The clinical respiratory journal
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Observational Study
High flow nasal cannulae oxygen therapy in acute-moderate hypercapnic respiratory failure.
Severe acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a significant event that results in substantial mortality. ⋯ There was no difference of the 30-day mortality and intubation rate between HFNC and NIV groups.
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Review
New insights in the use of pleural ultrasonography for diagnosis and treatment of pleural disease.
The use of transthoracic ultrasound (US) has acquired a wide consensus among respiratory physicians during the last few years. The development of portable devices promotes patient's bedside evaluation providing rapid, real-time and low-cost diagnostic information. The different acoustic impedance between different tissues and organs produces artifacts known as A lines, B lines, sliding sign, lung point, etc. ⋯ Ultrasounds are also a valuable tool during interventional procedures, such as thoracentesis, chest tube insertion and transcutaneous biopsy. Its use is recommended before medical thoracoscopy in order to assess the best site of trocar insertion according to presence, quantity and characteristics of pleural effusion. The aim of this review is to provide practical tips on chest ultrasound in clinical and interventional respiratory practice.