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Non invasive ventilation ventilators

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https://read.qxmd.com/read/30763372/withholding-or-withdrawing-invasive-interventions-may-not-accelerate-time-to-death-among-dying-icu-patients
#1
Daniele Ramazzotti, Peter Clardy, Leo Anthony Celi, David J Stone, Robert S Rudin
BACKGROUND: Critically ill patients may die despite invasive intervention. In this study, we examine trends in the application of two such treatments over a decade, namely, endotracheal ventilation and vasopressors and inotropes administration, as well as the impact of these trends on survival durations in patients who die within a month of ICU admission. METHODS: We considered observational data available from the MIMIC-III open-access ICU database and collected within a study period between year 2002 up to 2011...
2019: PloS One
https://read.qxmd.com/read/30761276/comparison-of-two-respiratory-support-strategies-for-stabilization-of-very-preterm-infants-at-birth-a-matched-pairs-analysis
#2
Tessa Martherus, André Oberthuer, Janneke Dekker, Christoph Kirchgaessner, Nan van Geloven, Stuart B Hooper, Angela Kribs, Arjan B Te Pas
Objective: Respiratory support for stabilizing very preterm infants at birth varies between centers. We retrospectively compared two strategies that involved either increasing continuous positive airway pressures (CPAP), or increasing oxygen supplementation. Methods: Matched-pairs of infants (<28 weeks of gestation) were born either at the Leiden University Medical Center [low-pressure: CPAP 5-8 cmH2 O and/or positive pressure ventilation (PPV) and fraction of inspired oxygen (FiO2 ) 0.3-1.0; n = 27], or at the University Hospital of Cologne (high-pressure: CPAP 12-35 cmH2 O, no PPV and FiO2 0...
2019: Frontiers in Pediatrics
https://read.qxmd.com/read/30759494/-weannet-the-network-of-respiratory-weaning-centers
#3
B Schönhofer
Invasive ventilation via endotracheal tube as access to the airways often is treatment of choice of acute respiratory failure. Multifactor-related increases the number of patients who are dependent on the ventilator for a longer period. The prolonged weaning (or "liberation") from mechanical ventilation therefore has an increasing importance.In Germany since the 90s of the last century, weaning units have been established in lung clinics. With the aim of achieving the highest possible quality of treatment in these weaning centers, the network "WeanNet" was founded in 2007 within the German Society of Pneumology and Respiratory Medicine (DGP)...
February 2019: Pneumologie
https://read.qxmd.com/read/30754082/non-invasive-ventilation-of-patients-with-acute-asthma
#4
Muhammad Sheikh, Ravindranath Tiruvoipati, James C Hurley
A retrospective observational study of 21 patients admitted to the Intensive Care Unit (ICU) of Frankston Hospital with acute asthma between 2011 and 2014 was undertaken. We report the outcomes for three groups of patients; those that did (n = 7) or did not (n = 6) receive initial therapy with non-invasive ventilation (NIV) together with those that received invasive ventilation (n = 8). Patients successfully managed with NIV alone experienced a shorter ICU and hospital stay versus those who required invasive ventilation...
February 2019: Internal Medicine Journal
https://read.qxmd.com/read/30747262/point-of-care-lung-ultrasound-in-infants-with-bronchiolitis-in-the-pediatric-emergency-department-a-prospective-study
#5
Maria Chiara Supino, Danilo Buonsenso, Simona Scateni, Barbara Scialanga, Maria Alessia Mesturino, Caterina Bock, Antonio Chiaretti, Emanuele Giglioni, Antonino Reale, Anna Maria Musolino
Bronchiolitis is the most common cause of hospitalization of children in the first year of life. The lung ultrasound is a new diagnostic tool which is inexpensive, non-invasive, rapid, and easily repeatable. Our prospective study was conducted in the emergency department and all patients underwent a routine clinical evaluation and lung ultrasound by the pediatricians who defined the clinical and the ultrasound score. We enrolled 76 infants (median age 90 days [IQR 62-183], 53.9% males). In nasopharyngeal aspirates, the respiratory syncytial virus was isolated in 33 patients...
February 12, 2019: European Journal of Pediatrics
https://read.qxmd.com/read/30746263/preventing-mucus-plugging-in-invasively-ventilated-intensive-care-unit-patients-routine-or-personalized-care-and-primum-non-nocere
#6
COMMENT
Willemke Stilma, Marcus J Schultz, Frederique Paulus
No abstract text is available yet for this article.
December 2018: Journal of Thoracic Disease
https://read.qxmd.com/read/30742490/volume-capnography-in-the-intensive-care-unit-potential-clinical-applications
#7
John W Kreit
Volume capnography provides a non-invasive, continuous display of the fractional concentration or partial pressure of carbon dioxide versus exhaled volume. Derived measurements and calculations are influenced by changes in both ventilation and perfusion and are therefore useful for assessing both respiratory and cardiovascular function. This article provides an evidence-based review of several potential uses of volume capnography in the ICU: 1) monitoring the effectiveness of ventilation by using end-tidal PCO2 as a surrogate for arterial PCO2; 2) assessing volume-responsiveness; 3) measuring cardiac output; 4) determining prognosis in patients with the acute respiratory distress syndrome; 5) optimizing alveolar recruitment; and 6) excluding pulmonary embolism...
February 11, 2019: Annals of the American Thoracic Society
https://read.qxmd.com/read/30742286/prognostic-evaluation-of-cases-with-thoracic-trauma-admitted-to-the-intensive-care-unit-10-year-clinical-outcomes
#8
Mehtap Pehlivanlar Küçük, Ahmet Oğuzhan Küçük, İskender Aksoy, Davut Aydın, Fatma Ülger
BACKGROUND: Multiple traumas are a leading cause of mortality among young adults worldwide. Thoracic trauma causes approximately 25% of all trauma-associated deaths. This study aims to determine the independent prognostic factors of mortality in cases with thoracic trauma (isolated or with accompanying organ injuries) who were admitted to the intensive care unit (ICU). METHODS: We retrospectively reviewed data from patients with thoracic trauma who were admitted to our ICU between 2007 and 2016...
January 2019: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/30739370/technological-advances-in-home-non-invasive-ventilation-monitoring-reliability-of-data-and-effect-on-patient-outcomes
#9
REVIEW
Jean-Christian Borel, Alain Palot, Maxime Patout
Home non-invasive mechanical ventilation (NIV) has become a well-established treatment for patients with chronic hypercapnic respiratory failure. NIV monitoring has been developed to evaluate the effectiveness of mechanical ventilation on patient outcomes, with built-in systems providing data on compliance, leaks and respiratory parameters. Although these data seem intuitively useful, two main concerns have been raised in the literature: (i) are they reliable and (ii) to what extent does their use improve patient outcomes...
February 10, 2019: Respirology: Official Journal of the Asian Pacific Society of Respirology
https://read.qxmd.com/read/30739220/sleep-complaints-sleep-and-breathing-disorders-in-myotonic-dystrophy-type-2
#10
REVIEW
Andrea Romigi, Michelangelo Maestri, Carmine Nicoletta, Giuseppe Vitrani, Marco Caccamo, Gabriele Siciliano, Enrica Bonanni, Diego Centonze, Alessandro Sanduzzi
PURPOSE OF REVIEW: To update the current knowledge concerning sleep complaints and breathing disorders in myotonic dystrophy type 2 (DM2) and to better understand if sleep and breathing symptoms may add a further clinical definition of DM2. RECENT FINDINGS: Although DM2 has been poorly evaluated, the most relevant sleep disorders are sleep-disordered breathing (SDB) (37.5-66.7%) and restless legs syndrome (RLS) (50-60%). Excessive daytime somnolence (EDS) is not consistent with SDB, and a large percentage of patients with sleep complaints (58-69%) report pain...
February 9, 2019: Current Neurology and Neuroscience Reports
https://read.qxmd.com/read/30739002/non-invasive-ventilation-for-early-general-ward-respiratory-failure-navigate-a-multicenter-randomized-controlled-study-protocol-and-statistical-analysis-plan
#11
Luca Cabrini, Claudia Brusasco, Agostino Roasio, Francesco Corradi, Pasquale Nardelli, Matteo Filippini, Virginia Cotticelli, Alessandro Belletti, Lorenzo Ferrara, Elio Antonucci, Martina Baiardo Redaelli, Marco Lattuada, Sergio Colombo, Luigi Olper, Giuseppe Ponzetta, Sofia Ananiadou, Giacomo Monti, Luca Severi, Giulia Maj, Giuseppe Giardina, Giuseppe Biondi Zoccai, Umberto Benedetto, Marco Gemma, Sarah Sophia Michelle Cavallero, Ludhmila Abrahao Hajjar, Alberto Zangrillo, Rinaldo Bellomo, Giovanni Landoni
OBJECTIVE: Few randomized trials have evaluated the use of non-invasive ventilation (NIV) for early acute respiratory failure (ARF) in non-intensive care unit (ICU) wards. The aim of this study is to test the hypothesis that early NIV for mild-moderate ARF in non-ICU wards can prevent development of severe ARF. DESIGN: Pragmatic, parallel group, randomized, controlled, multicenter trial. SETTING: Non-intensive care wards of tertiary centers...
February 7, 2019: Contemporary Clinical Trials
https://read.qxmd.com/read/30725273/-modern-breath-analysis
#12
REVIEW
L M Wirtz, S Kreuer, T Volk, T Hüppe
BACKGROUND: Analysis of exhaled air is a risk-free option for bedside diagnostics. Modern breath analysis can detect very low concentrations of volatile components. Current research focuses on drug monitoring and diagnosis of various diseases. OBJECTIVES: Presentation and discussion of current breath research relevant to intensive care medicine. MATERIALS AND METHODS: The literature in PubMed was searched using the following terms: "breath analysis", "volatile organic compounds", "critically ill" combined with "drug monitoring", "propofol", "heart failure", "pneumonia", "ARDS", "renal failure", "liver failure", "sepsis" or "hemorrhage"...
February 6, 2019: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://read.qxmd.com/read/30725049/-pulmonary-expansion-edema-during-the-management-of-a-spontaneous-pneumothorax-report-of-one-case
#13
Carlos Barril Merino, María E Solovera R, Felipe Bannura Y, Patricio Salas V
Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented hypotension and a reduction in arterial oxygen saturation to 78%. Non-invasive ventilation was started. A chest X ray showed extensive right lung edema. The patient was managed with noradrenaline and albumin infusion with good response...
November 2018: Revista Médica de Chile
https://read.qxmd.com/read/30714976/pulmonary-mechanics-measurements-by-respiratory-inductive-plethysmography-and-esophageal-manometry-methodology-for-infants-on-non-invasive-respiratory-support
#14
E M Sivieri, M R Wolfson, S Abbasi
BACKGROUND: Infants are commonly supported with non-invasive ventilation (NIV) such as nasal CPAP and high flow nasal cannula (HFNC). These modes utilize a nasal/oral interface precluding use of a traditional airway flow sensor, such as a pneumotachometer (PNT), needed for pulmonary mechanics (PM) measurements. Respiratory Inductive Plethysmography (RIP), when properly calibrated, records tidal volume non-invasively from chest wall movements. Our aim was to integrate RIP into an existing neonatal pulmonary function testing system to measure PM in infants on NIV and to compare measurements of dynamic lung compliance (CL) and resistance (RL) using RIP with those obtained using a PNT...
January 28, 2019: Journal of Neonatal-perinatal Medicine
https://read.qxmd.com/read/30712020/assisted-ventilation-in-motor-neurone-disease-during-inpatient-palliative-care-barriers-and-utilisation
#15
Aoife Gleeson, Faye Johnson
OBJECTIVES: An increasing number of patients with motor neuron disease (MND) in the UK and Ireland use assisted ventilation, and a small proportion of these use long-term tracheostomy ventilation (TV).1 2 NICE guidelines recommend that patients with MND should routinely receive specialist palliative care input.3 The aim was to establish the extent to which hospices and specialist palliative care units (SPCUs) in the UK and Ireland currently manage patients with MND using assisted ventilation especially TV and to identify any associated barriers...
February 2, 2019: BMJ Supportive & Palliative Care
https://read.qxmd.com/read/30711345/-bilateral-diaphragmatic-palsy-due-to-lyme-neuroborreliosis
#16
C Bon, E Krim, G Colin, W Picard, V Gaborieau, D Gourcerol, C Raherison
INTRODUCTION: Lyme disease is not uncommon and can sometimes progress to neurological complications. We report here an unusual case of bilateral diaphragmatic paralysis secondary to Lyme neuroborreliosis. CASE REPORT: A 79-year-old man was admitted to the intensive care unit for acute respiratory distress requiring intubation and the long-term use of nocturnal non-invasive ventilation. Three months beforehand he had been bitten by a tick and developed erythema migrans which was treated with Doxycycline for 10 days...
January 30, 2019: Revue des Maladies Respiratoires
https://read.qxmd.com/read/30711267/the-burden-and-impact-of-arrhythmia-in-chronic-obstructive-pulmonary-disease-insights-from-the-national-inpatient-sample
#17
Rupak Desai, Upenkumar Patel, Sandeep Singh, Rushikkumar Bhuva, Hee Kong Fong, Pratyusha Nunna, Dipen Zalavadia, Hitanshu Dave, Sejal Savani, Rajkumar Doshi
BACKGROUND: We aimed to analyze the burden and predictors of arrhythmias and in-hospital mortality in chronic obstructive pulmonary disease (COPD)-related hospitalizations using the nationwide cohort. METHODS: We queried the National Inpatient Sample (NIS) (2010-2014) databases to identify adult COPD hospitalizations with arrhythmia. Categorical and continuous variables were compared using Chi-square and Student's t-test/ANOVA. Predictors of any arrhythmia including AF and in-hospital mortality were evaluated by multivariable analyses...
January 25, 2019: International Journal of Cardiology
https://read.qxmd.com/read/30707882/-self-made-pressure-resistant-cap-cotton-cover-in-the-evidence-based-practice-of-sequential-non-invasive-ventilation-therapy
#18
Xiaojie Chen, Yanqing Zhang, Wei Fang, Jinchao Zhang, Yaping Jiao
OBJECTIVE: To apply the concept of evidence-based nursing to the practice of non-invasive ventilation, and to introduce the method of using self-made pressure-resistant cap cotton cover and its application effect. METHODS: Fifty patients on non-invasive ventilation admitted to intensive care unit (ICU) of Harrison International Peace Hospital Affiliated to Hebei Medical University from September 2017 to April 2018 were enrolled as observation group. By retrieved the relevant literature at home and abroad to look for clinical evidence, the concept of evidence-based nursing care program was formulated and implemented, and self-made pressure-resistant cap cotton cover was used to prevent facial pressure sores in patients on non-invasive ventilation...
January 2019: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/30707879/-current-state-of-sedation-analgesia-and-blood-glucose-management-in-intensive-care-units-of-county-hospitals-a-multicenter-cross-sectional-survey-in-guizhou-province-of-china
#19
Xu Liu, Jie Xiong, Yumei Cheng, Ying Liu, Difen Wang
OBJECTIVE: To investigate the current state of sedation, analgesia and blood glucose management in intensive care units (ICUs) of county hospitals in Guizhou Province of China, and to provide the evidences for improving quality control in critical care medicine. METHODS: In March 2018, 3-4 ICUs of hospitals in every prefecture (one hospital per county) in Guizhou Province were visited to do the field survey. The patients' nursing records within 24 hours after ICU admission were reviewed, and the information such as gender, age, major diagnosis at the ICU admission, the time of admission, were collected...
January 2019: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/30705755/efficacy-of-new-intermittent-abdominal-pressure-ventilator-for-post-ischemic-cervical-myelopathy-ventilatory-insufficiency
#20
Paolo I Banfi, Eleonora Volpato, John R Bach
Non-invasive ventilation (NIV) is the treatment of choice for patients symptomatic for respiratory muscle dysfunction. It can normalize gas exchange and provide up to continuous non-invasive ventilator support (CNVS) as an alternative to intubation and tracheotomy. It is usually provided via non-invasive facial interfaces or mouthpieces, but these can be uncomfortable and uncosmetic. The intermittent abdominal pressure ventilator (IAPV) has been used for diurnal ventilatory support since 1938 but has been off the market since about 1990...
2019: Multidisciplinary Respiratory Medicine
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