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Noninvasive Ventilation Procedures

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Diagnostic Accuracy of Diaphragm Ultrasound in Detecting and Characterizing Patient-Ventilator Asynchronies during Noninvasive Ventilation.

Emmanuel Vivier, Anne Fleur Haudebourg, Philippe Le Corvoisier, Armand Mekontso Dessap, Guillaume Carteaux,

BACKGROUND:Management of acute respiratory failure by noninvasive ventilation is often associated with asynchronies, like autotriggering or delayed cycling, incurred by leaks from the interface. These events are likely to impair patient's tolerance and to compromise noninvasive ventilation. The development of methods for easy detection and monitoring of asynchronies is therefore ... Read more >>

Anesthesiology (Anesthesiology)
[2020, :]

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Effect of positive end-expiratory pressure and positioning on jugular vein expansion in emergency department patients.

Claudia Ehrlich, Christian Hohenstein, Johannes Winning, Hendrik Rüddel,

OBJECTIVE:Guidelines recommend Trendelenburg position for central venous cannulation. Critically ill patients in the emergency department often do not tolerate this positioning or have contraindications. Thirty-degree dorsal elevated position with positive end-expiratory pressure by noninvasive ventilation could pose an alternative. This is the first trial to investigate the feasibility of alternative ... Read more >>

Eur J Emerg Med (European journal of emergency medicine : official journal of the European Society for Emergency Medicine)
[2020, 27(2):110-113]

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COVID-19 and the Risk to Health Care Workers: A Case Report.

Kangqi Ng, Beng Hoong Poon, Troy Hai Kiat Puar, Jessica Li Shan Quah, Wann Jia Loh, Yu Jun Wong, Thean Yen Tan, Jagadesan Raghuram,

Ann. Intern. Med. (Annals of internal medicine)
[2020, :]

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Ultrasound diaphragm excursion and noninvasive ventilation in critically ill patients: a horse to bet on?

Federico Barbariol, Giovanni Guadagnin, Cristian Deana,

<title>Abstract</title> <p> BACKGROUND Diaphragmatic dysfunction is seen in up to 60% of critically ill patients with respiratory failure, and it is associated with worse outcomes. The functionality of the diaphragm can be studied with simple and codified bedside ultrasound evaluation. Diaphragm excursion (echographic measurement of the inspiratory displacement ... Read more >>

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Clinical Study of Different Modes of Non-invasive Ventilation Treatment in Preterm Infants With Respiratory Distress Syndrome After Extubation.

Fei Ding, Jingling Zhang, Wenya Zhang, Qian Zhao, Zimei Cheng, Yang Wang, Tao Bo, Hui Wu,

Objective: This study aimed to investigate the clinical efficacy and safety of different non-invasive respiratory support methods in preterm infants with respiratory distress syndrome (RDS) after extubation. Methods: From Oct 2017 to 2018, 120 preterm infants were recruited from the NICUs of three hospitals. They were diagnosed with RDS and ... Read more >>

Front Pediatr (Frontiers in Pediatrics)
[2020, 8:63]

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Neonatal Respiratory Support: 2019 Year in Review.

Craig R Wheeler, Craig D Smallwood,

Respiratory support of the critically ill neonate has steadily shifted from invasive to noninvasive forms of support. There have recently been a number of important advances in our understanding of the changes to neonatal resuscitation practices as they pertain to clinically important outcomes, mechanisms of gas exchange for high-flow nasal ... Read more >>

Respir Care (Respiratory care)
[2020, :]

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[Expert consensus on preventing nosocomial transmission during respiratory care for critically ill patients infected by 2019 novel coronavirus pneumonia].

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Definite evidence has shown that the novel coronavirus (COVID-19) could be transmitted from person to person, so far more than 1,700 bedside clinicians have been infected. A lot of respiratory treatments for critically ill patients are deemed as high-risk factors for nosocomial transmission, such as intubation, manual ventilation by resuscitator, ... Read more >>

Zhonghua Jie He He Hu Xi Za Zhi (Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases)
[2020, 17(0):E020]

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Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: A joint ESA/ESICM guideline.

Marc Leone, Sharon Einav, Davide Chiumello, Jean-Michel Constantin, Edoardo De Robertis, Marcelo Gama De Abreu, Cesare Gregoretti, Samir Jaber, Salvatore Maurizio Maggiore, Paolo Pelosi, Massimiliano Sorbello, Arash Afshari,

: Hypoxaemia is a potential life-threatening yet common complication in the peri-operative and periprocedural patient (e.g. during an invasive procedure with risk of deterioration of gas exchange, such as bronchoscopy). The European Society of Anaesthesiology (ESA) and the European Society of Intensive Care Medicine (ESICM) have developed guidelines for the ... Read more >>

Eur J Anaesthesiol (European journal of anaesthesiology)
[2020, 37(4):265-279]

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A Meta-analysis of Clinical Characteristics and Mortality COVID-19 Pneumonia

Yueming Wu, Shangxia Jiang, Tianzheng Lou, Junlong Xu, Yu Zhang, Hu Chen, Hewei Xu,

<title>Abstract</title> <p> <bold>Objective</bold> To investigate the Corona Virus Disease 2019(COVID-19) clinical characteristics and mortality risk by pooling the open published data. <bold>Methods</bold> Studies relevant to COVID-19 published in Pubmed, China Wanfang database, ChinaXiv and medRxiv were systematic screened by using the text word of “COVID-19”, 2019-nCoV, “SARS-CoV-2”, “NCP”. ... Read more >>

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Use of Noninvasive Ventilation in Respiratory Failure After Extubation During Postoperative Care in Pediatrics.

Denise S Rolim, Filomena R B Galas, Lucilia S Faria, Erica F Amorim, Marisa M Regenga, Eduardo J Troster,

The purpose of this study was to determine the rate of failure of noninvasive ventilation (NIV) after cardiac surgery in pediatric patients with respiratory failure after extubation and to identify predictive success factors. This was a prospective cohort study of pediatric patients diagnosed with congenital heart disease who underwent heart ... Read more >>

Pediatr Cardiol (Pediatric cardiology)
[2020, :]

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Non-invasive ventilation as the initial ventilatory strategy in very old critically ill patients with community-acquired pneumonia: a multicenter cohort study

Bruno Besen, Marcelo Park, Otavio Ranzani,

<title>Abstract</title> <p> Background The very old patients (≥ 80 years-old, VOP) comprise a subpopulation increasingly admitted to intensive care units (ICUs). Community-acquired pneumonia (CAP) is a common reason for admission and the best strategy of mechanical ventilation for respiratory failure in this scenario is not fully known. Methods ... Read more >>

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2019 Novel coronavirus: where we are and what we know.

Zhangkai J. Cheng, Jing Shan,

There is a current worldwide outbreak of a new type of coronavirus (2019-nCoV), which originated from Wuhan in China and has now spread to 17 other countries. Governments are under increased pressure to stop the outbreak spiraling into a global health emergency. At this stage, preparedness, transparency, and sharing of ... Read more >>

Infection (Infection)
[0, :1-9]

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High Flow Nasal Oxygen for Acute Type 2 Respiratory Failure: A Systematic Review and Meta-Analysis Protocol

Asem Alnajada, Bronagh Blackwood, Abdulmajeed Almobrad, Adeel Akhtar, Murali Shyamsundar,

<title>Abstract</title> <p> <bold>Background</bold> Acute Type 2 respiratory failure (AT2RF) is defined by hypercapnia (>6kPa) and these patients require ventilatory support in a significant proportion of cases. Non-invasive ventilation (NIV) is effective in preventing escalation to invasive mechanical ventilation (IMV) but has a high failure rate. High flow nasal ... Read more >>

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Population based retrospective cohort study on risk of retinopathy of prematurity in twins.

Hui-Chen Tseng, Fung-Chang Sung, Chih-Hsin Mou, Hsiang Yu Lin, Chun-Chi Chiang, Ning-Yi Hsia, Ya-Ling Tzeng,

BACKGROUND:Twin infants are likely at great risk for ROP, but studies reported conflicting findings and population studies examining the risk of retinopathy of prematurity (ROP) in twins is limited. We aimed to evaluate the ROP risk in the cohort of one of twins, comparing to singletons. MATERIAL AND METHODS:Using insurance ... Read more >>

PLoS ONE (PloS one)
[2020, 15(3):e0230346]

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Role of ICU-acquired weakness on extubation outcome among patients at high risk of reintubation.

Arnaud W Thille, Florence Boissier, Michel Muller, Albrice Levrat, Gaël Bourdin, Sylvène Rosselli, Jean-Pierre Frat, Rémi Coudroy, Emmanuel Vivier,

BACKGROUND:Whereas ICU-acquired weakness may delay extubation in mechanically ventilated patients, its influence on extubation failure is poorly known. This study aimed at assessing the role of ICU-acquired weakness on extubation failure and the relation between limb weakness and cough strength. METHODS:A secondary analysis of two previous prospective studies including patients ... Read more >>

Crit Care (Critical Care)
[2020, 24(1):86]

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Less invasive surfactant administration: best practices and unanswered questions.

Egbert Herting, Christoph Härtel, Wolfgang Göpel,

PURPOSE OF REVIEW:The purpose of this review is to describe current concepts in the field of Less Invasive Surfactant Administration (LISA). The use of continuous positive airway pressure (CPAP) has become standard for the treatment of premature infants with respiratory problems throughout the world. However, if CPAP fails, technologies like ... Read more >>

Curr. Opin. Pediatr. (Current opinion in pediatrics)
[2020, 32(2):228-234]

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Noninvasive respiratory support in the hypoxaemic peri-operative/periprocedural patient: a joint ESA/ESICM guideline.

Marc Leone, Sharon Einav, Davide Chiumello, Jean-Michel Constantin, Edoardo De Robertis, Marcelo Gama De Abreu, Cesare Gregoretti, Samir Jaber, Salvatore Maurizio Maggiore, Paolo Pelosi, Massimiliano Sorbello, Arash Afshari, ,

Hypoxaemia is a potential life-threatening yet common complication in the peri-operative and periprocedural patient (e.g. during an invasive procedure at risk of deterioration of gas exchange, such as bronchoscopy). The European Society of Anaesthesiology (ESA) and the European Society of Intensive Care Medicine (ESICM) developed guidelines for the use of ... Read more >>

Intensive Care Med (Intensive care medicine)
[2020, 46(4):697-713]

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Isolation of Bordetella trematum from the respiratory tract of a patient with lung cancer: a case report.

Rudolf Kukla, Michal Svarc, Radka Bolehovska, Lenka Ryskova, Pavla Paterova, Miroslav Fajfr, Lucia Malisova, Helena Zemlickova,

We report the case of isolation of Bordetella trematum from the respiratory tract of a patient with lung carcinoma. This gram-negative, opportunistic rod was firstly described in 1996. To date, only several strains of Bordetella trematum have been isolated and reported, mostly from skin and soft tissue infections. The patient ... Read more >>

Folia Microbiol. (Praha) (Folia Microbiologica)
[2020, :]

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Bench investigation of the accuracy of the dynamic approach in respiratory mechanics during noninvasive ventilation with different pressure support levels

Yuqing Chen, Yueyang Yuan, Hai Zhang, Feng Li, Xin Zhou,

<title>Abstract</title> <p> <bold>Background:</bold> Under the dynamic conditions of non-invasive mechanical ventilation, respiratory system mechanics parameters, including compliance (C<sub>rs</sub>) and airway resistance (R<sub>rs</sub>), are affected by systemic and ventilator parameters. We evaluated the accuracy of respiratory mechanics in the dynamic approach in different lung disease models during pressure support ... Read more >>

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Comparison of preoxygenation with a high-flow nasal cannula and a simple mask before intubation during induction of general anesthesia in patients undergoing head and neck surgery: Study protocol clinical trial (SPIRIT Compliant).

Jun-Young Jo, Wook-Jong Kim, Seungwoo Ku, Seong-Soo Choi,

BACKGROUND:To assess the arterial oxygen partial pressure (PaO2) at defined time points during preoxygenation and to compare high-flow heated humidified nasal oxygenation with standard preoxygenation using oxygen insufflation via a facemask for at least 5 minutes, before intubation during induction of general anesthesia. METHODS:This randomized, single-blinded, prospective study will be conducted ... Read more >>

Medicine (Baltimore) (Medicine)
[2020, 99(12):e19525]

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Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study.

Lin Ding, Li Wang, Wanhong Ma, Hangyong He,

BACKGROUND:Previous studies suggest that prone positioning (PP) can increase PaO2/FiO2 and reduce mortality in moderate to severe acute respiratory distress syndrome (ARDS). The aim of our study was to determine whether the early use of PP combined with non-invasive ventilation (NIV) or high-flow nasal cannula (HFNC) can avoid the need ... Read more >>

Crit Care (Critical care (London, England))
[2020, 24(1):28]

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Clinical features, treatments and outcomes of severe and critical severe patients infected with COVID-19: A system review and meta-analysis

Zuo-jiong Gong, Hai-yue Zhang, Fang-zhou Jiao, Xiao-jun Wu, Min Shang, Yu-chuan Luo,

<title>Abstract</title> <p> Backgrounds: The outbreak of COVID-19 caused by a novel coronavirus, SARS-CoV-2, has been listed as a public health emergency of international concern by WHO. Most COVID-19 patients presented with a mild infection, but many challenges exist in therapy of severe and critical severe patients. This paper ... Read more >>

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Effect of noninvasive ventilation on intubation risk in prehospital patients with acute cardiogenic pulmonary edema: a retrospective study.

Birgit Andrea Gartner, Christophe Fehlmann, Laurent Suppan, Marc Niquille, Olivier T Rutschmann, François Sarasin,

OBJECTIVE:The aim of this study was to assess the effect of prehospital noninvasive ventilation for acute cardiogenic pulmonary edema on endotracheal intubation rate and on ICU admission rate. METHODS:We carried out a retrospective study on patients' prehospital files between 2007 and 2010 (control period), and between 2013 and 2016 (intervention ... Read more >>

Eur J Emerg Med (European journal of emergency medicine : official journal of the European Society for Emergency Medicine)
[2020, 27(1):54-58]

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High-flow nasal cannula for the treatment of life-threatening plastic bronchitis.

Kevin Vézina, Anne I Dipchand, Indra Narang,

Plastic bronchitis (PB) is characterized by the formation of bronchial casts. It most frequently occurs in children with congenital heart disease, particularly post-Fontan procedure. Several medical and surgical therapies have been described in the literature with variable success. To our knowledge, this is the first time that overnight use of ... Read more >>

Pediatr. Pulmonol. (Pediatric pulmonology)
[2020, 55(4):E1-E2]

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Cost-effectiveness of positive airway pressure modalities in obesity hypoventilation syndrome with severe obstructive sleep apnoea.

Juan F Masa, Babak Mokhlesi, Iván Benítez, Francisco Javier Gómez de Terreros Caro, M-Ángeles Sánchez-Quiroga, Auxiliadora Romero, Candela Caballero, Maria Luz Alonso-Álvarez, Estrella Ordax-Carbajo, Teresa Gómez-García, Mónica González, Soledad López-Martín, Jose M Marin, Sergi Martí, Trinidad Díaz-Cambriles, Eusebi Chiner, Carlos Egea, Javier Barca, Francisco-José Vázquez-Polo, Miguel Angel Negrín, María Martel-Escobar, Ferran Barbé, Jaime Corral-Peñafiel, ,

BACKGROUND:Obesity hypoventilation syndrome (OHS) is treated with either non-invasive ventilation (NIV) or CPAP, but there are no long-term cost-effectiveness studies comparing the two treatment modalities. OBJECTIVES:We performed a large, multicentre, randomised, open-label controlled study to determine the comparative long-term cost and effectiveness of NIV versus CPAP in patients with OHS ... Read more >>

Thorax (Thorax)
[2020, :]

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