Articles: mechanical-ventilation.
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Rev Port Pneumol (2006) · Sep 2015
Comparative Study Observational StudyDifferent spontaneous breathing trials in patients with atrial fibrillation.
Weaning from mechanical ventilation is one of the most important and challenging problems for most intensive care unit (ICU) patients. Spontaneous breathing trial (SBT) is the most common method used to evaluate patients' ability to breathe by themselves and plays an important role in decision making for weaning. The aim of our study was to investigate the effect of different methods of SBT in respiratory care unit (RCU) patients with atrial fibrillation (AF) on weaning outcome. ⋯ The use of PSV trial might be considered first instead of T-piece trial for SBT when AF patients were ready to wean.
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Am. J. Respir. Crit. Care Med. · Aug 2015
Trends in Tracheostomy for Mechanically Ventilated Patients in the United States, 1993-2012.
National trends in tracheostomy for mechanical ventilation (MV) patients are not well characterized. ⋯ Over the past two decades, tracheostomy use rose substantially in the United States until 2008, when use began to decline. The observed dramatic increase in discharge of tracheostomy patients to long-term care facilities may have significant implications for clinical care, healthcare costs, policy, and research. Future studies should include long-term facilities when analyzing outcomes of tracheostomy.
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The Journal of infection · Aug 2015
Observational StudyIntravenous immunoglobulin use in septic shock patients after emergency laparotomy.
The role of intravenous immunoglobulin (IVIG) as an adjunctive treatment for abdominal sepsis remains controversial. ⋯ There may be no significant association between IVIG use and mortality in mechanically ventilated septic shock patients after emergency laparotomy.
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Observational Study
Intravenous immunoglobulin and mortality in pneumonia patients with septic shock: an observational nationwide study.
The role of intravenous immunoglobulin (IVIG) as an adjunctive treatment for severe sepsis remains controversial. We hypothesized that IVIG could be effective for treating pneumonia patients who have septic shock. ⋯ In this large retrospective nationwide study, we found that there may be no significant association between IVIG use and mortality in mechanically ventilated pneumonia patients with septic shock.
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Pediatric pulmonology · Aug 2015
Case ReportsSurvival of a child with spinal muscular atrophy and acute respiratory distress syndrome.
Spinal muscular atrophy (SMA), a lower motor neuron anterior horn cell disease, causes significant respiratory morbidity and mortality in children. Acute respiratory distress syndrome (ARDS) accounts for 1-4% of all Pediatric Intensive Care Unit (PICU) admissions. ⋯ He improved with meticulous management of mechanical ventilation, airway clearance, fluid/nutrition, and sedation/analgesia. He was successfully extubated after 14 days of invasive mechanical ventilation and discharged home after a 20 day hospitalization.