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Respiratory Care Clinics of North... Dec 2000Novel therapies for the next decade include hyperbaric oxygen, nitric oxide, and extracorporeal membrane oxygenation. Hyperbaric oxygen delivers oxygen at a pressure... (Review)
Review
Novel therapies for the next decade include hyperbaric oxygen, nitric oxide, and extracorporeal membrane oxygenation. Hyperbaric oxygen delivers oxygen at a pressure greater than one atmosphere and has been used in diseases ranging from decompression sickness to carbon monoxide poisoning. Inhaled nitric oxide, a potent vasodilator, has been used in the acute respiratory distress syndrome and for the diagnosis and treatment of pulmonary hypertension. Extracorporeal membrane oxygenation (ECMO) has been used to provide cardiopulmonary bypass support, particularly in the pediatric and neonatal population.
Topics: Administration, Inhalation; Adult; Cardiopulmonary Bypass; Child; Extracorporeal Membrane Oxygenation; Humans; Hyperbaric Oxygenation; Hypertension, Pulmonary; Infant, Newborn; Nitric Oxide; Patient Selection; Respiratory Distress Syndrome; Respiratory Therapy
PubMed: 11172582
DOI: 10.1016/s1078-5337(05)70093-9 -
Chest May 1994
Review
Topics: Animals; Humans; Respiration, Artificial; Respiratory Muscles; Respiratory Therapy
PubMed: 8181348
DOI: 10.1378/chest.105.5.1538 -
Respiratory Therapy 1982Neonatal respiratory therapy has emerged as a new specialization in recent years, owing to advances in medical knowledge such as those which have increased the survival...
Neonatal respiratory therapy has emerged as a new specialization in recent years, owing to advances in medical knowledge such as those which have increased the survival rate for premature infants. Various factors define the scope of the neonatal respiratory therapist's role, which varies from one facility to another but can include involvement in delivery, transport, education, and research as well as ventilatory assistance and monitoring.
Topics: Humans; Intensive Care Units, Neonatal; Respiratory Therapy; Role
PubMed: 10259250
DOI: No ID Found -
Respiratory Care Aug 2011Neonatal/pediatric respiratory care is recognized as a unique and complex area of clinical practice. Despite the substantial effort and costs associated with orienting... (Comparative Study)
Comparative Study
BACKGROUND
Neonatal/pediatric respiratory care is recognized as a unique and complex area of clinical practice. Despite the substantial effort and costs associated with orienting neonatal/pediatric practitioners, few data exist related to the process of training respiratory therapists (RTs) in the acute neonatal/pediatric environment. To gain insight into the adequacy of preparation of RTs entering the neonatal/pediatric environment, the length of orientation necessary to achieve a base level of competency, and the methods used to train new neonatal/pediatric practitioners, we surveyed neonatal/pediatric respiratory care educators and managers.
METHODS
The invitation to participate in the survey was distributed via e-mail to 1,259 members of the AARC education specialty section and 1,828 members of the AARC managers specialty section. The survey included 15 questions (not including the demographics questions), scored on 5-point Likert scale, and asked about: what type of degree program (associate's degree or bachelor's degree) better prepares new RTs for the neonatal/pediatric environment; experience requirements for orientation of neonatal/pediatric RTs; the role of simulation in training neonatal/pediatric RTs; and whether the neonatal/pediatric specialty credentialing exam should be used as a method of competency testing. There were 4 questions regarding simulation (the use of interactive full-body manikins in a realistic patient care environment), orientation times based on experience, and where the majority of the orientation time was spent.
RESULTS
We received 251 responses (response rate 8%). The majority of respondents were either affiliated with or worked for urban, not-for-profit, non-government organizations. Sixty-three percent disagreed that an associate's degree respiratory therapy program, and 42% disagreed that a bachelor's degree program adequately prepares a new RT to work in the neonatal/pediatric critical care environment immediately after graduation. Seventy-one percent strongly agreed that children's hospital respiratory care departments should have a dedicated respiratory therapy educator. Seventy-six percent agreed that simulation is an effective tool for training RTs for neonatal/pediatric critical care. Sixty-five percent agreed that RTs should be required to take an exam at the end of the orientation period to verify competency. Fifty-nine percent strongly agreed that neonatal/pediatric RTs should have the National Board for Respiratory Care Registered Respiratory Therapist (RRT) credential.
CONCLUSIONS
There appears to be a discrepancy in the educational preparation expected prior to entering the acute-care neonatal/pediatric environment and what training methods are most appropriate and cost-effective for orienting new RTs to this specialized environment. A dedicated respiratory therapy educator is valued. Simulation is considered an effective tool for training RTs and provides training opportunities that otherwise would not be available. The neonatal/pediatric specialty certification exam appears to be recognized as a valid method of determining mastery and verifying competence.
Topics: Education, Professional; Health Care Surveys; Health Personnel; Humans; Pediatrics; Personnel Management; Respiratory Therapy; United States
PubMed: 21496363
DOI: 10.4187/respcare.00972 -
Pediatrics May 1969
Topics: Aerosols; Humans; Methods; Respiratory Therapy
PubMed: 5769517
DOI: No ID Found -
Archivos de Bronconeumologia Dec 2001
Review
Topics: Humans; Pulmonary Disease, Chronic Obstructive; Respiratory Therapy; Time Factors
PubMed: 11734132
DOI: 10.1016/s0300-2896(01)75121-6 -
The Nursing Clinics of North America Jun 1992Nursing interventions provide the link between nursing diagnosis and patient outcomes. The validation of nursing interventions is the starting point for a standardized... (Review)
Review
Nursing interventions provide the link between nursing diagnosis and patient outcomes. The validation of nursing interventions is the starting point for a standardized nursing language. This study adapted a method for the validation process for nursing interventions and identified interventions that nursing experts believe are vital to the care of respiratory patients. The study served as the pilot for further surveys by the Iowa classification project. Based on the results of this study, the group made modifications in the survey process. Specifically, national samples of nurses were used, definitions were included in the surveys, and standard deviations were calculated for each activity. The subsequent articles in this issue demonstrate these changes.
Topics: Critical Care; Humans; Intensive Care Units; Nursing Care; Nursing Research; Respiration Disorders; Respiratory Therapy; Surveys and Questionnaires; Terminology as Topic; United States
PubMed: 1584693
DOI: No ID Found -
Expert Review of Respiratory Medicine Feb 2014The pressurized metered dose inhalers and dry powder inhalers are the most widely used devices for inhalation therapy in asthma and chronic obstructive pulmonary... (Review)
Review
The pressurized metered dose inhalers and dry powder inhalers are the most widely used devices for inhalation therapy in asthma and chronic obstructive pulmonary disease; each of these devices have certain advantages and disadvantages that impact their use. Motivation from the virtues of these devices led to the development of breath-actuated or breath-activated metered dose inhalers. A history of the breath-actuated inhalers, the development and technical aspects, studies about the usability, inhalation technique and patient preference, lung deposition and impact on lung function are presented in this review article. This review presents the use of breath-actuated inhalers in asthma and chronic obstructive pulmonary disease and in children and elderly; and a brief economic evaluation aims to put the clinical efficacy and ease-of-use of the breath-actuated inhaler into perspective by understanding the long-term cost benefits associated with this device.
Topics: Administration, Inhalation; Anti-Asthmatic Agents; Asthma; Cost-Benefit Analysis; Equipment Design; Humans; Metered Dose Inhalers; Pulmonary Disease, Chronic Obstructive; Respiration; Respiratory Therapy; Treatment Outcome
PubMed: 24325614
DOI: 10.1586/17476348.2014.854168 -
Respiratory Therapy 1975
Topics: Evaluation Studies as Topic; Humidity; Oxygen; Respiratory Therapy
PubMed: 10238159
DOI: No ID Found -
Paediatric Respiratory Reviews Jan 2018
Review
Topics: Chest Wall Oscillation; Cystic Fibrosis; Equipment and Supplies; Humans; Respiratory Therapy
PubMed: 28778740
DOI: 10.1016/j.prrv.2017.07.001