Search results for "VENTILATO"

showing 10 items of 85 documents

Survey of neonatal respiratory care and surfactant administration in very preterm infants in the Italian neonatal network

2013

INTRODUCTION: Variation of respiratory care is described between centers around the world. The Italian Neonatal Network (INN), as a national group of the Vermont-Oxford Network (VON) allows to perform a wide analysis of respiratory care in very low birth weight infants. METHODS: We analyzed the dataset of infants enrolled in the INN in 2009 and 2010 and, for surfactant administration only, from 2006 to 2010 from 83 participating centers. All definitions are those of the (VON). A questionnaire analysis was also performed with a questionnaire on centers practices. RESULTS: We report data for 8297 infants. Data on ventilator practices and outcomes are outlined. Variation for both practices and…

Preterm infants; Ventilation; Ventilatory support; Medicine (all)Drug Utilization; Humans; Infant Mortality; Infant Newborn; Infant Very Low Birth Weight; Intubation Intratracheal; Italy; Oxygen Inhalation Therapy; Pulmonary Surfactants; Respiration Artificial; Infant PrematureSettore MED/38 - Pediatria Generale E SpecialisticaInfant MortalityIntubation IntratrachealHumansInfant Very Low Birth WeightPrematureVery Low Birth WeightRespirationMedicine (all)Infant NewbornOxygen Inhalation TherapyInfantPreterm infantsPulmonary SurfactantsNewbornRespiration ArtificialDrug UtilizationVentilationnational survayIntratrachealVery preterm infant national survay neonatal respiratory careVentilatory supportItalyVery preterm infantArtificialPreterm infantneonatal respiratory careIntubationInfant Premature
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Oxidative lung injury correlates with one-lung ventilation time during pulmonary lobectomy: a study of exhaled breath condensate and blood.

2015

OBJECTIVES: During lung lobectomy, the operated lung is collapsed and hypoperfused; oxygen deprivation is accompanied by reactive hypoxic pulmonary vasoconstriction. After lung lobectomy, ischaemia present in the collapsed state is followed by expansion–reperfusion and lung injury attributed to the production of reactive oxygen species. The primary objective of this study was to investigate the time course of several markers of oxidative stress simultaneously in exhaled breath condensate and blood and to determine the relationship between oxidative stress and one-lung ventilation time in patients undergoing lung lobectomy. METHODS: This single-centre, observational, prospective study includ…

Pulmonary and Respiratory MedicineAdultMaleVentilator-Induced Lung InjuryIschemiaLung injuryDinoprostHypoxic pulmonary vasoconstrictionmedicineHumansExhaled breath condensateProspective StudiesLung cancerProspective cohort studyPneumonectomyNitritesAgedAged 80 and overLungNitratesbusiness.industryGeneral MedicineHydrogen Peroxiderespiratory systemMiddle Agedmedicine.diseaserespiratory tract diseasesOne-Lung VentilationOxidative Stressmedicine.anatomical_structureBreath TestsAnesthesiaReperfusion InjuryBreathingSurgeryFemaleCardiology and Cardiovascular MedicinebusinessBiomarkersEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
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New modes in non-invasive ventilation

2016

IF 2.536; International audience; Non-invasive ventilation is useful to treat some forms of respiratory failure. Hence, the number of patients receiving this treatment is steadily increasing. Considerable conceptual and technical progress has been made in recent years by manufacturers concerning this technique. This includes new features committed to improve its effectiveness as well as patient-ventilator interactions. The goal of this review is to deal with latest advances in ventilatory modes and features available for non-invasive ventilation. We present a comprehensive analysis of new modes of ventilator assistance committed to treat respiratory failure (hybrid modes) and central and co…

Pulmonary and Respiratory MedicineComplex sleep apneamedicine.medical_specialtyCentral sleep apneaAdaptive servo ventilation[ SDV.MHEP.PED ] Life Sciences [q-bio]/Human health and pathology/PediatricsCheyne-stokes respirationReview030204 cardiovascular system & hematologyPositive airway pressureRespiratory failure[SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tractAssured pressure support03 medical and health sciences0302 clinical medicinemedicineNeurally adjusted ventilatory assistVentilatory modesHumansIntensive care medicineObstructive pulmonary-diseaseComplex sleep-apnea[SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/PediatricsNoninvasive Ventilationbusiness.industryDiaphragm electrical-activityNon invasive ventilationmedicine.diseaseNeuro adjusted ventilatory assistClinical PracticeRandomized controlled-trialAdaptative servo ventilationChronic heart-failure030228 respiratory systemRespiratory failurePediatrics Perinatology and Child HealthBreathingCentral sleep apneabusinessRespiratory InsufficiencyImproves cardiac-function[ SDV.MHEP.PSR ] Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract
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Effectiveness and safety of a new helmet CPAP configuration allowing tidal volume monitoring in patients with COVID-19.

2021

Abstract Background High generated tidal volumes (Vt) have been correlated with higher risk of self-induced lung injury and worse clinical outcome. This study aimed to evaluate the effectiveness and safety of a new helmet continuous positive airway pressure delivered (h-CPAP) configuration allowing Vt monitoring in patients affected by COVID-19. Methods This prospective observational study was performed in the respiratory intermediate care unit of University Hospital in Turin, Italy, between March 24th, and June 15th, 2020. Included patients were treated with CPAP via a single-limb intentional leak configuration by a turbine-driven ventilator, provided with a dedicated patch. Effectiveness …

Pulmonary and Respiratory MedicineLeakTidal volume monitoringmedicine.medical_specialtyCoronavirus disease 2019 (COVID-19)List of abbreviations: ARF Acute respiratory failuremedicine.medical_treatmentLung injuryTidal volumeVt Tidal volumeCPAPMedicineIn patientContinuous positive airway pressureTidal volumeHelmetCPAP Continuous positive airway pressureRICU Respiratory intermediate care unitbusiness.industryCOVID-19ICU Intensive care unitEmergency medicineHFNT High flow nasal therapyObservational studyOriginal ArticleTDVs turbine-driven ventilatorsbusinessPulmonology
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Tracheostomy in patients with long-term mechanical ventilation: a survey.

2010

Summary Background Tracheostomy is increasingly performed in intensive care units (ICU), with many patients transferred to respiratory ICU (RICU). Indications/timing for closing tracheostomy are discussed. Aim and Method We report results of a one-year survey evaluating: 1) clinical characteristics, types of tracheostomy, complications in patients admitted to Italian RICU in 2006; 2) clinical criteria and systems for performing decannulation, and outcome of patients undergoing tracheostomy (number decannulated; number non-decannulated/non-ventilated; number non-decannulated/ventilated; dead/lost patients). Results 22/32 RICUs replied. There were 846 admissions of 719 patients (Mean age 64,3…

Pulmonary and Respiratory MedicineMalemedicine.medical_specialtyPercutaneousSettore MED/09 - Medicina InternaExacerbationCritical Caremedicine.medical_treatmentRespiratory failureSettore MED/10 - Malattie Dell'Apparato Respiratoriolaw.inventionTracheostomylawIntensive caremedicineHumansIn patientIntensive care unitMechanical ventilationbusiness.industryLong-term mechanical ventilationMiddle Agedmedicine.diseasePrognosisIntensive care unitRespiration ArtificialSettore MED/45 - Scienze Infermieristiche Generali Cliniche E PediatricheSurgeryObstructive sleep apneaTreatment OutcomeRespiratory failureItalyHealth Care SurveysTracheostomy Intensive care unit Long-term mechanical ventilation Respiratory failureFemalebusinessRespiratory InsufficiencyVentilator Weaning
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A Bench Evaluation of Eight Home-Care Ventilators

2021

BACKGROUND: The growing number of patients on home mechanical ventilation has driven considerable progress in the performance and functionality of ventilators, with features comparable with those used in the ICU. However, a publication gap exists in the evaluation and comparison of their performance and each ventilator choice depends on machine characteristics defined by manufacturers. METHODS: We bench tested 8 home-care ventilators that are currently available: Monnal T50, EOVE EO-150, Puritan Bennet 560, Weinmann, PrismaVent 50, Trilogy Evo, Astral 150, and Vivo 60 by using an active lung model. These devices were tested under 18 experimental conditions that combined 3 variables: respira…

Pulmonary and Respiratory MedicineMechanical ventilationmedicine.medical_specialtyVentilators Mechanicalbusiness.industrymedicine.medical_treatmentInspiratory muscleGeneral MedicineRespiratory physiologyCritical Care and Intensive Care MedicineRespiration ArtificialPositive-Pressure RespirationBreathing mechanicsTechnical performanceClinical therapyIntensive Care UnitsPhysical medicine and rehabilitationmedicineRespiratory MechanicsHumansNoninvasive ventilationbusinessPressure time productOriginal Research
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Observation of ventilation-induced Spo(2) oscillations in pigs: first step to noninvasive detection of cyclic recruitment of atelectasis?

2010

High arterial partial oxygen pressure (Pao(2)) oscillations within the respiratory cycle were described recently in experimental acute lung injury. This phenomenon has been related to cyclic recruitment of atelectasis and varying pulmonary shunt fractions. Noninvasive detection of Spo(2) (oxygen saturation measured by pulse oximetry) as an indicator of cyclic collapse of atelectasis, instead of recording Pao(2) oscillations, could be of clinical interest in critical care. Spo(2) oscillations were recorded continuously in three different cases of lung damage to demonstrate the technical feasibility of this approach. To deduce Pao(2) from Spo(2), a mathematical model of the hemoglobin dissoci…

Pulmonary and Respiratory MedicinePulmonary AtelectasisPulmonary CirculationTime FactorsVentilator-associated lung injurySwineClinical BiochemistryAtelectasisLung injuryModels BiologicalHemoglobinsPredictive Value of TestsMedicineAnimalsOximetryPhotoplethysmographyMolecular BiologyOxygen saturation (medicine)Respiratory Distress Syndromemedicine.diagnostic_testbusiness.industryfungiOxygen–haemoglobin dissociation curveOxygenationmedicine.diseaseRespiration ArtificialOxygenPulse oximetryDisease Models AnimalAnesthesiaBreathingRespiratory MechanicsFeasibility StudiesbusinessExperimental lung research
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VENTILATOR CONFIGURATION IN CHILDREN ON LONG TERM HOME VENTILATION DURING THE COVID19 PANDEMIC

2021

Pulmonary and Respiratory Medicinemedicine.medical_specialty2019-20 coronavirus outbreakVentilators MechanicalRC705-779Coronavirus disease 2019 (COVID-19)business.industrySARS-CoV-2Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)long term ventilationCOVID-19Home Care ServicesArticleTerm (time)Home ventilationDiseases of the respiratory systemEmergency medicinePandemicmedicineHumansbusinessChildPandemicsLong term ventilationPulmonology
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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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