods to assess infant exposure and prevent hazards. We collected 54 infant formula (IF) samples, 90 complementary food (CMF) samples and 62 breastmilk samples from breastfeeding women in south China...
November 15, 2023: Science of the Total Environment
https://read.qxmd.com/read/37945413/opioid-sensitivity-in-treated-and-untreated-obstructive-sleep-apnoea-a-prospective-cohort-study
#36
JOURNAL ARTICLE
Michael C Montana, Michael McLeland, Marilee Fisher, Lindsay Juriga, Patrick M Ercole, Evan D Kharasch
BACKGROUND: Opioid administration to patients with obstructive sleep apnoea (OSA) is controversial because they are believed to be more sensitive to opioids. However, objective data on opioid effects in OSA are lacking. We tested the hypothesis that subjects with untreated OSA have increased sensitivity to opioids compared with subjects without OSA, or with OSA treated with continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BIPAP). METHODS: This was a single-centre, prospective cohort study in subjects without OSA (n=20), with untreated OSA (n=33), or with treated OSA (n=21)...
January 2024: British Journal of Anaesthesia
https://read.qxmd.com/read/37925442/effect-and-mechanical-mechanism-of-spontaneous-breathing-on-oxygenation-and-lung-injury-in-mild-or-moderate-animal-ards
#37
JOURNAL ARTICLE
Rui Yang, Leilei Zhou, Zongyu Chen, Shuang He, Siyu Lian, Yi Shen, Xianming Zhang
OBJECTIVE: The present study aimed to determine the effect and mechanical mechanism of spontaneous breathing during mechanical ventilation on oxygenation and lung injury using Beagles dogs mild or moderate acute respiratory distress syndrome (ARDS) model. METHODS: After inducing mild or moderate ARDS by infusion of oleic acid, Eighteen Beagles dogs were randomly split into Spontaneous breathing group (BIPAPSB , n = 6), and Complete muscle paralysis group (BIPAPPC , n = 6),Six Beagles without ventilator support comprised the control group...
November 4, 2023: BMC Pulmonary Medicine
https://read.qxmd.com/read/37908461/methemoglobinemia-in-the-era-of-covid-19-a-potential-confounder-of-glycemic-control
#38
Benjamin M Ascherman, Kolton Smith, Sarah L Fishman
Glycated hemoglobin A1c (HbA1c ) is frequently used as a measure of glycemic control but can be inaccurate in certain clinical scenarios leading to poor estimates of insulin requirements. We present the case of a 76-year-old man with diabetes and COVID infection. HbA1c was measured at 5.7%, though the patient reported home glucose readings of 200 to 300 mg/dL (11.1-16.65 mmol/L). Pulse oximetry on presentation was 50% to 60%, which initially improved to 93% with supplemental oxygen of 15 L via nonrebreather face mask...
March 2023: JCEM Case Rep
https://read.qxmd.com/read/37882417/hypoglossal-nerve-stimulation-for-obstructive-sleep%C3%A2-apnea-in-a-patient-with-cerebral-palsy
#39
Patrick Scheffler, Dana Eitan, Rupali Drewek, Sharon Gnagi
INTRODUCTION: Obstructive sleep apnea (OSA) is common amongst patients with cerebral palsy in part due to significant hypotonia. Hypoglossal nerve stimulation (HGNS) is a novel tool used to treat sleep apnea when there is failure with CPAP. To our knowledge, the literature has not discussed HGNS as a treatment option for severe OSA in patients with cerebral palsy. METHODS: Case report and literature review. RESULTS: A 28-year-old male with cerebral palsy, neuromuscular deformity, proximal junction kyphosis, and developmental delay presented with severe obstructive sleep apnea and was intolerant to CPAP and BiPAP...
October 26, 2023: Laryngoscope
https://read.qxmd.com/read/37880385/higher-cumulative-dose-of-opioids-and-other-sedatives-are-associated-with-extubation-failure-in-norwood-patients
#40
JOURNAL ARTICLE
Sebastian Acosta, Adel M Hassan, Zbigniew Gugala, Zena Karagoli, Jessica Hochstetler, Amy L Kiskaddon, Paul Checchia, David Faraoni, Feng Zheng, Fabio Savorgnan
BACKGROUND: The primary purpose of this study is to evaluate the relationship between sedation usage and extubation failure, and to control for the effects of hemodynamic, oximetric indices, clinical characteristics, ventilatory settings pre- and post-extubation, and echocardiographic (echo) findings in neonates with hypoplastic left heart syndrome (HLHS) post-Norwood procedure. METHODS: Single-center, retrospective analysis of Norwood patients during their first extubation post-surgery from January 2015 to July 2021...
October 25, 2023: Pediatric Cardiology
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