MedWorm: Respiratory Therapy

Haiti update from Michael Agus, MD: Days 7-9

Thrive, Children's Hospital Boston — Mon, 15 Mar 2010 15:31:10 +0100

Dr. Agus, shown here with a Haitian resident, spent hours assembling this medical supply closet in the acute pediatrics tent. by Michael Agus, MD, director of Children’s Medicine Critical Care Program. Agus is currently in Port-au-Prince, Haiti, and sending us updates by email. Day 7 There was a buzz around the hospital this morning that Hillary Clinton might visit, though it did not turn out to be true. It was an interesting process to consider what would be my answer to her obvious question: What one thing could the US do to make things better? My own answer would have been: nurses. Despite my tendency to focus on the physician side of the equation, it is nurses that make a hospital run. And HUEH needs more. They need more of 5,000 things, but mostly they need more nurses. Nobody ...

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Effect of cumulative oxygen exposure on respiratory symptoms during infancy among VLBW infants without bronchopulmonary dysplasia

Pediatric Pulmonology — Mon, 15 Mar 2010 00:00:00 +0100

Very low birth weight (VLBW) infants, even those without bronchopulmonary dysplasia (BPD) are at risk for pulmonary morbidity during infancy. Although some studies have found an association between the level of neonatal oxygen exposure and later morbidity, others have not. A possible explanation for these inconsistent findings is that the cumulative dosage of neonatal supplemental oxygen to which infants are exposure is difficult to accurately quantify.A prospective cohort study of VLBW infants without BPD was performed to test the hypothesis that cumulative oxygen exposure in the neonatal period summarized using an area under the curve analysis (OxygenAUC) is predictive of later pulmonary symptoms. Risk factors tested in the analysis included both neonatal and outpatient respiratory expos...

[Status asthmaticus : Role of extracorporeal lung assist procedures.]

Der Anaesthesist — Sat, 13 Mar 2010 00:00:00 +0100

Authors: Aniset L, Kalenka A The successful application of a pumpless extracorporeal lung assist procedure ("interventional lung assist, iLA) in three cases of severe refractory status asthmaticus, which could not be solved with conventional pharmacological and respiratory therapy is reported. After an individual risk-benefit analysis such a therapy can be used to reduce lung injury due to invasive mechanical ventilation. Because of the complexity of this therapy it should only be applied in special medical centers with sufficient experience in dealing with extracorporeal lung assist procedures. PMID: 20224950 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)

Effect of Carbon Dioxide on Pulmonary Vascular Tone at Various Pulmonary Arterial Pressure Levels Induced by Endothelin-1

Lung — Wed, 10 Mar 2010 15:25:34 +0100

Abstract There have been contradictory reports suggesting that CO2 may constrict, dilate, or have no effect on pulmonary vessels. Permissive hypercapnia has become a widely adopted ventilatory technique used to avoid ventilator-induced lung injury, particularly in patients with acute respiratory distress syndrome (ARDS). On the other hand, respiratory alkalosis produced by mechanically induced hyperventilation is the mainstay of treatment for newborn infants with persistent pulmonary hypertension. It is important to clarify the vasomotor effect of CO2 on pulmonary circulation in order to better evaluate the strategies of mechanical ventilation in intensive care. In the present study, pulmonary vascular responses to CO2 were observed in isolated rat lungs (n = 32) u...

Chapter 8. Medical procedures

Intensive Care Medicine — Wed, 10 Mar 2010 12:47:22 +0100

Conclusions Judicious planning and adoption of protocols for safe performance of medical procedures are necessary to optimize outcomes during a pandemic. Content Type Journal ArticleDOI 10.1007/s00134-010-1766-zAuthors Janice L. Zimmerman, The Methodist Hospital Critical Care Division, Department of Medicine Houston TX USACharles L. Sprung, Hadassah Hebrew University Medical Center Department of Anesthesiology and Critical Care Medicine Jerusalem Israel Journal Intensive Care MedicineOnline ISSN 1432-1238Print ISSN 0342-4642 Journal Volume Volume 36 Journal Issue Volume 36, Supplement 1 / April, 2010 (Source: Intensive Care Medicine)

Practice Parameter update: The care of the patient with amyotrophic lateral sclerosis: Drug, nutritional, and respiratory therapies (an evidence-based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology

Neurology — Mon, 01 Mar 2010 21:00:04 +0100

(Source: Neurology)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Knowledge of alpha-1 antitrypsin deficiency among internal medicine house officers and respiratory therapists: results of a survey.

Respiratory Care — Mon, 01 Mar 2010 00:00:00 +0100

CONCLUSIONS: These results indicate a generally low level of knowledge about alpha-1 antitrypsin deficiency among physicians and RTs. Causes of under-recognition of alpha-1 antitrypsin deficiency, including the possibility of poor knowledge as a contributor, warrant further study. PMID: 20196882 [PubMed - in process] (Source: Respiratory Care)

Edit

Journal of Pediatric Nursing — Fri, 26 Feb 2010 14:57:45 +0100

The emergency department to Inpatient Transition Task Force is an institution-wide initiative. This task force receives significant support and collaboration from many disciplines including but not limited to administration, physicians, nursing, bed management, respiratory therapy, and environmental services. Improving patient flow from the emergency department to the inpatient unit is a significant issue in today's health care environment. Safe handoff of patient information is critical to this process while ensuring institutional quality and efficiency. The goal of the task force is to improve overall patient flow through the institution. With the support and collaboration of this task force, we were able to successfully implement “Fax and Go.” Fax and Go is the title of the nurse-to...

Clinical practice

European Journal of Pediatrics — Wed, 24 Feb 2010 06:48:40 +0100

Abstract The most important goal of introducing noninvasive ventilation (NIV) has been to decrease the need for intubation and, therefore, mechanical ventilation in newborns. As a result, this technique may reduce the incidence of bronchopulmonary dysplasia (BPD). In addition to nasal CPAP, improvements in sensors and flow delivery systems have resulted in the introduction of a variety of other types of NIV. For the optimal application of these novelties, a thorough physiological knowledge of mechanics of the respiratory system is necessary. In this overview, the modern insights of noninvasive respiratory therapy in newborns are discussed. These aspects include respiratory support in the delivery room; conventional and modern nCPAP; humidified, heated, and high-flow nasal ...

Lincare Holdings buys Gentiva Health Services businesses

bizjournals.com Health Care:Biotechnology headlines — Thu, 04 Feb 2010 14:56:32 +0100

Gentiva Health Services Inc. sold its businesses providing respiratory therapy and home medical equipment, and infusion therapy, to a subsidiary of Lincare Holdings Inc. (LNCR) (GTIV) (Source: bizjournals.com Health Care:Biotechnology headlines)

Incidence, management and mortality of acute hypoxemic respiratory failure and acute respiratory distress syndrome from a prospective study of Chinese paediatric intensive care network

Acta Paediatrica — Thu, 21 Jan 2010 00:00:00 +0100

Conclusion: In this prospective study, AHRF had high possibilities to develop ARDS and death risk, as impacted by ventilation settings and fluid intake in the early treatment, as well as socioeconomic factors, which should be considered for implementation of standard of care in respiratory therapy. (Source: Acta Paediatrica)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

[Current strategies of conservative and operative treatment of the most frequent muscular disorders.]

Der Orthopade — Wed, 23 Dec 2009 00:00:00 +0100

Authors: Fujak A, Forst R, Forst J Though up to now no causal treatment for the majority of neuromuscular disorders is available, their disease progress and above all the quality of life of these patients can be decisively improved by established medical procedures. The main symptom is variably rapid, progressive muscle weakness, which leads to muscular imbalance and differently manifested impairment of motor functions. This results in the essential orthopaedic problems in these patients, e.g. contractures and deformities of the lower and upper extremities, foot deformities and sitting instability due to progressive scoliosis. Since the affected muscles have no physiological adaptability, they cannot be trained like healthy muscles. The orthopaedic treatment includes conservative metho...

William W. Burgin Jr. MD Education Recognition Award

ScanGrants feed — Tue, 22 Dec 2009 00:00:00 +0100

The American Respiratory Care Foundation and the National Board for Respiratory Care, together with its wholly owned subsidiary, Applied Measurement Professionals, Inc. may award up to $2,500 annually to a second-year student enrolled in an accredited respiratory therapy program leading to an Associate degree. Interested applicants may apply directly or be nominated by the school or educational program. This award consists of a certificate of recognition, one night lodging and registration for the AARC International Respiratory Congress. Requirements 1. Completed, signed, and notarized application. 2. Letter from director of admissions verifying enrollment in an accredited Associate Degree respiratory care educational program. 3. An original referenced paper on some aspect of respirat...

Practice Parameter update: The care of the patient with amyotrophic lateral sclerosis: Drug, nutritional, and respiratory therapies (an evidence-based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology

Neurology — Mon, 14 Dec 2009 21:02:28 +0100

(Source: Neurology)

[Respiratory therapies]

Archivos de Bronconeumologia — Thu, 10 Dec 2009 01:02:02 +0100

Authors: Ancochea J, Alfageme I PMID: 19647620 [PubMed - in process] (Source: Archivos de Bronconeumologia)

Western - a Scott Fetzer Company - Medical Gas Yoke Assembly - Class 2 Recall

Medical Device Recalls since July 07, 2006 — Fri, 16 Oct 2009 01:00:13 +0100

Medical Gas Yoke Assembly. Airgas Portable 2-Cylinder Manifold Cart Model #AGI-2237. The device is a medical gas yoke assembly which is used to connect gas cylinder post valves to equipment used for anesthesia or respiratory therapy. (Source: Medical Device Recalls since July 07, 2006)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Western - a Scott Fetzer Company - Medical Gas Yoke Assembly - Class 2 Recall

Medical Device Recalls since July 07, 2006 — Fri, 16 Oct 2009 01:00:13 +0100

Medical Gas Yoke Assembly. Generic 4-Cylinder Manifold Cart Model #8070. The device is a medical gas yoke assembly which is used to connect gas cylinder post valves to equipment used for anesthesia or respiratory therapy. (Source: Medical Device Recalls since July 07, 2006)

Western - a Scott Fetzer Company - Medical Gas Yoke Assembly - Class 2 Recall

Medical Device Recalls since July 07, 2006 — Fri, 16 Oct 2009 01:00:13 +0100

Medical Gas Yoke Assembly. Airgas Portable 4-Cylinder Manifold Cart Model #AGI-2238. The device is a medical gas yoke assembly which is used to connect gas cylinder post valves to equipment used for anesthesia or respiratory therapy. (Source: Medical Device Recalls since July 07, 2006)

Updated US guidance on the management of amyotrophic lateral sclerosis (ALS)

NeLM - News — Mon, 12 Oct 2009 23:00:00 +0100

Source: Neurology Area: News Neurology has featured updated guidance on the management of patients with amyotrophic lateral sclerosis (ALS). The journal has featured separate articles on the care of the patient with amyotrophic lateral sclerosis - drug, nutritional, and respiratory therapies, and multidisciplinary care, symptom management, and cognitive/behavioural impairment. The following drug-related recommendations have been made: . Riluzole should be offered to slow disease progression (Level A). . For the treatment of refractory sialorrhea, botulinum toxin B should be considered (Level B) and low-dose radiation therapy to the salivary glands may be considered (Level C). . For treatment of pseudobulbar affect, dextromethorphan and quinidine should...

Practice Parameter update: The care of the patient with amyotrophic lateral sclerosis: Drug, nutritional, and respiratory therapies (an evidence-based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology

Neurology — Mon, 12 Oct 2009 20:01:48 +0100

Objective: To systematically review evidence bearing on the management of patients with amyotrophic lateral sclerosis (ALS). Methods: The authors analyzed studies from 1998 to 2007 to update the 1999 practice parameter. Topics covered in this section include slowing disease progression, nutrition, and respiratory management for patients with ALS. Results: The authors identified 8 Class I studies, 5 Class II studies, and 43 Class III studies in ALS. Important treatments are available for patients with ALS that are underutilized. Noninvasive ventilation (NIV), percutaneous endoscopic gastrostomy (PEG), and riluzole are particularly important and have the best evidence. More studies are needed to examine the best tests of respiratory function in ALS, as well as the optimal time for starting P...

Practice: Q&A: Robert G. Miller Discusses New ALS Guidelines

American Academy of Neurology — Mon, 12 Oct 2009 19:59:00 +0100

Two new AAN guidelines—"The Care of the Patient with Amyotrophic Lateral Sclerosis: Drug, Nutritional, and Respiratory Therapies (an evidence-based review)," and "The Care of the Patient with Amyotrophic Lateral Sclerosis: Multidisciplinary Care, Symptom Management, and Cognitive/Behavioral Impairment (an evidence-based review)"—were published in the October 13, 2009, issue of Neurology® (2009; 73:1218-1233). AAN.com asked Robert G. Miller, MD, FAAN, to discuss how the guidelines were developed. He spoke with AAN.com Practice & Technology Editor, Neil A. Busis, MD, FAAN. (Source: American Academy of Neurology)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Developing a breath-stacking system to achieve lung volume recruitment.

British Journal of Nursing — Sun, 11 Oct 2009 00:00:00 +0100

This article describes the local development of a breath-stacking system based on an existing respiratory therapy product designed to achieve lung volume recruitment. The system was developed through consultation with The National Home Ventilation Benchmarking Group and adapted as a procedure; practice guidelines were also drawn up. Initial local informal feedback provides an insight into the success of its use for patients with neuromuscular diseases. PMID: 19966740 [PubMed - in process] (Source: British Journal of Nursing)

Prologue: Advances in Bronchopulmonary Dysplasia

Seminars in Fetal and Neonatal Medicine — Fri, 25 Sep 2009 00:00:00 +0100

It has been 42 years since our first published report of bronchopulmonary dysplasia (BPD); it is still a problem for premature infants. The original goal of using mechanical ventilation to treat premature infants with respiratory distress syndrome and respiratory failure was to decrease the significant mortality. During the ensuing decades, a decrease in mortality has indeed occurred. Once recognized, it was hoped that a reduction of supplemental oxygen concentrations and ventilatory pressure would eliminate or decrease the incidence of BPD. This has, for the most part, been achieved in the 33 week gestational age infants originally described. Advances in neonatal care and respiratory therapy since 1967 have resulted in the successful ventilation of increasingly more immature infants. As a...

Federal Register: Anesthesiology and Respiratory Therapy Devices Panel of the Medical Devices Advisory Committee; Notice of Meeting

Food and Drug Adminstration (FDA): CDRHNew — Tue, 22 Sep 2009 04:00:00 +0100

The committee will discuss, make recommendations, and vote on a premarket approval application for the Alair Bronchial Thermoplasty System sponsored by Asthmatx, Inc. The device is indicated for the treatment of severe persistent asthma in adults. (Source: Food and Drug Adminstration (FDA): CDRHNew)

Connecting students to institutions: the relationship between program resources and student retention in respiratory care education programs.

Respiratory Care — Sun, 30 Aug 2009 08:50:25 +0100

CONCLUSIONS: Respiratory care education programs spending more money per student and utilizing more personnel in the program have higher mean performance in student retention. Therefore, respiratory care education programs must devote sufficient resources to retaining students so that they can produce more respiratory therapists and thereby make the respiratory therapy profession stronger. PMID: 19712495 [PubMed - in process] (Source: Respiratory Care)

Nrf2 protects against airway disorders.

Toxicology and Applied Pharmacology — Mon, 27 Jul 2009 23:00:00 +0100

Authors: Cho HY, Kleeberger SR Nuclear factor erythroid 2 related factor 2 (Nrf2) is a ubiquitous master transcription factor that regulates antioxidant response elements (AREs)-mediated expression of antioxidant enzyme and cytoprotective proteins. In the unstressed condition, Kelch-like ECH-associated protein 1 (Keap1) suppresses cellular Nrf2 in cytoplasm and drives its proteosomal degradation. Nrf2 can be activated by diverse stimuli including oxidants, pro-oxidants, antioxidants, and chemopreventive agents. Nrf2 induces cellular rescue pathways against oxidative injury, abnormal inflammatory and immune responses, apoptosis, and carcinogenesis. Application of Nrf2 germ-line mutant mice has identified an extensive range of protective roles for Nrf2 in experimental models of human dis...

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Original article Acute pulmonary embolism registry in the Małopolska region – clinical course

Articles of Polish Heart Journal - TERMEDIA publishing house — Fri, 17 Jul 2009 11:15:12 +0100

Conclusions: 1. In our registry mortality rate in patients with APE was 11%. 2. In about 30% of patients APE was under mask of acute coronary syndrome or syncope, 34% of patients had elevated troponin level, and 30% of patients had complication during hospitalisation. 3. In patients treated with thrombolytics mortality rate was 45%. 4. Reperfusion strategy (trombolysis or embolectomy) in the high risk group was used in only 41% of patients. 5. Elevated troponin level in normotensive patient was associated with 4-fold times higher risk of death. 6. New risk stratification according to the ESC guidelines 2008 correctly predicts prognosis in everyday clinical practise. (Source: Articles of Polish Heart Journal - TERMEDIA publishing house)

Acute pulmonary embolism registry in the Małopolska region - clinical course.

Kardiologia Polska — Tue, 30 Jun 2009 23:00:00 +0100

Conclusions: 1. In our registry mortality rate in patients with APE was 11%. 2. In about 30% of patients APE was under mask of acute coronary syndrome or syncope, 34% of patients had elevated troponin level, and 30% of patients had complication during hospitalisation. 3. In patients treated with thrombolytics mortality rate was 45%. 4. Reperfusion strategy (trombolysis or embolectomy) in the high risk group was used in only 41% of patients. 5. Elevated troponin level in normotensive patient was associated with 4-fold times higher risk of death. 6. New risk stratification according to the ESC guidelines 2008 correctly predicts prognosis in everyday clinical practise. PMID: 19649995 [PubMed - as supplied by publisher] (Source: Kardiologia Polska)

Respiratory care clinical education: a needs assessment for preceptor training.

Respiratory Care — Tue, 30 Jun 2009 17:18:27 +0100

CONCLUSIONS: A standardized preceptor-training program is needed to improve the quality of preceptorship and assure that RT programs prepare graduates for 21st-century RT practice. PMID: 19558738 [PubMed - in process] (Source: Respiratory Care)

Methicillin-resistant Staphylococcus aureus fomite survival.

Sat, 27 Jun 2009 10:58:07 +0100

CONCLUSIONS: Previous studies showed fomite survival of MRSA for about two weeks using contact plate sampling and MRSA on 7.4% of stethoscopes. We showed longer MRSA survival times by wet swab sampling and a higher stethoscope contamination rate. As expected, higher organism loads survived longer. PMID: 19354027 [PubMed - indexed for MEDLINE] (Source: Clinical Laboratory Science : Journal of the American Society for Medical Technology)

American Career College's Ontario Campus Approved To Offer Respiratory Therapy Program

Asthma / Respiratory News From Medical News Today — Thu, 18 Jun 2009 07:00:00 +0100

American Career College has gained approval to offer a Respiratory Therapy (RT) program at its Ontario campus, where the program's initial class will commence on July 20, 2009. Currently, American Career College offers an RT program at its Orange County campus in Anaheim. (Source: Asthma / Respiratory News From Medical News Today)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Innovation in Pediatric Respiratory Emergencies

Clinical Pediatric Emergency Medicine — Mon, 01 Jun 2009 04:00:00 +0100

Respiratory illness is a leading reason for children to receive emergency care. Given its clinical importance, efforts to improve respiratory therapy have played a key role in the development of pediatric emergency medicine as both a physician specialty and a broader system of care involving many disciplines and resources. Any attempt to review innovation in pediatric respiratory care is a risky business, given the nearly constant evolution of the literature; however, the articles included here represent a few common principles that are likely to endure. (Source: Clinical Pediatric Emergency Medicine)

FDA Advisory Panel Recommends Approval Of The SEDASYS(R) System

Health News from Medical News Today — Sat, 30 May 2009 09:00:00 +0100

Ethicon Endo-Surgery today announced that the Anesthesiology and Respiratory Therapy Devices Advisory Committee of the U.S. (Source: Health News from Medical News Today)

FDA Advisory Panel Recommends Approval Of The SEDASYS® System (May 29, 2009)

Johnson and Johnson — Fri, 29 May 2009 13:17:03 +0100

Cincinnati (May 28, 2009) –Ethicon Endo-Surgery today announced that the Anesthesiology and Respiratory Therapy Devices Advisory Committee of the U.S. Food and Drug Administration (FDA) voted in favor of approval of the SEDASYS® System for use by physician/nurse teams to administer minimal-to-moderate propofol sedation during screening and diagnostic procedures for colorectal cancer (colonoscopy) and the upper gastrointestinal tract (EGD). The SEDASYS® System, the first computer-assisted personalized sedation (CAPS) system, integrates drug delivery and patient monitoring to enable propofol sedation personalized to each patient’s needs. (Source: Johnson and Johnson)

Federal Register: Anesthesiology and Respiratory Therapy Devices Panel of the Medical Devices Advisory Committee; Notice of Meeting

Food and Drug Adminstration (FDA): CDRHNew — Tue, 28 Apr 2009 04:00:00 +0100

The committee will discuss, make recommendations, and vote on a premarket approval application for the SEDASYS\TM\ Computer-Assisted Personalized Sedation System sponsored by Ethicon Endo-Surgery, Inc. (Source: Food and Drug Adminstration (FDA): CDRHNew)

Asthma patients' self-reported behaviours toward inhaled corticosteroids

Respiratory Medicine — Sun, 26 Apr 2009 23:00:00 +0100

Conclusions: Our study suggests that discontinuation of use of controllers is associated with other inadequate behaviours or beliefs about inhaled controllers. Efforts should be targeted at patients' perceptions and behaviours toward controller therapy. (Source: Respiratory Medicine)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Frequency of Self-Reported COPD Exacerbation and Airflow Obstruction in Five Latin American Cities: The PLATINO Study.

Chest — Mon, 06 Apr 2009 04:00:00 +0100

Conclusions The proportion of individuals with airflow limitation and self-reported exacerbation increases as the disease severity progresses. Dyspnea, prior asthma diagnosis, receiving any respiratory therapy, and more severe obstruction were significantly associated with having an exacerbation in the past year. PMID: 19349388 [PubMed - as supplied by publisher] (Source: Chest)

Home care for the elderly.

Nutrition in Clinical Practice — Wed, 01 Apr 2009 04:00:00 +0100

Authors: Fuhrman MP The increasing numbers of older (>65 years) Americans will increase the demand for home health services including support services (nursing, physical therapy, occupational therapy, durable medical equipment, and respiratory therapy), infusion therapies, palliative care, and hospice. The unique characteristics and specific needs of this population must be addressed to optimize patient outcomes. The American Society for Parenteral and Enteral Nutrition has established standards for clinicians providing nutrition support in the home and provides practice guidelines for nutrition support and geriatrics. Certification in gerontological care is available for dietitians, pharmacists, physicians, and nurses. The key to optimal care for older adults is to find the conflue...

A comparison of respiratory care workload with 2 different nebulizers.

Respiratory Care — Tue, 31 Mar 2009 23:00:00 +0100

CONCLUSIONS: The NebuTech HDN substantially reduces SVN-administration time, without adverse effects or events, and the time savings were used for value-added patient-care activities. Shorter treatment times can play a role in coping with the national shortage of qualified respiratory therapists. PMID: 19327185 [PubMed - indexed for MEDLINE] (Source: Respiratory Care)

[Original articles] Neonatal extracorporeal membrane oxygenation: practice patterns and predictors of outcome in the UK

Archives of Disease in Childhood - Fetal and Neonatal Edition — Tue, 24 Feb 2009 05:00:00 +0100

Conclusion: The UK neonatal ECMO service achieves good outcomes and with overall survival rate reaching 80% compares favourably with international results. Advanced respiratory therapies are used widely in UK ECMO patients. Identification of higher OI and older age at ECMO as risk factors in non-CDH neonates reinforces the importance of timely referral for ECMO. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition)

Use of Vapotherm for respiratory support with neonates.

Paediatric Nursing — Sun, 01 Feb 2009 05:00:00 +0100

Authors: Armfield M, West G Neonatal units in the UK are beginning to use Vapotherm as a means of providing respiratory support. This device reportedly allows the delivery of high flows of gas at body temperature with close to 100 per cent relative humidity. Evidence from the literature and from UK neonatal units suggests that Vapotherm may be an effective and well-tolerated method of providing babies with respiratory support. It has a number of advantages over therapies such as nasal continuous positive airway pressure, including a reduction in the number of ventilator days and reduced nasal trauma. It is reported to be better tolerated than other forms of non-invasive respiratory therapy. There is some evidence to show that weight gain is improved on Vapotherm and that oral feeding c...

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Anesthesiology and Respiratory Therapy Devices Panel Advisory Meeting, December 5, 2008 - Transcript

Food and Drug Adminstration (FDA): CDRHNew — Mon, 12 Jan 2009 05:00:00 +0100

Anesthesiology and Respiratory Therapy Devices Panel Advisory Meeting, December 5, 2008 - Agenda, Roster, Briefing, Questions, Brief Summary, Slides

Food and Drug Adminstration (FDA): CDRHNew — Tue, 06 Jan 2009 05:00:00 +0100

National Board for Respiratory Care/Applied Measurement Professionals Robert M. Lawrence, MD Education Recognition Award

ScanGrants feed — Mon, 05 Jan 2009 05:00:00 +0100

The American Respiratory Care Foundation and the National Board for Respiratory Care, together with its wholly owned subsidiary, Applied Measurement Professionals, Inc. may award up to $2,500 annually to a third or fourth-year student enrolled in an accredited respiratory therapy program leading to a Baccalaureate degree. This award also consists of a certificate of recognition, airfare, one night lodging, and registration for the AARC International Respiratory Congress. Requirements Completed, signed, and notarized application. Letter from director of admissions verifying enrollment in an accredited Baccalaureate degree respiratory care educational program. Must provide six (6) copies of an original referenced paper on some aspect of respiratory care. The paper should include a cover pag...

William W. Burgin Jr. MD Education Recognition Award--Respiratory Care Education

ScanGrants feed — Mon, 05 Jan 2009 05:00:00 +0100

The American Respiratory Care Foundation and the National Board for Respiratory Care, together with its wholly owned subsidiary, Applied Measurement Professionals, Inc. may award up to $2,500 annually to a second-year student enrolled in an accredited respiratory therapy program leading to an Associate degree. Interested applicants may apply directly or be nominated by the school or educational program. This award consists of a certificate of recognition, one night lodging and registration for the AARC International Respiratory Congress. Requirements Completed, signed, and notarized application. Letter from director of admissions verifying enrollment in an accredited Associate Degree respiratory care educational program. Must provide six (6) copies of an original referenced paper on some ...

Where should noninvasive ventilation be delivered?

Respiratory Care — Thu, 01 Jan 2009 05:00:00 +0100

Authors: Hill NS Noninvasive ventilation (NIV) has assumed an important role in the management of certain types of respiratory failure in acute-care hospitals. However, the optimal location for NIV has been a matter of debate. Some have argued that all patients begun on NIV in the acute-care setting should go to an intensive care unit (ICU), but this is impractical because ICU beds are often unavailable, and it may not be a sensible use of resources. Also, relatively few studies have examined the question of location for NIV. One problem is that various units' capabilities to deliver NIV differ substantially, even in the same hospital. Choosing the appropriate environment for NIV requires consideration of the patient's need for monitoring, the monitoring capabilities of the unit, inclu...

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Anesthesiology and Respiratory Therapy Devices Panel Advisory Meeting, December 5, 2008 - Agenda, Roster, Briefing, Questions, Brief Summary

Food and Drug Adminstration (FDA): CDRHNew — Tue, 09 Dec 2008 05:00:00 +0100

Anesthesiology and Respiratory Therapy Devices Panel Advisory Meeting, December 5, 2008 - Agenda, Roster, Briefing, Questions

Food and Drug Adminstration (FDA): CDRHNew — Thu, 04 Dec 2008 05:00:00 +0100

Anesthesiology and Respiratory Therapy Devices Panel (December 5)

Food and Drug Administration--Upcoming Meetings — Wed, 19 Nov 2008 13:00:00 +0100

The committee will discuss, make recommendations and vote on a premarket approval application, sponsored by Emphasys Medical Inc., for the Emphasys Zephyr Endobronchial Valve System, which is intended to improve Forced Expiratory Volume in the first second (FEV1) and 6- minute walk test distance in patients with severe heterogeneous emphysema who have received optimal medical management. (Source: Food and Drug Administration--Upcoming Meetings)

Federal Register: Anesthesiology and Respiratory Therapy Devices Panel of the Medical Devices Advisory Committee; Notice of Meeting

Food and Drug Adminstration (FDA): CDRHNew — Thu, 13 Nov 2008 05:00:00 +0100

The committee will discuss, make recommendations and vote on a premarket approval application, sponsored by Emphasys Medical, Inc., for the Emphasys Zephyr Endobronchial Valve System, which is intended to improve forced expiratory volume in the first... (Source: Food and Drug Adminstration (FDA): CDRHNew)

Perceived benefits of the use of learning contracts to guide clinical education in respiratory care students.

Respiratory Care — Fri, 31 Oct 2008 08:04:16 +0100

CONCLUSIONS: Contract learning is favorable to students' knowledge and skill acquisition and can be incorporated into clinical education of respiratory care students. PMID: 18957150 [PubMed - in process] (Source: Respiratory Care)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Effect of educational and policy interventions on institutional utilization of wet nebulization respiratory drugs and portable inhalers.

The Canadian Journal of Clinical Pharmacology — Thu, 09 Oct 2008 20:22:12 +0100

CONCLUSIONS: Educational and policy interventions had limited effects on converting WN to PI use at the QEII HSC. PMID: 18840923 [PubMed - in process] (Source: The Canadian Journal of Clinical Pharmacology)

Anesthesiology and Respiratory Therapy Devices Panel Advisory Meeting, June 12, 2008 - Agenda, Roster, Briefing, Questions, Brief Summary, Transcript

Food and Drug Adminstration (FDA): CDRHNew — Tue, 22 Jul 2008 04:00:00 +0100

The committee will discuss, make recommendations and vote on a premarket approval application for the ProGEL Surgical Sealant sponsored by NeoMend, Inc. The device is indicated to reinforce soft tissue where weakness exists as an adjunct to the stan... (Source: Food and Drug Adminstration (FDA): CDRHNew)

An analysis of features of respiratory therapy departments that are avid for change.

Respiratory Care — Tue, 01 Jul 2008 04:00:00 +0100

CONCLUSIONS: In this first exploratory study we found that change-avid RT departments can be differentiated from non-change-avid RT departments with available assessment tools. Highly desired features of a change-avid RT department were identified but require further study, as does the relationship between change-avidity and clinical outcomes. PMID: 18593488 [PubMed - in process] (Source: Respiratory Care)

NeoMend Receives FDA Panel's Recommendation for Approval of ProGEL(TM) Surgical Sealant

HSMN NewsFeed — Tue, 17 Jun 2008 16:11:02 +0100

IRVINE, Calif., June 17 (HSMN NewsFeed) -- NeoMend, Inc. today announced that its ProGEL(TM) Surgical Sealant has received a recommendation for approval from the U.S. Food and Drug Administration's (FDA) Anesthesiology and Respiratory Therapy Devices Adv... Devices, Surgery, FDANeoMend, ProGEL, Surgical Sealant (Source: HSMN NewsFeed)

Anesthesiology and Respiratory Therapy Devices Panel Advisory Meeting, June 12, 2008 - Agenda, Roster, Briefing, Questions, Brief Summary

Food and Drug Adminstration (FDA): CDRHNew — Fri, 13 Jun 2008 04:00:00 +0100

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Anesthesiology and Respiratory Therapy Devices Panel Advisory Meeting, June 12, 2008 - Agenda, Roster, Briefing, Questions

Food and Drug Adminstration (FDA): CDRHNew — Tue, 10 Jun 2008 04:00:00 +0100

TELEHEALTH For Pulmonary Rehab

Health News from Medical News Today — Tue, 20 May 2008 13:00:00 +0100

A program that delivers pulmonary rehabilitation via video-conferencing technology, the internet and other emerging technologies to patients who live too far from respiratory therapy centers to make the twice-weekly trip improves their clinical condition, outcome and quality of life in just eight wee (Source: Health News from Medical News Today)

Federal Register: Anesthesiology and Respiratory Therapy Devices Panel of the Medical Devices Advisory Committee; Notice of Meeting.

Food and Drug Adminstration (FDA): CDRHNew — Thu, 01 May 2008 04:00:00 +0100

The committee will discuss, make recommendations and vote on a premarket approval application for the ProGEL Surgical Sealantsponsored by NeoMend, Inc. (Source: Food and Drug Adminstration (FDA): CDRHNew)

Nasal Delivery of siRNA

Springer protocols feed by Genetics/Genomics — Tue, 01 Apr 2008 04:00:00 +0100

The intranasal administration of siRNA has opened new vistas in drug delivery and respiratory therapy. In this strategy, synthetic siRNA with or without chemical modifications can be applied intranasally. Various delivery vehicles have been tested and optimized. With a few exceptions, all promote significant uptake of siRNA into the lung tissue and offer protection against respiratory viruses such as respiratory syncytial virus (RSV), parainfluenza virus (PIV), and influenza virus. No major adverse immune reaction has been encountered. Nasally applied siRNA remains within the lung and does not have systemic access, as judged by its absence in other major organs such as the lung, liver, heart, and kidney. We provide techniques for using the nose as a specific route for siRNA delivery into t...

[Elective termination of respiratory therapy in amyotrophic lateral sclerosis.]

Der Nervenarzt — Wed, 12 Mar 2008 04:00:00 +0100

CONCLUSION: The elective termination of ventilation requires differentiated pharmacologic palliative care. More controlled studies are required in order to establish evidence-based guidelines for the termination of ventilation. PMID: 18330539 [PubMed - as supplied by publisher] (Source: Der Nervenarzt)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Inpatient Unit Flexibility: Design Characteristics of a Successful Flexible Unit

Environment and Behavior — Wed, 27 Feb 2008 05:00:00 +0100

This study explored flexibility needs in adult medical-surgical inpatient care with the objective to understand its meaning from an end-user perspective and identify characteristics of the physical environment that promote or impede stakeholders' requirements. Semistructured interviews were conducted using a qualitative design with 48 stakeholders in nursing and nursing-support services at 6 hospitals across the United States. Data were collected during September–November 2006. Findings suggest that adaptability influences more aspects of unit operations than convertibility or expandability. Furthermore, physical design characteristics affect 9 critical operational issues where flexibility is required, spanning nursing, environmental services, materials management, dietary services, ...

Accuracy of expiratory carbon dioxide measurements using the coaxial and circle breathing circuits in small subjects

Journal of Clinical Monitoring and Computing — Fri, 22 Feb 2008 15:48:23 +0100

Abstract Mass spcctrometry is widely used to measure the end-tidal concentrations of inhalation anesthetics and other gases during surgery in order to estimate their arterial concentrations. When certain breathing circuits are used in newborns, however, fresh gas or ambient air may contaminate the expired sample, introducing a systematic error in the measurement of any end-tidal gas concentration. We estimated this error in newborn piglets using carbon dioxide as an indicator substance of expired gas. The capnograms and the difference between arterial carbon dioxide tension (PaCO2) and peakexpired carbon dioxide tension (PeCO2) were compared when either a coaxial (Bain) or circle breathing circuit was used. Gas was sampled from the proximal airway and distal trachea. No com...

California company locating customer care center in Lexington

bizjournals.com Health Care:Pharmaceuticals headlines — Thu, 31 Jan 2008 17:10:25 +0100

Pacific Pulmonary Services, a provider of home respiratory therapy, plans to locate a customer care center in Lexington that will create 200 jobs. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)

Mechanical Ventilation in Mass Casualty Scenarios. Augmenting Staff: Project XTREME.

Respiratory Care — Sat, 26 Jan 2008 20:11:54 +0100

Authors: Hanley ME, Bogdan GM Disaster preparedness typically includes plans that address the need for surge capacity to manage mass-casualty events. A major concern of disaster preparedness in respiratory therapy focuses on responding to a sudden increase in the volume of patients who require mechanical ventilation. Plans for such disasters must include contingencies to address surge capacity in ventilator inventories and the respiratory therapy staff who will manage the ventilators. Tactics to address these situations include efforts to lower demand by transferring patients to other institutions as well as efforts to augment staffing levels. Staff can be augmented by mobilization of deployable teams of volunteers from outside the region and through exploitation of local resources. Th...

President Rodriguez Issues Charge To Respiratory Therapists To Gear Up For Legislative Passage Of The Respiratory Therapy Initiative, USA

Asthma / Respiratory News From Medical News Today — Thu, 24 Jan 2008 12:00:00 +0100

President Toni Rodriguez charged all respiratory therapists to jump the last major hurdle in solidifying the identity of Respiratory Care as a profession at the December annual meeting of the AARC. "On our 60th anniversary we stand on the brink of some of our greatest accomplishments as a profession," says President Rodriguez. "When the right time and the right circumstances fuse, you must be ready to act." Dr. (Source: Asthma / Respiratory News From Medical News Today)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Barshop family donates over $500,000 to Health Science Center

bizjournals.com Health Care:Biotechnology headlines — Tue, 15 Jan 2008 19:49:36 +0100

The University of Texas Health Science Center at San Antonio has received a major gift to establish the school's first endowed chair in respiratory therapy, and university officials have a wedding anniversary to thank for it. (Source: bizjournals.com Health Care:Biotechnology headlines)

Barshop family donates over $500,000 to Health Science Center

bizjournals.com Health Care:Hospitals headlines — Tue, 15 Jan 2008 19:49:36 +0100

Airgas Study Reveals Disaster Preparedness Concerns And Misconceptions About Dedicated Oxygen Supply And Replenishment

Asthma / Respiratory News From Medical News Today — Mon, 03 Dec 2007 13:00:00 +0100

Airgas Puritan Medical, the medical business of Airgas, Inc. (NYSE:ARG), reported survey results showing that while most hospital respiratory therapy directors said their hospitals had a dedicated supply of portable oxygen cylinders for a disaster or pandemic, most said they have less than 24 hours of oxygen to meet a surge need. Most of those surveyed also are counting on suppliers to replenish oxygen supplies within six hours after a disaster. [click link for full article] (Source: Asthma / Respiratory News From Medical News Today)

A comparison of problem-based learning and traditional curricula in baccalaureate respiratory therapy education.

Respiratory Care — Thu, 01 Nov 2007 04:00:00 +0100

CONCLUSIONS: Respiratory-therapy graduates from the 2 PBL programs were more satisfied with their program's overall quality than were the graduates of the 2 traditional-curricula programs. Moreover, the PBL teaching and learning method did not place graduates at a disadvantage on standardized, objective tests of knowledge (the licensing and credentialing examinations). These findings are consistent with similar published studies on PBL approaches in medical and health care professional education. PMID: 17971253 [PubMed - in process] (Source: Respiratory Care)

Factors effecting adoption of new neonatal and pediatric respiratory technologies

Intensive Care Medicine — Fri, 26 Oct 2007 14:33:44 +0100

Conclusions Evidence of outcomes advantage should be the key factor in assessing potentially beneficial technologies. However, we suggest that understanding the influence of observe-ability, complexity and subjectivity of relative advantage explains much of the contrast between adoption level and outcome evidence. These factors described by Rogers, that encourage adoption of mediocre technologies or that retard adoption of potentially beneficial technologies, should be understood and acknowledged. This perspective can be applied not only to national adoption patterns, but also to adoption of best practices within an individual unit. Content Type Journal ArticleCategory Pediatric Brief ReportDOI 10.1007/s00134-007-0914-6Authors Thomas E. Bachman, Mountains Community ...

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

A survey of health professions students for knowledge, attitudes, and confidence about tuberculosis, 2005

BMC Public Health - Latest articles — Tue, 28 Aug 2007 04:00:00 +0100

Conclusions: There is room for improvement in knowledge, attitudes, and confidence about TB by health professions students surveyed. The NTCC-developed educational products may be used by faculty to improve student performance to be assessed with future surveys. (Source: BMC Public Health - Latest articles)

Association of HELLP syndrome with primary antiphospholipid syndrome—a case report

Clinical Rheumatology — Wed, 08 Aug 2007 06:49:28 +0100

Abstract Authors present the first Hungarian case of a young pregnant woman with the association of antiphospholipid syndrome (APS) and hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome. After the onset of severe preeclampsia, the pregnancy was terminated but the patient’s condition continued to worsen. New symptoms of APS, including deep vein thrombosis and ischemic nervus opticus lesion, developed in the patient followed by the onset of acute respiratory distress syndrome, which required respiratory therapy. Intensive treatment with plasmapheresis, high-dose intravenous immunoglobulin, high-dose corticosteroids, cyclophosphamide, and anticoagulants eventually led to full recovery. There have been only few scattered reports in the literature on ...

[Severe foetal growth retardation in a patient with uterus bicornis, velamentous insertion and partial placental abruption in the 26th week of gestation - a case report.]

Zeitschrift fur Geburtshilfe und Neonatologie — Wed, 01 Aug 2007 04:00:00 +0100

We report on a patient in the 26 (th) week of pregnancy who was admitted with vaginal bleeding. A uterus bicornis had been found previously. Sonography showed severe foetal growth retardation and a pathological foetal Doppler signal. A haematoma located cranial of the os uteri was sonographically diagnosed, and a partial placental abruption was suspected. Due to a pathological cardiotocography, a primary Caesarean section was performed. Intraoperative evaluation confirmed the presence of a uterus bicornis. In addition, the placenta showed an insertio velamentosa. The growth retarded foetus - 490 g birth weight - was anaemic. Respiratory therapy and surfactant substitution were performed because of a respiratory distress syndrome. At a corrected age of 8 weeks the boy was sent home without ...

Tissue stretch decreases soluble TGF-[beta]1 and type-1 procollagen in mouse subcutaneous connective tissue: Evidence from ex vivo and in vivo models

Journal of Cellular Physiology — Tue, 24 Jul 2007 04:00:00 +0100

Transforming growth factor beta 1 (TGF-[beta]1) plays a key role in connective tissue remodeling, scarring, and fibrosis. The effects of mechanical forces on TGF-[beta]1 and collagen deposition are not well understood. We tested the hypothesis that brief (10 min) static tissue stretch attenuates TGF-[beta]1-mediated new collagen deposition in response to injury. We used two different models: (1) an ex vivo model in which excised mouse subcutaneous tissue (N = 44 animals) was kept in organ culture for 4 days and either stretched (20% strain for 10 min 1 day after excision) or not stretched; culture media was assayed by ELISA for TGF-[beta]1; (2) an in vivo model in which mice (N = 22 animals) underwent unilateral subcutaneous microsurgical injury on the back, then were randomized to stretch...

[Clinical problem solving as a measurement instrument in a diploma course for respiratory technicians]

Cirugia y Cirujanos — Sun, 01 Jul 2007 04:00:00 +0100

CONCLUSIONS: Clinical aptitude was developed in most students enrolled in the training course. Although a promotional educational participation strategy was not planned, we are in agreement that education and training of the coordinating professors contributed to achieving the goals. PMID: 18053358 [PubMed - indexed for MEDLINE] (Source: Cirugia y Cirujanos)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Perceptual Reasons for Resistance to Change in the Emergency Department Use of Holding Chambers for Children With Asthma.

Annals of Emergency Medicine — Sun, 17 Jun 2007 08:17:44 +0100

CONCLUSION: Findings from this study could be used to inform a change program to close the gap between evidence and practice with respect to use of inhalers and holding chambers in the ED. PMID: 17559971 [PubMed - as supplied by publisher] (Source: Annals of Emergency Medicine)

Comparison of resource utilization and clinical outcomes between teaching and nonteaching medical services

Journal of Hospital Medicine — Mon, 04 Jun 2007 04:00:00 +0100

To compare the resource utilization and clinical outcomes of medical care delivered on general internal medicine inpatient services at teaching and nonteaching services at an academic hospital.From February to October 2002, 2189 patients admitted to a 450-bed university-affiliated community hospital were assigned either to a resident-staffed teaching service (n = 1637) or to a hospitalist- or clinic-based internist nonteaching service (n = 552). We compared total hospital costs per patient, length of hospital stay (LOS), hospital readmission within 30 days, in-hospital mortality, and costs for pharmacy, laboratory, radiology, and others between teaching and nonteaching services.Care on a teaching service was not associated with increased overall patient care costs ($5572 vs. $5576; P = .99...

Management and processing of respiratory care information in respiratory care departments.

Respiratory Care — Sun, 27 May 2007 00:12:04 +0100

CONCLUSIONS: This study suggests that the information systems used by the respondent RTs have marginal utility and have problems with data storage and retrieval, because either the systems do not employ computerized databases or the computerized databases do not have full-scale database management systems. Inadequate data storage and retrieval systems often lead to data redundancy and, ultimately, inaccurate information. Development of data models specific to the respiratory care profession may be necessary to build databases with conceptual schemas that accurately reflect the professional activities of RTs. PMID: 17521463 [PubMed - in process] (Source: Respiratory Care)

Therapist driven protocols: a look back and moving into the future.

Critical Care Clinics — Sun, 25 Mar 2007 17:50:03 +0100

This article describes protocols used at the author's institution. It describes how the respiratory therapy service interacts with other services within the hospital to provide the optimal outcome for the patient. PMID: 17368162 [PubMed - in process] (Source: Critical Care Clinics)

Home Respiratory Therapy Leaders Express Concern Over Administration's Proposed Cuts to Medicare Home Oxygen Benefit

Drug Newswire — Wed, 07 Feb 2007 17:41:21 +0100

Patients, Physicians Warn That Further Reductions Will Have Negative Impact on Care WASHINGTON, Feb. 5 /PRNewswire-USNewswire/ -- In response to proposed cuts contained in the Bush Administration's proposed fiscal 2008 budget, the Council for Quality Respiratory Care (CQRC) -- an alliance of 11 of the country's largest companies... (Source: Drug Newswire)

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Cerebral Outcomes in a Preterm Baboon Model of Early Versus Delayed Nasal Continuous Positive Airway Pressure

PEDIATRICS — Mon, 02 Oct 2006 06:00:00 +0100

CONCLUSIONS. Premature delivery, in the absence of potentiating factors, such as hypoxia or infection, is associated with a decrease in brain growth and the presence of subtle brain injury, which seems to be modified by respiratory therapies with early continuous positive airway pressure being associated with less overall cerebral injury. (Source: PEDIATRICS)

Lincare buys unit from Pediatric Services

bizjournals.com Health Care:Hospitals headlines — Tue, 29 Aug 2006 22:29:01 +0100

Lincare Holdings has agreed to purchase substantially all the assets of the respiratory therapy equipment and services segment of Pediatric Services of America Inc. (Source: bizjournals.com Health Care:Hospitals headlines)

PSA HealthCare to sell respiratory division

bizjournals.com Health Care:Hospitals headlines — Tue, 29 Aug 2006 22:29:01 +0100

PSA HealthCare, formerly Pediatric Services of America Inc., plans to sell its respiratory therapy equipment and services unit to Lincare Inc. of Clearwater, Fla., for $35.2 million. (Source: bizjournals.com Health Care:Hospitals headlines)

Rotech won't make copies of drugs after FDA warning

USATODAY.com Health — Tue, 15 Aug 2006 08:54:02 +0100

One of the nation's largest respiratory therapy companies on Monday said it would stop making unapproved copies of drugs and ... (Source: USATODAY.com Health)

Neonatal ECMO: Current controversies and trends.

Neonatal Network — Sat, 01 Jul 2006 04:00:00 +0100

Authors: Ford JW Extracorporeal membrane oxygenation (ECMO), a technique for providing life support to patients with cardiac and/or respiratory dysfunction, allows the heart and lungs to "rest." The neonatal respiratory population has been a major benefactor of ECMO since 1982. Its use for neonatal respiratory disease increased dramatically until the past few years, when the number of neonatal respiratory ECMO cases began a downward trend. Fewer patients with persistent pulmonary hypertension of the newborn (PPHN), meconium aspiration syndrome, respiratory distress syndrome, or sepsis are requiring ECMO support as frequently as in the past. Many attribute this decline to the newer respiratory therapies-mainly, surfactant, high-frequency oscillatory ventilation, and inhaled nitric oxide...

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Sound level exposure of high-risk infants in different environmental conditions.

Neonatal Network — Sun, 01 Jan 2006 05:00:00 +0100

CONCLUSION: Evidence-based sound-reducing strategies are proposed. Findings were used to plan environment management as part of a developmental, family-centered care, performance improvement program and in new NICU planning. PMID: 16514864 [PubMed - indexed for MEDLINE] (Source: Neonatal Network)

Problem-based and case-based learning in respiratory care education.

Respiratory Care clinics of North America — Wed, 14 Sep 2005 06:00:00 +0100

Authors: Op't Holt TB Problem-based learning has been used in respiratory therapy education for a relatively short time. The purpose of PBL is to produce a graduate who has improved critical thinking and life-long learning skills. On a practical note, another goal is to help the graduate pass the NBRC Clinical Simulation examination. PBL is the use of cases to provide a stimulus for the specification of learning issues, or objectives, which the students research and discuss. The heart of the PBL process is the tutorial group, composed ofa group of five to seven students and a faculty facilitator. Students work through the case, listing facts, testing hypotheses, learning pharmacology,and studying the learning issues of the case. Information is learned in thecontext of the patient case,...

Clinical education and clinical evaluation of respiratory therapy students.

Respiratory Care clinics of North America — Wed, 14 Sep 2005 06:00:00 +0100

Authors: Cullen DL Different blends of knowledge, decision making, problem solving,professional behaviors, values, and technical skills are necessary in the changing health care environments in which respiratory therapists practice. Frequently, novice students are expected to perform quickly and efficiently,and it may be forgotten that students are still learning and mastering the foundation pieces of practice. Clinical educators take on the responsibility of student development in addition to overseeing patient care. Normally,these volunteer instructors are role models for respiratory therapy students. The characteristic of initiative when demonstrated by a beginning student is attractive to the clinical instructor, promotes sharing of experiences, and may evolve into a mentor-protege...

Bachelor of science degree education programs: organization, structure, and curriculum.

Respiratory Care clinics of North America — Wed, 14 Sep 2005 06:00:00 +0100

Authors: Douce FH Therapists with bachelor's degrees in respiratory therapy have become the new advanced clinicians of the twenty-first century. Although the opportunity has increased in recent years, earning a baccalaureate degree in respiratory therapy remains a limited option. The "2-year preprofessional plus 2-year respiratory therapy" is the most popular curriculum design, but several other notable designs also fulfill the definition of a bachelor's degree in respiratory therapy. Two landmark documents issued in 2003 make strong arguments for expanding opportunities for baccalaureate education in respiratory therapy. Recognizing the "need to increase the number of respiratory therapists with advanced levels of training and education to meet the demands of providing services requir...

Characteristics of a successful respiratory therapy education program.

Respiratory Care clinics of North America — Wed, 14 Sep 2005 06:00:00 +0100

Authors: Ari A, Goodfellow LT, Rau JL Because of the increasing demand for program effectiveness, program outcomes have become important for quality assessment in respiratory care education. Respiratory care programs and their institutions must ensure that programs in which they invest their time, energy, and money have there sources necessary to provide quality preparation of program graduates. To determine how well an educational program achieves its goal in producing competent respiratory therapists, respiratory therapy programs must be assessed through key personnel, teaching, clinical education, and enrollment management. The processes such as developing faculty,improving instruction and enhancing students' learning, and strengthening the structure of the respiratory therapy progr...

MedWorm Message: Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.

Use of interdisciplinary simulation to understand perceptions of team members' roles.

Journal of Professional Nursing — Sat, 14 May 2005 06:00:00 +0100

Authors: Rodehorst TK, Wilhelm SL, Jensen L The aim of this study was to examine the effectiveness of an interdisciplinary approach to learning in helping care providers understand their overlapping roles in the clinical management of asthma. In addition, the perceived usefulness of an interdisciplinary approach for students in the health-care disciplines of nursing, medicine, pharmacy, and respiratory therapy to learn about the clinical management of asthma was explored. The diffusion of innovation framework was used to guide the process of development of CD-ROMs. An interpretative approach was selected for this research because of the emphasis on how a phenomenon is perceived and how meaning is constructed in situations. This approach assumes that multiple ways of interpreting experi...

Chlamydial pneumonia in children requiring hospitalization: effect of mixed infection on clinical outcome.

Journal of Microbiology, Immunology, and Infection — Thu, 14 Apr 2005 06:00:00 +0100

In conclusion, Chlamydia sp. was identified in 12.4% of children with CAP in this series, and mixed infections were common (80.8%) among these patients. The clinical course of chlamydial pneumonia was not serious in most patients, but alertness is needed to the possibility of developing severe pneumonia in cases with bacterial coinfection. PMID: 15843856 [PubMed - indexed for MEDLINE] (Source: Journal of Microbiology, Immunology, and Infection)

Respiratory care protocol development and impact.

Respiratory Care clinics of North America — Mon, 14 Jun 2004 06:00:00 +0100

This article addresses some of the issues surrounding the development of respiratory care protocols and the impact that their implementation may have based on experience gained to date. PMID: 15177247 [PubMed - indexed for MEDLINE] (Source: Respiratory Care clinics of North America)

Upstate offers respiratory therapy courses at Jefferson Community College

SUNY Upstate Medical — Thu, 05 Feb 2004 09:44:00 +0100

SUNY Upstate Medical University in Syracuse is accepting applications now for its bachelors degree program in respiratory therapy to be offered for the first time at Jefferson Community College. Classes begin Aug. 24 and... (Source: SUNY Upstate Medical)