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Noninvasive Ventilation

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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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Should Noninvasive Ventilation Be Used for Treatment of Acute Cardiogenic Pulmonary Edema? A Cochrane Review Summary With Commentary.

Dean R Hess,

Respir Care (Respiratory care)
[2020, 65(4):573-574]

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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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Bench Testing of a Bubble Noninvasive Ventilation Device in an Infant Lung Simulator.

Stephen C John, Anna V John, Albert W Moss, Peter A Gustafson, Luis Fernando-Silva, Sunil P John,

BACKGROUND:Infant respiratory distress remains a significant problem worldwide, leading to more than one million neonatal deaths each year. The cost, maintenance, energy, and personnel required to implement ventilators have proven to be a barrier in many resource-limited settings. To address these barriers, a nonelectric bubble noninvasive positive pressure ventilation (NIV) ... Read more >>

Respir Care (Respiratory care)
[2020, :]

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Double-Triggering During Noninvasive Ventilation in a Simulated Lung Model.

Robert D Sheehy, Brett Duce, Timothy P Edwards, Joseph A Churton, Rajiv Sharma, Craig A Hukins,

BACKGROUND:Double-triggering is a well-recognized form of patient-ventilator asynchrony in noninvasive ventilation (NIV). This benchtop simulated lung study aimed to determine under which patient and device-specific conditions double-triggering is more prevalent, and how this influences the delivery of NIV. METHODS:Two commonly used proprietary NIV devices were tested using a benchtop lung ... Read more >>

Respir Care (Respiratory care)
[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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Patient-Ventilator Interaction During Noninvasive Ventilation in Subjects With Exacerbation of COPD: Effect of Support Level and Ventilator Mode.

Eline Oppersma, Jonne Doorduin, Lisanne H Roesthuis, Johannes G van der Hoeven, Peter H Veltink, Leo Ma Heunks,

BACKGROUND:Patient-ventilator synchrony in patients with COPD is at risk during noninvasive ventilation (NIV). NIV in neurally-adjusted ventilatory assist (NAVA) mode improves synchrony compared to pressure support ventilation (PSV). The current study investigated patient-ventilator interaction at 2 levels of NAVA and PSV mode in subjects with COPD exacerbation. METHODS:NIV was randomly ... Read more >>

Respir Care (Respiratory care)
[2020, :]

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Use of High-Flow Nasal Cannula for Immunocompromise and Acute Respiratory Failure: A Systematic Review and Meta-Analysis.

Yiwei Wang, Yuenan Ni, Jikui Sun, Zongan Liang,

BACKGROUND:Acute respiratory failure (ARF) is a common cause of emergency department (ED) and intensive care unit (ICU) admissions. High-flow nasal cannula oxygen therapy (HFNC) is widely used for patients with ARF. OBJECTIVE:Our aim was to evaluate the latest evidence regarding the application of HFNC in immunocompromised patients with ARF. METHODS:We ... Read more >>

J Emerg Med (The Journal of emergency medicine)
[2020, :]

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The experiences of nurses using noninvasive ventilation: An integrative review of the literature.

Elyce Green, Maree Bernoth,

BACKGROUND:Noninvasive ventilation (NIV) is a common treatment delivered in critical care and is imperative in the management of many acute respiratory illnesses. Nurses are integral to the initiation and management of NIV, but there is a paucity of evidence on the experiences of nurses in this role. OBJECTIVES:The aim of ... Read more >>

Aust Crit Care (Australian critical care : official journal of the Confederation of Australian Critical Care Nurses)
[2020, :]

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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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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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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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Year in Review 2019: High-Flow Nasal Cannula Oxygen Therapy for Adult Subjects.

Jie Li, Guoqiang Jing, J Brady Scott,

Many high-quality clinical trials and meta-analyses on the utilization of high-flow nasal cannula for adult patients have been published in the last 2 years. This review summarizes the recent clinical evidence, with the aim to provide the currently available evidence regarding the utilization of high-flow nasal cannula for the adult ... Read more >>

Respir Care (Respiratory care)
[2020, 65(4):545-557]

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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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Clinical features and short-term outcomes of 18 patients with corona virus disease 2019 in intensive care unit.

Jianlei Cao, Xiaoyong Hu, Wenlin Cheng, Lei Yu, Wen-Jun Tu, Qiang Liu,

Intensive Care Med (Intensive care medicine)
[2020, :]

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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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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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Work of Breathing in Premature Neonates: Noninvasive Neurally-Adjusted Ventilatory Assist versus Noninvasive Ventilation.

David N Matlock, Shasha Bai, Michael D Weisner, Norman Comtois, Jennifer Beck, Christer Sinderby, Sherry E Courtney,

BACKGROUND:We tested whether work of breathing in premature newborns estimated by phase angle (θ) by using respiratory inductance plethysmography is decreased during neurally-adjusted ventilatory assist (NAVA) noninvasive ventilation (NIV) versus NIV alone. METHODS:NAVA NIV and NIV were applied in random order while using respiratory inductance plethysmography to measure the phase ... Read more >>

Respir Care (Respiratory care)
[2020, :]

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[Thoughts and practice on the treatment of severe and critical new coronavirus pneumonia].

H C Li, J Ma, H Zhang, Y Cheng, X Wang, Z W Hu, N Li, X R Deng, Y Zhang, X Z Zheng, F Yang, H Y Weng, J P Dong, J W Liu, Y Y Wang, X M Liu,

Severe and critical coronavirus pneumonia 2019 (COVID-19) often occurs in elder patients with multiple comorbidities, and severe hypoxemia events are an important factor in the deterioration of some cases. The critical type of COVID-19 could progress to acute respiratory distress syndrome and multi-organ dysfunction, which are the most important causes ... 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, 43(0):E038]

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Prone positioning combined with high-flow nasal cannula in severe noninfectious ARDS.

Orlando R Pérez-Nieto, Manuel A Guerrero-Gutiérrez, Ernesto Deloya-Tomas, Silvio A Ñamendys-Silva,

Crit Care (Critical care (London, England))
[2020, 24(1):114]

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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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Pressure Injuries of the Nose and Columella in Preterm Neonates Receiving Noninvasive Ventilation via a Specialized Nasal Cannula: A Retrospective Comparison Cohort Study.

Vita Boyar,

PURPOSE:The aims of this study were to measure the incidence and severity of nasal septum injury in premature infants receiving continuous positive airway pressure (CPAP) via a noninvasive thin-walled cannula, and to evaluate the effect of a polyvinyl chloride foam barrier dressing in reducing these injuries. DESIGN:Retrospective chart review, comparison ... Read more >>

J Wound Ostomy Continence Nurs (Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society)
[2020, 47(2):111-116]

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Readmission drivers for children with medical complexity: Home nursing shortages cause health crises.

Sarah A Sobotka, Emma Lynch, Monica E Peek, Robert J Graham,

OBJECTIVE:Children with medical technology dependence (MTD) are frequently readmitted to the hospital. However, due to their medical fragility, it is often difficult to untangle the root causes for readmissions to identify the most effective preventive approaches. We sought to explore environmental and family factors driving hospital readmissions for children with ... Read more >>

Pediatr. Pulmonol. (Pediatric pulmonology)
[2020, :]

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More awareness is needed for severe acute respiratory syndrome coronavirus 2019 transmission through exhaled air during non-invasive respiratory support: experience from China.

Lili Guan, Luqian Zhou, Jinnong Zhang, Wei Peng, Rongchang Chen,

Eur. Respir. J. (The European respiratory journal)
[2020, 55(3):]

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Positive airway pressure in obesity hypoventilation syndrome: is it worth it?

Amanda Piper, Jean Louis Pépin, Nicholas Hart,

Thorax (Thorax)
[2020, :]

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