Respiratory Therapy
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Interesting topics in Respiratory Therapy and Physiotherapy
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Critical Care | Abstract | Ventilator-associated pneumonia and ICU mortality in severe ARDS patients ventilated according to a lung-protective strategy

Ventilator-associated pneumonia (VAP) may contribute to the mortality associated with acute respiratory distress syndrome (ARDS).
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Rescooped by José Mauricio Landeros from Kinesiología y Terapia Respiratoria
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Extra Physical Therapy Reduces Patient Length of Stay and Improves Functional Outcomes and Quality of Life in People With Acute or Subacute Conditions: A Systematic Review

Archives of Physical Medicine and Rehabilitation, Volume 92, Issue 9, Pages 1490-1500, September 2011, Authors:Casey L. Peiris, BPhys; Nicholas F.
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Noninvasive Ventilation Outside the Intensive Care Unit From the ...

Noninvasive Ventilation Outside the Intensive Care Unit From the ... | Respiratory Therapy | Scoop.it

Abstract:
BACKGROUND: Noninvasive ventilation (NIV) is increasingly utilized outside the ICU for patients with acute respiratory failure. However, success and failure risk factors and patient safety aspects have been poorly explored in this setting. So far, no study has evaluated the perspective of the patient, despite the known high relevance of patient participation for NIV success. METHODS: We prospectively interviewed (following a standard questionnaire) the patients successfully treated with NIV for acute respiratory failure outside the ICU. Subjects were interviewed 24-48 hours after NIV suspension. Exclusion criteria: NIV failure, patient not competent, patient unwilling to participate in the study, patient transferred to the ICU. RESULTS: Forty-five consecutive patients were included in the study. Only 20% participated in the initial setting of NIV parameters. More than 40% reported they never had the possibility to discuss the NIV treatment. Eighty percent reported they were never asked to try another interface. All subjects knew how to call for help, but only one fourth had been trained to remove the mask, and 22% reported not being able at all to remove the mask if needed. One half of the subjects reported having received help immediately when needed, but 15% waited more than 3 min. All subjects reported complications, and 18% reported respiratory worsening while on NIV. CONCLUSIONS: Subjects reported a low level of involvement in the initial setting of NIV treatment, low satisfaction about communication with the caring staff, and a suboptimal safety level in case of emergency.

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Best Practices in Respiratory Care & Sleep Medicine Virtual Online Conferences and Trade Shows on 04/25/2012 on ADVANCE Events

Best Practices in Respiratory Care & Sleep Medicine Virtual Online Conferences and Trade Shows on 04/25/2012 on ADVANCE Events | Respiratory Therapy | Scoop.it
Visit our best practices in respiratory care & sleep medicine virtual online conferences and trade shows on 04/25/2012 at Advance Events.
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Poor HFOV Response at 48 Hours May Predict Severe ARDS Mortality :Pulmonary Reviews

Poor HFOV Response at 48 Hours May Predict Severe ARDS Mortality :Pulmonary Reviews | Respiratory Therapy | Scoop.it
In a cohort of 58 patients with severe ARDS, failure to reach a PaO2/FiO2 of at least 100 after 48 hours of high frequency oscillating ventilation treatment was significantly associated with in-hospital mortality.
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