Publications by authors named "R Tepaske"
Closed-Loop ventilation using sidestream versus mainstream capnography for automated adjustments of minute ventilation-A randomized clinical trial in cardiac surgery patients.
PLoS One
August 2023
Background: INTELLiVENT-Adaptive Support Ventilation (ASV) is a closed-loop ventilation mode that uses capnography to adjust tidal volume (VT) and respiratory rate according to a user-set end-tidal CO2 (etCO2) target range. We compared sidestream versus mainstream capnography with this ventilation mode with respect to the quality of breathing in patients after cardiac surgery.
Methods: Single-center, single-blinded, non-inferiority, randomized clinical trial in adult patients scheduled for elective cardiac surgery that were expected to receive at least two hours of postoperative ventilation in the ICU.
Chronic thromboembolic pulmonary hypertension (CTEPH) has a poor prognosis if left untreated but can be cured by pulmonary endarterectomy (PEA). Massive endobronchial pulmonary hemorrhage is a potentially fatal complication of PEA, occurring in 0.5%of patients.
View Article and Find Full Text PDFArticle Synopsis
- The study evaluates if post-operative tests like NT-proBNP, CPET, and TTE can effectively identify residual pulmonary hypertension (PH) after pulmonary endarterectomy (PEA) without performing right heart catheterization (RHC).
- Out of 92 patients, 39% had residual PH at the 6-month mark, with low predictive values for NT-proBNP and moderate for TTE, but CPET showed promising results.
- The findings suggest that CPET, particularly when measuring peak oxygen consumption, is a reliable method to minimize unnecessary RHCs in patients recovering from CTEPH post-PEA.
Introduction: The Competency Based Training in Intensive Care Education (CoBaTrICE) programme developed common standards of ICM training by describing competencies of an intensivist. Entrustable Professional Activities (EPAs) of Intensive Care Medicine (ICM) (EPAsICM) are presented as a new workplace-based assessment tool in competency-based training of intensivists. EPAs are activities to be entrusted to a trainee once he (or she) has attained competence.
View Article and Find Full Text PDFObjective: To evaluate the feasibility and safety of exercise testing and to describe the physiological response to exercise of patients in the Intensive Care Unit (ICU).
Design: A prospective observational multicenter study.
Setting: Two mixed medical-surgical ICUs.