Respiratory care
-
Editorial Comment
Can respiratory therapist-driven protocols improve resource utilization?
-
Randomized Controlled Trial Comparative Study
Gradual versus sudden weaning from nasal CPAP in preterm infants: a pilot randomized controlled trial.
There is paucity of information on the weaning of nasal CPAP (NCPAP) in preterm infants. As the weaning from NCPAP can be gradual or sudden, we wanted to determine which of the 2 methods was better. ⋯ There was no difference in the success of weaning from NCPAP between the 2 weaning methods. The weight and postmenstrual age at the time of successful NCPAP wean also did not differ between the 2 groups. These findings suggest that factors other than the method of CPAP wean, such as pulmonary maturity, may determine the success of NCPAP wean in preterm infants.
-
Randomized Controlled Trial Comparative Study
Peak expiratory flow in bed? A comparison of 3 positions.
Current guidelines for the correct peak expiratory flow (PEF) maneuver include standing. In the hospital setting, PEF values are often ordered to assess response to asthma therapy for exacerbations. We have observed that the PEF is sometimes performed with the patient in bed. ⋯ Clinicians should ensure that PEF is obtained with patients out of bed and in the standing position.