Respiratory care
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Editorial Comment
Of dung and dynein arms: understanding COPD in nonsmokers.
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Review Comparative Study
A rational framework for selecting modes of ventilation.
Mechanical ventilation is a life-saving intervention for respiratory failure and thus has become the cornerstone of the practice of critical care medicine. A mechanical ventilation mode describes the predetermined pattern of patient-ventilator interaction. In recent years there has been a dizzying proliferation of mechanical ventilation modes, driven by technological advances and market pressures, rather than clinical data. ⋯ Finally, we provide the reader with a comparison of existing modes based on these principles. The status quo in mechanical ventilation mode nomenclature impedes communication and comparison of existing mechanical ventilation modes. The proposed model, utilizing a systematic nomenclature, provides a useful framework to address this unmet need.
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Comparative Study
Mechanical behaviors of Flutter VRP1, Shaker, and Acapella devices.
Flutter VRP1, Shaker, and Acapella are devices that combine positive expiratory pressure (PEP) and oscillations. ⋯ The Flutter VRP1 and Shaker devices had a similar performance to that of Acapella in many aspects, except for PEP.