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Archivos de Bronconeumologia 2009
Review
Topics: Continuous Positive Airway Pressure; Documentation; Drainage, Postural; Equipment Design; Equipment Safety; Forms and Records Control; Home Nursing; House Calls; Humans; Hypoxia; Medical Records; Nebulizers and Vaporizers; Oxygen Inhalation Therapy; Patient Education as Topic; Respiration Disorders; Respiration, Artificial; Respiratory Therapy; Sleep Apnea Syndromes; Spain
PubMed: 19647620
DOI: 10.1016/S0300-2896(09)71793-4 -
Expert Review of Respiratory Medicine Mar 2017Inhalation therapy has become a popular procedure for the treatment of patients with tracheostomy. However, clinicians are faced with many challenges during inhalation... (Review)
Review
Inhalation therapy has become a popular procedure for the treatment of patients with tracheostomy. However, clinicians are faced with many challenges during inhalation therapy because of the many factors affecting aerosol therapy to this patient population, and the lack of literature providing guidance in this area of research. Areas covered: The purpose of this paper is to describe the factors affecting aerosol drug delivery to patients with tracheostomy and to explain how to optimize inhalation therapy through device selection, interface selection and delivery technique in this patient population. Expert commentary: Many factors affect inhalation therapy in this patient population and without understanding the impact of these factors on aerosol drug delivery, clinicians will not be able to provide the treatment properly and patients may not benefit from prescribed medications. In the next 5 years, aerosol medicine will continue to experience tremendous growth with new devices and drug/device combinations. However, these advances will have minimal impact on inhalation therapy in patients with tracheostomy unless we provide guidance and training to clinicians on optimizing aerosol drug delivery to this patient population.
Topics: Administration, Inhalation; Aerosols; Humans; Nebulizers and Vaporizers; Respiratory Therapy; Tracheostomy
PubMed: 28228052
DOI: 10.1080/17476348.2017.1289843 -
Archivos de Bronconeumologia Feb 1994
Review
Topics: Humans; Physical Therapy Modalities; Respiratory Therapy
PubMed: 8136996
DOI: 10.1016/s0300-2896(15)31124-8 -
The American Journal of Nursing Jan 2002
Review
Topics: Airway Obstruction; Bronchitis; Humans; Inflammation; Mucociliary Clearance; Needs Assessment; Nurse's Role; Nursing Assessment; Patient Selection; Respiratory Mucosa; Respiratory Therapy; Treatment Outcome
PubMed: 11839906
DOI: 10.1097/00000446-200201000-00020 -
Respiratory Care Dec 1978
Topics: Allied Health Personnel; Certification; Educational Measurement; Respiratory Therapy; United States
PubMed: 10315032
DOI: No ID Found -
Respiratory Care Jun 2015Aerosolized medications are routinely used for the treatment of critically ill patients. This paper reviews aerosol delivery devices with a focus on issues related to... (Review)
Review
Aerosolized medications are routinely used for the treatment of critically ill patients. This paper reviews aerosol delivery devices with a focus on issues related to their performance in pulmonary critical care. Factors affecting aerosol drug delivery to mechanically ventilated adults and spontaneously breathing patients with artificial airways are reviewed. Device selection, optimum device technique, and unmet medical needs of aerosol medicine in pulmonary critical care are also discussed.
Topics: Administration, Inhalation; Aerosols; Bronchodilator Agents; Critical Care; Equipment Design; Humans; Lung Diseases; Nebulizers and Vaporizers; Respiration, Artificial; Respiratory Therapy
PubMed: 26070580
DOI: 10.4187/respcare.03790 -
Chest May 1988In an effort to contain the expense of respiratory therapy modalities as well as to provide the level of respiratory care most appropriate for postoperative patients, we...
In an effort to contain the expense of respiratory therapy modalities as well as to provide the level of respiratory care most appropriate for postoperative patients, we devised a perioperative respiratory therapy program (PORT). We describe the response of 1,476 consecutive patients treated by our Respiratory Care Department prior to and during the first year of PORT. Surgical procedures were divided into ten categories. The PORT group had significantly lower cost than the non-PORT group in two of the categories, with a significantly higher cost in one. We describe the advantages of PORT, which were identified by participating surgeons, respiratory therapists, and patients. We present a simple, bedside, risk assessment form which enabled us to predict the risk of postoperative pulmonary complications and to provide more aggressive respiratory therapy interventions to higher-risk patients.
Topics: Costs and Cost Analysis; Humans; Postoperative Care; Postoperative Complications; Preoperative Care; Respiratory Therapy; Respiratory Therapy Department, Hospital; Risk Factors; Surgical Procedures, Operative
PubMed: 3359849
DOI: 10.1378/chest.93.5.946 -
Chest Aug 1996
Topics: Adult; Allied Health Personnel; Clinical Protocols; Health Services Misuse; Humans; Internship and Residency; Outcome Assessment, Health Care; Postoperative Care; Quality of Health Care; Respiratory Therapy
PubMed: 8697824
DOI: 10.1378/chest.110.2.313 -
Respiratory Care Aug 2007
Topics: Child; Child, Preschool; Equipment Design; Humans; Nebulizers and Vaporizers; Pediatrics; Respiratory Therapy
PubMed: 17650350
DOI: No ID Found -
Journal of Perianesthesia Nursing :... Dec 1998Respiratory care protocols have been developed for specific therapies that include the following: oxygen titration, weaning from mechanical ventilation, sampling... (Review)
Review
Respiratory care protocols have been developed for specific therapies that include the following: oxygen titration, weaning from mechanical ventilation, sampling arterial blood gases, managing bronchospasm and secretions, treating atelectasis, endotracheal extubation, and managing the postextubation airway. Although relatively little attention has been given to using protocols in postanesthesia care, this environment lends itself to applying protocols. In this context, studies have examined and support the use of protocols for titrating supplemental oxygen, weaning patients from mechanical ventilation, and sampling arterial blood gases. As with other previously mentioned respiratory protocols, these protocols have shown efficacy for improving allocation of respiratory care services, cost savings, and favorable clinical outcomes. On this basis, while recognizing the need for further studies, respiratory care protocols implemented by respiratory therapists can be beneficial in the postanesthesia care setting.
Topics: Algorithms; Blood Gas Analysis; Clinical Protocols; Decision Trees; Humans; Lung Diseases; Oxygen Inhalation Therapy; Patient Care Planning; Postanesthesia Nursing; Postoperative Care; Respiratory Therapy; Ventilator Weaning
PubMed: 9934076
DOI: 10.1016/s1089-9472(98)80006-3