You searched for subject:(Respiration Artificial).
Showing records 1 – 30 of
126 total matches.
◁ [1] [2] [3] [4] [5] ▶
Montana State University
1.
Paulsen, Heather Dawn.
An integrative review of evidence-based parameters utility in predicting patient success in maintiaining spontaneous ventilation post-extubation: Integrative review of evidence-based parameters utility in predicting patient success in maintaining spontaneous ventilation post-extubation.
Degree: M Nursing, College of Nursing, 2011, Montana State University
URL: https://scholarworks.montana.edu/xmlui/handle/1/2028 
► The purpose of this integrative literature review is to identify the current standard of care in determining mechanically ventilated patients' readiness for extubation and evidence-based…
(more)
▼ The purpose of this integrative literature review is to identify the current standard of care in determining mechanically ventilated patients' readiness for extubation and evidence-based parameters utility in predicting the patients' maintenance of unassisted ventilation post-extubation. This topic was explored using an integrative literature review. Literature was gathered by searching databases with key search terms related to endotracheal intubation and mechanical intubation. A review of abstracts using the inclusion and exclusion criteria was conducted to determine which studies would be incorporated. Next, the literature selected was sorted into three categories, a) reviews of the current standard of care in determining a patients' readiness to wean from mechanical ventilation; b) measurement technique, validity, and use of the RSBI; and c) other parameters in predicting successful extubation. Results of this integrative literature review showed the current standard of care in extubation to be 1). Patient's underlying reason for intubation is resolving and patient is medically stable 2). A spontaneous breathing trial is attempted 3). If tolerated, patient continues to second spontaneous breathing trial that is longer in duration (30-120 minutes). 4). If the second spontaneous breathing trial is tolerated, the patient is extubated. The spontaneous breathing trial tolerance predicts approximately 86% of successful extubations. The next purpose was to identify evidence based parameters utility in predicating patients' maintenance of unassisted ventilation post-extubation. The rapid shallow breathing index was review along with the integrated weaning index, swallow study data, addition of dead space and involuntary cough peak flow. These parameters were shown to approximate the spontaneous breathing trial prediction data. In conclusion, determining the value of the rapid shallow breathing index would benefit patients being extubated and a shift in paradigm from indicators of failure to indicators of success may prove helpful in proceeding with determining a patient's ability to maintain spontaneous ventilation post-extubation.
Advisors/Committee Members: Chairperson, Graduate Committee: Charlene Winters (advisor).
Subjects/Keywords: Artificial respiration.
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Paulsen, H. D. (2011). An integrative review of evidence-based parameters utility in predicting patient success in maintiaining spontaneous ventilation post-extubation: Integrative review of evidence-based parameters utility in predicting patient success in maintaining spontaneous ventilation post-extubation. (Thesis). Montana State University. Retrieved from https://scholarworks.montana.edu/xmlui/handle/1/2028
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Paulsen, Heather Dawn. “An integrative review of evidence-based parameters utility in predicting patient success in maintiaining spontaneous ventilation post-extubation: Integrative review of evidence-based parameters utility in predicting patient success in maintaining spontaneous ventilation post-extubation.” 2011. Thesis, Montana State University. Accessed February 27, 2021.
https://scholarworks.montana.edu/xmlui/handle/1/2028.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Paulsen, Heather Dawn. “An integrative review of evidence-based parameters utility in predicting patient success in maintiaining spontaneous ventilation post-extubation: Integrative review of evidence-based parameters utility in predicting patient success in maintaining spontaneous ventilation post-extubation.” 2011. Web. 27 Feb 2021.
Vancouver:
Paulsen HD. An integrative review of evidence-based parameters utility in predicting patient success in maintiaining spontaneous ventilation post-extubation: Integrative review of evidence-based parameters utility in predicting patient success in maintaining spontaneous ventilation post-extubation. [Internet] [Thesis]. Montana State University; 2011. [cited 2021 Feb 27].
Available from: https://scholarworks.montana.edu/xmlui/handle/1/2028.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Paulsen HD. An integrative review of evidence-based parameters utility in predicting patient success in maintiaining spontaneous ventilation post-extubation: Integrative review of evidence-based parameters utility in predicting patient success in maintaining spontaneous ventilation post-extubation. [Thesis]. Montana State University; 2011. Available from: https://scholarworks.montana.edu/xmlui/handle/1/2028
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Hong Kong
2.
尹婉琦.
Development and evaluation
of a sedation protocol of weaning off the mechanical
ventilation.
Degree: 2011, University of Hong Kong
URL: http://hdl.handle.net/10722/143201
Subjects/Keywords: Artificial respiration.;
Sedatives.
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
尹婉琦.. (2011). Development and evaluation
of a sedation protocol of weaning off the mechanical
ventilation. (Thesis). University of Hong Kong. Retrieved from http://hdl.handle.net/10722/143201
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
尹婉琦.. “Development and evaluation
of a sedation protocol of weaning off the mechanical
ventilation.” 2011. Thesis, University of Hong Kong. Accessed February 27, 2021.
http://hdl.handle.net/10722/143201.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
尹婉琦.. “Development and evaluation
of a sedation protocol of weaning off the mechanical
ventilation.” 2011. Web. 27 Feb 2021.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Vancouver:
尹婉琦.. Development and evaluation
of a sedation protocol of weaning off the mechanical
ventilation. [Internet] [Thesis]. University of Hong Kong; 2011. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10722/143201.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
尹婉琦.. Development and evaluation
of a sedation protocol of weaning off the mechanical
ventilation. [Thesis]. University of Hong Kong; 2011. Available from: http://hdl.handle.net/10722/143201
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
University of Hong Kong
3.
何佩兒.
Continuous lateral
rotation therapy in preventing pulmonary complications in
mechanically ventilated patients: an evidence-based
guideline.
Degree: 2012, University of Hong Kong
URL: http://hdl.handle.net/10722/174274
► Immobility is one of the factors associated with the accumulation of respiratory secretion in mechanically ventilated patients. Placing patients in a semi-recumbent position between 30°…
(more)
▼ Immobility is one of the factors associated
with the accumulation of respiratory secretion in mechanically
ventilated patients. Placing patients in a semi-recumbent position
between 30° and 45° and frequent manual turning in every two hours
are the standard ventilator nursing care practice adopted
worldwide. However, the prevalence of pulmonary complications
remains high. The use of continuous lateral rotation therapy (CLRT)
to improve drainage of secretion within the lung and the lower
airways was proposed and has been investigated in numerous studies.
The purposes of this dissertation are (1) to perform a
comprehensive systematic review for a critical appraisal of the
current evidence on the use of CLRT to prevent pulmonary
complications in mechanically ventilated patients, (2) to develop
an evidence-based guideline and to assess the implementation
potential, and (3) to develop an implementation and evaluation plan
for translating the guideline to an adult intensive care unit (ICU)
of a teaching hospital in Hong Kong. In order to identify studies
that compared CLRT with the standard care, four electronic
databases, including CINAHL Plus, Medline, British Nursing Index
and PubMed, were searched. 94 studies were identified and eight of
them met the inclusion criteria. These studies included one
randomized controlled trial (RCT), two non-randomized controlled
clinical trials, one pretest-posttest clinical trial and four
retrospective cohort studies. The quality of these reviewed studies
was assessed by using the appraisal instruments of the Scottish
Intercollegiate Guidelines Network. Four of the reviewed studies
were graded as high quality. No major adverse patient outcome was
reported. Instead, beneficial patient outcomes that reached
statistical significance were consistently reported in the CLRT
group. There were reductions in ventilator-associated pneumonia
(VAP), atelectasis, duration of mechanical ventilation and length
of stay. However, its effect on health care cost and mortality was
inconclusive. The implementation potential, in terms of the
transferability, feasibility, and the cost-benefit ratio, was
considered as high in the target setting. Based on the synthesized
finding, a CLRT guideline is developed and is proposed to translate
into practice. The implementation plan includes a communication
plan with stakeholders and a pilot test. The guideline will be
revised after the trial run of the proposed innovation for one and
a half months. A full-scale controlled trial using a
quasi-experimental design will be conducted. The primary outcome is
to evaluate whether there is a reduction in the prevalence of VAP
after the use of CLRT. According to previous studies, the use of
CLRT can lead to a 49% reduction in VAP. The proposed innovation
will be considered as clinical effective when similar observation
is obtained.
Subjects/Keywords: Artificial respiration - Complications.
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
何佩兒. (2012). Continuous lateral
rotation therapy in preventing pulmonary complications in
mechanically ventilated patients: an evidence-based
guideline. (Thesis). University of Hong Kong. Retrieved from http://hdl.handle.net/10722/174274
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
何佩兒. “Continuous lateral
rotation therapy in preventing pulmonary complications in
mechanically ventilated patients: an evidence-based
guideline.” 2012. Thesis, University of Hong Kong. Accessed February 27, 2021.
http://hdl.handle.net/10722/174274.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
何佩兒. “Continuous lateral
rotation therapy in preventing pulmonary complications in
mechanically ventilated patients: an evidence-based
guideline.” 2012. Web. 27 Feb 2021.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Vancouver:
何佩兒. Continuous lateral
rotation therapy in preventing pulmonary complications in
mechanically ventilated patients: an evidence-based
guideline. [Internet] [Thesis]. University of Hong Kong; 2012. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10722/174274.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
何佩兒. Continuous lateral
rotation therapy in preventing pulmonary complications in
mechanically ventilated patients: an evidence-based
guideline. [Thesis]. University of Hong Kong; 2012. Available from: http://hdl.handle.net/10722/174274
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
Nelson Mandela Metropolitan University
4.
Demingo, Xavier Preston.
Professional nurses' knowledge regarding weaning the critically ill patient from the mechanical ventilation.
Degree: Faculty of Health Sciences, 2011, Nelson Mandela Metropolitan University
URL: http://hdl.handle.net/10948/1323
► Mechanical ventilation (MV) is one of the most frequently used treatment modalities in the intensive care unit (ICU) (Burns, 2005:14). Up to 90% of critically…
(more)
▼ Mechanical ventilation (MV) is one of the most frequently used treatment modalities in the intensive care unit (ICU) (Burns, 2005:14). Up to 90% of critically ill patients in ICUs globally are connected to a mechanical ventilator. Although mechanical ventilation is a lifesaving intervention, it is expensive and is associated with diverse complications (Mclean, Jensen, Schroeder, Gibney & Skjodt, 2006: 299). Ventilator-associated pneumonia (VAP) accounts for 25% of all infections in ICU, with global crude mortality figures estimated at 20-70% (Craven, 2006:251). Minimising the time that a patient is connected to a mechanical ventilator to the absolute minimum can have considerable benefits in terms of decreased mortality and morbidity, as well as a decreased length of ICU stay and lower hospital costs. Critically ill patients therefore need to be weaned from the mechanical ventilator as soon as their condition that warranted the need for mechanical ventilation is stabilized. The process of weaning the critically ill patient from mechanical ventilation constitutes a significant proportion of total ventilator time. As professional nurses attend to the mechanically ventilated patient 24 hours a day, they have a vital role to play in the collaborative management of the patient requiring weaning from mechanical ventilation. The objectives of this study were to explore and describe the professional nurses’ knowledge regarding weaning the critically ill patient from mechanical ventilation. Based on the results, recommendations in the form of a protocol were made in order to improve the professional nurses’ knowledge and enhance the care of the mechanically ventilated patient. A quantitative design, which was exploratory, descriptive and contextual in nature, was utilised for the study. The data collection instrument of choice was a self-administered questionnaire. Convenience, non-probability sampling was the sampling method chosen for the purpose of this study. Collected data were analysed with the assistance of a statistician using descriptive and inferential statistics. Results were displayed in the form of graphs and tables. The results obtained in the study, combined with data from the literature review, were used to develop recommendations to enhance vi professional nurses’ knowledge regarding weaning the critically ill patient from mechanical ventilation. The recommendations were presented in the form of a protocol based on the available evidence. Ethical principles as they relate to conducting research were adhered to throughout the study.
Subjects/Keywords: Artificial respiration; Respiratory therapy; Critical care medicine; Respirators (Medical equipment); Artificial respiration – Nursing
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Demingo, X. P. (2011). Professional nurses' knowledge regarding weaning the critically ill patient from the mechanical ventilation. (Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/1323
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Demingo, Xavier Preston. “Professional nurses' knowledge regarding weaning the critically ill patient from the mechanical ventilation.” 2011. Thesis, Nelson Mandela Metropolitan University. Accessed February 27, 2021.
http://hdl.handle.net/10948/1323.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Demingo, Xavier Preston. “Professional nurses' knowledge regarding weaning the critically ill patient from the mechanical ventilation.” 2011. Web. 27 Feb 2021.
Vancouver:
Demingo XP. Professional nurses' knowledge regarding weaning the critically ill patient from the mechanical ventilation. [Internet] [Thesis]. Nelson Mandela Metropolitan University; 2011. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10948/1323.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Demingo XP. Professional nurses' knowledge regarding weaning the critically ill patient from the mechanical ventilation. [Thesis]. Nelson Mandela Metropolitan University; 2011. Available from: http://hdl.handle.net/10948/1323
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Universidade do Rio Grande do Sul
5.
Manica, Denise.
Incidência de lesão de laringe por intubação em unidade de terapia intensiva pediátrica e fatores de risco associados.
Degree: 2011, Universidade do Rio Grande do Sul
URL: http://hdl.handle.net/10183/37476
► Objetivos: Averiguar o papel da duração da intubação e de outros fatores de risco no desenvolvimento de lesão de laringe em crianças submetidas à intubação…
(more)
▼ Objetivos: Averiguar o papel da duração da intubação e de outros fatores de risco no desenvolvimento de lesão de laringe em crianças submetidas à intubação endotraqueal em unidade de terapia intensiva. Além disso, determinar a incidência de estenose subglótica (ESG) nessa mesma população. Delineamento: Coorte Prospectiva. Métodos: Foram elegíveis todas as crianças de zero a quatro anos internadas na Unidade de Terapia Intensiva Pediátrica do Hospital de Clínicas de Porto Alegre que necessitaram de intubação endotraqueal por mais de 24 horas. Foram excluídas as com história de intubação, doença laríngea prévia, presença de traqueostomia atual ou no passado, presença de malformações craniofaciais e aquelas consideradas portadoras de doença terminal pela equipe assistente. As crianças incluídas foram acompanhadas diariamente e, após a extubação, foram submetidas à fibronasolaringoscopia (FNL). Aquelas que tinham alterações moderadas a graves nesse primeiro exame foram submetidas à nova FNL em sete a dez dias. Se as alterações persistissem ou se desenvolvessem sintomas, independentemente do exame inicial, as crianças eram submetidas à laringoscopia sob anestesia geral. Resultados: Foram acompanhadas 142 crianças entre novembro de 2005 e outubro de 2010. Na FNL inicial, 58 crianças (40,8%) apresentaram alterações laríngeas moderadas a graves. Das 84 crianças sem lesões no exame inicial, uma desenvolveu sintomas laríngeos e foi submetida à laringoscopia direta, sendo diagnosticada ESG. Na FNL de revisão do grupo com alterações moderadas a graves, 15 crianças apresentaram ESG no seguimento, diagnosticada após exame sob anestesia geral. Ao final do estudo, a incidência de ESG foi de 11,3% (IC 95%: 7,1 – 17,5%). Após análise multivariada dos fatores estudados, encontrou-se que, para cada cinco dias adicionais de intubação, há um acréscimo de 50,3% no risco de desenvolver ESG e, para cada dose extra de sedação/dia, um incremento de 12%. Conclusões: Nesse estudo prospectivo em crianças foi encontrada uma incidência de ESG superior à da maioria dos trabalhos anteriores. O tempo de intubação e a necessidade de doses extras de sedação parecem ser fatores importantes para o desenvolvimento de ESG durante a intubação endotraqueal.
Objectives: To investigate the role of the length of intubation and other risk factors in the development of laryngeal lesions in children undergoing endotracheal intubation in an intensive care unit, as well as to determine the incidence of subglottic stenosis (SGS) in the same population. Design: Prospective cohort. Methods: Children aged zero to four years admitted to the Pediatric Intensive Care Unit of Hospital de Clinicas de Porto Alegre who required endotracheal intubation for more than 24 hours were eligible for study. Patients with previous intubation, history of laryngeal disease, current or past tracheostomy, presence of craniofacial malformations and those considered terminal by the staff were excluded from the study. Children were monitored daily and underwent flexible fiberoptic…
Advisors/Committee Members: Marostica, Paulo José Cauduro.
Subjects/Keywords: Intubation; Laringoestenose; Intubação; Laryngoscopy; Laringoscopia; Laryngostenosis; Respiration artificial; Respiração artificial
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Manica, D. (2011). Incidência de lesão de laringe por intubação em unidade de terapia intensiva pediátrica e fatores de risco associados. (Thesis). Universidade do Rio Grande do Sul. Retrieved from http://hdl.handle.net/10183/37476
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Manica, Denise. “Incidência de lesão de laringe por intubação em unidade de terapia intensiva pediátrica e fatores de risco associados.” 2011. Thesis, Universidade do Rio Grande do Sul. Accessed February 27, 2021.
http://hdl.handle.net/10183/37476.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Manica, Denise. “Incidência de lesão de laringe por intubação em unidade de terapia intensiva pediátrica e fatores de risco associados.” 2011. Web. 27 Feb 2021.
Vancouver:
Manica D. Incidência de lesão de laringe por intubação em unidade de terapia intensiva pediátrica e fatores de risco associados. [Internet] [Thesis]. Universidade do Rio Grande do Sul; 2011. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10183/37476.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Manica D. Incidência de lesão de laringe por intubação em unidade de terapia intensiva pediátrica e fatores de risco associados. [Thesis]. Universidade do Rio Grande do Sul; 2011. Available from: http://hdl.handle.net/10183/37476
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Universitat de Barcelona
6.
Luque Chipana, Néstor Alejandro.
Evaluación de nuevas estrategias no farmacológicas para prevenir infecciones respiratorias nosocomiales en un modelo porcino de ventilación mecánica.
Degree: 2015, Universitat de Barcelona
URL: http://hdl.handle.net/10803/396211
► INTRODUCCIÓN Basados en el actual entendimiento de la patogénesis de la neumonía asociada a la ventilación mecánica (NAV), las bacterias colonizan la orofaringe y luego…
(more)
▼ INTRODUCCIÓN
Basados en el actual entendimiento de la patogénesis de la neumonía asociada a la ventilación mecánica (NAV), las bacterias colonizan la orofaringe y luego se desplazan hacia los pulmones a causa de una continua filtración de fluidos colonizados a lo largo del balón del tubo endotraqueal (EET). Evaluar la lesión traqueal causada por los nuevos balones de Baja presión y alto volumen (HVLP), sus efectos en la clearance mucociliar (MCC) y comparar los efectos preventivos de una estrategia ventilatoria versus la posición Trendelenburg.
MÉTODOS
En el primer estudio 29 cerdos large white-landrance fueron intubados con ETTs 7.0 hechos de balones cilíndricos PVC: ETT1, Ruschelit® Safety Clear plus (4 cerdos), ETT2,Hi-LoTM (4 cerdos); balón cilíndrico de poliuretano: ETT3,Kimvent Microcuff (5 cerdos); balón PVC cónicos: ETT4,SacettTM (4 cerdos); ETT5,TaperguardTM (4 cerdos); ETT6,Sheridan HVT (4 cerdos); y balón cónico de poliuretano: ETT7,SealGuardTM (4 cerdos). Después de 72 h de ventilación mecánica, fueron extubados luego sacrificados y un patólogo evaluó las lesiones relacionadas al balón y SSA.
En el segundo estudio 24 animales fueron distribuidos: 1) en posición semirecumbente / prono, ventilación con un ciclo de función de 0.33 (TITTOT) y sin presión positiva al final de la espiración (PEEP) (control); 2) como en el grupo de control, la PEEP de 5cm H2O y TITTOT para alcanzar el margen del Flujo espiratorio promedio (MEF) – flujo inspiratorio promedio (MIF) de 10 L/min (tratamiento); 3) En posición Trendelenburg / prono y ventilación como en el grupo de control (Trendelenburg). Luego se distribuyó al azar, se inoculó Pseudomonas aeruginosa en la orofaringe.
RESULTADOS
Los balones cilíndricos presentaron un incremento pequeño en R/G (rojo/verde) (6.7±9.0%, p=0.011) y un decline en la intensidad (ligeramente menor) G+B (verde más azul) (-23.9±25.6%, p=0.107), en comparación con balones ajustados (4.8±18.3% y -32.5±21.6%, respectivamente). Adicionalmente, los balones hechos de poliuretano produjeron un pequeño incremento en R/G (4.3±9.8%, p=0.012) y menos G+B intensidad del decline (-18.9±23.5%, p=0.022) , en comparación con los balones PVC (13.7±16.5% y -32.2±22.8%, respectivamente). La lesión histológica varió entre 1 y 2. Mientras tanto, la lesión SSA fue
más severa y varió de 2 a 4. La MCC fue 0.9±1.8 y 0.4±0.9 mm/min para los tubos de poliuretano y PVC, respectivamente (p<0.001). La forma del globo no impactó la MCC.
El MEF – MIF en el tratamiento, control, y grupos Trendelenburg fue de 10.7 ± 1.7, 1.8±3.7 y 4.3±2.8 L/min, respectivamente (p<0.001). La tasa de limpieza de moco fue 11.3±9.9 mm/min en el grupo Trendelenburg contra 0.1±1.0 en el grupo control, y 0.2±1.0 en los grupos de tratamiento (p=0.002). En el grupo de control, se recuperó 1.35% ± 1.24% de las micro esferas inoculadas por gramo de las secreciones traqueales, en tanto que 0.22% ± 0.25% y 0.97% ± 1.44% se recuperó en los grupos de tratamiento y Trendelenburg, respectivamente (p=0.031). La neumonía asociada al…
Advisors/Committee Members: Universitat de Barcelona. Facultat de Medicina, [email protected] (authoremail), false (authoremailshow), Torres Martí, Antoni (director), Ferrer Monreal, Miquel (director), true (authorsendemail).
Subjects/Keywords: Respiració artificial; Respiración artificial; Artificial respiration; Pneumònia; Neumonía; Pneumonia; Ciències de la Salut; 616.2
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Luque Chipana, N. A. (2015). Evaluación de nuevas estrategias no farmacológicas para prevenir infecciones respiratorias nosocomiales en un modelo porcino de ventilación mecánica. (Thesis). Universitat de Barcelona. Retrieved from http://hdl.handle.net/10803/396211
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Luque Chipana, Néstor Alejandro. “Evaluación de nuevas estrategias no farmacológicas para prevenir infecciones respiratorias nosocomiales en un modelo porcino de ventilación mecánica.” 2015. Thesis, Universitat de Barcelona. Accessed February 27, 2021.
http://hdl.handle.net/10803/396211.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Luque Chipana, Néstor Alejandro. “Evaluación de nuevas estrategias no farmacológicas para prevenir infecciones respiratorias nosocomiales en un modelo porcino de ventilación mecánica.” 2015. Web. 27 Feb 2021.
Vancouver:
Luque Chipana NA. Evaluación de nuevas estrategias no farmacológicas para prevenir infecciones respiratorias nosocomiales en un modelo porcino de ventilación mecánica. [Internet] [Thesis]. Universitat de Barcelona; 2015. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10803/396211.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Luque Chipana NA. Evaluación de nuevas estrategias no farmacológicas para prevenir infecciones respiratorias nosocomiales en un modelo porcino de ventilación mecánica. [Thesis]. Universitat de Barcelona; 2015. Available from: http://hdl.handle.net/10803/396211
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
7.
Renata dos Santos Vasconcelos.
InfluÃncia da mecÃnica respiratÃria sobre a assincronia paciente-ventilador, na ventilaÃÃo com pressÃo de suporte, com e sem sistema de disparo e ciclagem automÃticos, e na ventilaÃÃo assistida proporcional.
Degree: Master, 2013, Universidade Federal do Ceará
URL: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=10958
;
► ContextualizaÃÃo: A obtenÃÃo de uma boa sincronia paciente-ventilador consiste em um dos maiores desafios no manejo da ventilaÃÃo mecÃnica (VM). A ventilaÃÃo com pressÃo de…
(more)
▼ ContextualizaÃÃo: A obtenÃÃo de uma boa sincronia paciente-ventilador consiste em um dos maiores desafios no manejo da ventilaÃÃo mecÃnica (VM). A ventilaÃÃo com pressÃo de suporte ou pressure support ventilation (PSV) à uma modalidade ventilatÃria amplamente utilizada no processo de desmame da VM. A ventilaÃÃo assistida proporcional ou proportional assist ventilation (PAV) à uma modalidade de suporte ventilatÃrio onde o ventilador gera assistÃncia proporcional e instantÃnea aos esforÃos do paciente. O Auto-Trak digital consiste em uma tecnologia capaz de ajustar automaticamente, ciclo a ciclo, os mecanismos de disparo e ciclagem durante o modo PSV. Objetivos: Determinar a influÃncia da mecÃnica respiratÃria sobre a assincronia paciente-ventilador durante os modos PSV, com e sem sistema de disparo e ciclagem automÃticos e na PAV, em modelo pulmonar mecÃnico e identificar padrÃes nas curvas de ventilaÃÃo apresentadas na tela do ventilador que sejam relacionadas aos tipos de assincronia investigados. MÃtodos: Trata-se de estudo experimental, de bancada utilizando o simulador pulmonar mecÃnico, ASL 5000Â. Estudaram-se trÃs perfis de mecÃnica respiratÃria: normal, obstrutivo e restritivo, com variaÃÃo do tempo inspiratÃrio neural 0,5, 1,0, 1,5 e 2,0 segundos, sendo a intensidade mÃxima do esforÃo muscular (Pmus) fixada em -7.5 cmH2O, durante a VM nos modos PSV e PAV, em cinco ventiladores de UTI, de circuito duplo, e um ventilador de circuito Ãnico. O Auto-Trak foi estudado quando disponÃvel no ventilador. Os desfechos primÃrios foram: tempo de retardo inspiratÃrio e tempo de assincronia de ciclagem identificando, neste segundo caso, dois tipos possÃveis, ciclagem tardia ou precoce. AlÃm disso, procedeu-se a uma anÃlise por inspeÃÃo visual comparativa entre as curvas de mecÃnica: fluxo, VC e Pmus do ASL 5000 e as curvas na tela grÃfica do ventilador mecÃnico de VC, fluxo e pressÃo x tempo, na tentativa de se identificar padrÃes associados à assincronia, que fossem passÃveis de identificaÃÃo pela simples observaÃÃo na tela do ventilador pulmonar. Resultados: Houve marcante influÃncia da mecÃnica respiratÃria sobre a assincronia paciente-ventilador. O tempo de retardo inspiratÃrio foi maior e clinicamente significativo (> 100 ms) no perfil obstrutivo de mecÃnica respiratÃria, e foi menor, muitas vezes zero, no ventilador de circuito Ãnico; a assincronia de ciclagem foi comum no perfil obstrutivo, sendo predominantemente do tipo ciclagem tardia, enquanto no perfil restritivo predominou o tipo ciclagem precoce. O emprego do Auto-trak eliminou a ocorrÃncia de assincronia do tipo auto-disparo no ventilador de circuito Ãnico. A anÃlise visual das curvas detectou padrÃes de traÃados da curva de fluxo x tempo que sÃo caracterÃsticos de assincronia do tipo ciclagem precoce e ciclagem tardia e passÃveis de identificaÃÃo por inspeÃÃo visual direta na tela do ventilador. ConclusÃo: as assincronias de disparo e ciclagem entre o paciente e o ventilador sÃo a regra e nÃo a exceÃÃo durante os modos PSV e PAV, sendo estas…
Advisors/Committee Members: Vasco Pinheiro DiÃgenes Bastos, Marcelo Alcantara Holanda.
Subjects/Keywords: FISIOTERAPIA E TERAPIA OCUPACIONAL; MecÃnica RespiratÃria; RespiraÃÃo Artificial; Respiratory Mechanics; Respiration, Artificial
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Vasconcelos, R. d. S. (2013). InfluÃncia da mecÃnica respiratÃria sobre a assincronia paciente-ventilador, na ventilaÃÃo com pressÃo de suporte, com e sem sistema de disparo e ciclagem automÃticos, e na ventilaÃÃo assistida proporcional. (Masters Thesis). Universidade Federal do Ceará. Retrieved from http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=10958 ;
Chicago Manual of Style (16th Edition):
Vasconcelos, Renata dos Santos. “InfluÃncia da mecÃnica respiratÃria sobre a assincronia paciente-ventilador, na ventilaÃÃo com pressÃo de suporte, com e sem sistema de disparo e ciclagem automÃticos, e na ventilaÃÃo assistida proporcional.” 2013. Masters Thesis, Universidade Federal do Ceará. Accessed February 27, 2021.
http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=10958 ;.
MLA Handbook (7th Edition):
Vasconcelos, Renata dos Santos. “InfluÃncia da mecÃnica respiratÃria sobre a assincronia paciente-ventilador, na ventilaÃÃo com pressÃo de suporte, com e sem sistema de disparo e ciclagem automÃticos, e na ventilaÃÃo assistida proporcional.” 2013. Web. 27 Feb 2021.
Vancouver:
Vasconcelos RdS. InfluÃncia da mecÃnica respiratÃria sobre a assincronia paciente-ventilador, na ventilaÃÃo com pressÃo de suporte, com e sem sistema de disparo e ciclagem automÃticos, e na ventilaÃÃo assistida proporcional. [Internet] [Masters thesis]. Universidade Federal do Ceará 2013. [cited 2021 Feb 27].
Available from: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=10958 ;.
Council of Science Editors:
Vasconcelos RdS. InfluÃncia da mecÃnica respiratÃria sobre a assincronia paciente-ventilador, na ventilaÃÃo com pressÃo de suporte, com e sem sistema de disparo e ciclagem automÃticos, e na ventilaÃÃo assistida proporcional. [Masters Thesis]. Universidade Federal do Ceará 2013. Available from: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=10958 ;
8.
Nathalia Parente de Sousa Maia.
A new method based on heuristic evaluation and realistic simulation for the development of mechanical ventilators centered on the user interface.
Degree: Master, 2014, Universidade Federal do Ceará
URL: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=13680
;
► Introduction: New human-machine interfaces have been developed to incorporate the new modes and ventilatory parameters. Multiple monitoring data and alarms are presented in graphical interfaces,…
(more)
▼ Introduction: New human-machine interfaces have been developed to incorporate the new modes and ventilatory parameters. Multiple monitoring data and alarms are presented in graphical interfaces, which many consider still far from ideal for the primary users, healthcare professionals. Hypothesis: Noncompliance with the heuristic human machine interaction can compromise the usability of lung mechanical ventilators by users (doctors, nurses, physiotherapists) Objectives: To develop a new methodology for evaluating and implementing improvements on a ventilator interface pulmonary mechanical intensive care unit (ICU) second heuristic principles. Methods: An experimental study, using two methodologies: one centered on heuristic evaluation by an expert, and the second one focused on a comparative assessment by non-experts. Was held during the period from January 2013 to March 2014, the Laboratory of Respiratory (RespLab). The research was divided into three steps: 1st) evaluating the usability of six habilities (connect, adjust or alter ventilation modes and their parameters; adjust and react appropriately to different types of alarms, monitor respiratory mechanical parameters, and set the trigger mode non-invasive) ventilation interface for experts users; 2nd) Implementation of suggestions for improvements to the interface by a team of specialist engineers in mechanical ventilation (MV); 3rd) Comparison between interfaces (old and new), for users not experts, assessing six tasks (call, adjust the patient, adjust the volume control ventilation (VCV), measurement of mechanical, adjust the pressure control ventilation (PCV), pressure suport ventilation adjustment (PSV). The analysis of the 1st step was descriptive. The outcomes of the 3rd step were: executionÂs runtime and successes of tasks and usability score by analogic visual scale (AVS). Results: Step 1: Participants 8 professional experts. 93 problems were listed. The most violated principles: 5 (error prevention), 1 (Visibility of System Status) and 7 (Flexibility and efficiency of use). 2nd step: passed on and discussed all reports completed by experts users. Changes in the interface were performed following the suggestions and principles heuristics. 3rd step: VCV adjustment, mechanical ventilation and PSV adjustment required longer time to execute; p = 0.02 for the runtime of the task of connecting when first used, to the old interface; p = 0.02 for correct setting of PSV when first held in the new interface; p = 0.08 for the usability score, favoring the new interface. Conclusion: It was possible to develop a new methodology for evaluating and implementing improvements on a mechanical ventilator in ICU interface according to the heuristics.
IntroduÃÃo: Novas interfaces homem-mÃquina foram desenvolvidas para incorporar os novos modos ventilatÃrios e parÃmetros de ventilaÃÃo. MÃltiplos dados de monitorizaÃÃo e alarmes sÃo apresentados nas interfaces grÃficas, que muitos consideram ainda longe da ideal para os usuÃrios primÃrios, os profissionais de saÃde. HipÃtese:…
Advisors/Committee Members: Daniela Gardano Bucharles Mont'Alverne, Miguel Ramalho do Souto GonÃalves, Marcelo Alcantara Holanda.
Subjects/Keywords: FISIOTERAPIA E TERAPIA OCUPACIONAL; RespiraÃÃo Artificial; Unidades de Terapia Intensiva; Respiration, Artificial; Intensive Care Units
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Maia, N. P. d. S. (2014). A new method based on heuristic evaluation and realistic simulation for the development of mechanical ventilators centered on the user interface. (Masters Thesis). Universidade Federal do Ceará. Retrieved from http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=13680 ;
Chicago Manual of Style (16th Edition):
Maia, Nathalia Parente de Sousa. “A new method based on heuristic evaluation and realistic simulation for the development of mechanical ventilators centered on the user interface.” 2014. Masters Thesis, Universidade Federal do Ceará. Accessed February 27, 2021.
http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=13680 ;.
MLA Handbook (7th Edition):
Maia, Nathalia Parente de Sousa. “A new method based on heuristic evaluation and realistic simulation for the development of mechanical ventilators centered on the user interface.” 2014. Web. 27 Feb 2021.
Vancouver:
Maia NPdS. A new method based on heuristic evaluation and realistic simulation for the development of mechanical ventilators centered on the user interface. [Internet] [Masters thesis]. Universidade Federal do Ceará 2014. [cited 2021 Feb 27].
Available from: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=13680 ;.
Council of Science Editors:
Maia NPdS. A new method based on heuristic evaluation and realistic simulation for the development of mechanical ventilators centered on the user interface. [Masters Thesis]. Universidade Federal do Ceará 2014. Available from: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=13680 ;
Universidade Federal de Sergipe
9.
Layra Viviane Rodrigues Pinto Dantas.
Avaliação da dor em crianças sob ventilação mecânica invasiva em unidade de terapia intensiva pediátrica.
Degree: 2012, Universidade Federal de Sergipe
URL: http://bdtd.ufs.br/tde_busca/arquivo.php?codArquivo=1074
► A dor na criança ainda vem sendo inadequadamente abordada por equipes de saúde, o que se deve, principalmente, à dificuldade de avaliar a dor nesta…
(more)
▼ A dor na criança ainda vem sendo inadequadamente abordada por equipes de saúde, o que se deve, principalmente, à dificuldade de avaliar a dor nesta população. Em ambiente de terapia intensiva e sob ventilação mecânica, esta dificuldade tende a aumentar devido ao número escasso de instrumentos apropriados para avaliar a dor nesses indivíduos. Objetivo. Avaliar a dor em pacientes pediátricos ventilados mecanicamente e sob sedação na Unidade de Terapia Intensiva. Métodos. Participaram do estudo 35 crianças internadas na unidade de terapia intensiva pediátrica do Hospital de Urgências de Sergipe (HUSE), com idade entre 1 mês e 12 anos, que se encontravam em ventilação mecânica invasiva e sob sedação. Estas crianças foram avaliadas em três momentos: antes, durante e cinco minutos após o procedimento doloroso de gasometria arterial. A avaliação da dor foi realizada através da escala FLACC, além da mensuração das variáveis fisiológicas: freqüência cardíaca (FC), freqüência respiratória (FR), saturação parcial de oxigênio (SpO2 ) e pressão arterial (PA). Resultados: Observou-se variação significativa da FLACC (p=0,0001) entre os três momentos avaliados, com aumento do seu escore durante o estímulo doloroso. Quanto as variáveis fisiológicas, foi verificada influência da dor na FC (p= 0,03), FR (p= 0,001) e PAD (p=0,006), enquanto que a SpO2 e PAS não variaram significativamente entre os três momentos. Conclusão. As crianças ventiladas mecanicamente e sob sedação sentem dor, visto que houve aumento do escore da FLACC e de algumas variáveis fisiológicas (FC, FR, PAD) diante de um estimulo potencialmente doloroso. Esta escala apresentou adequada confiabilidade para a população estudada, assim este trabalho sugere a utilização da FLACC para avaliação da dor em crianças ventiladas mecanicamente.
Pain in children is still being inadequately addressed by health professionals, which can be due to difficulties for Pain evaluation in this population. In an intensive care environment and under mechanical ventilation, this difficulty tends to be increased due to small number of appropriate tools to measure pain in these individuals. Purpose. To measuere pain in sedated and mechanically ventilated pediatric patients in an intensive care unit. Methods. Thirty-five children participated in the search, being admitted to the pediatric intensive care unit at Sergipe Emergency Hospital (HUSE), aged between 1 month and 12 years old who were undergoing invasive mechanical ventilation and sedation. These children were evaluated in three times: before, during and five minutes after the painful procedure of arterial blood gas analysis. Pain assessment was performed using the FLACC scale, besides the measurement of physiological variables: heart rate, respiratory rate, oxygen saturation and blood pressure. Results: It was observed significant variation in FLACC (p=0,0001) scale among three moments, with an increase in their scores during painful stimulus. For the physiological variables, it was observed pain influence in heart rate (p=0,03),…
Advisors/Committee Members: Josimari Melo de Santana.
Subjects/Keywords: criança; medição da dor; terapia intensiva; respiração artificial; MEDICINA; child; pain; intensive care; artificial respiration
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Dantas, L. V. R. P. (2012). Avaliação da dor em crianças sob ventilação mecânica invasiva em unidade de terapia intensiva pediátrica. (Thesis). Universidade Federal de Sergipe. Retrieved from http://bdtd.ufs.br/tde_busca/arquivo.php?codArquivo=1074
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Dantas, Layra Viviane Rodrigues Pinto. “Avaliação da dor em crianças sob ventilação mecânica invasiva em unidade de terapia intensiva pediátrica.” 2012. Thesis, Universidade Federal de Sergipe. Accessed February 27, 2021.
http://bdtd.ufs.br/tde_busca/arquivo.php?codArquivo=1074.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Dantas, Layra Viviane Rodrigues Pinto. “Avaliação da dor em crianças sob ventilação mecânica invasiva em unidade de terapia intensiva pediátrica.” 2012. Web. 27 Feb 2021.
Vancouver:
Dantas LVRP. Avaliação da dor em crianças sob ventilação mecânica invasiva em unidade de terapia intensiva pediátrica. [Internet] [Thesis]. Universidade Federal de Sergipe; 2012. [cited 2021 Feb 27].
Available from: http://bdtd.ufs.br/tde_busca/arquivo.php?codArquivo=1074.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Dantas LVRP. Avaliação da dor em crianças sob ventilação mecânica invasiva em unidade de terapia intensiva pediátrica. [Thesis]. Universidade Federal de Sergipe; 2012. Available from: http://bdtd.ufs.br/tde_busca/arquivo.php?codArquivo=1074
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Universidade Estadual de Campinas
10.
Toneloto, Maria Gabriela Cavicchia, 1978-.
Válvula de oclusão inspiratória regulável e capnografia volumétrica na fístula broncopleural experimental : particularização terapêutica: Inspiratory occlusion adjustable valve and volumetric capnography in experimental bronchopleural fistula : therapeutic particularizartion.
Degree: 2012, Universidade Estadual de Campinas
URL: http://repositorio.unicamp.br/jspui/handle/REPOSIP/308391
► Abstract: The bronchopleural fistula (BPF) is a complication that takes to higher hospital mortality, potentially severe when associated with mechanical ventilation (MV). Thus, the purpose…
(more)
▼ Abstract: The bronchopleural fistula (BPF) is a complication that takes to higher hospital mortality, potentially severe when associated with mechanical ventilation (MV). Thus, the purpose of this study evaluating the efficacy of a valve system inspiratory occlusion adjustable through evaluation of hemodynamic parameters, arterial blood gas and respiratory in the surgical induction of experimental BPF mechanically ventilated. Were studied six pigs (25kg) underwent endotracheal intubation (ET) under MV and hemodynamically monitored with Swan-Ganz catheter. Between ET and the circuit was connected to the MV capnography sensor. Data from arterial and venous blood gases were recorded before surgical act, after induction of BPF with debt exceeding 50% of the inspired volume and each treatment with inspiratory occlusion valve regulated this in different positions of flow regulation. One end of the valve was attached to the chest tube, while the other was placed between the ET and the circuit of MV. Statistically (p <0.05), the variables that were significant were the alveolar tidal volume and rate of BPF. This model proved effective in its proposal without cause hemodynamic despite not finding the normalization of blood gases as well as no evidence of worsening compared to treatment with water seal
Advisors/Committee Members: UNIVERSIDADE ESTADUAL DE CAMPINAS (CRUESP), Falcão, Antonio Luis Eiras, 1959- (advisor), Moreira, Marcos Mello (coadvisor), Universidade Estadual de Campinas. Faculdade de Ciências Médicas (institution), Programa de Pós-Graduação em Ciências da Cirurgia (nameofprogram), Martins, Luiz Claudio (committee member), Mussi, Ricardo Kalaf (committee member), Moreno, Marlene Aparecida (committee member).
Subjects/Keywords: Fístula brônquica; Respiração artificial; Suínos; Hipercapnia; Bronchial fistula; Respiration, Artificial; Swine; Hypercapnia
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Toneloto, Maria Gabriela Cavicchia, 1. (2012). Válvula de oclusão inspiratória regulável e capnografia volumétrica na fístula broncopleural experimental : particularização terapêutica: Inspiratory occlusion adjustable valve and volumetric capnography in experimental bronchopleural fistula : therapeutic particularizartion. (Thesis). Universidade Estadual de Campinas. Retrieved from http://repositorio.unicamp.br/jspui/handle/REPOSIP/308391
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Toneloto, Maria Gabriela Cavicchia, 1978-. “Válvula de oclusão inspiratória regulável e capnografia volumétrica na fístula broncopleural experimental : particularização terapêutica: Inspiratory occlusion adjustable valve and volumetric capnography in experimental bronchopleural fistula : therapeutic particularizartion.” 2012. Thesis, Universidade Estadual de Campinas. Accessed February 27, 2021.
http://repositorio.unicamp.br/jspui/handle/REPOSIP/308391.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Toneloto, Maria Gabriela Cavicchia, 1978-. “Válvula de oclusão inspiratória regulável e capnografia volumétrica na fístula broncopleural experimental : particularização terapêutica: Inspiratory occlusion adjustable valve and volumetric capnography in experimental bronchopleural fistula : therapeutic particularizartion.” 2012. Web. 27 Feb 2021.
Vancouver:
Toneloto, Maria Gabriela Cavicchia 1. Válvula de oclusão inspiratória regulável e capnografia volumétrica na fístula broncopleural experimental : particularização terapêutica: Inspiratory occlusion adjustable valve and volumetric capnography in experimental bronchopleural fistula : therapeutic particularizartion. [Internet] [Thesis]. Universidade Estadual de Campinas; 2012. [cited 2021 Feb 27].
Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/308391.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Toneloto, Maria Gabriela Cavicchia 1. Válvula de oclusão inspiratória regulável e capnografia volumétrica na fístula broncopleural experimental : particularização terapêutica: Inspiratory occlusion adjustable valve and volumetric capnography in experimental bronchopleural fistula : therapeutic particularizartion. [Thesis]. Universidade Estadual de Campinas; 2012. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/308391
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Universidade de Brasília
11.
Mara Lisiane de Moraes dos Santos.
Estratégias ventilatórias empregadas na prevenção da lesão pulmonar induzida pela ventilação mecânica em neonatos prematuros.
Degree: 2009, Universidade de Brasília
URL: http://bdtd.bce.unb.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=5067
► Important assistance advances in neonatology had occurred in recent years; however, the ventilator-induced lung injury(VILI) continues to be an important cause of morbidity/mortality between very…
(more)
▼ Important assistance advances in neonatology had occurred in recent years; however, the ventilator-induced lung injury(VILI) continues to be an important cause of morbidity/mortality between very low birthweight(VLBW) infants with respiratory distress syndrome(RDS). The used differences in the practices during the treatment of the VLBW infants can intervene with the occurrence and gravity of the VILI. Aims: to identify and to describe the practices assistance - and the variation between these - related for doctors of Neonatal Intensive Care Unit(NICU) with program of Medical Residence in Neonatologia (RMNeo) in activity in Brazil, and for doctors who work in the NICU of the state of Mato Grosso do Sul(MS), concerning the mechanical ventilation (MV) strategies used for the prevention of the VILI in VLBW infants, and relate these practices to the best evidence currently available. The doctors were invited, by e-mail, to answer an electronic survey with questions approaching the professional profile, the availability of MV equipment and respiratory monitoring in the NICU where they work, and about to practical relative to the use of resources of respiratory monitoring, to the levels of the arterial blood gas and to the settings of the MV used as strategies for the prevention of the VILI in VLBW infants. The data were analyzed by descriptive statistics. A total of surveys 142 returned of South, Southeastern and Center-west regions of Brazil, and the MS. The majority of the participants was female(70.4%), age between 31-50 years(76.8%). More than 90% of the professionals of the South and Southeast were neonatologists, while in the Midwest and the professionals of the MS 69% and 51% were neonatologists, respectively. The doctors of the NICU with NeoRM work for over 10 years in NICU and the majority of physicians in the MS work in NICU between 1-5 years. The equipment of MV that predominate in the NICU of the participants were Inter3(90.8%) and InterNeo(68.3%). One hundred percent reported to have and to use the oximeter; 16% of that they have monitors of respiratory mechanics do not use them and 23.6% of that they have end tidalCO2 monitors do not use them. In despite of arterial blood gases and settings of MV was significant variation between the limits indicated in all variables. The maximum and minimum SaO2 and PaO2 minimum most indicated were in accordance with the evidence, although a significant percentage has indicated values higher than those recommended. The values most indicated of minimum PaCO2 were below and maximum PaCO2 and PaO2 were above the recommended. The maximum PIP, minimum PEEP and FiO2 most indicated were in accordance with the limits proposed by the best evidence, and the minimum PIP, maximum PEEP and FiO2, minimum e maximal Tidal Volume, Flow and Inspiratory Time exceeded the values recommended by the evidence. It is concluded that that great variability exists enters practices cited for the participants for the prevention of the VILI in VLBW infants, and that an expressive percentage of…
Advisors/Committee Members: Jose Aparecido Granzotto, Carmen Silvia Martimbianco de Figueiredo, Yvone Maia Brustoloni, Albert Schiaveto de Souza, Durval Batista Palhares.
Subjects/Keywords: respiration artificial; prematuro; CIENCIAS DA SAUDE; preterm infant; adverse effects; efeitos adversos; respiração artificial
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Santos, M. L. d. M. d. (2009). Estratégias ventilatórias empregadas na prevenção da lesão pulmonar induzida pela ventilação mecânica em neonatos prematuros. (Thesis). Universidade de Brasília. Retrieved from http://bdtd.bce.unb.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=5067
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Santos, Mara Lisiane de Moraes dos. “Estratégias ventilatórias empregadas na prevenção da lesão pulmonar induzida pela ventilação mecânica em neonatos prematuros.” 2009. Thesis, Universidade de Brasília. Accessed February 27, 2021.
http://bdtd.bce.unb.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=5067.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Santos, Mara Lisiane de Moraes dos. “Estratégias ventilatórias empregadas na prevenção da lesão pulmonar induzida pela ventilação mecânica em neonatos prematuros.” 2009. Web. 27 Feb 2021.
Vancouver:
Santos MLdMd. Estratégias ventilatórias empregadas na prevenção da lesão pulmonar induzida pela ventilação mecânica em neonatos prematuros. [Internet] [Thesis]. Universidade de Brasília; 2009. [cited 2021 Feb 27].
Available from: http://bdtd.bce.unb.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=5067.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Santos MLdMd. Estratégias ventilatórias empregadas na prevenção da lesão pulmonar induzida pela ventilação mecânica em neonatos prematuros. [Thesis]. Universidade de Brasília; 2009. Available from: http://bdtd.bce.unb.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=5067
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
12.
Marcelo Carneiro.
Acinetobacter baumannii multirresistente em pneumonia associada à ventilação mecânica.
Degree: 2007, Universidade Estadual de Londrina
URL: http://189.90.64.145/document/?code=vtls000129373
► Introdução: A falta de aderência às boas práticas de controle de infecção hospitalar ocasiona a emergência e disseminação de Acinetobacter baumannii multirresistente, sendo um dos…
(more)
▼ Introdução: A falta de aderência às boas práticas de controle de infecção hospitalar ocasiona a emergência e disseminação de Acinetobacter baumannii multirresistente, sendo um dos motivos do limitado arsenal terapêutico disponível em pneumonias associadas à ventilação mecânica. Objetivo: Analisar, através do ERIC-PCR, as cepas de A. baumannii do Hospital Universitário de Londrina, Paraná, Brasil. Métodos: O ERIC-PCR foi utilizado para analisar um surto de pneumonia associada à ventilação mecânica causado por A. baumannii, no período de 2003 a 2005, no Hospital Universitário de Londrina, Brasil. Resultados: De um total de 17 amostras biológicas traqueais e 12 ambientais foram encontradas duas cepas predominantes com perfil de multirresistência à drogas antimicrobianas. A sensibilidade foi verificada somente à polimixina B (100%) e à tigeciclina (100%). A pesquisa de metalo-?-lactamase foi negativa em todas as amostras analisadas. Pela análise do dendrograma por ERIC-PCR percebeu-se a predominância de dois agrupamentos com 100% de similaridade entre si e de 60% entre os dois grupos. Conclusões: A pesquisa negativa de metalo-?-lactamases determinou a existência de outros mecanismos de resistência aos carbapenens. A definição molecular de clones com alta resistência é de importância para o controle microbiológico de unidades de tratamento intensivo adulto. A utilização de ERIC-PCR é de fácil e rápida execução, facilitando a tomada de condutas pelas equipes de controle de infecção hospitalar, bem como, possibilitando definir que a transmissão cruzada pelas mãos dos profissionais de saúde contribuiu para a disseminação e pneumonias por A. baumannii multirresistente.
Introduction: The not adherence to good infection control practices promotes the spread of multidrug-resistant Acinetobacter baumannii strains. Methods: The ERIC-PCR was used to describe and retrospective survey of multidrug-resistant Acinetobacter baumannii ventilator-associated pneumonia outbreak in a Londrina University Hospital, Brazil, from 2003 to 2005. Results: Among 17 isolates recovered from the patients and 12 isolates the environmental, the molecular typing confirmed that 2 clones were the cause of outbreak and they were susceptible only to colistin (100%) and tigeciclin (90%). Conclusion: The molecular typing based in ERIC-PCR possibilited to define the cross transmission contributed to the multi-resistant Acinetobacter baumannii outbreak which increased the mortality and the costs.
Advisors/Committee Members: Halha Ostrensky Saridakis ., Ana Maria Bonametti, Maria Cristina Bronharo Tognim.
Subjects/Keywords: Microbiologia médica; Acinetobacter; Pneumonia; Respiração artificial - Complicações; Medical microbiology; Artificial respiration - Complications; Pneumonitis
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Carneiro, M. (2007). Acinetobacter baumannii multirresistente em pneumonia associada à ventilação mecânica. (Thesis). Universidade Estadual de Londrina. Retrieved from http://189.90.64.145/document/?code=vtls000129373
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Carneiro, Marcelo. “Acinetobacter baumannii multirresistente em pneumonia associada à ventilação mecânica.” 2007. Thesis, Universidade Estadual de Londrina. Accessed February 27, 2021.
http://189.90.64.145/document/?code=vtls000129373.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Carneiro, Marcelo. “Acinetobacter baumannii multirresistente em pneumonia associada à ventilação mecânica.” 2007. Web. 27 Feb 2021.
Vancouver:
Carneiro M. Acinetobacter baumannii multirresistente em pneumonia associada à ventilação mecânica. [Internet] [Thesis]. Universidade Estadual de Londrina; 2007. [cited 2021 Feb 27].
Available from: http://189.90.64.145/document/?code=vtls000129373.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Carneiro M. Acinetobacter baumannii multirresistente em pneumonia associada à ventilação mecânica. [Thesis]. Universidade Estadual de Londrina; 2007. Available from: http://189.90.64.145/document/?code=vtls000129373
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Nelson Mandela Metropolitan University
13.
Else, Liana.
Lived experiences of professional nurses caring for mechanically ventilated patients.
Degree: Faculty of Health Sciences, 2015, Nelson Mandela Metropolitan University
URL: http://hdl.handle.net/10948/8295
► Critical care nursing is a speciality that continues to evolve and transform. Critical care nurses of the 21st century routinely care for the complex, critically…
(more)
▼ Critical care nursing is a speciality that continues to evolve and transform. Critical care nurses of the 21st century routinely care for the complex, critically ill patient, integrating sophisticated technology with the accompanying psychosocial challenges and the ethical conflicts associated with critical illness – while, at the same time, addressing the needs and concerns of the family. Providing nursing care in such a dynamic and fast-track unit can pose various challenges for the critical care nurse. Professional nurses are the backbone of any health-care system. The quality of nursing directly affects the patients’ outcomes, and nursing care must therefore be rendered meticulously. Mechanical ventilator support is routinely needed for critically ill adults in these care units and is also a common therapy in sub-acute and long-term care settings. The care of the mechanically ventilated patient is the core of a professional nurse`s practice in the critical care unit. The mechanically ventilated patient presents many challenges for the professional nurse, while the critical care unit poses as a stressful environment for the professional nurse as well as the patient. The objectives of this study therefore were to explore and describe the lived experiences of professional nurses while caring for mechanically ventilated patients, and to develop recommendations to support professional nurses while caring for mechanically ventilated patients. A qualitative, explorative, descriptive and contextual research design was utilised. Data was collected by means of semi-structured interviews and analysed according to the framework provided by Tesch. Purposive sampling was used to select a sample of professional nurses working in a critical care environment. Guba’s model was utilised to verify data and to ensure trustworthiness of the study. Ethical principles were adhered to throughout this research study. With the analysed data, recommendations were to support professional nurses while caring for mechanically ventilated.
Subjects/Keywords: Respiratory intensive care; Respiratory therapy; Respirators (Medical equipment); Artificial respiration
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Else, L. (2015). Lived experiences of professional nurses caring for mechanically ventilated patients. (Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/8295
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Else, Liana. “Lived experiences of professional nurses caring for mechanically ventilated patients.” 2015. Thesis, Nelson Mandela Metropolitan University. Accessed February 27, 2021.
http://hdl.handle.net/10948/8295.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Else, Liana. “Lived experiences of professional nurses caring for mechanically ventilated patients.” 2015. Web. 27 Feb 2021.
Vancouver:
Else L. Lived experiences of professional nurses caring for mechanically ventilated patients. [Internet] [Thesis]. Nelson Mandela Metropolitan University; 2015. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10948/8295.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Else L. Lived experiences of professional nurses caring for mechanically ventilated patients. [Thesis]. Nelson Mandela Metropolitan University; 2015. Available from: http://hdl.handle.net/10948/8295
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Hong Kong
14.
Hui, Chi-hoi.
Nurse-led non-invasive
mechanical ventilation guideline for acute pulmonary oedema
patients in acute medical wards.
Degree: 2011, University of Hong Kong
URL: http://hdl.handle.net/10722/143180
Subjects/Keywords: Artificial respiration.;
Pulmonary edema.
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Hui, C. (2011). Nurse-led non-invasive
mechanical ventilation guideline for acute pulmonary oedema
patients in acute medical wards. (Thesis). University of Hong Kong. Retrieved from http://hdl.handle.net/10722/143180
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Hui, Chi-hoi. “Nurse-led non-invasive
mechanical ventilation guideline for acute pulmonary oedema
patients in acute medical wards.” 2011. Thesis, University of Hong Kong. Accessed February 27, 2021.
http://hdl.handle.net/10722/143180.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Hui, Chi-hoi. “Nurse-led non-invasive
mechanical ventilation guideline for acute pulmonary oedema
patients in acute medical wards.” 2011. Web. 27 Feb 2021.
Vancouver:
Hui C. Nurse-led non-invasive
mechanical ventilation guideline for acute pulmonary oedema
patients in acute medical wards. [Internet] [Thesis]. University of Hong Kong; 2011. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10722/143180.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Hui C. Nurse-led non-invasive
mechanical ventilation guideline for acute pulmonary oedema
patients in acute medical wards. [Thesis]. University of Hong Kong; 2011. Available from: http://hdl.handle.net/10722/143180
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Universidade Estadual de Campinas
15.
Carvalho, Fabiana Lima, 1974-.
Incidência das complicações da assistência ventilatória nos recém-nascidos internados em uma Unidade de Terapia Intensiva Neonatal: Incidence of complications of mechancial ventilation in neonates admitted to a Neonatal Intensive Care Unit.
Degree: 2015, Universidade Estadual de Campinas
URL: http://repositorio.unicamp.br/jspui/handle/REPOSIP/310791
► Abstract: To determine the incidence and factors associated with complications resulting from mechanical ventilation in newborns.Outcomes: A prospective cohort study to determine the frequency of…
(more)
▼ Abstract: To determine the incidence and factors associated with complications resulting from mechanical ventilation in newborns.Outcomes: A prospective cohort study to determine the frequency of complications of mechanical ventilation (MV) and their risk factors, in a period of 23 months in 222 newborns. The complications studied were air leak syndrome (pneumothorax, pneumomediastinum, pneumoperitoneum, pneumopericardium, pulmonary interstitial emphysema, venous air embolism, subcutaneous emphysema); those related to airway trauma ( laryngeal stenosis, granuloma, vocal cord paralysis and erosion, laryngeal stridor and columellar injury); infectious complications ( pneumonias and sepsis); pulmonary atelectasis and accidental extubation. They were studied as risk factors maternal and neonatal variables. The maternal risk factors studied were: parity, prenatal care and number of consultations, type of delivery, maternal disease, maternal race, maternal age, presence of rupture of membranes. The neonatal variables studied were: gender, birthweight, gestational age, disease indicating the need for RS, route of intubation, total duration of respiratory support, length of MV until the first complication, use of sedation, higher peak inspiratory pressure (PIP) used, length of hospital stay, endotracheal tube malpostion immediately after intubation and tube malposition during MV. For statistical analysis we used the Chi-square test and Mann-Whitney and the analysis of univariate and multiple Cox regression. Results: There were 229 complications associated with MV in 111 subjects (50%), with a mean of 2.06 events per paciente. The most frequent complications were accidental extubation, pulmonary atelectasis, stridor and sepsis. The variables associated with complications due to MV were birthweight lower than 1500g (RR=1.610; CI95%=1.099-2.359; p=00145), each gestational week earlier than the due date (RR=1.051;CI95%=1.097-1.007; p=0,0223), a two fold or higher rate of endotracheal tube malposition during intubation (RR=2.085; CI95%=1.268-3.424;p=0,0038), one event of malposition during MV (RR=1.848; CI95%=1.189-2.872; p= 0,0064) and two or more events of tube malposition during MV (RR=2.508; CI95%=1.454-4.327; p=0,0010). The total duration of MV and length of hospital stay were significantly higher in the group with complications (p<0,001). On multiple regression analysis, the independent predictors of MV were: one event of tube malposition during MV (RR=1.848; CI95%=1.189-2.872; p=0,064) and a two fold or higher rate of tube malposition during MV (RR=2.508; CI95%=1.454-4.327; p= 0,0010).Conclusion: Complications of MV affected 50% of the sample, and tube malposition was the only independent predictor for complications, with risk of 1,8 times higher (one event of malposition) and 2,5 times higher (two or more events of tube malposition)
Advisors/Committee Members: UNIVERSIDADE ESTADUAL DE CAMPINAS (CRUESP), Mezzacappa, Maria Aparecida Marques dos Santos, 1956- (advisor), Universidade Estadual de Campinas. Faculdade de Ciências Médicas (institution), Programa de Pós-Graduação em Saúde da Criança e do Adolescente (nameofprogram), Martinez, Francisco Eulogio (committee member), Johnston, Cintia (committee member), Carmona, Elenice Valentim (committee member), Marba, Sérgio Tadeu Martins (committee member).
Subjects/Keywords: Respiração artificial; Recém-nascidos; Terapia intensiva; Articicial respiration; Newborn; Intensive care
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Carvalho, Fabiana Lima, 1. (2015). Incidência das complicações da assistência ventilatória nos recém-nascidos internados em uma Unidade de Terapia Intensiva Neonatal: Incidence of complications of mechancial ventilation in neonates admitted to a Neonatal Intensive Care Unit. (Thesis). Universidade Estadual de Campinas. Retrieved from http://repositorio.unicamp.br/jspui/handle/REPOSIP/310791
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Carvalho, Fabiana Lima, 1974-. “Incidência das complicações da assistência ventilatória nos recém-nascidos internados em uma Unidade de Terapia Intensiva Neonatal: Incidence of complications of mechancial ventilation in neonates admitted to a Neonatal Intensive Care Unit.” 2015. Thesis, Universidade Estadual de Campinas. Accessed February 27, 2021.
http://repositorio.unicamp.br/jspui/handle/REPOSIP/310791.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Carvalho, Fabiana Lima, 1974-. “Incidência das complicações da assistência ventilatória nos recém-nascidos internados em uma Unidade de Terapia Intensiva Neonatal: Incidence of complications of mechancial ventilation in neonates admitted to a Neonatal Intensive Care Unit.” 2015. Web. 27 Feb 2021.
Vancouver:
Carvalho, Fabiana Lima 1. Incidência das complicações da assistência ventilatória nos recém-nascidos internados em uma Unidade de Terapia Intensiva Neonatal: Incidence of complications of mechancial ventilation in neonates admitted to a Neonatal Intensive Care Unit. [Internet] [Thesis]. Universidade Estadual de Campinas; 2015. [cited 2021 Feb 27].
Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/310791.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Carvalho, Fabiana Lima 1. Incidência das complicações da assistência ventilatória nos recém-nascidos internados em uma Unidade de Terapia Intensiva Neonatal: Incidence of complications of mechancial ventilation in neonates admitted to a Neonatal Intensive Care Unit. [Thesis]. Universidade Estadual de Campinas; 2015. Available from: http://repositorio.unicamp.br/jspui/handle/REPOSIP/310791
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
16.
Brouwer, Lindie Estelle.
Diaphragm contractile activity during mechanical ventilation.
Degree: MScPhysio, Health, 2018, Stellenbosch University
URL: http://hdl.handle.net/10019.1/103708
► ENGLISH SUMMARY : Introduction: Mechanical ventilation has been shown to have detrimental effects on the diaphragm, causing extubation failure. Diaphragm ultrasound has recently been investigated…
(more)
▼ ENGLISH SUMMARY : Introduction:
Mechanical ventilation has been shown to have detrimental effects on the diaphragm, causing extubation failure. Diaphragm ultrasound has recently been investigated as a measurement technique that could identify diaphragm dysfunction in real-time. Investigation of diaphragm function and the impact thereof on patient outcome could inform us of the behaviour of the diaphragm muscle during mechanical ventilation.
Methods: A Scoping review was done to investigate the effect of mechanical ventilation on the diaphragm. Six databases were searched using a specific search strategy. Predefined inclusion criteria were used to identify papers suitable for the review. The primary investigator used a systematic process to identify suitable papers and extract data into an Excel spreadsheet. Data was used to inform the planning of the primary research study. A prospective observational cohort study was conducted to determine the effect of diaphragm contractile activity on extubation success in mechanically ventilated patients. Mechanically ventilated participants were recruited on admission to the intensive care unit. Sonographic measurements of the diaphragm were taken daily until extubation, and respiratory muscle strength measurements were taken within 24 hours of extubation. Diaphragm thickness (Tdi), diaphragm thickening fraction (DTF) and daily rate of change in both Tdi and DTF related to the previous day were calculated. Patient outcomes were reported by two variables: extubation outcome and duration of ventilation. Associations between diaphragm and inspiratory measurements were reported using Spearman’s correlations, and between-group differences were analysed by means of Mann-Whitney U tests and ANOVA graphs. A p-value of <0.05 was used to indicate significance.
Results: Six hundred and thirty-seven articles were assessed for inclusion into the scoping review. Fifty-six papers were included in the review. Diaphragm assessment techniques, ventilation modes, cellular changes to the diaphragm and confounding factors were reported. Similar techniques were reported regarding diaphragm contractile activity and Tdi measurements, however results were contrasting, especially concerning patient outcome. Sixty-eight participants were included in the primary study. Fifty-four participants passed extubation. The mean age of the sample was 45.1 years (SD = 16.9). Neither age, gender, comorbidities, smoking nor alcohol use were different in success versus failed extubation groups. Baseline Tdi measurement was significantly higher in failed than successful extubation groups (p=0.033), and a significant moderately positive association was found between baseline Tdi and total duration of mechanical ventilation (r=0.412, p<0.01). Baseline DTF did not differ between failed and successful extubation groups (p>0.05). Baseline Tdi was not associated with maximal inspiratory pressure (r=0.02, p=0.901).
Conclusion: Several diaphragmatic assessment techniques exist, however there are discrepancies within the…
Advisors/Committee Members: Hanekom, Susan D., Koegelenberg, Coenie F. N., Lupton-Smith, Alison, Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health & Rehabilitation Sciences. Physiotherapy..
Subjects/Keywords: Artificial respiration – Complications; Extubation failure; Diaphragm – Ultrasonic imaging; UCTD
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Brouwer, L. E. (2018). Diaphragm contractile activity during mechanical ventilation. (Masters Thesis). Stellenbosch University. Retrieved from http://hdl.handle.net/10019.1/103708
Chicago Manual of Style (16th Edition):
Brouwer, Lindie Estelle. “Diaphragm contractile activity during mechanical ventilation.” 2018. Masters Thesis, Stellenbosch University. Accessed February 27, 2021.
http://hdl.handle.net/10019.1/103708.
MLA Handbook (7th Edition):
Brouwer, Lindie Estelle. “Diaphragm contractile activity during mechanical ventilation.” 2018. Web. 27 Feb 2021.
Vancouver:
Brouwer LE. Diaphragm contractile activity during mechanical ventilation. [Internet] [Masters thesis]. Stellenbosch University; 2018. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10019.1/103708.
Council of Science Editors:
Brouwer LE. Diaphragm contractile activity during mechanical ventilation. [Masters Thesis]. Stellenbosch University; 2018. Available from: http://hdl.handle.net/10019.1/103708
Stellenbosch University
17.
Terhart, Maxine Nati.
Paediatric diaphragm function and mechanical ventilation.
Degree: MScPhysio, Health, 2018, Stellenbosch University
URL: http://hdl.handle.net/10019.1/103643
► ENGLISH SUMMARY : Introduction: A relationship between diaphragm dysfunction and poor mechanical ventilation outcomes, such as prolonged duration of mechanical ventilation, weaning difficulties and extubation…
(more)
▼ ENGLISH SUMMARY : Introduction: A relationship between diaphragm dysfunction and poor mechanical ventilation outcomes, such as prolonged duration of mechanical ventilation, weaning difficulties and extubation failure have been identified in the adult population. Most of the research of diaphragm dysfunction during mechanical ventilation has been done in the adult population and data in the paediatric population are lacking. The aim of this thesis is to report on diaphragm function in mechanically ventilated paediatric patients.
Methods: A literature overview was done to describe mechanical ventilation weaning practices in the paediatric population; as well as underlying reasons for extubation failure in the paediatric population. Available data on weaning and extubation failure in the critically ill paediatric population were summarised. A pilot study was performed to describe the inter- and intra-rater reliability of diaphragmatic ultrasound to measure diaphragm thickness in mechanically ventilated infants and children. Two researchers measured diaphragm thickness using ultrasound in five mechanically ventilated infants and children to compare measures. A prospective observational study was performed to describe diaphragm function in mechanically ventilated infants and children. Diaphragmatic ultrasound was used to measure diaphragm resting thickness and diaphragm contractile activity, and surface electromyography was used to measure diaphragm electrical activity over a period of mechanical ventilation. Serial measures were taken each day of mechanical ventilation and patients were followed up until two days after extubation.
Results: The literature overview results showed no consensus in current clinical practice on weaning criteria or protocols, and most current practice is guided by results from adult studies. Several factors have been identified in the paediatric population that may predispose to extubation failure. Respiratory muscle function has been identified as a factor that should be assessed before an extubation attempt as it may be a contributing factor to successful extubation. Diaphragmatic ultrasound has shown to have excellent intra-rater (Intraclass correlation coefficients between 0.77 and 0.98) and inter-rater (Intraclass correlation coefficient: 0.94) reliability to measure diaphragm thickness in mechanically ventilated infants and children. Diaphragmatic ultrasound and surface electromyography are feasible and safe to use to measure diaphragm resting thickness, contractile activity and electrical activity in mechanically ventilated infants and children. Changes in diaphragm function occurred during mechanical ventilation in infants and children, although all measures seem to remain within a common range in the paediatric population. Scatter plots showed that changes in diaphragm contractile activity were associated with increased mechanical ventilation duration, although not statistically significant; no other associations were made between diaphragm function and mechanical ventilation…
Advisors/Committee Members: Hanekom, Susan Dorothea, Morrow, Brenda, Lupton-Smith, Alison, Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health & Rehabilitation Sciences. Physiotherapy..
Subjects/Keywords: Paediatrics; Diaphragm function; Artificial respiration – Complications; Mechanical ventilation; UCTD
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Terhart, M. N. (2018). Paediatric diaphragm function and mechanical ventilation. (Masters Thesis). Stellenbosch University. Retrieved from http://hdl.handle.net/10019.1/103643
Chicago Manual of Style (16th Edition):
Terhart, Maxine Nati. “Paediatric diaphragm function and mechanical ventilation.” 2018. Masters Thesis, Stellenbosch University. Accessed February 27, 2021.
http://hdl.handle.net/10019.1/103643.
MLA Handbook (7th Edition):
Terhart, Maxine Nati. “Paediatric diaphragm function and mechanical ventilation.” 2018. Web. 27 Feb 2021.
Vancouver:
Terhart MN. Paediatric diaphragm function and mechanical ventilation. [Internet] [Masters thesis]. Stellenbosch University; 2018. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10019.1/103643.
Council of Science Editors:
Terhart MN. Paediatric diaphragm function and mechanical ventilation. [Masters Thesis]. Stellenbosch University; 2018. Available from: http://hdl.handle.net/10019.1/103643
Nelson Mandela Metropolitan University
18.
[No author].
The perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit.
Degree: Faculty of Health Sciences, 2015, Nelson Mandela Metropolitan University
URL: http://hdl.handle.net/10948/3115
► Life-support treatment is regarded as the support of vital functions of respiration and circulation such as mechanical ventilation and inotropic support, and life-sustaining therapy which…
(more)
▼ Life-support treatment is regarded as the support of vital functions of respiration and circulation such as mechanical ventilation and inotropic support, and life-sustaining therapy which incorporate therapies such as artificial hydration, nutrition and haemodialysis. Life-support treatment is rendered to critically ill patients within the intensive care units. However, when treatment options are maximised, and the patient’s condition is unchanged, a decision is often made to withdraw treatment. Professional nurses are usually involved in the process of withdrawal of life-support treatment as they care for this population of patients. The study followed a qualitative, explorative, descriptive and contextual research paradigm in order to explore and describe the perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit. Data was collected by means of interviews, which were transcribed according to Tesch’s method of analysis. Field notes were used to supplement the data findings. Based on the data collected, it is clear that professional nurses experience difficulties when performing withdrawal of life-support treatment. There are a number of communication concerns which need to be addressed and suggestions were also made by the interview participants regarding these concerns. The study makes recommendations to assist professional nurses with the process of withdrawing life-support treatment in a private intensive care unit. The findings of the study will be disseminated to the relevant hospital and unit managers. Ethical principles were maintained throughout the study by adhering to the principles of privacy, confidentiality, anonymity and beneficence.
Subjects/Keywords: Artificial respiration; Cardiotonic agents; Life support systems (Critical care)
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
author], [. (2015). The perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit. (Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/3115
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
author], [No. “The perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit.” 2015. Thesis, Nelson Mandela Metropolitan University. Accessed February 27, 2021.
http://hdl.handle.net/10948/3115.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
author], [No. “The perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit.” 2015. Web. 27 Feb 2021.
Vancouver:
author] [. The perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit. [Internet] [Thesis]. Nelson Mandela Metropolitan University; 2015. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10948/3115.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
author] [. The perceptions of professional nurses with regard to the process of withdrawing life-support treatment in a private intensive care unit. [Thesis]. Nelson Mandela Metropolitan University; 2015. Available from: http://hdl.handle.net/10948/3115
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Columbia University
19.
Karamolegkos, Nikolaos.
Modeling and Estimation of Cardiorespiratory Function, with Application to Mechanical Ventilation.
Degree: 2018, Columbia University
URL: https://doi.org/10.7916/D8H14JC3
► Evidence-based medicine is at the heart of current medical practice where clinical decisions are driven by research data. However, most current therapy recommendations follow generalized…
(more)
▼ Evidence-based medicine is at the heart of current medical practice where clinical decisions are driven by research data. However, most current therapy recommendations follow generalized protocols and guidelines that are based on epidemiological (population) studies and thus not suited for the individual patient's demands. Patient-tailored therapies are considered, hence, an unmet clinical need. We believe that mathematical models of the physiology can attend to such a clinical need, because they can be tuned to the individual patient. Such models provide a sound mathematical framework for personalized clinical decisions. In particular, physiological models in medicine can serve the following two purposes: 1) They can be an efficient tool to quantify cardiopulmonary dynamics, conduct virtual clinical/physiological experiments, and investigate the effects of specific treatments. 2) Model-based estimation techniques can assess physiological parameters or variables, which are otherwise impractical or dangerous to measure; they can effectively tune a generic model to become patient-specific, able to mimic the behavior of a particular patient.
In this thesis, we propose a series of modifications to a previously developed cardiopulmonary model (CP Model) in order to better replicate heart-lung interaction phenomena that are typically observed under mechanical ventilation, hence allowing for a more accurate analysis of ventilation-induced changes in cardiac function. The response of this modified model is validated with experimental data collected during mechanical ventilation conditions.
Further, as an industrial application of mathematical models, we present a patient emulator system that comprises the modified CP Model, a physical ventilator, and a piston-cylinder arrangement that serves as an electrical-to-hydraulic transducer. The modified CP Model then serves as the virtual patient that is being ventilated, where disease conditions can be instilled. Such a system is designed to offer a well-controlled experimental environment for ventilator manufacturers to efficaciously test and compare ventilation modalities and therapies, thereby enhancing their verification and validation manufacturing processes.
Finally, we develop a model-based approach to estimate (noninvasively) the function of the cardiovascular system, in terms of cardiac performance (i.e., cardiac output) and the dynamics of the systemic arterial tree (i.e., time constant). With this technique, we envision to provide continuous and real-time bedside monitoring of changes in cardiovascular function, such as those induced by changes in ventilator settings.
Subjects/Keywords: Biomedical engineering; Artificial respiration; Cardiopulmonary system; Human physiology – Mathematical models
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Karamolegkos, N. (2018). Modeling and Estimation of Cardiorespiratory Function, with Application to Mechanical Ventilation. (Doctoral Dissertation). Columbia University. Retrieved from https://doi.org/10.7916/D8H14JC3
Chicago Manual of Style (16th Edition):
Karamolegkos, Nikolaos. “Modeling and Estimation of Cardiorespiratory Function, with Application to Mechanical Ventilation.” 2018. Doctoral Dissertation, Columbia University. Accessed February 27, 2021.
https://doi.org/10.7916/D8H14JC3.
MLA Handbook (7th Edition):
Karamolegkos, Nikolaos. “Modeling and Estimation of Cardiorespiratory Function, with Application to Mechanical Ventilation.” 2018. Web. 27 Feb 2021.
Vancouver:
Karamolegkos N. Modeling and Estimation of Cardiorespiratory Function, with Application to Mechanical Ventilation. [Internet] [Doctoral dissertation]. Columbia University; 2018. [cited 2021 Feb 27].
Available from: https://doi.org/10.7916/D8H14JC3.
Council of Science Editors:
Karamolegkos N. Modeling and Estimation of Cardiorespiratory Function, with Application to Mechanical Ventilation. [Doctoral Dissertation]. Columbia University; 2018. Available from: https://doi.org/10.7916/D8H14JC3
University of Hong Kong
20.
Tang, Siu-ting, Alvin.
Implementation and
evaluation of evidence-based practice guidelines for open
endotracheal suctioning in mechanically-ventilated adult
patients.
Degree: 2013, University of Hong Kong
URL: http://hdl.handle.net/10722/193027
► Endotracheal suctioning is a procedure performed on a daily basis in hospitals, and is mostly take place in intensive care units (ICUs). (Annapoorna, 2005; Day…
(more)
▼ Endotracheal suctioning is a procedure
performed on a daily basis in hospitals, and is mostly take place
in intensive care units (ICUs). (Annapoorna, 2005; Day et al,
2009). It helps removing sputum or secretion out from patients’
trachea. For patients who are under mechanical ventilation, this
procedure is vital to maintain their airway patency when they are
intubated with endotracheal tube or tracheostomized (Finucane &
Santora, 2003). However, the procedure has its own risk and
complications such as hypoxaemia, atelectasis, cardiovascular
instability and more (Thomson, 2000). There are in general two
types of endotracheal suctioning: open and closed system. As
disconnection of mechanical ventilation from patients is needed for
open endotracheal suctioning (OES), it has a higher risk of
complications. However, the cost for OES is much cheaper compared
to the closed system. Although OES is widely used in Hong Kong,
there is no evidence-based guideline for nurses to follow. The
guideline developed by American Association of Respiratory Care
(2010) is lack of specificity on the target population and its
recommendations were based on mixed literatures targeting on adult
and infant patients. Therefore, the aim of this dissertation is to
develop an evidence-based guideline for OES in adult patients under
mechanical ventilation in ICU.
To develop a guideline for OES,
search was performed in multiple electronic databases (British
Nursing Index, CINAHL, Cochrane Library, Ovid MEDLINE, and PubMed)
with keywords related to OES and its complications. A total of 457
studies fulfilled the inclusion criteria and 11 of them were
selected. The selected studies were evaluated by quality appraisal
checklists, which are developed by Scottish Intercollegiate
Guidelines Network (SIGN). Data were extracted for developing the
guideline.
Evidence have shown that the incidence of post-OES
hypoxemia can be reduced by performing hyperoxygenation with 100%
oxygen for 4-6 breaths prior and after each open endotracheal
suction, accompanying with hyperinflation with 150% of patient’s
tidal volume at most 8 breaths/40 seconds delivered by ventilator
and prohibiting normal saline instillation into trachea for
diluting the sputum. The grades of the recommendations in the
guideline were rated with using of the SIGN grading system. The
implementation potential was analyzed by the patients’
characteristics, transferability of the findings, feasibility of
implementation and cost-benefit ratio.
A 12-month implementation
program was developed including communication with stakeholders,
4-week pilot testing, and training of ICU staffs, and
implementation of OES guideline. The effectiveness of the guideline
will be evaluated based on the primary outcome (i.e. oxygen level
in blood) for detecting the incidence of hypoxemia. Also, the
acceptability of the guideline, compliance of the guideline,
financial cost reduction and better quality of service will be used
as other evaluation indicators.
Subjects/Keywords: Trachea
- Intubation;
Artificial respiration
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Tang, Siu-ting, A. (2013). Implementation and
evaluation of evidence-based practice guidelines for open
endotracheal suctioning in mechanically-ventilated adult
patients. (Thesis). University of Hong Kong. Retrieved from http://hdl.handle.net/10722/193027
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Tang, Siu-ting, Alvin. “Implementation and
evaluation of evidence-based practice guidelines for open
endotracheal suctioning in mechanically-ventilated adult
patients.” 2013. Thesis, University of Hong Kong. Accessed February 27, 2021.
http://hdl.handle.net/10722/193027.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Tang, Siu-ting, Alvin. “Implementation and
evaluation of evidence-based practice guidelines for open
endotracheal suctioning in mechanically-ventilated adult
patients.” 2013. Web. 27 Feb 2021.
Vancouver:
Tang, Siu-ting A. Implementation and
evaluation of evidence-based practice guidelines for open
endotracheal suctioning in mechanically-ventilated adult
patients. [Internet] [Thesis]. University of Hong Kong; 2013. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10722/193027.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Tang, Siu-ting A. Implementation and
evaluation of evidence-based practice guidelines for open
endotracheal suctioning in mechanically-ventilated adult
patients. [Thesis]. University of Hong Kong; 2013. Available from: http://hdl.handle.net/10722/193027
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Hong Kong
21.
Cheung, Mei-yee.
An evidence-based
guideline on early mobilization of mechanically ventilated
patients.
Degree: 2013, University of Hong Kong
URL: http://hdl.handle.net/10722/193050
► Background Severe impairment of physiologic functioning brings the focus of intensive care unit (ICU) on the reversal of acute organ failure which will threaten one’s…
(more)
▼ Background
Severe impairment of physiologic
functioning brings the focus of intensive care unit (ICU) on the
reversal of acute organ failure which will threaten one’s survival
if it is left untreated (Morris, 2007). Providing respiratory
support to majority of ICU patients, mechanical ventilation (MV) is
a life saving intervention. MV patients constitute one-third of ICU
patients worldwide and 46% of them are put on ventilator support
more than 24 hours having the mean duration ranged from 15.4 to
33.2 days (Adler & Malone, 2012).
The aim of ICU care places
most of the attention on resuscitation and survival while the
neuromuscular functioning is often overlooked as raised by a number
of recent studies. Poor physical functioning was reported by all
the patients due to loss of muscle mass, muscle weakness and
fatigue (Herridge et al., 2011). Only 50% of them got employed 1
year after recovery while the rest of them were still unemployed
because of persistent fatigue, poor functional status like foot
drop and large joint immobility (Herridge at al., 2011).
ICU-acquired weakness accounts for neuropathies and myopathies
after recovery from critically illness and respiratory failure as
manifested by loss of body mass, severe weakness and physical
dysfunction (Cheung et al., 2006). De Jonghe and colleagues (2002)
found that 25% of MV patients developed the ICU-acquired weakness
and they determined MV as one of the key etiologies. Kasper and
colleagues (2002) stressed that muscle atrophy happens within a few
hours of bed rest having 4% to 5% depreciation of muscle strength
for one week bed rest. Moreover, insulin resistance appears after
merely 5 days of bed rest. On the other hand, immobility interferes
baroreceptors bringing hypotension and tachycardia, giving rise to
reduced cardiac output and gaseous exchange therefore deterioration
of cardiac function (Convertino, Bloomfield & Greenleaf, 1997).
It is obvious that a viscous cycle is present while leaving
survivors from recovery of critical illness immobilized.
Mobilizing MV patients can train up their limb power and their ADL
ability (Burtin et al., 2009; Chiang, Wang, Wu, Wu, & Wu, 2005;
Martin, Hincapie, Nimchuk, Gaughan, & Criner, 2005). Burtin and
colleagues (2009) illustrated that patients receiving mobilization
program had a better score in SF-36PF showing the attainment of
better quality of life (QOL). Early mobilization can increase the
number of day of ventilator free (Schweickert et al., 2009) and
shortening ICU and hospital length of stay (Morris et al., 2008).
Purpose
The dissertation is aiming at seeking for the best
evidence to establish an evidence – based mobilization guideline
for those mechanically ventilated patients. The goal is to
optimizing the physical outcomes of mechanically ventilated
critically ill patients.
Method
The three electronic databases
including Medline (Ovid SP), CINAHL (Ovid SP),
PudMed and Cochrane
Library were searched through while doing the systematic
search of
scientific literature. Subsequently, five articles…
Subjects/Keywords: Artificial respiration;
Intensive care nursing
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Cheung, M. (2013). An evidence-based
guideline on early mobilization of mechanically ventilated
patients. (Thesis). University of Hong Kong. Retrieved from http://hdl.handle.net/10722/193050
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Cheung, Mei-yee. “An evidence-based
guideline on early mobilization of mechanically ventilated
patients.” 2013. Thesis, University of Hong Kong. Accessed February 27, 2021.
http://hdl.handle.net/10722/193050.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Cheung, Mei-yee. “An evidence-based
guideline on early mobilization of mechanically ventilated
patients.” 2013. Web. 27 Feb 2021.
Vancouver:
Cheung M. An evidence-based
guideline on early mobilization of mechanically ventilated
patients. [Internet] [Thesis]. University of Hong Kong; 2013. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10722/193050.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Cheung M. An evidence-based
guideline on early mobilization of mechanically ventilated
patients. [Thesis]. University of Hong Kong; 2013. Available from: http://hdl.handle.net/10722/193050
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Hong Kong
22.
張慧琪.
The use of humidification
system to reduce the work of breathing in mechanical ventilated
patients.
Degree: 2013, University of Hong Kong
URL: http://hdl.handle.net/10722/193078
► Critically ill patients in an intensive care unit (ICU) often require mechanical ventilation (MV). Humidification systems are essential devices for MV which replace the natural…
(more)
▼ Critically ill patients in an intensive care
unit (ICU) often require mechanical ventilation (MV).
Humidification systems are essential devices for MV which replace
the natural heat and moisture exchange process of inspired gases. A
heat and moisture exchanger (HME) is commonly used for the
humidification of MV patients in ICU. In contrast, a heated
humidifier (HH) that is a more complicated device is used only for
prolonged MV patients because of its higher cost and nurse
workload. However, HME may increase the breathing workload of
patients, thereby inflicting damage to their respiratory function,
especially among respiratory failure patients. However, there was
no evidence-based guideline that instructs nurses on choosing
humidification devices in ICU.
This dissertation aimed to 1)
evaluate the current evidence and formulate evidence-based
guideline in selecting a humidification device for mechanically
ventilated acute respiratory distress syndrome (ARDS) patients in
reducing the risks of breathing workload; 2) assess its
implementation potential, as well as its feasibility and
transferability; and 3) develop implementation strategies and
evaluation plans for the use of this device in an adult ICU.
Three electronic databases, namely, Proquest, Ovid, and Google
Scholar, were searched for randomized controlled trials (RCTs) of
humidification systems for MV. Eight articles were retrieved. Their
reference lists were read and found two additional RCT. Four
high-quality RCT showed that HH increased the breathing workload
more than HME. Several studies showed that HME has potential
drawbacks of significantly increase airway resistance, minute
ventilation, CO2 retention, and respiratory discomfort. However,
studies showed that no significant difference of
ventilator-associated pneumonia (VAP) rate between HME and HH. The
initial application of HME is safer and less costlyl. However,
prolonged use of HME in ARDS patients may induce further workload
on the respiratory system and worsen treatment progress.
An
evidence-based clinical guideline in choosing the humidification
system was formulated and assessed using the appraisal instruments
of Scottish Intercollegiate Guideline Network. It is deemed to be
transferable with patient characteristics, clinical situation, and
organizational infrastructure similar to studies evaluated the
suggested innovation. Feasibility was also assessed and is
considered to be high. The setup and running cost per year were
HKD17450 and HKD6600. Although the humidification system had no
actual cost reduction, non-material benefits such as prevention of
tube blockage, reduction in breathing workload, and respiratory
discomfort were more important than the cost.
An implementation
plan including a one-month communication plan with stakeholders and
one-month pilot testing were developed. The evaluation of the
guideline will last for 10 months. The effectiveness of the
innovation will be determined by the reduction in breathing
workload, cost and benefit ratio, and staff satisfaction
level.
Subjects/Keywords: Respiratory intensive care;
Artificial respiration
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
張慧琪. (2013). The use of humidification
system to reduce the work of breathing in mechanical ventilated
patients. (Thesis). University of Hong Kong. Retrieved from http://hdl.handle.net/10722/193078
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
張慧琪. “The use of humidification
system to reduce the work of breathing in mechanical ventilated
patients.” 2013. Thesis, University of Hong Kong. Accessed February 27, 2021.
http://hdl.handle.net/10722/193078.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
張慧琪. “The use of humidification
system to reduce the work of breathing in mechanical ventilated
patients.” 2013. Web. 27 Feb 2021.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Vancouver:
張慧琪. The use of humidification
system to reduce the work of breathing in mechanical ventilated
patients. [Internet] [Thesis]. University of Hong Kong; 2013. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10722/193078.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
張慧琪. The use of humidification
system to reduce the work of breathing in mechanical ventilated
patients. [Thesis]. University of Hong Kong; 2013. Available from: http://hdl.handle.net/10722/193078
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Not specified: Masters Thesis or Doctoral Dissertation
University of Hong Kong
23.
Chui, On-lan.
An evidenced-based oral
care guideline of intubated patients.
Degree: 2013, University of Hong Kong
URL: http://hdl.handle.net/10722/193082
► Ventilator-associated pneumonia (VAP) is a kind of frequently hospital-acquired infection that increases morbidity and mortality in patients in intensive care units (ICU), which would in…
(more)
▼ Ventilator-associated pneumonia (VAP) is a
kind of frequently hospital-acquired infection that increases
morbidity and mortality in patients in intensive care units (ICU),
which would in turn increase length of ICU stay, cost of hospital
stay, and duration of mechanical intubation. Pneumonia appeared
within 48 hours before onset of infection in people whose
respiration is mechanically supported through endotracheal tube or
tracheostomy is ventilator-associated pneumonia. Combating VAP is a
major challenge in ICU as almost all ICU patients require
mechanical intubation. Development of evidence-based methods to
reduce the incidence and prevalence of VAP becomes an important
issue in ICU.
The objectives of this dissertation are to conduct
a thorough search of current evidence on the effectiveness of using
different concentration, frequency of application, method of
application and amount of chlorhexidine gluconate solution for oral
care of adult intubated patients in reducing VAP incidence rate.
MEDLINE (OvidSP), CINAHL PLUS (EBSCOhost), PubMed and British
Nursing Index were used to conduct electronic search using keywords
related to VAP. A total of 99 studies were identified and seven
were selected according to inclusion criteria. The quality of the
seven selected studies was tested using The Scottish
Intercollegiate Guidelines Network (2008) tools for randomized
controlled trials, and the evidence level coding from Scottish
Intercollegiate Guidelines Network was used in grading of
recommendations. Six studies were rated as high quality, which oral
care using chlorhexidine gluconate solution had shown statistically
significant VAP incidence rate reduction or VAP-related parameters
improvement.
Analysis on the implementation potential,
transferability of findings, feasibility of implementation and
cost-benefit ratio was conducted and the oral care guideline was
beneficial to intubated patients. Implementation plan,
communication plan and evaluation plan about oral care guideline
application was formulated. The program designed to apply the new
oral care guideline would last for one year, which includes
communication with stakeholders, publication of the guideline,
training of staff and a one month pilot test. The primary outcome
was the decrease in VAP incidence rate and the process evaluation
outcome were compliance and acceptability of the guideline,
satisfaction and knowledge level of staff, and hospital cost
reduction. The attainment of primary outcome and process evaluation
outcome would be used to evaluate the effectiveness of the
program.
Subjects/Keywords: Artificial respiration;
Intensive care nursing
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Chui, O. (2013). An evidenced-based oral
care guideline of intubated patients. (Thesis). University of Hong Kong. Retrieved from http://hdl.handle.net/10722/193082
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Chui, On-lan. “An evidenced-based oral
care guideline of intubated patients.” 2013. Thesis, University of Hong Kong. Accessed February 27, 2021.
http://hdl.handle.net/10722/193082.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Chui, On-lan. “An evidenced-based oral
care guideline of intubated patients.” 2013. Web. 27 Feb 2021.
Vancouver:
Chui O. An evidenced-based oral
care guideline of intubated patients. [Internet] [Thesis]. University of Hong Kong; 2013. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10722/193082.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Chui O. An evidenced-based oral
care guideline of intubated patients. [Thesis]. University of Hong Kong; 2013. Available from: http://hdl.handle.net/10722/193082
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Loma Linda University
24.
Christiansen, Thorvald W.
Artificial Respiration during the Apnea of Cerebral Trauma.
Degree: MS, Physiology, 1958, Loma Linda University
URL: https://scholarsrepository.llu.edu/etd/617
► Cerebral concussion often results in profound respiratory depression. The earlier workers in the field of experimental concussion concluded that artificial respiration could be a…
(more)
▼ Cerebral concussion often results in profound respiratory depression. The earlier workers in the field of experimental concussion concluded that
artificial respiration could be a life preserving procedure in 4 many instances. More recently, however, it has been held that this form of resuscitation is of little or no value.
Because of this conflict in viewpoint and inasmuch as the latter interpretation was made as a result of studies that were not primarily directed towards assessing the worth of
artificial respiration during the apnea of experimentally induced concussion, this study was planned with the hope of resolving the differences of opinion.
A series of experiments was performed in which concussion, together with prolonged apnea, was induced in anesthetized c^ts by a spring 1 loaded hammer while recording arterial blood pressure and
respiration. When it appeared that the demise of the animal was imminent because of a rapidly falling arterial pressure,
artificial respiration was provided in order to study the beneficial effects, if any, on the blood pressure and
respiration.
In 6 instances out of 27 preparations, adequate spontaneous
respiration returned. The arterial blood pressure was maintained at levels of 90 ram Hg. or higher for variable periods of ti e up to 12 hours after which the animals were electively sacrificed. Four preparations expired while being ventilated; in the balance demise accompanied the discontinuance of
artificial respiration.
It is concluded that
artificial respiration may be of value in the apnea of concussion in certain instances. In a majority of cases, however. j it appears that when the blow is strong enough to cause profound 1 respiratory depression, survival of the animal may not be anticipated.
Advisors/Committee Members: J. Earl Thomas, Kenneth E. Kellogg, Raymond A. Mortensen, Jack D. Zwemer, Vernon C. Bohr, Melvin I Haley.
Subjects/Keywords: Physiology; Respiration, Artificial; Head Injuries
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Christiansen, T. W. (1958). Artificial Respiration during the Apnea of Cerebral Trauma. (Thesis). Loma Linda University. Retrieved from https://scholarsrepository.llu.edu/etd/617
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Christiansen, Thorvald W. “Artificial Respiration during the Apnea of Cerebral Trauma.” 1958. Thesis, Loma Linda University. Accessed February 27, 2021.
https://scholarsrepository.llu.edu/etd/617.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Christiansen, Thorvald W. “Artificial Respiration during the Apnea of Cerebral Trauma.” 1958. Web. 27 Feb 2021.
Vancouver:
Christiansen TW. Artificial Respiration during the Apnea of Cerebral Trauma. [Internet] [Thesis]. Loma Linda University; 1958. [cited 2021 Feb 27].
Available from: https://scholarsrepository.llu.edu/etd/617.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Christiansen TW. Artificial Respiration during the Apnea of Cerebral Trauma. [Thesis]. Loma Linda University; 1958. Available from: https://scholarsrepository.llu.edu/etd/617
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Missouri – Columbia
25.
Bernhard, Christa L.
The use of ventilator-acquired pulmonary mechanics and computed tomography in the assessment of interventions for experimental feline asthma.
Degree: 2016, University of Missouri – Columbia
URL: https://doi.org/10.32469/10355/57619
► [ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] In an experimental model of feline asthma, computed tomography (CT) and ventilator-acquired pulmonary mechanics…
(more)
▼ [ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] In an experimental model of feline asthma, computed tomography (CT) and ventilator-acquired pulmonary mechanics were used in the assessment of various conditions. Bronchoalveolar lavage (BAL) was performed to induce airflow limitation. First, it was hypothesized that the use of positive end-expiratory pressure (PEEP) at 2 cmH₂O or inspired oxygen concentration of 30% would improve pulmonary mechanics and decrease evidence of atelectasis compared with no PEEP or 100% O₂ in cats undergoing BAL. Secondly, it was hypothesized that heliox-driven nebulization of albuterol (heliox/albuterol) would lead superior reduction in airflow limitation and CT documented anatomic changes compared with heliox/saline, nitrox/albuterol or nitrox/saline 24 hrs post-allergen challenge and 5 minutes post-BAL. In the first study, the use of 30% inspired oxygen concentration failed to show any significant improvement in pulmonary mechanics but did diminish atelectasis. It was also associated with further desaturation of hemoglobin in some cats. The modest levels of PEEP employed were without effect on any of our outcome parameters. In the second study, heliox failed to demonstrate any benefit in terms of oxygenation, pulmonary mechanics, or CT features. As expected, nebulized albuterol improved peak airway pressure when compared with saline nebulization. In this study mechanical ventilation and the use of PEEP may have altered our outcome parameters, especially in regard to CT attenuation and portions of lung aeration.
Advisors/Committee Members: Reinero, Carol R. (advisor).
Subjects/Keywords: Cats – Diseases – Treatment; Asthma – Treatment; Tomography; Artificial respiration
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Bernhard, C. L. (2016). The use of ventilator-acquired pulmonary mechanics and computed tomography in the assessment of interventions for experimental feline asthma. (Thesis). University of Missouri – Columbia. Retrieved from https://doi.org/10.32469/10355/57619
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Bernhard, Christa L. “The use of ventilator-acquired pulmonary mechanics and computed tomography in the assessment of interventions for experimental feline asthma.” 2016. Thesis, University of Missouri – Columbia. Accessed February 27, 2021.
https://doi.org/10.32469/10355/57619.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Bernhard, Christa L. “The use of ventilator-acquired pulmonary mechanics and computed tomography in the assessment of interventions for experimental feline asthma.” 2016. Web. 27 Feb 2021.
Vancouver:
Bernhard CL. The use of ventilator-acquired pulmonary mechanics and computed tomography in the assessment of interventions for experimental feline asthma. [Internet] [Thesis]. University of Missouri – Columbia; 2016. [cited 2021 Feb 27].
Available from: https://doi.org/10.32469/10355/57619.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Bernhard CL. The use of ventilator-acquired pulmonary mechanics and computed tomography in the assessment of interventions for experimental feline asthma. [Thesis]. University of Missouri – Columbia; 2016. Available from: https://doi.org/10.32469/10355/57619
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
26.
Raquel Ferrari Piotto.
Avaliação dos efeitos da aplicação de protocolo de desmame de ventilação mecânica em unidade coronária: um estudo randomizado.
Degree: 2007, Faculdade de Medicina de São José do Rio Preto
URL: http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=199
;
http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=298
► Desmame é o período de transição do paciente sob ventilação mecânica (VM) para a ventilação espontânea sem o uso de aparelhos. O insucesso na remoção…
(more)
▼ Desmame é o período de transição do paciente sob ventilação mecânica (VM) para a ventilação espontânea sem o uso de aparelhos. O insucesso na remoção do suporte ventilatório está associado ao aumento do número de complicações, especialmente à maior freqüência de infecções respiratórias, maior tempo de permanência no hospital, elevação dos custos e da mortalidade a curto e médio prazo. O uso de procedimentos padronizados por protocolos para a realização do desmame já está bem estabelecido em Unidades de Terapia Intensiva Gerais. Entretanto, as condições mais comumente internadas em Unidade Coronária tais como isquemia miocárdica aguda, disfunção ventricular esquerda e pós-operatório de cirurgia de revascularização miocárdica, promovem alterações hemodinâmicas e circulatórias completamente diferentes daquelas observadas em outros tipos de pacientes graves. Sendo assim, os efeitos da ventilação mecânica e do desmame devem ser testados especificamente nesta população. Até o momento, nenhum estudo controlado avaliou os efeitos do uso de protocolo de desmame em pacientes cardiopatas internados em Unidade Coronária. Objetivo:Comparar o desmame da ventilação mecânica realizado segundo a aplicação de protocolo baseado no teste de respiração espontânea e o mesmo procedimento realizado sem padronização, em pacientes cardiopatas internados em Unidade Coronária. Metodologia: Inicialmente foi feito um estudo piloto com o objetivo de estimar a incidência de insucesso no desmame ventilatório dos pacientes internados na Ucor. Os resultados obtidos confirmaram a necessidade de aplicação de medidas corretivas dos métodos empregados pela equipe multidisciplinar. Foram incluídos de modo prospectivo, 36 pacientes (idade média de 59,5 + 16,4 anos, 58,3% homens) em VM por um período superior a 24 horas e aptos para o desmame. O número de pacientes foi determinado por cálculo do tamanho de amostra e os mesmos foram randomizados em dois grupos: Grupo Experimental (GE) e Grupo Controle (GC). No GE, a extubação foi realizada de forma padronizada, de acordo com o Teste de Respiração Espontânea (TRE) das Diretrizes Americanas de Desmame e conduzida por um único fisioterapeuta, investigador principal do estudo. No GC, o mesmo investigador também realizava o TRE, mas sem intervir nos procedimentos de extubação, que eram determinados pela equipe interprofissional. Resultados: Os grupos foram superponíveis, não havendo diferenças estatisticamente significativas entre eles quanto ao sexo, idade, diagnóstico de admissão, parâmetros ventilatórios, variáveis fisiológicas e Escore Apache II. Os pacientes do grupo controle iniciaram o desmame precocemente em relação ao grupo experimental (74.7 14.7 horas vs 185.7 22.9horas; p=0.0004), pelo fato de não utilizarem o teste de respiração espontânea como critério para o desmame. Porém, após os pacientes do grupo experimental estarem aptos ao desmame, este foi realizado em um tempo mais curto em relação ao grupo controle (2,1 0,1 horas vs. 69,5 15,4; p <0.0001) com taxas de reintubação significativamente menores…
Advisors/Committee Members: Susana Renata Perez Orrico, Domingo Marcolino Braile, Elias Knobel, Álvaro Avezum Júnior, Emmanuel de Almeida Burdmann, Lilia Nigro Maia.
Subjects/Keywords: CIRURGIA CARDIOVASCULAR; Cardiologia; Ventilação Mecânica; Terapia Intensiva.; Respira??o Artificial; Cardiology; Mechanical Ventilation; Intensive Care.; Respiraci?n Artificial; Respiration Artificial
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Piotto, R. F. (2007). Avaliação dos efeitos da aplicação de protocolo de desmame de ventilação mecânica em unidade coronária: um estudo randomizado. (Thesis). Faculdade de Medicina de São José do Rio Preto. Retrieved from http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=199 ; http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=298
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Piotto, Raquel Ferrari. “Avaliação dos efeitos da aplicação de protocolo de desmame de ventilação mecânica em unidade coronária: um estudo randomizado.” 2007. Thesis, Faculdade de Medicina de São José do Rio Preto. Accessed February 27, 2021.
http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=199 ; http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=298.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Piotto, Raquel Ferrari. “Avaliação dos efeitos da aplicação de protocolo de desmame de ventilação mecânica em unidade coronária: um estudo randomizado.” 2007. Web. 27 Feb 2021.
Vancouver:
Piotto RF. Avaliação dos efeitos da aplicação de protocolo de desmame de ventilação mecânica em unidade coronária: um estudo randomizado. [Internet] [Thesis]. Faculdade de Medicina de São José do Rio Preto; 2007. [cited 2021 Feb 27].
Available from: http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=199 ; http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=298.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Piotto RF. Avaliação dos efeitos da aplicação de protocolo de desmame de ventilação mecânica em unidade coronária: um estudo randomizado. [Thesis]. Faculdade de Medicina de São José do Rio Preto; 2007. Available from: http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=199 ; http://bdtd.famerp.br//tde_busca/arquivo.php?codArquivo=298
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
27.
Yoshioka, Eliane Muta.
Alterações pulmonares e sistêmicas em modelo de lesão pulmonar aguda de etiologia pulmonar e extra pulmonar após ventilação mecânica de curto prazo.
Degree: PhD, Patologia, 2010, University of São Paulo
URL: http://www.teses.usp.br/teses/disponiveis/5/5144/tde-03092010-144329/
;
► A inflamação pulmonar pode variar de acordo com o sitio primário da injuria e poder ser afetado pelo estresse mecânico gerado pela ventilação mecânica. (VM)…
(more)
▼ A inflamação pulmonar pode variar de acordo com o sitio primário da injuria e poder ser afetado pelo estresse mecânico gerado pela ventilação mecânica. (VM) Objetivos: estudar as eventuais diferenças na reposta pulmonar e sistêmica na lesão pulmonar aguda pulmonar (LPA P ) e extra pulmonar (LPA Exp) após ventilação mecânica. Métodos: Camundongos BALB/c foram divididos em doze grupos. Os grupos controle pulmonar (CP) e extra pulmonar (C Exp) receberam solução salina (SAL) ou Lipopolissacarideo (LPS) via intratraqueal (IT) ou intraperitoneal (IP) respectivamente. Os grupos foram submetidos ou não a simples manobra de pressurização (SMP) até 45 cm H2O. Resultados: Os grupos LPAP e LPAExp não ventilados apresentaram o mesmo nível de inflamação; uma diferença estatisticamente significativa na densidade de células inflamatórias foi observada no grupo LPA P VM (3,84±1,28 cels/2) comparado ao grupo LPA Exp VM ((1,75±0,14 cels/2), p=0,013. O mesmo foi observado na LPA P SMP (2,92±0,44 cels/2) comparado ao LPA Exp SMP (1,46±0,23 cels/2), p<0,0001. LPAP mostrou estatisticamente significante aumento no El (56,19 ± 12,26 cm H2O) em comparação ao LPA Exp SMP (26,88 ± 36,38 cm H2O) após SMP (p = 0,029). Nenhuma diferença estatisticamente significante foi observada no estresse oxidativo no rim. Conclusão: Observamos um padrão diferente da resposta inflamatória e mecânica pulmonar comparando LPA pulmonar e extra-pulmonar submetido à ventilação mecânica de curto prazo. Embora a ventilação mecânica represente uma ferramenta essencial para estabilizar o paciente critico, é necessário individualizar a abordagem do tratamento ventilatório
Lung inflammation may vary according to the primary site of injury and may be affected by the mechanical stress generated by mechanical ventilation (MV). Objectives: to address possible differences in lung and systemic responses in pulmonary and extra pulmonary ALI after mechanical ventilation. Methods: BALB/c mice were divided in twelve groups of six animals. In pulmonary and extrapulmonary control or ALI groups received either saline or LPS (intratracheally instilled or intraperitoneally injected), respectively. Ventilated groups were either recruited or not with a single recruitment maneuver (SRM) reaching 45 cm H2O. Results: At baseline ALI P and ALI EXP non ventilated groups presented the same level of inflammation; a statistically significant difference in density of inflammatory cells was noted in ALI P MV (3,84±1,28 cells/2) compared to ALI EXP MV (1,75±0,14 cells/2), p=0,013. The same was observed in ALI P SRM (2,92±0,44 cells/2) compared to ALI EXP SRM (1,46±0,23 cells/2) ventilated groups (p<0,0001). ALI P showed a statistically significant increase in El (56,19 ± 12,26 cm H2O) in comparison to ALI EXP (26,88 ± 36,38 cm H2O) after SRM (p = 0,029). No statistical differences were observed in kidney oxidative stress. Conclusion: We observed a different pattern of response in lung inflammation and mechanics comparing pulmonary and extra pulmonary ALI, submitted to short term mechanical…
Advisors/Committee Members: Negri, Elnara Márcia.
Subjects/Keywords: Acute lung injury/pathophysiology; Camundongos; Lesão pulmonar aguda/fisiopatologia; Mice; Positive-pressure respiration; Respiração com pressão positiva; Respiration artificial; Ventilação mecânica
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Yoshioka, E. M. (2010). Alterações pulmonares e sistêmicas em modelo de lesão pulmonar aguda de etiologia pulmonar e extra pulmonar após ventilação mecânica de curto prazo. (Doctoral Dissertation). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/5/5144/tde-03092010-144329/ ;
Chicago Manual of Style (16th Edition):
Yoshioka, Eliane Muta. “Alterações pulmonares e sistêmicas em modelo de lesão pulmonar aguda de etiologia pulmonar e extra pulmonar após ventilação mecânica de curto prazo.” 2010. Doctoral Dissertation, University of São Paulo. Accessed February 27, 2021.
http://www.teses.usp.br/teses/disponiveis/5/5144/tde-03092010-144329/ ;.
MLA Handbook (7th Edition):
Yoshioka, Eliane Muta. “Alterações pulmonares e sistêmicas em modelo de lesão pulmonar aguda de etiologia pulmonar e extra pulmonar após ventilação mecânica de curto prazo.” 2010. Web. 27 Feb 2021.
Vancouver:
Yoshioka EM. Alterações pulmonares e sistêmicas em modelo de lesão pulmonar aguda de etiologia pulmonar e extra pulmonar após ventilação mecânica de curto prazo. [Internet] [Doctoral dissertation]. University of São Paulo; 2010. [cited 2021 Feb 27].
Available from: http://www.teses.usp.br/teses/disponiveis/5/5144/tde-03092010-144329/ ;.
Council of Science Editors:
Yoshioka EM. Alterações pulmonares e sistêmicas em modelo de lesão pulmonar aguda de etiologia pulmonar e extra pulmonar após ventilação mecânica de curto prazo. [Doctoral Dissertation]. University of São Paulo; 2010. Available from: http://www.teses.usp.br/teses/disponiveis/5/5144/tde-03092010-144329/ ;
28.
Chaves, Camila Prado.
Repercussões da manobra de bag-squeezing com e sem válvula reguladora de pressão positiva expiratória final em récem-nascidos pré-termo sob ventilação mecânica prolongada.
Degree: Mestrado, Pediatria, 2013, University of São Paulo
URL: http://www.teses.usp.br/teses/disponiveis/5/5141/tde-04022014-111736/
;
► O advento do ressuscitador manual com válvula de pressão positiva expiratória final (PEEP) parece promissor na minimização dos efeitos deletérios provocados pela desconexão do paciente…
(more)
▼ O advento do ressuscitador manual com válvula de pressão positiva expiratória final (PEEP) parece promissor na minimização dos efeitos deletérios provocados pela desconexão do paciente do ventilador mecânico na realização da manobra de bag-squeezing em recém-nascidos pré-termo (RNPT) em ventilação mecânica prolongada. Esta manobra é realizada por meio da insuflação manual do reanimador e consiste em inspirações lentas e profundas consecutivas, seguidas de pausa inspiratória e rápida liberação da pressão, associada à vibração torácica, promovendo aumento do fluxo expiratório. Objetivo Geral: Avaliar as repercussões da manobra de bagsqueezing, realizada com ressuscitador manual com e sem válvula reguladora da PEEP, sobre a função cardiorrespiratória de RNPT submetidos à ventilação mecânica. Objetivo específico: analisar os efeitos na frequência cardíaca e respiratória, na saturação por oximetria de pulso de oxigênio, no volume pulmonar inspiratório e expiratório e na resistência inspiratória e expiratória, antes, durante e após a manobra de bag-squeezing utilizando ressuscitador manual com e sem válvula reguladora da PEEP. Métodos: Estudo prospectivo transversal realizado entre janeiro de 2010 e dezembro de 2012. Critérios de inclusão: recém-nascidos pré-termo (RNPT) com idade gestacional inferior a 35 semanas, submetidos à ventilação mecânica invasiva e dependentes da mesma aos 28 dias de vida, hemodinamicamente estáveis. A manobra de bag-squeezing foi aplicada de forma randomizada com o mesmo ressuscitador manual alternando o uso ou não da válvula PEEP, seguida de aspiração endotraqueal finalizando a manobra. Para a análise dos dados nominais foi aplicado o teste de Wilcoxon com hipótese bilateral ao nível de significância de 5% e poder de teste de 80%. Resultados: Foram estudados 28 recém-nascidos com peso médio de nascimento 1.005,71 ± 372.16 gramas, idade gestacional média ao nascimento 28,90 ± 1,79 semanas, idade corrigida média de 33,26 ± 1,78 semanas, tempo médio de ventilação mecânica de 29,5 (15-53) dias. Em relação às variáveis estudadas foram observadas diferenças significantes na realização da manobra com e sem a válvula PEEP na frequência cardíaca e resistência expiratória. Conclusões: A menor variabilidade da saturação por oximetria de pulso, possivelmente pela maior estabilidade da caixa torácica e presença de pressão positiva no final da expiração sugerem que a utilização de válvula proporcionou melhor estabilização do RNPT. Não houve alterações significativas da frequência cardíaca, exceto no final da manobra com válvula, onde ocorreu aumento da mesma, provavelmente pelos efeitos fisiológicos da PEEP. A frequência respiratória manteve-se estável. Os volumes inspiratório e expiratório aumentaram em ambas as manobras, sugerindo que a manobra de bag-squeezing é benéfica para o paciente, independentemente do uso de válvula. Houve aumento significativo da resistência expiratória ao final da manobra com válvula
The coming of the manual resuscitator with valve of positive end-expiratory pressure (PEEP)…
Advisors/Committee Members: Krebs, Vera Lúcia Jornada.
Subjects/Keywords: Artificial respiration/methods; Fisioterapia; Newborn; Physical
therapy; Positive pressure respiration/
utilization; Recém-nascido; Respiração artificial/métodos; Respiração com pressão positiva/utilização; Respiratory therapy/standards; Terapia respiratória/normas
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Chaves, C. P. (2013). Repercussões da manobra de bag-squeezing com e sem válvula reguladora de pressão positiva expiratória final em récem-nascidos pré-termo sob ventilação mecânica prolongada. (Masters Thesis). University of São Paulo. Retrieved from http://www.teses.usp.br/teses/disponiveis/5/5141/tde-04022014-111736/ ;
Chicago Manual of Style (16th Edition):
Chaves, Camila Prado. “Repercussões da manobra de bag-squeezing com e sem válvula reguladora de pressão positiva expiratória final em récem-nascidos pré-termo sob ventilação mecânica prolongada.” 2013. Masters Thesis, University of São Paulo. Accessed February 27, 2021.
http://www.teses.usp.br/teses/disponiveis/5/5141/tde-04022014-111736/ ;.
MLA Handbook (7th Edition):
Chaves, Camila Prado. “Repercussões da manobra de bag-squeezing com e sem válvula reguladora de pressão positiva expiratória final em récem-nascidos pré-termo sob ventilação mecânica prolongada.” 2013. Web. 27 Feb 2021.
Vancouver:
Chaves CP. Repercussões da manobra de bag-squeezing com e sem válvula reguladora de pressão positiva expiratória final em récem-nascidos pré-termo sob ventilação mecânica prolongada. [Internet] [Masters thesis]. University of São Paulo; 2013. [cited 2021 Feb 27].
Available from: http://www.teses.usp.br/teses/disponiveis/5/5141/tde-04022014-111736/ ;.
Council of Science Editors:
Chaves CP. Repercussões da manobra de bag-squeezing com e sem válvula reguladora de pressão positiva expiratória final em récem-nascidos pré-termo sob ventilação mecânica prolongada. [Masters Thesis]. University of São Paulo; 2013. Available from: http://www.teses.usp.br/teses/disponiveis/5/5141/tde-04022014-111736/ ;
Nelson Mandela Metropolitan University
29.
Jordan, Portia Janine.
Evidence-informed clinical guidelines for nursing care practices related to the safety of the mechanically ventilated patient.
Degree: Faculty of Health Sciences, 2011, Nelson Mandela Metropolitan University
URL: http://hdl.handle.net/10948/1322
► An evidence-based approach to clinical practice aims to deliver appropriate care in an efficient manner to individual patients. This approach entails the integration of research…
(more)
▼ An evidence-based approach to clinical practice aims to deliver appropriate care in an efficient manner to individual patients. This approach entails the integration of research evidence, clinical expertise and the interpretation of patients' needs and perspectives in making decisions about the best care modalities. The increased emphasis internationally on improved patient care and cost effectiveness in health care delivery highlighted the need for quality health services that have to be built upon the use of best evidence to inform practice and patient-care decision-making (McKenna, Ashton and Keeney, 2004:178). Critical care nursing science, a specialised branch of nursing, focusing on the care of the critically ill patient in a designated unit, is no exception to the drive to provide improved quality and cost-effective patient care. Critical care practitioners are seen to have a specialised knowledge base, specific skills in delivering advanced health care and a commitment to serve the critically ill patient. It is expected of them to be aware of new and emerging evidence about health disease processes, treatment modalities and technology used in the critical-care units. Due to the dynamic nature of a critical care unit, it is essential that every practitioner working in the unit, whether a novice professional nurse or senior unit manager, needs to be aware of the current evidence guiding their practices (Elliot, Aitken, Chaboyer, 2007:18). With reference to the critically ill patient who is connected to a mechanical ventilator, practices related to the nursing care of this group of patients, who mostly occupy the critical care units, should be based on the best evidence in order to provide cost-effective and quality care. The research study aimed to explore and describe four identified nursing care practices related to safety of a mechanically ventilated patient as performed by professional nurses in the critical care units in the Nelson Mandela Metropole. The identified nursing-care practices include: endotrachael tube placement verification, endotracheal tube cuff pressure monitoring, endotrachael tube suctioning and mechanical ventilator settings. This objective was operationalized in Stage One of the study, by using a quantitative, explorative, descriptive and contextual approach. A structured questionnaire was utilised to collect data from professional nurses working in critical care units. From the analysed data, it was decided to select the two nursing care practices that were done least according to the best recommended practice, namely endotracheal tube suctioning and endotracheal tube cuff pressure monitoring. Based on the results, systematic reviews were done respectively on the two nursing care practices. On completion of Stage One of the study, evidence-informed clinical guidelines for the two identified nursing care practices were developed. The clinical guidelines were based on the evidence found in conducting the systematic reviews. The draft clinical guidelines were reviewed by an expert panel.…
Subjects/Keywords: Respiratory intensive care – South Africa – Port Elizabeth; Respiratory therapy – South Africa – Port Elizabeth; Artificial respiration – South Africa – Port Elizabeth; Artificial respiration – Nursing; Respirators (Medical equipment) – South Africa – Port Elizabeth
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Jordan, P. J. (2011). Evidence-informed clinical guidelines for nursing care practices related to the safety of the mechanically ventilated patient. (Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/1322
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Jordan, Portia Janine. “Evidence-informed clinical guidelines for nursing care practices related to the safety of the mechanically ventilated patient.” 2011. Thesis, Nelson Mandela Metropolitan University. Accessed February 27, 2021.
http://hdl.handle.net/10948/1322.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Jordan, Portia Janine. “Evidence-informed clinical guidelines for nursing care practices related to the safety of the mechanically ventilated patient.” 2011. Web. 27 Feb 2021.
Vancouver:
Jordan PJ. Evidence-informed clinical guidelines for nursing care practices related to the safety of the mechanically ventilated patient. [Internet] [Thesis]. Nelson Mandela Metropolitan University; 2011. [cited 2021 Feb 27].
Available from: http://hdl.handle.net/10948/1322.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Jordan PJ. Evidence-informed clinical guidelines for nursing care practices related to the safety of the mechanically ventilated patient. [Thesis]. Nelson Mandela Metropolitan University; 2011. Available from: http://hdl.handle.net/10948/1322
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Alberta
30.
Rewa, George.
Cardiovascular reflexes during high frequency oscillatory
ventilation.
Degree: MSin Experimental Medicine, Department of Medicine, 1983, University of Alberta
URL: https://era.library.ualberta.ca/files/j3860949q
Subjects/Keywords: Reflexes.; Cardiovascular system.; Ventilation.; Artificial respiration.
Record Details
Similar Records
Cite
Share »
Record Details
Similar Records
Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Rewa, G. (1983). Cardiovascular reflexes during high frequency oscillatory
ventilation. (Masters Thesis). University of Alberta. Retrieved from https://era.library.ualberta.ca/files/j3860949q
Chicago Manual of Style (16th Edition):
Rewa, George. “Cardiovascular reflexes during high frequency oscillatory
ventilation.” 1983. Masters Thesis, University of Alberta. Accessed February 27, 2021.
https://era.library.ualberta.ca/files/j3860949q.
MLA Handbook (7th Edition):
Rewa, George. “Cardiovascular reflexes during high frequency oscillatory
ventilation.” 1983. Web. 27 Feb 2021.
Vancouver:
Rewa G. Cardiovascular reflexes during high frequency oscillatory
ventilation. [Internet] [Masters thesis]. University of Alberta; 1983. [cited 2021 Feb 27].
Available from: https://era.library.ualberta.ca/files/j3860949q.
Council of Science Editors:
Rewa G. Cardiovascular reflexes during high frequency oscillatory
ventilation. [Masters Thesis]. University of Alberta; 1983. Available from: https://era.library.ualberta.ca/files/j3860949q
◁ [1] [2] [3] [4] [5] ▶
. 
Open Access Theses and Dissertations
