Respiratory care
-
Randomized Controlled Trial
High-Flow Nasal Oxygen Cannula versus Conventional Oxygen Therapy After Endotracheal Extubation: A Randomized Cross Over Physiologic Study.
Compare the short-term benefit of high-flow nasal cannula (HFNC) with non-rebreathing mask in terms of change in dyspnea, physiologic variables, and patient comfort in subjects after endotracheal extubation. ⋯ HFNC can improve dyspnea and physiologic parameters, including breathing frequency and heart rate, in extubated subjects compared with conventional oxygen therapy. This device may have a potential role for use after endotracheal extubation.
-
Observational Study
REPRODUCIBILITY OF CADENCE FREE SIX-MINUTE STEP TEST IN SUBJECTS WITH COPD.
Six-minute step test (6MST) has been used to assess functional capacity in chronic conditions; however, its reproducibility in the COPD population has not been evaluated. Our study objective was to evaluate 6MST reproducibility. ⋯ 6MST proved to be reproducible in the COPD population when performed by the same assessor.
-
Observational Study
The Correlation Between Esophageal and Abdominal Pressures in Mechanically Ventilated Patients Undergoing Laparoscopic Surgery.
Intrathoracic pressure in patients undergoing laparoscopic surgery may be affected by intra-abdominal pressure during surgery. We investigated the relationship between intra-abdominal pressure (Pabd) and esophageal pressure (Pes) in mechanically ventilated patients undergoing laparoscopic surgery. ⋯ There was a limited correlation between baseline Pes and Pabd in patients undergoing elective laparoscopic surgery, suggesting a limited value of Pabd measurements in the management of mechanically ventilated patients.
-
Observational Study
Is nasopharyngeal tube effective as interface to provide bilevel non-invasive ventilation?
The nasopharyngeal tube (NT) is a potential interface for noninvasive ventilation (NIV) available in all health care centers. The aim of the study was to describe our experience in the use of the NT for bi-level NIV in infants and its effectiveness. ⋯ Use of the NT showed 73% effectiveness, with few complications. The effectiveness was higher in e-NIV than i-NIV.
-
Ventilator-associated pneumonia (VAP) is a nosocomial infection of multifactorial etiology and has a negative influence on cardiovascular surgery (CVS) outcomes. ⋯ Oral hygiene and mouth rinses with chlorhexidine under supervision of a dentist proved effective in reducing the incidence of VAP.