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Aerosol Delivery to Simulated Spontaneously Breathing Tracheostomized Adult Model With and Without Humidification. Respir. Care (IF 2.5) Pub Date : 2024-03-14 Fai AlBuainain, Jie Li
Background: The optimal aerosol delivery methods for tracheostomized spontaneously breathing patients remain unclear. Thus, we aimed to assess the impact of nebulizer placement, flow settings, and interfaces on aerosol delivery using a vibrating mesh nebulizer (VMN) and jet nebulizer (JN) in-line with unheated humidification.Methods: An 8.0 mm tracheostomy tube (TT) was connected to the lung model
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High-Flow and Low-Flow Oxygen Delivery by Nasal Cannula Evaluated in Infant and Adult Airway Replicas. Respir. Care (IF 2.5) Pub Date : 2024-03-05 Mozhgan Sabz, Michelle L Noga, Warren H Finlay, Hossein Rouhani, Andrew R Martin
The nasal cannula is widely regarded as a safe and effective means of administering low- and high-flow oxygen to patients irrespective of their age. However, variability in delivered oxygen concentration (FDO2 ) via nasal cannula has the potential to pose health risks. The present study aimed to evaluate predictive equations for FDO2 over a large parameter space, including variation in breathing, oxygen
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AARC Clinical Practice Guideline: Spontaneous Breathing Trials for Liberation From Adult Mechanical Ventilation. Respir. Care (IF 2.5) Pub Date : 2024-03-05 Karsten J Roberts, Lynda T Goodfellow, Corinne M Battey-Muse, Cheryl A Hoerr, Megan L Carreon, Morgan E Sorg, Joel Glogowski, Timothy D Girard, Neil R MacIntyre, Dean R Hess
Despite prior publications of clinical practice guidelines related to ventilator liberation, some questions remain unanswered. Many of these questions relate to the details of bedside implementation. We, therefore, formed a guidelines committee of individuals with experience and knowledge of ventilator liberation as well as a medical librarian. Using Grading of Recommendations Assessment, Development
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Synergistic Effect of Manually Assisted Cough During Mechanical Insufflation-Exsufflation in Patients With Spinal Cord Injury. Respir. Care (IF 2.5) Pub Date : 2024-03-05 Chae Hyeon Lee, Sung Eun Hyun, Yong Hur, Hyung-Ik Shin
Mechanical insufflation-exsufflation (MI-E) and manually assisted cough are frequently employed cough augmentation methods for enhancing cough efficiency in individuals with cervical spinal cord injury (CSCI). This study aimed to evaluate the synergistic impact of combining manually assisted cough and MI-E on cough peak flow in subjects with CSCI and identify their related factors.
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The Impact of Positive Expiratory Pressure Therapy on Hyperinflation in Patients With COPD. Respir. Care (IF 2.5) Pub Date : 2024-02-28 Juliana Ribeiro Fonseca Franco de Macedo, Elinaldo da Conceiçãodos Dos Santos, Gregory Reychler, William Poncin
Lung hyperinflation is a typical clinical feature of patients with COPD. Given the association between breathing at elevated lung volumes and the manifestation of severe debilitating symptoms, therapeutic interventions such as positive expiratory pressure (PEP) therapy and its variations (temporary, oscillatory) have been devised to mitigate lung hyperinflation. However, the efficacy of these interventions
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Medical Trainees' Knowledge and Attitudes Towards Electronic Cigarettes and Hookah: A Multinational Survey Study. Respir. Care (IF 2.5) Pub Date : 2024-02-28 Fernando P Bruno, Luiza Helena Degani-Costa, Kesava Lakshmi Prasad Kandipudi, Fernanda Gushken, Claudia Szlejf, Ana B Tokeshi, Yasmin F Tehrani, Daniel Kaufman, Pentapati Siva Santosh Kumar, Limalemla Jamir, Matthew Gk Benesch, Morag G Ryan, Hardeep Lotay, Jonathan P Fuld, Thiago M Fidalgo
The rising prevalence of electronic cigarette (e-cigarette) and hookah use among youth raises questions about medical trainees' views of these products. We aimed to investigate medical trainees' knowledge and attitudes toward e-cigarette and hookah use.
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Effects of Lung Injury and Abdominal Insufflation on Respiratory Mechanics and Lung Volume During Time-Controlled Adaptive Ventilation. Respir. Care (IF 2.5) Pub Date : 2024-02-26 Harry Ramcharran, Greg Wetmore, Scott Cooper, Jacob Herrmann, Andrea F Cruz, David W Kaczka, Joshua Satalin, Sarah Blair, Penny L Andrews, Nader M Habashi, Gary F Nieman, Michaela Kollisch-Singule
Lung volume measurements are important for monitoring functional aeration and recruitment, and may help guide adjustments in ventilator settings. The expiratory phase of APRV may provide physiologic information about lung volume based on the expiratory flow-time slope, angle, and time to approach a no-flow state (TExp). We hypothesized that expiratory flow rate would correlate with estimated lung volume
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Associations of Upper-Extremity Exercise Capacity and Grip Strength With Cognitive Domains in Patients With COPD. Respir. Care (IF 2.5) Pub Date : 2024-02-20 Bedriye Dag, İlknur Naz, Elvan Felekoglu, Yusuf Emuk, Melissa Kopruluoglu, Hulya Sahin
Cognitive impairment (CI), which has been reported in COPD, has been related to physical performance. However, the association between CI and upper-extremity functions is unknown. We aimed to compare upper-extremity exercise capacity and grip strength between subjects with COPD with and without CI and to determine the relationship of upper-extremity functions with specific cognitive domains.
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Implementing the Pediatric Ventilator Liberation Guidelines Using the Most Current Evidence: a Narrative Review. Respir. Care (IF 2.5) Pub Date : 2024-02-12 Jeremy M Loberger, Katherine Steffen, Robinder G Khemani, Akira Nishisaki, Samer Abu-Sultaneh
Invasive mechanical ventilation is prevalent and associated with significant morbidity. Pediatric critical care teams must identify the best timing and approach to liberating (extubating) children from this supportive care modality. Unsurprisingly, practice variation is significant. As a first step to minimizing that variation, the first evidence-based Pediatric Ventilator Liberation Guidelines were
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Comparison of Mechanical Insufflation-Exsufflation and Hypertonic Saline with Hyaluronic Acid with Conventional Open Catheter Suctioning in Intubated Patients. Respir. Care (IF 2.5) Pub Date : 2024-02-02 Miguel Sánchez-García, Manuel Álvarez-González, Sara Domingo-Marín, Ángela Del Pino-Ramírez, Fernando Martínez-Sagasti, Paloma González-Arenas, Carlos Cardenal-Sánchez, Elena Velasco-López, Antonio Núñez-Reiz
BACKGROUND: Open respiratory secretion suctioning with a catheter causes pain and injuries to the tracheobronchial mucosa in intubated patients. Mechanical insufflation-exsufflation (MI-E) aims at dragging secretions proximally non-invasively by generating a high peak expiratory airflow. Nebulized hypertonic saline with hyaluronic acid (HS-HA) facilitates suctioning by hydration. We assessed the safety
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A Prospective, Longitudinal Study Evaluating the Efficacy of an Automated Secretion Removal Technology. Respir. Care (IF 2.5) Pub Date : 2024-01-31 Jante S Sinnige, Dan S Karbing, Christel M A Valk, Marcus J Schultz, Stephen E Rees, Frederique Paulus
BACKGROUND: Endotracheal suctioning causes discomfort, is associated with adverse effects and is resource demanding. An artificial secretion removal method, known as an automated cough, has been developed, applying rapid, automated deflation and inflation of the endotracheal tube cuff during the inspiratory phase of mechanical ventilation. This method has been evaluated in the hands of researchers
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Assessing evidence-based practice knowledge, self-efficacy, and use among respiratory therapists. Respir. Care (IF 2.5) Pub Date : 2024-01-31 Kimberly M Clark, Pamela Brown, Diane Gill, William Karper
Background: Evidence-based practice (EBP) is at the forefront of providing quality patient care by using the best available evidence, clinical expertise, and considering patient needs and preferences for clinical decisions. However, EBP may not be consistently used even when the evidence supports the therapy. The purpose of this study was to assess the factors associated with the use of EBP among respiratory
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A Taxonomy for Noninvasive Modes Provided by Portable Ventilators. Respir. Care (IF 2.5) Pub Date : 2024-01-30 Umur Hatipoğlu, Joseph S Lewarski, Robert L Chatburn
The purpose of this article is to identify (by brand name) and then classify the modes available on contemporary portable ventilators used for noninvasive ventilation in the United States. We propose a formal taxonomy that identifies the modes by their control variable, breath sequence, and targeting scheme, therefore describing what the mode does. Use of this taxonomy should be helpful in finding
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Noninvasive Respiratory Support for Pediatric Critical Asthma: A Multicenter Cohort Study. Respir. Care (IF 2.5) Pub Date : 2024-01-30 Brett W Russi, Alexa R Roberts, Ignacio F Nievas, Colin M Rogerson, John M Morrison, Anthony A Sochet
Noninvasive respiratory support (NRS) for pediatric critical asthma includes CPAP; bi-level positive airway pressure (BPAP); and heated, humidified, high-flow nasal cannula (HFNC). We used the Virtual Pediatric System database to estimate NRS by prescribing rates for pediatric critical asthma and characterize patient clinical features and in-patient outcomes by the initial NRS device applied.
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Specific Training Improves the Detection and Management of Patient-Ventilator Asynchrony. Respir. Care (IF 2.5) Pub Date : 2024-01-24 Iván I Ramírez, Ruvistay Gutiérrez-Arias, L Felipe Damiani, Rodrigo S Adasme, Daniel H Arellano, Francisco A Salinas, Angelo Roncalli, Juan Núñez-Silveira, Milton Santillán-Zuta, Patrick Sepúlveda-Barisich, Federico Gordo-Vidal, Lluís Blanch
Patient-ventilator asynchrony is common in patients undergoing mechanical ventilation. The proportion of health-care professionals capable of identifying and effectively managing different types of patient-ventilator asynchronies is limited. A few studies have developed specific training programs, but they mainly focused on improving patient-ventilator asynchrony detection without assessing the ability
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The Ability of Critical Care Physicians to Identify Patient-Ventilator Asynchrony Using Waveform Analysis: A National Survey. Respir. Care (IF 2.5) Pub Date : 2024-01-24 Rym Chelbi, Farah Thabet, Emna Ennouri, Khaoula Meddeb, Radhouane Toumi, Marwa Zghidi, Imen Ben Saida, Mohamed Boussarsar
Improved patient-ventilator asynchrony (PVA) identification using waveform analysis by critical care physicians (CCPs) may improve patient outcomes. This study aimed to assess the ability of CCPs to identify different types of PVAs using waveform analysis as well as factors related to this ability.
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Evaluation of Optimal Esophageal Catheter Balloon Inflation Volume in Mechanically Ventilated Children. Respir. Care (IF 2.5) Pub Date : 2024-01-09 Michelle W Rudolph, Alette A Koopman, Robert G T Blokpoel, Martin C J Kneyber
Accuracy of esophageal pressure measured by an air-filled esophageal balloon catheter is dependent on balloon filling volume. However, this has been understudied in mechanically ventilated children. We sought to study the optimal filling volume in children receiving ventilation by using previously reported calibration methods. Secondary objectives included to examine the difference in pressure measurements
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Home oxygen after hospitalization for COVID-19: Results from the multicenter OXFORD study. Respir. Care (IF 2.5) Pub Date : 2024-01-04 Michael B Freedman, Yoo Jin Kim, Ramandeep Kaur, Bijal V Jain, Ayodeji O Adegunsoye, Yu-Che Chung, Julie A DeLisa, Jessica M Gardner, Howard S Gordon, Jared A Greenberg, Malvika Kaul, Nader Khouzam, Stephanie L Labedz, Babak Mokhlesi, Jacob Rintz, Israel Rubinstein, Analisa Taylor, David L Vines, Lubna Ziauddin, Lynn B Gerald, Jerry A Krishnan
Background: In the first months of the pandemic, prior to the introduction of proven-effective treatments, 15 to 37% of patients hospitalized with COVID-19 were discharged on home oxygen. After proven-effective treatments for acute COVID-19 were established by evidence-based guidelines, little is known about home oxygen requirements following hospitalization for COVID-19.Methods: This was a retrospective
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Using a Task Trainer for Caregiver Training: Can an Old Doll Teach New Tricks? Respir. Care (IF 2.5) Pub Date : 2023-12-01 Amanda J Nickel,Susmita Tarafdar,Richard J Lin
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What Are We Aiming for in Chronic Hypercapnic Respiratory Failure? Respir. Care (IF 2.5) Pub Date : 2023-12-01 Brian W Locke,Jeanette Brown
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Predicting Duration of Invasive Mechanical Ventilation in Pediatric ICUs. Respir. Care (IF 2.5) Pub Date : 2023-12-01 Abdallah Dalabih,Salim Aljababri
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Mechanical Power of Ventilation: From Computer to Clinical Implications. Respir. Care (IF 2.5) Pub Date : 2023-11-25 L Felipe Damiani,Roque Basoalto,Jaime Retamal,Alejandro Bruhn,Guillermo Bugedo
Mechanical ventilation is a lifesaving intervention that may also induce further lung injury by exerting excessive mechanical forces on susceptible lung tissue, a phenomenon termed ventilator-induced lung injury (VILI). The concept of mechanical power (MP) aims to unify in one single variable the contribution of the different ventilatory parameters that could induce VILI by measuring the energy transfer
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Phrenic Nerve Stimulation for Acute Respiratory Failure. Respir. Care (IF 2.5) Pub Date : 2023-11-25 Idunn S Morris,Thiago Bassi,Charissa Oosthuysen,Ewan C Goligher
Diaphragm inactivity during invasive mechanical ventilation leads to diaphragm atrophy and weakness, hemodynamic instability, and ventilatory heterogeneity. Absent respiratory drive and effort can, therefore, worsen injury to both lung and diaphragm and is a major cause of failure to wean. Phrenic nerve stimulation (PNS) can maintain controlled levels of diaphragm activity independent of intrinsic
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Epidemiology of Tracheostomized Adult Patients Admitted to Specialized Weaning Centers After Acute COVID-19. Respir. Care (IF 2.5) Pub Date : 2023-11-14 Dario Villalba,Emiliano Navarro,Amelia Matesa,Andrés Brusco,Virginia Morales,Gastón Germán Morel Vulliez,Emilio Sebastián Rositi,Luciana Prieto,Mauro Javier Bosso,Silvana De Paoli,Alejo Cotero,Juan Nadur,Marcela Santini,Marcelo Alonso,Florencia Larocca,Carlos Duarte,Verónica García,Romina Campodónico,Gabriel Musso,Mariel Leingruber,Aldana Soledad Morales,Analía Segura,María Eugenia Vallory,Selva Del
BACKGROUND Epidemiological data on patients with COVID-19 referred to specialized weaning centers (SWCs) are sparse, particularly in low- and middle-income countries. Our aim was to describe clinical features, epidemiology, and outcomes of subjects admitted to SWCs in Argentina. METHODS We conducted a prospective, multi-center, observational study between July 2020-December 2021 in 12 SWCs. We collected
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The Association Between Preoperative Inspiratory Muscle Training Variables and Postoperative Pulmonary Complications in Subjects With Esophageal Cancer. Respir. Care (IF 2.5) Pub Date : 2023-11-07 Meike C Overbeek,Elja Ae Reijneveld,Karin Valkenet,Edwin J van Adrichem,Jaap J Dronkers,Jelle P Ruurda,Cindy Veenhof
BACKGROUND Preoperative inspiratory muscle training (IMT) is frequently used in patients waiting for major surgery to improve respiratory muscle function and to reduce the risk of postoperative pulmonary complications (PPCs). Currently, the mechanism of action of IMT in reducing PPCs is still unclear. Therefore, we investigated the associations between preoperative IMT variables and the occurrence
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Late Diagnosis of Foreign Body Aspiration in Adults: Case Series and Review of the Literature. Respir. Care (IF 2.5) Pub Date : 2023-11-07 Kaan Kara,Cengiz Ozdemir,Seda Tural Onur,Celal Satici,Fatma Tokgoz Akyil,Sinem Nedime Sokucu
BACKGROUND Tracheobronchial foreign body (FB) aspiration (FBA) is a life-threatening emergency mostly observed in childhood and advanced age. With early diagnosis, the FB can be removed using bronchoscopic methods without causing irreversible damage. METHODS This was a single-center, retrospective observational study. Subjects diagnosed with FBA via either bronchoscopic methods and/or radiological
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Is Vaping a Gateway to Addiction and Stress? Respir. Care (IF 2.5) Pub Date : 2023-11-01 Lynda Goodfellow
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Exploring Automated Secretion Removal Technology: Balancing Promise With Caution. Respir. Care (IF 2.5) Pub Date : 2023-11-01 Jie Li
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Airway Versus Transpulmonary Driving Pressures During Pressure Support Ventilation in ARDS. Respir. Care (IF 2.5) Pub Date : 2023-11-01 Christopher Z Zheng,Gustavo A Cortes-Puentes
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The Continuum of Research in Entry-Level Education and Post-Graduate Clinical Respiratory Care. Respir. Care (IF 2.5) Pub Date : 2023-10-24 Lynda T Goodfellow
The greater and stronger your knowledge about a subject, the more you will be able to address a new problem in that subject. In entry-level respiratory care education, incorporating research into curricula can be challenging due to the limited time to cover all necessary topics. This is also true in clinical post-graduate respiratory care practice. This paper addresses the need and the rationale for
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An Overview of Data Management in Human Subjects Research. Respir. Care (IF 2.5) Pub Date : 2023-10-24 Andrew G Miller,David Lipscomb,Chi Hornik
Research studies generate data in various forms. Data can be quantitative or qualitative. Research involving human subjects requires protection of data to ensure privacy. Various regulations and local policies need to be followed to ensure data security. Data management plans are critical for effective data stewardship and include details plan on data collection, management, storage, and formatting
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Contribution of Transcutaneous PCO2 in Obesity Hypoventilation Syndrome. Respir. Care (IF 2.5) Pub Date : 2023-10-17 Thomas Georges, Sandrine Jaffré, Jean Morin, Agathe Delbove, Béatrice Guyomarch, Hakim Alami, Cédric Bretonnière, François-Xavier Blanc
More and more patients have obesity-hypoventilation syndrome (OHS) because of the increasing prevalence of obesity. The accuracy of transcutaneous PCO2 (PtcCO2 ) has recently been validated. However, no study evaluated the interest of measuring systematically nocturnal PtcCO2 in the follow-up of patients with OHS and home mechanical ventilation to detect residual nocturnal hypoventilation. We aimed
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The Current State of Health Inequities in COPD. Respir. Care (IF 2.5) Pub Date : 2023-10-17 Jack Rea, Jay Tyler Babek, Reece M Anderson, Rigel Bacani, Jordan Staggs, Matt Vassar
An understanding of the health inequities that surround the treatment and prevention of COPD is required to address the barriers that hinder improvement of care for underserved populations. This scoping review was conducted to identify the existing evidence of social factors that affect the health, health-care access, and health-care quality of patients with COPD within the United States, and to identify
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Open Versus Closed Suctioning in Invasively Ventilated Critically Ill Patients for Sustainability of ICU Care: A Life-Cycle Assessment Comparison. Respir. Care (IF 2.5) Pub Date : 2023-10-10 Willemke Stilma,Andrea Esmeijer,Frederique Paulus,Tim Frenzel,Hugo Touw,Tim Stobernack
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Randomized Controlled Trial Assessing a Vibrating Mesh Nebulizer Compared to a Jet Nebulizer in Severe Asthma Exacerbations. Respir. Care (IF 2.5) Pub Date : 2023-10-10 Haval Chweich,Najia Idrees,Jesse Rideout,Brien Barnewolt,Lauren Rice,Nicholas S Hill
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Effect of a Conical-PEP Mask on Exercise in Subjects With COPD. Respir. Care (IF 2.5) Pub Date : 2023-10-10 Chulee Ubolsakka-Jones, David A Jones, Malipron Pukdeechat, Watchara Boonsawat, Wilaiwan Kritsanapan, Chatchai Phimphasak
Dynamic hyperinflation (DH) is a major pathophysiology of COPD that is directly related to dyspnea and exercise intolerance. Positive expiratory pressure (PEP) might reduce DH and dyspnea during exercise, but at present, there is insufficient evidence to conclude whether it is beneficial for DH, dyspnea, and exercise capacity in COPD.
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Airway Clearance Strategies and Secretion Management in Amyotrophic Lateral Sclerosis. Respir. Care (IF 2.5) Pub Date : 2023-10-10 Kristen L McHenry
Amyotrophic lateral sclerosis (ALS) is a rare, neurodegenerative motor neuron disease that affects voluntary muscle movement. Often, difficulty in coughing, breathing, and swallowing are sequela associated with the condition, and the presence of bulbar muscle predominant weakness results in deleterious effects on airway clearance and secretion management. This narrative review will provide practical
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Albuterol Delivery During Invasive Mechanical Ventilation via In-Line Intrapulmonary Percussive Ventilation in a Pediatric Lung Model. Respir. Care (IF 2.5) Pub Date : 2023-10-03 Ariel Berlinski,L Denise Willis
BACKGROUND Patients receiving mechanical ventilation often require airway clearance and inhaled therapies. Intrapulmonary percussive ventilation (IPV) combines a high-frequency percussive ventilator with a jet nebulizer. Data on aerosol delivery efficiency of the device are scarce. We evaluated albuterol delivery efficiency while using an IPV in-line adapter under different conditions. METHODS A pediatric
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Management of Critically Ill Patients With Spinal Muscular Atrophy Admitted With Acute Respiratory Failure: The Authors' Reply. Respir. Care (IF 2.5) Pub Date : 2023-10-01 Awni M Al-Subu,Thomas B Brazelton
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A Paradigm Shift for the Management of Critically Ill Patients With Spinal Muscular Atrophy. Respir. Care (IF 2.5) Pub Date : 2023-10-01 John R Bach,John L Palmieri
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Time to Extubation in COVID-19 and Non-COVID-19 ARDS. Respir. Care (IF 2.5) Pub Date : 2023-10-01 Ronald E Dechert
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Home Noninvasive Ventilation for COPD: The Trouble With the Mode. Respir. Care (IF 2.5) Pub Date : 2023-10-01 Umur Hatipoğlu,Joseph S Lewarski,Robert L Chatburn
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A Decade of Analysis of Unplanned Extubation Etiology in Trauma Patients Including the Impact of the COVID Pandemic. Respir. Care (IF 2.5) Pub Date : 2023-09-26 Brian G Harbrecht, Keith R Miller, Michael E Egger, Nicholas A Nash, Regina Doan, Jiliene Georgel, Glen A Franklin, Jason W Smith, Matthew C Bozeman, Matthew V Benns
Unplanned extubations (UEs) in injured patients are potentially fatal, but etiology and patient characteristics are not well described. We have been prospectively characterizing the etiology of UEs after we identified a high rate of UEs and implemented an educational program to address it. This period of monitoring included the years of the COVID-19 pandemic that produced high rates of workforce turnover
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Evaluation of the humidification performances of new generation of heated wire humidifiers. Respir. Care (IF 2.5) Pub Date : 2023-09-21 François Lellouche,Emilie Rousseau,Pierre-Alexandre Bouchard
BACKGROUND At high ambient temperatures in ICU rooms, the humidification performances of heated wire humidifiers (HH) are significantly reduced, with delivered gas humidity well below 30 mgH2O/L leading to an increased risk of endo-tracheal occlusions, sub-occlusions or mucociliary dysfunction.The objective of the study was to evaluate the humidity delivered at the Y-piece with new generation HH with
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Prone Positioning for Patients With COVID-19-Induced Acute Hypoxemic Respiratory Failure: Flipping the Script. Respir. Care (IF 2.5) Pub Date : 2023-9-19 Jie Li, Miguel Ibarra-Estrada, Claude Guérin
During the COVID-19 pandemic, prone positioning (PP) emerged as a widely used supportive therapy for patients with acute hypoxemic respiratory failure caused by COVID-19 infection. In particular, awake PP (APP)-the placement of non-intubated patients in the prone position-has gained popularity and hence is detailed first herein. This review discusses recent publications on the use of PP for non-intubated
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How to Write an Effective Discussion. Respir. Care (IF 2.5) Pub Date : 2023-09-12 Dean R Hess
Explaining the meaning of the results to the reader is the purpose of the discussion section of a research paper. There are elements of the discussion section that should be included and pitfalls that should be avoided. Always write the discussion section for the reader. Remember that the focus is to help the reader understand the study and that the focus should be on the study data.
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When All Effort Is Not Created Equal: Trigger Asynchrony in Patients With Acute Brain Injury. Respir. Care (IF 2.5) Pub Date : 2023-09-01 Eric Kriner
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Response to: Advanced Concepts for Improving Simulation-based Studies of Ventilatory Mechanics. Respir. Care (IF 2.5) Pub Date : 2023-09-01 Claude Guérin,Nicolas Terzi
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Advanced Concepts for Improving Simulation-Based Studies of Ventilatory Mechanics. Respir. Care (IF 2.5) Pub Date : 2023-09-01 Robert L Chatburn
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Respiratory Therapist-Driven Protocol in Primary Care: Is the Profession Ready and Able to Expand Into Primary Care? Respir. Care (IF 2.5) Pub Date : 2023-09-01 Joyce A Baker
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Innovation in Drug Delivery Through High-Flow Nasal Cannula Systems and Its Evaluation. Respir. Care (IF 2.5) Pub Date : 2023-09-01 Ariel Berlinski
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Systemic Determinants of Exercise Intolerance in Patients With Fibrotic Interstitial Lung Disease and Severely Impaired DLCO. Respir. Care (IF 2.5) Pub Date : 2023-11-25 Reginald M Smyth,Matthew D James,Sandra G Vincent,Kathryn M Milne,Mathieu Marillier,Nicolle J Domnik,Christopher M Parker,Juan P de-Torres,Onofre Moran-Mendoza,Devin B Phillips,Denis E O'Donnell,J Alberto Neder
BACKGROUND The precise mechanisms driving poor exercise tolerance in patients with fibrotic interstitial lung diseases (fibrotic ILDs) showing a severe impairment in single-breath lung diffusing capacity for carbon monoxide (DLCO < 40% predicted) are not fully understood. Rather than only reflecting impaired O2 transfer, a severely impaired DLCO may signal deranged integrative physiologic adjustments
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How to Write the Methods Section of a Research Manuscript. Respir. Care (IF 2.5) Pub Date : 2023-11-25 L Denise Willis
The methods section of a manuscript is one of the most important parts of a research paper because it provides information on the validity of the study and credibility of the results. Inadequate description of the methods has been reported as one of the main reasons for manuscript rejection. The methods section must include sufficient detail so that others could repeat the study and reproduce the results
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Impact of Program Components on Perceived Organizational Support in Respiratory Care Education. Respir. Care (IF 2.5) Pub Date : 2023-08-29 Arzu Ari,Tiankai Wang,Abbey M Hudgins
BACKGROUND Perceived organizational support has been linked to employee commitment and job satisfaction. Understanding the effects of perceived organizational support on employees allows leaders to improve employees' performance and the success of their organizations. The purpose of this study was to identify the perceived organizational support across different respiratory care education programs
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Automatic Apnea Time Adjustments During Ventilation With Automode. Respir. Care (IF 2.5) Pub Date : 2023-08-29 Ariel J Garnero,Robert L Chatburn
BACKGROUND Automode is a feature on Servo ventilators that automatically switches between mandatory and spontaneous breaths. Spontaneous breaths suppress mandatory breaths until apnea. The period from the last spontaneous breath to the first mandatory breath is automatically adjusted by a calculated apnea time limit based on a maximum apnea time setting, the mandatory breathing frequency setting, and
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Ventilation Distribution During Changes in Trunk Inclination in Patients With ARDS. Respir. Care (IF 2.5) Pub Date : 2023-08-22 Francesco Marrazzo,Stefano Spina,Francesco Zadek,Clarissa Forlini,Gabriele Bassi,Riccardo Giudici,Giacomo Bellani,Roberto Fumagalli,Thomas Langer
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Bronchodilator Efficacy of High-Flow Nasal Cannula in COPD: Vibrating Mesh Nebulizer Versus Jet Nebulizer. Respir. Care (IF 2.5) Pub Date : 2023-08-22 Itthiphat Arunsurat, Nuttapol Rittayamai, Benjamas Chuaychoo, Suwat Tangchityongsiva, Simaporn Promsarn, Somruthai Yuenyong, Chung-Wai Chow, Laurent Brochard
BACKGROUND: Jet nebulizers are commonly used for bronchodilator therapy in chronic obstructive pulmonary disease (COPD). High-flow nasal cannula with vibrating mesh nebulizer (HFNC-VMN) is a recently developed system; however, few studies have compared the efficacy of bronchodilator administration via HFNC-VMN to jet nebulizer in stable COPD. This study aimed to compare the effect of salbutamol administered
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A Comparison of Proximal and Tracheal Airway Pressures During Pressure Controlled Ventilation. Respir. Care (IF 2.5) Pub Date : 2023-11-25 Mark O Zander,Nikola Stankovic,Mirko Meboldt,Thomas O Erb,Jürg Hammer,Marianne Schmid Daners
BACKGROUND Airway pressure is usually measured by sensors placed in the ventilator or on the ventilator side of the endotracheal tube (ETT), at the Y-piece. These remote measurements serve as a surrogate for the tracheal or alveolar pressure. Tracheal pressure can only be predicted correctly by using a model that incorporates the pressure at the remote location, the flow through the ETT, and the resistance
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Comparison Among Three PEEP Titration Methods Monitored by Electrical Impedance Tomography in COVID-19. Respir. Care (IF 2.5) Pub Date : 2023-08-14 Alita Paula Lopes de Novaes,Shirley Lima Campos,Wagner Souza Leite,Caio Ca Morais,Armèle de Fátima Dornelas de Andrade,Antônio Christian Evangelista Gonçalves,Fernando Moraes,Daniella Cunha Brandão