Abstract
Neisseria meningitidis is a leading cause of bacterial meningitis and sepsis . The case-fatality rate for meningococcal disease is 10%--14%; survivors can experience brain damage, hearing loss, limb loss, and learning disabilities . On December 11, 2009, the California Department of Public Health (C...
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PMID: 21085089
PDF is available here.
Abstract
The authors conducted a prospective study in order to evaluate the effect'of concave rib osteotomy on pulmonary function, in the context of posterior instrumentation for the treatment of idiopathic scoliosis. Concave rib osteotomy improves the flexibility of the spine, especially in very rigid curve...
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PMID: 21138226
PDF is available here.
Abstract
We investigated the olfactory function via the validated Threshold-Discrimination-Identification Score (TDI) in patients with sinonasal, post-URTI or idiopathic disorders before and after topic corticoid pressure-pulsed inhalation therapy (compared to systemic corticoid administration). With both fo...
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PMID: 21360852
PDF is available here.
Abstract
The major themes that emerged from the analysis were: changes in personal practice, evidence of changes implemented and changes in participants' personal views regarding disease management. These findings suggest that when students gain knowledge they use it to the benefit of patients. DISCUSSION: O...
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PMID: 20233676
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Abstract
I adenocarcinomas are direct paths to improve lung cancer therapy as well as demonstrate the utility of inhalation therapy.
If successful, inhalation delivery may be extended to the treatment of other types of lung cancer....
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PMID: 20073558
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Abstract
A one-day interactive educational intervention can improve short-term RT comfort and role perception concerning end-of-life care. Evaluation of longer-term clinical outcomes and implementation in other venues is needed....
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PMID: 20587097
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Abstract
In the critical care setting, the focus of care during the first few weeks following acute brain injury is prevention of secondary brain injury by optimizing cerebral perfusion. Ensuring adequate oxygenation and perfusion of cerebral tissues requires attention to all of the body systems. Chest percu...
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PMID: 20550071
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Abstract
I summarize several available models of organizational and personal change (ie, those of Kotter and of Silversin and Kornacki, and the Intentional Change Theory of Boyatzis), review the characteristics of change-avid respiratory therapy departments, offer an example of a change effort in respiratory...
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PMID: 20507659
PDF is available here.
Abstract
The results of this business review process show that teamwork among 4 separate RT departments improved and that enhanced outcomes were achieved. Based on this experience, we recommend consideration of this business review process as a team-building activity that can confer demonstrable clinical ben...
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PMID: 20507658
PDF is available here.
Abstract
An electronic literature search for articles published between January 1990 and October 2009 was conducted by using the MEDLINE, CINAHL, and Cochrane Library databases. The update of this clinical practice guideline is the result of reviewing a total of 7 clinical trials and systematic reviews, and...
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PMID: 20507661
PDF is available here.
Abstract
Despite a lack of evidence of benefit from breathing exercises with positive-pressure in the hospital setting, this type of intervention is used extensively in clinical practice for a wide variety of patients and conditions....
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PMID: 20507654
PDF is available here.
Abstract
We present the findings of the task force on the competencies needed by graduate RTs upon entry into practice in 2015....
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PMID: 20420732
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Abstract
OBJECTIVE: Inhaled nitric oxide (iNO) is a potential new therapy for prevention of bronchopulmonary dysplasia and brain injury in premature infants. This study examined dose-related effects of iNO on NO metabolites as evidence of NO delivery. STUDY DESIGN: A subset of 102 premature infants in the NO...
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PMID: 19812581
PDF is available here.
C Karila,
S Ravilly,
R Gauthier,
C Tardif,
H Neveu,
J Maire,
S Ramel,
C Cracowski,
P Legallais,
H Foure,
A-M Halm,
J Saugier,
G Bordas,
N Loire,
M Kirszenbaum,
J Dassonville,
L Mely,
B Wuyam,
P Giovannetti,
H Ouksel,
M Ellaffi,
A Denjean and
groupe de travail de la Société francaise de la mucoviscidose
Abstract
In France patients with cystic fibrosis benefit from a multidisciplinary follow-up in Cystic Fibrosis Centres. In this follow-up, despite the numerous therapeutic benefits of exercise in this disease, little emphasis is placed on the promotion of physical activity. The aim of this article is to impr...
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PMID: 20403541
PDF is available here.
Abstract
Ventilation defects were found in all patients (mean VDI, 5.1 +/- 1.9; mean global VF, 78.5% +/- 12.3; and mean peripheral VF, 75.5% +/- 17.1) despite normal spirometric results. After CPT, disparate changes in the distribution of ventilation defects were observed but the average VDI and VF did not...
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PMID: 20308459
PDF is available here.
Abstract
As part of a hospital-wide postoperative policy, our automated OSA alert and perioperative RT system helped prevent sudden-onset acute respiratory compromise in postoperative patients with OSA or at risk of OSA....
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PMID: 20406508
PDF is available here.
Abstract
Unconscious patients have obstructed airways because the tongue slides back and blocks the airway. This can be prevented by lifting the jaw, possibly supplemented by insertion of an oropharyngeal airway. When these active techniques are not used, patients must be placed in the semi-prone position an...
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PMID: 20224621
PDF is available here.
Abstract
For patients with COPD, inhalation is the preferred route of administration of respiratory drugs for both maintenance and acute treatment. Numerous inhaler types and devices have been developed, each with their own particularities, advantages and disadvantages. Nevertheless, published COPD managemen...
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PMID: 19890594
PDF is available here.
Abstract
Chronic lung disease (CLD) is one of the most common long-term complications in very preterm infants. Bronchopulmonary dysplasia (BPD) is the most common cause of CLD in infancy. Modern neonatal respiratory care has witnessed the emergence of a new BPD that exhibits decreased fibrosis and emphysema,...
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PMID: 20363459
PDF is available here.
Abstract
Cystic fibrosis (CF) is a complex multisystemic disease requiring specialized care. It is characterized by progressive pulmonary decline, with intermittent worsening of lung function, often called pulmonary exacerbations. Eighty-five percent of all deaths from CF are a result of pulmonary disease, a...
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PMID: 20469621
PDF is available here.
Abstract
There was no significant difference in the median age when the vasodilators were commenced (MgSO4 group: 14.0 hours, interquartile range [IQR]: 7.5, 27.0; iNO group: 14.8 hours, IQR: 12.5, 35.3, p is 0.8). There was no significant difference in the proportion of infants who responded primarily to ei...
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PMID: 20358154
PDF is available here.
Abstract
Despite a plethora of publications on the art and science of respiratory care, a number of basic issues remain unanswered. These clinical controversies are often settled by expert opinion and personal bias. By definition, a controversy has compelling arguments for each side of the issue. This Respir...
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PMID: 20105347
PDF is available here.
Abstract
To analyze the accuracy of diagnosis in a population receiving inhaled therapies due to respiratory diseases in a primary care setting.
Noninterventional, multicenter, cross-sectional, observational epidemiologic study methodology.
A total of 9752 subjects were evaluated. Of these, 4188 (42.9%) pati...
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PMID: 20714378
PDF is available here.
Abstract
Mechanical insufflation-exsufflation was typically prescribed for people with motor-complete tetraplegia. Outpatient MIE usage may reduce respiratory hospitalizations in smokers with SCI. Further research of this alternative, noninvasive method is warranted in the outpatient SCI population....
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PMID: 20486531
PDF is available here.
Abstract
The study included 70 patients undergone prolonged artificial ventilation (AV) in the early postoperative period. The early diagnosis of pneumonia was established on the basis of the maximum light flux rate (MLFR) of an expired air condensate. In this study 36 hours after the initiation of respirato...
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PMID: 20524333
PDF is available here.
Abstract
Neuromuscular diseases (NMD) can affect all major respiratory muscles, leading to the development of respiratory failure, which is the most common cause of morbidity and mortality in patients affected by those conditions. Based on the clinical onset of acute respiratory failure (ARF), NMD can be cla...
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PMID: 20125073
PDF is available here.
Abstract
Standards of care were far lower than recommended, in particular 40% of patients were labelled as COPD without spirometry. COPD patients with a second hospitalisation in 12 months for an exacerbation had about 3 times the risk of suffering a new episode and hospitalisation in the following six month...
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PMID: 20440919
PDF is available here.
Abstract
The authors review the literature concerning the possibilities of modifying the mechanical characteristics of the respiratory system with breathing retraining and other chest physiotherapy intervention. Breathing retraining techniques with prolonged and active expiration induce increased work of bre...
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PMID: 20032846
PDF is available here.
Abstract
Specialized and multidisciplinary care is needed for patients with amyotrophic lateral sclerosis (ALS). Respiratory failure secondary to respiratory muscle dysfunction, ineffective cough, weight loss and progressive loss of autonomy should always be sought and explored. Very few tests are needed to...
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PMID: 20052865
PDF is available here.
Abstract
In patients hospitalised for acute COPD exacerbations, elevated baseline and peak cTnI were associated with a greater need for noninvasive ventilatory support and were significant predictors of 18-month overall survival....
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PMID: 19915228
PDF is available here.
Abstract
This is a short-term study of the use of in-exsufflation as a supplement to standard NIV plus physiotherapy in a small group of patients with neuromuscular disease. The addition of mechanical in-exsufflation shortened airway-clearance sessions. The device appeared to be safe and well tolerated, and...
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PMID: 19863831
PDF is available here.
Abstract
Both chest compression and air stacking techniques were efficient in increasing PCF. However, the combination of these two techniques had a significant additional effect (p < 0.0001)....
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PMID: 19918629
PDF is available here.
Abstract
Sleep apnea-hypopnea syndrome (SAPS) is a very prevalent disease in the general population.Its existence has been related with the appearance of cardiovascular and cerebrovascular events, greater risk of traffic accidents and deterioration of the quality of life of the patients.Currently, continuous...
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PMID: 19852913
PDF is available here.
Abstract
Home visits performed by a respiratory physician to bedridden patients with chronic respiratory failure: 1. include predominantly patients affected by COPD and ALS; 2. determine a very good satisfaction to patients/caregivers; 3. allow money saving to caregivers; 4. are predominantly made up to chan...
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PMID: 19999957
PDF is available here.
Abstract
INTRODUCTION: Telemonitoring, telemedicine, clinical and medical informatics or telecare, are terms used to describe the use of technology along with local clinical protocols to monitor remotely a patient's medical condition in their own home. In respiratory medicine, where large numbers of people h...
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PMID: 19588054
PDF is available here.
Abstract
Respiratory care education programs spending more money per student and utilizing more personnel in the program have higher mean performance in student retention. Therefore, respiratory care education programs must devote sufficient resources to retaining students so that they can produce more respi...
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PMID: 19712495
PDF is available here.
Abstract
Chronic obstructive pulmonary disease (COPD) is an increasingly important cause of morbidity and mortality, pathological features of which are pulmonary inflammation and irreversible airflow obstruction. Current therapies for COPD are aimed at improvement of clinical symptoms and reduction of inflam...
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PMID: 19558334
PDF is available here.
Abstract
The patient is a 76-year-old woman. She had undergone double valve replacement for rheumatic mitral and aortic valve regurgitation at the age of 64. She was diagnosed with chronic obstructive pulmonary disease (COPD) at 73 years old (Hugh-Jones class IV) . She was admitted to our hospital because of...
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PMID: 19670779
PDF is available here.
Abstract
Comprehensive management of chronic obstructive pulmonary disease (COPD) includes proper assessment, monitoring of disease, reduction of risk factors, the management of stable COPD, and the prevention and management of exacerbations. The 2007 COPD guidelines from the Global Initiative for Chronic Ob...
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PMID: 19650945
PDF is available here.
Abstract
Spirometric testing is one of the oldest clinical tests still in use today. It is a straightforward test that has the patient maximally exhale from total lung capacity. The key measurements are the forced expiratory volume in the first second (FEV(1)) and the maximum exhaled volume (vital capacity [...
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PMID: 19650946
PDF is available here.
Abstract
Tobacco abuse is one of the main reasons that chronic obstructive pulmonary disease is the fourth leading cause of death in the United States. Many people kick the habit easily, while others struggle through a difficult cycle of addiction. Respiratory therapists often have contact with patients with...
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PMID: 19650948
PDF is available here.
Abstract
Pulmonary rehabilitation is a core component of the management of a patient with chronic lung disease. The respiratory therapist plays a vital role in pulmonary rehabilitation. Identifying patients who are eligible for pulmonary rehabilitation, assessing the individual patient prior to entry into th...
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PMID: 19650949
PDF is available here.
Abstract
Long-term oxygen therapy (LTOT) improves survival for patients afflicted with severe chronic obstructive pulmonary disease and may also reduce the incidence of repeat hospitalization due to exacerbations. When properly dosed and titrated, LTOT has also been shown to improve exercise tolerance, there...
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PMID: 19650950
PDF is available here.
Abstract
Recommendations were formulated for the following procedures: non-invasive ventilation, continuous positive airway pressure, intermittent positive pressure breathing, intrapulmonary percussive ventilation, mechanical insufflation-exsufflation, incentive spirometry, positive expiratory pressure, naso...
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PMID: 19629766
PDF is available here.