Resp Care
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of intrapulmonary percussive ventilation and conventional chest physiotherapy for the treatment of atelectasis in the pediatric patient.
Compare intrapulmonary percussive ventilation (IPV) to conventional chest physiotherapy (CPT) and determine their effects on improving atelectasis and static compliance in pediatric patients. ⋯ In the retrospective study a clinically important improvement in atelectasis was seen in patients who received IPV therapy. In the controlled, clinical trial the IPV group showed more clinically important improvement in atelectasis than the CPT group. IPV is a safe and effective method of alternative airway clearance and can be used on patients with artificial airways.
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Randomized Controlled Trial Clinical Trial
Weaning children from mechanical ventilation: a prospective randomized trial of protocol-directed versus physician-directed weaning.
Compare outcomes between physician-directed and protocol-directed weaning from mechanical ventilation in pediatric patients. ⋯ Protocol-directed weaning resulted in a shorter weaning time than physician-directed weaning in these pediatric patients.
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Randomized Controlled Trial Comparative Study Clinical Trial
Bronchodilator therapy with metered-dose inhaler and spacer versus nebulizer in mechanically ventilated patients: comparison of magnitude and duration of response.
Four-hour comparison of the bronchodilator response of albuterol administered via metered-dose inhaler (MDI) with spacer versus small-volume nebulizer (SVN) to mechanically ventilated patients with chronic obstructive pulmonary disease (COPD). ⋯ The airway response to albuterol administration via MDI and SVN to mechanically ventilated patients was similar in magnitude and duration, returning to baseline by 240 minutes. In stable, mechanically ventilated COPD patients, albuterol may be administered via MDI with spacer or via SVN every 4 hours.