Publications by authors named "Chiara Ronco"
Article Synopsis
- A study compared two weaning strategies for intubated COVID-19 patients experiencing acute respiratory failure: early extubation with immediate non-invasive ventilation (NIV) versus conventional weaning with spontaneous breathing trials (SBT).
- 121 patients were analyzed, revealing that early extubation reduced the duration of invasive mechanical ventilation (IMV) to an average of 9 days compared to 11 days in the standard group (p=0.034).
- The early extubation strategy also led to significantly fewer extubation failures (18.2% vs. 45.5%) and reintubations (18.2% vs. 40%) without impacting trache
Background: Besides airway suctioning, patients undergoing invasive mechanical ventilation (iMV) benefit of different combinations of chest physiotherapy techniques, to improve mucus removal. To date, little is known about the clearance effects of oscillating devices on patients with acute respiratory failure undergoing iMV. This study aimed to assess (1) the effects of high-frequency chest wall oscillation (HFCWO) on lung aeration and ventilation distribution, as assessed by electrical impedance tomography (EIT), and (2) the effect of the association of HFCWO with recruitment manoeuvres (RM).
View Article and Find Full Text PDFBackground: This study aims to assess the changes in lung aeration and ventilation during the first spontaneous breathing trial (SBT) and after extubation in a population of patients at risk of extubation failure.
Methods: We included 78 invasively ventilated patients eligible for their first SBT, conducted with low positive end-expiratory pressure (2 cm HO) for 30 min. We acquired three 5-min electrical impedance tomography (EIT) records at baseline, soon after the beginning (SBT_0) and at the end (SBT_30) of SBT.
The fluid challenge (FC) aims at identifying patients in whom fluid administration improves hemodynamics. Although the FC has been extensively studied, the implementation and definition of improvement are not standardized. This systematic review of studies published between January 1, 1994 and December 31, 2014 characterizes these key components of the FC for critically ill adult patients, as described in the medical literature in the last 20 years.
View Article and Find Full Text PDFBackground: Compared to pneumatically controlled pressure support (PSP), neurally adjusted ventilatory assist (NAVA) was proved to improve patient-ventilator interactions, while not affecting comfort, diaphragm electrical activity (EAdi), and arterial blood gases (ABGs). This study compares neurally controlled pressure support (PSN) with PSP and NAVA, delivered through two different helmets, in hypoxemic patients receiving noninvasive ventilation for prevention of extubation failure.
Methods: Fifteen patients underwent three (PSP, NAVA, and PSN) 30-min trials in random order with both helmets.