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Respiratory Therapy 1976
Topics: Educational Measurement; Inservice Training; Internship and Residency; Respiratory Therapy
PubMed: 1025643
DOI: No ID Found -
Revista de Enfermeria (Barcelona, Spain) May 1987
Topics: Humans; Nebulizers and Vaporizers; Respiratory Therapy
PubMed: 3648903
DOI: No ID Found -
Revue Des Maladies Respiratoires Dec 2013The working group on aerosol therapy (GAT) of the Société de pneumologie de langue française (SPLF) organized its third "Aerosolstorming" in 2012. During the course... (Review)
Review
The working group on aerosol therapy (GAT) of the Société de pneumologie de langue française (SPLF) organized its third "Aerosolstorming" in 2012. During the course of one day, different aspects of inhaled therapy were discussed, and these will be treated separately in two articles, this one being the first. Inhaled products represent a large volume of prescriptions both in the community and in hospital settings and they involve various specialties particularly ENT and respiratory care. Technical aspects of the development of these products, their mode of administration and compliance with their indications are key elements for the effective therapeutic use of inhaled treatments. In this first article, we will review issues concerning generic inhaled products, the existence of inhaled antidotes, new anti-infective agents and indications for inhaled pentamidine.
Topics: Administration, Inhalation; Anti-Infective Agents; Antidotes; Congresses as Topic; Drugs, Generic; Humans; Paris; Pentamidine; Respiratory Therapy
PubMed: 24314707
DOI: 10.1016/j.rmr.2013.09.005 -
Anesthesia and Analgesia 1975Scientific data fail to support the widespread use of humidity and mist in respiratory therapy. A clear indication exists to provide humidification of inspired air in...
Scientific data fail to support the widespread use of humidity and mist in respiratory therapy. A clear indication exists to provide humidification of inspired air in patients in whom the proximal airway is bypassed by endotracheal cannulation. Indications for the use of concentrated mist atmospheres in therapy of lung disease is less well documented, and too often the importance of adequate systemic hydration is overlooked. Theory supports the use of a highly humid or mist atmosphere in therapy of upper airway disease, but little benefit is derived from such therapy in diseases of the smaller airways and lung parenchyma. Danger of bacterial contamination and infection and an increase in airway resistance are significant hazards to the patient exposed to highly humid atmospheres.
Topics: Airway Resistance; Humans; Humidity; Lung Diseases; Lung Diseases, Obstructive; Respiratory Therapy; Respiratory Tract Infections; Water; Water Intoxication
PubMed: 1170779
DOI: 10.1213/00000539-197507000-00009 -
Journal For Healthcare Quality :... 2001Although respiratory care protocols have been proven efficacious in several academic medical centers, little attention has been given to their use and effect in...
Although respiratory care protocols have been proven efficacious in several academic medical centers, little attention has been given to their use and effect in community-based hospitals. To evaluate the use and effect of respiratory care protocols in community hospitals in the Cleveland Clinic Health System (CCHS) in Cleveland, OH, an observational study was conducted based on a survey of respiratory therapists from 9 of the 10 CCHS hospitals. Study results showed that respiratory care protocols had been implemented in most of the CCHS hospitals in a variety of formats and that use of a full respiratory therapy consult service was common. Over-ordering of respiratory care services was reported far more frequently than was under-ordering and was often the impetus to adopt respiratory care protocols. Larger hospitals were more likely to implement protocols, but protocol use was not associated with having a residency training program. Furthermore, in the three hospitals in which the issue was examined, use of respiratory care protocols did not appear to discourage pulmonary consultation. As was the case in academic medical centers, which have generated most studies to date, the use of respiratory care protocols was reported to be beneficial in community-based hospitals.
Topics: Clinical Protocols; Health Care Surveys; Hospitals, General; Humans; Multi-Institutional Systems; Ohio; Organizational Case Studies; Respiratory Insufficiency; Respiratory Therapy
PubMed: 23413473
DOI: 10.1111/j.1945-1474.2001.tb00384.x -
Clinical Privilege White Paper Oct 2004
Topics: Clinical Competence; Credentialing; Education, Medical; Humans; Joint Commission on Accreditation of Healthcare Organizations; Medical Staff Privileges; Respiratory Therapy; Societies, Medical; United States
PubMed: 15478245
DOI: No ID Found -
JAMAAn analysis of respiratory therapy services at two general hospitals showed a notable change from 1971 to 1979. There was a large decrease in intermittent... (Comparative Study)
Comparative Study
An analysis of respiratory therapy services at two general hospitals showed a notable change from 1971 to 1979. There was a large decrease in intermittent positive-pressure breathing (IPPB) treatments at both hospitals. These were partially replaced with general chest physiotherapy maneuvers at one hospital and with incentive spirometry at another. Both hospitals demonstrated a substantial increase in time spent in management of mechanical ventilators. Staffs had increased along with time spent per patient. The reduction in IPPB was not associated with lower costs of respiratory therapy service at either hospital but, rather, a shift in the types of service performed. These changes must be considered in determining cost-effectiveness of respiratory therapy services.
Topics: Cost-Benefit Analysis; Evaluation Studies as Topic; Hospitals, General; Humans; Intermittent Positive-Pressure Breathing; Positive-Pressure Respiration; Respiratory Therapy; Wisconsin
PubMed: 6785458
DOI: No ID Found -
Chest Jul 1997
Clinical Trial Randomized Controlled Trial
Topics: Drainage, Postural; Health Services Misuse; Humans; Percussion; Respiratory Therapy; Vibration
PubMed: 9228399
DOI: 10.1378/chest.112.1.292-a -
Lancet (London, England) Jul 1958
Topics: Humans; Nebulizers and Vaporizers; Respiratory Therapy
PubMed: 13564752
DOI: 10.1016/s0140-6736(58)90009-6 -
Orvosi Hetilap Oct 2015Dry salt inhalation (halotherapy) reproduces the microclimate of salt caves, with beneficial effect on health. Sodium chloride crystals are disrupted into very small... (Review)
Review
Dry salt inhalation (halotherapy) reproduces the microclimate of salt caves, with beneficial effect on health. Sodium chloride crystals are disrupted into very small particles (with a diameter less than 3 µm), and this powder is artificially exhaled into the air of a comfortable room (its temperature is between 20-22 °C, and the relative humidity is low). The end-concentration of the salt in the air of the room will be between 10-30 mg/m(3). The sick (or healthy) persons spend 30-60 minutes in this room, usually 10-20 times. Due to the greater osmotic pressure the inhaled salt diminishes the oedema of the bronchial mucosa, decreases its inflammation, dissolves the mucus, and makes expectoration easier and faster (expectoration of air pollution and allergens will be faster, too). It inhibits the growth of bacteria and, in some case, kills them. Phagocyte activity is also increased. It has beneficial effect on the well being of the patients, and a relaxation effect on the central nervous system. It can prevent, or at least decrease the frequency of the respiratory tract inflammations. It produces better lung function parameters, diminishes bronchial hyperreactivity, which is the sign of decreasing inflammation. Its beneficial effect is true not only in inflammation of the lower respiratory tract, but also in acute or chronic upper airways inflammations. According to the international literature it has beneficial effect for some chronic dermatological disease, too, such as psoriasis, pyoderma and atopic dermatitis. This treatment (called as Indisó) is available under medical control in Hungary, too.
Topics: Administration, Inhalation; Asthma; Cost-Benefit Analysis; Edema; History, 19th Century; History, 20th Century; History, 21st Century; History, Ancient; Humans; Hungary; Inflammation; Particle Size; Respiratory Hypersensitivity; Respiratory Mucosa; Respiratory Therapy; Sodium Chloride; Treatment Outcome
PubMed: 26551167
DOI: 10.1556/650.2015.30267