Respiratory care
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The COVID-19 pandemic has inundated hospitals with patients suffering from profound hypoxemia and placed a strain on health care systems around the world. Shortages of personnel, drugs, ventilators, and beds were predicted and, in many cases, came to fruition. ⋯ Oxygen in particular has been a concern for hospitals in terms of supply and distribution. This article outlines procedures for estimating medical gas flow limitations within health care organizations and also methods for estimating gas consumption.
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For almost 50 years, pediatricians used adult guidelines to diagnose ARDS. In 2015, specific criteria for pediatric ARDS were defined. However, it remains unclear how frequently providers recognize pediatric ARDS and whether recognition affects adherence to consensus recommendations. ⋯ Among mechanically ventilated children, pediatric ARDS was common but recognized in a minority of cases. Potential opportunities, such as an opt-out approach to LPV, may exist for improved dissemination and implementation of recommended best practices.
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Observational Study
Specialized Weaning Unit in the Trajectory of SARS-CoV-2 ARDS: Influence of Limb Muscle Strength on Decannulation and Rehabilitation.
Patients with ARDS due to COVID-19 may require tracheostomy and transfer to a weaning center. To date, data on the outcome of these patients are scarce. The objectives of this study were to determine the factors associated with time to decannulation and limb-muscle strength recovery. ⋯ MRC score at weaning center admission predicted both early decannulation and limb-muscle strength recovery.