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Use of virtual reality to remotely train healthcare professionals in paediatric emergency tracheostomy skills: protocol for a multi-centre, non-inferiority educational interventional study with historical controls.
BMC Surg
January 2025
Division of Immunology, Immunity to Infection, and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Background: The insertion of a tracheostomy is an established technique used to wean patients off ventilatory support, manage secretions in complex conditions, and as a potentially life-saving procedure to bypass upper airway obstruction. Life-threatening complications during aftercare are not uncommon and may be influenced by a lack of education of carers or healthcare providers of children and young people living with a tracheostomy. Education programmes designed and supported by the National Tracheostomy Safety Project are effective, but resources are not available to educate the workforce at scale.
View Article and Find Full Text PDFThe Impact of Physical Activity on Abdominal Aortic Aneurysm: A Scoping Review.
Ann Vasc Surg
December 2024
Department of Clinical Diagnostics, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Background: Abdominal aortic aneurysm (AAA), a condition primarily affecting older men, is often asymptomatic but becomes life-threatening if rupture occurs. While AAA risk factors such as age, gender, and smoking are well-studied, physical activity (PA) may also play a critical role in managing AAA progression, though this relationship remains understudied. This scoping review aims to synthesize current knowledge on the impact of PA on AAA, examining safety, physiological effects, and potential protective effects against AAA progression.
View Article and Find Full Text PDFSay it ain't : a microbiology nudge comment leads to less treatment of respiratory colonization.
Infect Control Hosp Epidemiol
December 2024
Department of Pharmacy, Henry Ford Hospital, Detroit, MI, USA.
Objective: To describe the effect of a (SM) respiratory culture nudge on antibiotic use in colonized patients.
Design: IRB-approved quasi-experiment.
Setting: Five acute-care hospitals in Michigan.
Efficacy and safety of different noninvasive ventilation strategies for postextubation respiratory support in Neonatal Respiratory Distress Syndrome: a systematic review and network meta-analysis.
Front Pediatr
November 2024
Department of Neonatology, Affiliated Hospital, Inner Mongolia Medical University, Hohhot, China.
Article Synopsis
- The study aimed to compare the effectiveness and safety of various noninvasive ventilation (NIV) methods for treating Neonatal Respiratory Distress Syndrome (NRDS) after extubation.
- Researchers used extensive database searches and analyzed 23 studies involving 2,331 neonates, focusing on outcomes like the need for reintubation and carbon dioxide retention.
- Results showed that NHFOV, NIPPV, and N-BiPAP were significantly better than NCPAP in reducing reintubation rates, with NHFOV being the most effective for carbon dioxide clearance as well.
The Impact of Pneumoperitoneum on Mean Expiratory Flow Rate: Observational Insights from Patients with Healthy Lungs.
Diagnostics (Basel)
October 2024
Department of Anaesthesia and Intensive Care, Medical School, University of Pécs, 7624 Pécs, Hungary.
Background/objectives: Surgical pneumoperitoneum (PP) significantly impacts volume-controlled ventilation, characterized by reduced respiratory compliance, elevated peak inspiratory pressure, and an accelerated expiratory phase due to an earlier onset of the airway pressure gradient. We hypothesized that this would shorten expiratory time, potentially increasing expiratory flow rate compared to pneumoperitoneum conditions. Calculations were performed to establish correlations between respiratory parameters and the mean increase in expiratory flow rate relative to baseline.
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