Respiratory care
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Randomized Controlled Trial
Online Education Improves Confidence in Mechanical Insufflation-Exsufflation.
Mechanical insufflation-exsufflation (MI-E) is a cough augmentation technique used to support people with an ineffective cough. MI-E can be complex due to the number of different pressure, flow, and temporal setting adjustments needed to optimize cough efficacy. Many clinicians identify inadequate training, limited experience, and low confidence as barriers to MI-E use. The purpose of this study was to determine if an online education course could improve confidence and competence in the delivery of MI-E. ⋯ Access to an evidence-based online education course improved confidence in the prescription and application of MI-E, and may be a valuable tool for training clinicians in the application of MI-E.
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Patients receiving mechanical ventilation often require airway clearance and inhaled therapies. Intrapulmonary percussive ventilation (IPV) combines a high-frequency percussive ventilator with a jet nebulizer. Data on aerosol delivery efficiency of the device are scarce. We evaluated albuterol delivery efficiency while using an IPV in-line adapter under different conditions. ⋯ Albuterol delivery during invasive mechanical ventilation via in-line IPV in a pediatric lung model was inefficient. Alternative methods of delivering bronchodilators and other inhaled medications should be considered when IPV is used.
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Research is often presented at scientific conferences in abstract form. Unfortunately, a large percentage of abstracts are never published as a full manuscript, but having a strong department process for research can increase the number of abstracts published as manuscripts. Publishing as a full manuscript is critical to the advancement of science due to the rigor of the peer review process. This manuscript covers common reasons abstracts are not published as manuscripts, tips to overcome mistakes, how to respond to reviewer comments, and specific tips to avoid flaws in each manuscript section.