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The New England Journal of Medicine Sep 1979
Topics: Humans; Physical Therapy Modalities; Respiratory Therapy
PubMed: 471014
DOI: No ID Found -
Respiratory Care Mar 1993In summary, with increasing scrutiny given to the effectiveness and costs of health care, innovative programs that allocate respiratory care ordering to practitioners...
In summary, with increasing scrutiny given to the effectiveness and costs of health care, innovative programs that allocate respiratory care ordering to practitioners based on rigorous, specified appropriateness criteria and/or branching-logic algorithms are a promising solution to respiratory care misallocation. Widespread acceptance and implementation will require staunch medical directors' input and advocacy, therapists' support for new programs and for leaving the comforts of 'traditional' practice, and confirmation of the benefits of Respiratory Therapy Consult Services by more extensive, 'hard-nosed' evaluation.
Topics: Health Services Misuse; Planning Techniques; Practice Guidelines as Topic; Respiratory Therapy; United States
PubMed: 10145775
DOI: No ID Found -
Pneumonologia Polska Sep 1988
Review
Topics: Administration, Inhalation; Aerosols; Anti-Bacterial Agents; Child; Child, Preschool; Expectorants; Humans; Infant; Respiratory Therapy; Respiratory Tract Diseases
PubMed: 3075996
DOI: No ID Found -
Respiratory Care May 2018
Topics: Humans; Interdisciplinary Communication; Models, Educational; Patient Care Team; Respiratory Therapy
PubMed: 29703797
DOI: 10.4187/respcare.06234 -
Respiratory Care Jul 2001The term respiratory care has more than one meaning, referring both to a subject area within clinical medicine and to a distinct health care profession. In the light of...
The term respiratory care has more than one meaning, referring both to a subject area within clinical medicine and to a distinct health care profession. In the light of several fundamental transformations of health care during the 20th century, this article reviews the history of respiratory care in both of these contexts and offers 10 predictions for the future: (1) Less focus on raising P(aO2) as a primary goal in managing patients with acute hypoxemic respiratory failure. (2) More attention to the adequacy of tissue oxygenation in such patients, irrespective of P(aO2), and the emergence of "permissive hypoxemia," analogous to permissive hypercapnia, in managing them. (3) Smarter monitors that display information less but process it more, while interacting directly with ventilators and other devices to modify therapeutic interventions. (4) Increased use of and expertise with noninvasive ventilation, with a corresponding decrease in intubations and complications, in treating patients with acute exacerbations of COPD. (5) Increased use of triage in the intensive care unit, including earlier determination of the appropriateness of maximal supportive intervention. (6) Greater use of protocols in patient assessment and management, in all clinical settings. (7) Increased awareness of, expertise in, and resources for palliative care, with a more active and acknowledged role for respiratory therapists. (8) Accelerating progress in smoking cessation and prevention, and also in early detection and intervention in COPD, led by the respiratory care profession. (9) An increasing presence and impact of respiratory therapists as coordinators and care givers in home care. (10) A continued and enlarging role for the journal Respiratory Care in disseminating research findings, clinical practice guidelines, protocols, and practical educational materials in all areas of the field.
Topics: Animals; Forecasting; History, 20th Century; Humans; Middle Aged; Respiration, Artificial; Respiratory Distress Syndrome; Respiratory Insufficiency; Respiratory Therapy
PubMed: 11403703
DOI: No ID Found -
Revista Brasileira de Terapia Intensiva 2013To analyze the outcomes of increased or decreased intracranial pressure and/or the decrease in cerebral perfusion pressure resulting from respiratory physiotherapy on... (Review)
Review
OBJECTIVE
To analyze the outcomes of increased or decreased intracranial pressure and/or the decrease in cerebral perfusion pressure resulting from respiratory physiotherapy on critically ill patients admitted to the intensive care unit.
METHODS
Through a systematic review of the literature, clinical trials published between 2002 and 2012 were selected. The search involved the LILACS, SciELO, MedLine and PEDro databases using the keywords "physical therapy", "physiotherapy", "respiratory therapy" and "randomized controlled trials" combined with the keyword "intracranial pressure".
RESULTS
In total, five studies, including a total of 164 patients between 25 and 65 years of age, reporting that respiratory physiotherapy maneuvers significantly increased intracranial pressure without changing the cerebral perfusion pressure were included. The articles addressed several techniques including vibration, vibrocompression, tapping, postural drainage, and the endotracheal aspiration maneuver. All patients required invasive mechanical ventilation.
CONCLUSION
Respiratory physiotherapy leads to increased intracranial pressure. Studies suggest that there are no short-term hemodynamic or respiratory repercussions or changes in the cerebral perfusion pressure. However, none of the studies evaluated the clinical outcomes or ensured the safety of the maneuvers.
Topics: Adult; Aged; Critical Illness; Humans; Intensive Care Units; Intracranial Hypertension; Intracranial Pressure; Middle Aged; Physical Therapy Modalities; Respiration, Artificial; Respiratory Therapy
PubMed: 24553515
DOI: 10.5935/0103-507X.20130055 -
Respiratory Care Jul 2010
Topics: Health Knowledge, Attitudes, Practice; Humans; Inservice Training; Quality of Health Care; Respiratory Therapy; Terminal Care
PubMed: 20587111
DOI: No ID Found -
Respiratory Care Jun 2013The evolution of critical care and mechanical ventilation has been dramatic and rapid over the last 10 years and can be expected to continue at this pace into the... (Review)
Review
The evolution of critical care and mechanical ventilation has been dramatic and rapid over the last 10 years and can be expected to continue at this pace into the future. As a result, the competencies of the respiratory therapist regarding mechanical ventilation in 2015 and beyond are expected to also markedly increase. Respiratory therapists are expected to be the experts on the mechanical ventilator and all aspects of the application of mechanical ventilation. They will be considered consultants on all aspect of ventilatory support. This requires an expanded education in a number of areas. To achieve these levels of competency, as recommended by the third "2015 and Beyond" conference, the entry level education of the respiratory therapist of the future must be at the baccalaureate level.
Topics: Clinical Competence; Education, Medical; Humans; Respiration, Artificial; Respiratory Therapy; Ventilators, Mechanical
PubMed: 23709202
DOI: 10.4187/respcare.02546 -
Respiratory Care Feb 2010
Topics: Humans; Respiratory Therapy
PubMed: 20210031
DOI: No ID Found -
Respiratory Therapy 1982
Topics: Respiratory Therapy; Specialization; United States
PubMed: 10259252
DOI: No ID Found