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[The use of oscillatory respiratory therapy with positive expiratory pressure (PEP-therapy) to restore the functional state of the lungs in patients after cardiac surgery].
Vopr Kurortol Fizioter Lech Fiz Kult
January 2024
B.V. Petrovsky National Research Centre of Surgery, Moscow, Russia.
Unlabelled: Postoperative pulmonary complications in cardiac surgery patients occur in 10-35% of cases, depending on differences in their definition, patient characteristics and type of surgical intervention, most of them are associated with ineffective coughing and evacuation of bronchial secretions.
Objective: To determine the effectiveness of stimulating the evacuation of bronchial secretions with the help of oscillating PEP therapy carried out during the first three days.
Material And Methods: A randomized prospective study of 60 adult patients after elective cardiac surgery was performed (Clinical Trials.
Effect of high-flow oxygen versus T-piece ventilation strategies during spontaneous breathing trials on weaning failure among patients receiving mechanical ventilation: a randomized controlled trial.
Crit Care
December 2022
Department of Critical Care Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Background: A spontaneous breathing trial (SBT) is used to determine whether patients are ready for extubation, but the best method for choosing the SBT strategy remains controversial. We investigated the effect of high-flow oxygen versus T-piece ventilation strategies during SBT on rates of weaning failure among patients receiving mechanical ventilation.
Methods: This randomized clinical trial was conducted from June 2019 through January 2022 among patients receiving mechanical ventilation for ≥ 12 h who fulfilled the weaning readiness criteria at a single-center medical intensive care unit.
Low dose of morphine to relieve dyspnea in acute respiratory failure (OpiDys): protocol for a double-blind randomized controlled study.
Trials
September 2022
Département de Santé Publique, Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, APHP.Sorbonne Université, Hôpital Pitié Salpêtrière, F75013, Paris, France.
Article Synopsis
- Dyspnea is a common and severe issue for ICU patients with acute respiratory failure, and it negatively impacts their prognosis and mental health.
- This study tests the hypothesis that low-dose opioids, specifically morphine, can effectively reduce dyspnea in these patients by comparing results to a placebo in a controlled trial.
- The trial involves 22 patients randomly assigned to either receive morphine or a placebo, and will measure the intensity of dyspnea over a 24-hour period using a visual analog scale.
Retrospective review COVID-19 vaccine induced thrombotic thrombocytopenia and cerebral venous thrombosis-what can we learn from the immune response.
Clin Imaging
October 2022
Yale Department of Radiology and Biological Imaging, New Haven, CT, USA; PhD Candidate for Viral Mediated Disease in the Skull Base, The School of Clinical Dentistry, University of Sheffield, Sheffield, UK; Adjunct Professor Diagnostic, Molecular and Interventional Radiology Biomedical Engineering Imaging Mount Sinai Hospital, New York, NY, USA.
Introduction: Cerebral Venous Thrombosis (CVT), prior to the COVID pandemic, was rare representing 0.5 of all strokes, with the diagnosis made by MRI or CT venography. COVID-19 patients compared to general populations have a 30-60 times greater risk of CVT compared to non-affected populations, and up to a third of severe COVID patients may have thrombotic complications.
View Article and Find Full Text PDF[Effectiveness and safety evaluation of a cough stimulation device in early postoperative respiratory rehabilitation in cardiac surgery patients].
Vopr Kurortol Fizioter Lech Fiz Kult
December 2021
Russian scientific center for surgery named after academician B.V. Petrovsky, Moscow, Russia.
Unlabelled: Postoperative respiratory complications in cardiac surgery patients occur in 22-30% of cases, mostly associated with ineffective cough and evacuation of bronchial secretion.
Objective: To evaluate the effectiveness and safety of cough stimulation using the mechanical in- and exsufflator in the early postoperative period in cardiac surgery patients.
Material And Methods: The study included 37 patients; mean age was 57±12.
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