Internal medicine journal
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Internal medicine journal · Feb 2022
Safety and efficacy of high flow nasal cannula therapy in acute hypercapnic respiratory failure - a retrospective audit.
While the role of high-flow nasal cannulae (HFNC) in the management of respiratory failure continues to expand, few studies describe its use in acute hypercapnic respiratory failure. ⋯ HFNC might be a reasonable initial treatment for patients with mild acute hypercapnic respiratory failure who do not have comorbid obesity or sleep-disordered breathing. A prospective study might help identify clinical factors or phenotypes predictive of success with this treatment modality.
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Internal medicine journal · Feb 2022
Survey study of trends in adult nephrology advanced training in Australia and New Zealand.
There has been considerable growth in nephrology advanced trainee numbers in Australia and New Zealand, with uncertain effects on clinical experience, competence and employment outcomes. ⋯ Trainees and nephrologists in Australia and New Zealand are currently satisfied with their training in most aspects of nephrology; however, some clinical experiences are perceived as inadequate and early career paths after advanced training are increasingly diverse.