Search results for "Invasive"

showing 10 items of 1141 documents

Bulbar impairment score and survival of stable amyotrophic lateral sclerosis patients after noninvasive ventilation initiation

2018

There is general agreement that noninvasive ventilation (NIV) prolongs survival in amyotrophic lateral sclerosis (ALS) and that the main cause of NIV failure is the severity of bulbar dysfunction. However, there is no evidence that bulbar impairment is a contraindication for NIV. The aim of this study was to determine the effect of bulbar impairment on survival in ALS patients with NIV. ALS patients for whom NIV was indicated were included. Those patients who refused NIV were taken as the control group. 120 patients who underwent NIV and 20 who refused NIV were included. The NIV group presented longer survival (median 18.50 months, 95% CI 12.62–24.38 months) than the no-NIV group (3.00 mont…

Pulmonary and Respiratory Medicinebusiness.industrylcsh:Rlcsh:MedicineOriginal Articlesmedicine.disease03 medical and health sciences0302 clinical medicineBulbar dysfunction030228 respiratory system18AnesthesiaMedicineNoninvasive ventilationAmyotrophic lateral sclerosisbusinessContraindication030217 neurology & neurosurgeryERJ Open Research
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Tidal volume and helmet: Is the never ending story coming to an end?

2021

Noninvasive ventilation (NIV) has been increasingly used in acute care setting with various indications, but its use in patients with acute hypoxemic respiratory failure (AHRF) is controversial. In this setting, reliable monitoring of Vt and unintentional leaks is of the utmost importance. The aim of this article is to describe the importance of tidal volume measurement in the context of AHRF treated with NIV.

Pulmonary and Respiratory Medicinelcsh:RC705-7792019-20 coronavirus outbreakmedicine.medical_specialtyCoronavirus disease 2019 (COVID-19)business.industrySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)lcsh:Diseases of the respiratory systemEmergency medicinemedicineTidal VolumeHumansNoninvasive ventilationHead Protective DevicesbusinessNoninvasive ventilationTidal volumePulmonology
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Use of Helmet CPAP in COVID-19 – A practical review

2021

Helmet CPAP (H-CPAP) has been recommended in many guidelines as a noninvasive respiratory support during COVID-19 pandemic in many countries around the world. It has the least amount of particle dispersion and air contamination among all noninvasive devices and may mitigate the ICU bed shortage during a COVID surge as well as a decreased need for intubation/mechanical ventilation. It can be attached to many oxygen delivery sources. The MaxVenturi setup is preferred as it allows for natural humidification, low noise burden, and easy transition to HFNC during breaks and it is the recommended transport set-up. The patients can safely be proned with the helmet. It can also be used to wean the p…

Pulmonary and Respiratory Medicinemedicine.medical_specialtyARDSCoronavirus disease 2019 (COVID-19)medicine.medical_treatmentEconomic shortageReviewRespiratory failureAir contamination03 medical and health sciencesDiseases of the respiratory system0302 clinical medicineMedicineIntubationHumans030212 general & internal medicineIntensive care medicineMechanical ventilationHelmetNoninvasive VentilationRC705-779Continuous Positive Airway Pressurebusiness.industrySARS-CoV-2Oxygen Inhalation TherapyCOVID-19medicine.diseaseLow noise030228 respiratory systemRespiratory failureHead Protective DevicesARDSNon-invasive mechanical ventilationbusinessRespiratory InsufficiencyVentilator WeaningPulmonology
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Comparative bench study evaluation of different infant interfaces for non-invasive ventilation

2018

Abstract Background To compare, in terms of patient-ventilator interaction and performance, a new nasal mask (Respireo, AirLiquide, FR) with the Endotracheal tube (ET) and a commonly used nasal mask (FPM, Fisher and Paykel, NZ) for delivering Pressure Support Ventilation (PSV) in an infant model of Acute Respiratory Failure (ARF). Methods An active test lung (ASL 5000) connected to an infant mannequin through 3 different interfaces (Respireo, ET and FPM), was ventilated with a standard ICU ventilator set in PSV. The test lung was set to simulate a 5.5 kg infant with ARF, breathing at 50 and 60 breaths/min). Non-invasive ventilation (NIV) mode was not used and the leaks were nearly zero. Res…

Pulmonary and Respiratory Medicinemedicine.medical_specialtyAcute respiratory failure; Bench test; Infant mask; Mechanical ventilation; Non invasive ventilation; Patient-ventilator interactionRespiratory ratemedicine.medical_treatmentPressure support ventilationAcute respiratory failureManikinsBench test03 medical and health sciences0302 clinical medicineMechanical ventilationRespiratory Rate030225 pediatricsInternal medicineSettore MED/41 - ANESTESIOLOGIAIntubation IntratrachealTidal VolumeMedicineNon-invasive ventilationHumansTidal volumePatient-ventilator interactionMonitoring PhysiologicWork of BreathingMechanical ventilationlcsh:RC705-779LungNoninvasive Ventilationbusiness.industryMasksInfantNon invasive ventilationlcsh:Diseases of the respiratory systemAcute respiratory failure; Bench test; Infant mask; Mechanical ventilation; Non invasive ventilation; Patient-ventilator interaction; Pulmonary and Respiratory Medicinemedicine.anatomical_structure030228 respiratory systemVolume (thermodynamics)ItalyAcute DiseaseBreathingCardiologyInfant maskbusinessRespiratory InsufficiencyResearch ArticleBMC Pulmonary Medicine
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Noninvasive oscillatory ventilation (NHFOV) in infants: Another brick in the wall of paediatric noninvasive ventilation?

2016

Pulmonary and Respiratory Medicinemedicine.medical_specialtyBrickOscillatory ventilationbusiness.industrymedicine.medical_treatmentHigh-frequency ventilation03 medical and health sciences0302 clinical medicine030228 respiratory system030225 pediatricsInternal medicinePediatrics Perinatology and Child HealthmedicineCardiologyNoninvasive ventilationRESPIRATORY DISTRESS SYNDROME NEWBORNbusinessPediatric Pulmonology
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Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) via Inferior Sternotomy: A “Gold Standard” Therapy for Single LAD Muscle Bridging?

2017

Pulmonary and Respiratory Medicinemedicine.medical_specialtyBridging (networking)business.industryInternal medicinemedicineCardiologySurgeryMinimally invasive direct coronary artery bypassCardiology and Cardiovascular MedicinebusinessSurgeryThe Thoracic and Cardiovascular Surgeon
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Branch ligatures and blood aspiration for post-traumatic superficial temporal artery pseudoaneurysm: surgical technique

2014

The aim of this study is to report a new minimally invasive technique of superficial temporal artery (STA) pseudoaneurysm treatment. Several surgical options have been employed to treat STA pseudoaneurysms. To address this rare condition, the employed techniques are ligation and excision of the aneurysm, endovascular coil embolization or percutaneous ultrasound-guided thrombin injection. Between techniques no significant differences are reported in terms of outcomes. The decision to adopt a technique depends on STA pseudoaneurysm morphology and surgeon preference. In the present report, STA pseudoaneurysm afferent and efferent branches were identified by ultrasound in a 92-year-old female. …

Pulmonary and Respiratory Medicinemedicine.medical_specialtyPercutaneousDecompression610 Medicine & healthSettore MED/22 - Chirurgia Vascolaredigestive system2705 Cardiology and Cardiovascular MedicinePseudoaneurysmAneurysmmedicine.arterymedicineCraniocerebral TraumaHumansMinimally Invasive Surgical Procedurescardiovascular diseasesLigationAged 80 and over10042 Clinic for Diagnostic and Interventional Radiologybusiness.industryTemporal Artery Pseudoaneurysm Post-traumaticGeneral Medicinemedicine.diseaseSuperficial temporal artery10020 Clinic for Cardiac Surgery2746 SurgerySurgeryCardiac surgeryTemporal Arteriesmedicine.anatomical_structure2740 Pulmonary and Respiratory MedicineCardiothoracic surgerycardiovascular systemSurgeryFemaleRadiologyCardiology and Cardiovascular MedicinebusinessAneurysm FalseArtery
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Influence of different interfaces on synchrony during pressure support ventilation in a pediatric setting: a bench study

2015

BACKGROUND: In adults and children, patient-ventilator synchrony is strongly dependent on both the ventilator settings and interface used in applying positive pressure to the airway. The aim of this bench study was to determine whether different interfaces and ventilator settings may influence patient-ventilator interaction in pediatric models of normal and mixed obstructive and restrictive respiratory conditions. METHODS: A test lung, connected to a pediatric mannequin using different interfaces (endotracheal tube [ETT], face mask, and helmet), was ventilated in pressure support ventilation mode testing 2 ventilator settings (pressurization time [Timepress]50%/cycling-off flow threshold [T…

Pulmonary and Respiratory Medicinemedicine.medical_specialtyRespiratory rateface maskPositive pressurePressure support ventilationRespiratory physiologyCritical Care and Intensive Care MedicineManikinsManikinPositive-Pressure Respirationendotracheal tubepatient-ventilator interactionSettore MED/41 - ANESTESIOLOGIAmedicineIntubation IntratrachealHumansIntensive care medicineChildInteractive Ventilatory Supportpressure-support ventilationLungVentilators MechanicalMaskRespiratory MechanicHead Protective Devicebusiness.industryRespirationMaskshelmetnoninvasive ventilationGeneral Medicinemedicine.anatomical_structureAnesthesiaBreathingRespiratory MechanicsHead Protective DevicesAirwaybusinessInteractive Ventilatory SupportHuman
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The da Vinci Xi Robotic Four-Arm Approach for Robotic-Assisted Minimally Invasive Esophagectomy

2018

AbstractRobotic surgery is gaining importance in complex thoracoscopic surgery, such as robotic-assisted minimally invasive esophagectomy (RAMIE). The RAMIE procedure was designed using the first generation of the robotic system. The latest da Vinci Xi system has substantially increased the dexterity, especially designed for multiquadrant surgery. The original three-arm RAMIE approach was modified including the robotic four-arm use for the thoracoscopic and laparoscopic part of the operation. This extended approach (four-arm RAMIE approach) provides more flexibility and raises the independence of the surgeon.

Pulmonary and Respiratory Medicinemedicine.medical_specialtyRobotic assistedTreatment outcomePatient positioningPatient Positioning03 medical and health sciencesEsophagus0302 clinical medicineRobotic Surgical ProceduresInvasive esophagectomymedicineHumansRobotic surgerybusiness.industryThoracoscopyEquipment DesignFirst generationSurgeryEsophagectomyTreatment OutcomeEsophagus surgeryRobotic systems030220 oncology & carcinogenesisLaparoscopy030211 gastroenterology & hepatologySurgeryCardiology and Cardiovascular MedicinebusinessThe Thoracic and Cardiovascular Surgeon
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Long-term volume-targeted pressure-controlled ventilation: sense or nonsense?

2017

The technology underlying the development of novel ventilatory modes for long-term noninvasive ventilation of patients with chronic hypercapnia is continuously evolving. Volume-targeted pressure-controlled ventilation is a hybrid ventilation mode designed to combine the advantages of conventional ventilation modes, while avoiding their drawbacks. However, manufacturers have created different names and have patented algorithms and set-up variables, which can result in confusion for physicians and respiratory therapists. In addition, clear evidence for the superiority of this novel mode has not yet been established. These factors have most likely hindered more widespread use of this mode in c…

Pulmonary and Respiratory Medicinemedicine.medical_specialtySLEEP QUALITYPressure controlled ventilationChronic hypercapniaHOME MECHANICAL VENTILATIONOBSTRUCTIVE PULMONARY-DISEASEAMYOTROPHIC-LATERAL-SCLEROSISlaw.inventionHypercapnia03 medical and health sciences0302 clinical medicineOBESITY-HYPOVENTILATION SYNDROMElawACUTE RESPIRATORY-FAILUREmedicineCOPDHumansLEAKS030212 general & internal medicineIntensive care medicineRANDOMIZED CROSSOVER TRIALClinical Trials as TopicHybrid ventilationNoninvasive Ventilationbusiness.industryTerm (time)Clinical PracticeSUPPORT NONINVASIVE VENTILATION030228 respiratory systemEvaluation Studies as TopicVentilation (architecture)Noninvasive ventilationbusinessRespiratory InsufficiencyConventional ventilationHumanThe European respiratory journal
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