19 results match your criteria: "Bari Policlinic University Hospital[Affiliation]"

Article Synopsis
  • Eisenmenger's syndrome (ES) is a serious condition caused by heart problems that lead to high blood pressure in the lungs.
  • When someone with ES has trouble breathing due to low oxygen, doctors might use high flow nasal cannula (HFNC) oxygen to help them.
  • This report talks about a patient with both COVID-19 and ES who was treated with HFNC to avoid extra problems with their heart and lungs.
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Background: Non-invasive ventilation (NIV) is associated with improvement of both morbility and mortality in patients affected by neuromuscular diseases with chronic respiratory failure. Several studies have also shown that long-term NIV positively impacts the patient's quality of life and perception of disease status. Its effectiveness is likely related to the adherence to NIV.

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Background: Intermittent abdominal pressure ventilator (IAPV) use started in the 1930s for ventilatory assistance with muscular dystrophy patients. Later, the device was perfected and expanded for other neuromuscular disorders (NMD). In recent years, the morbidity and mortality tracheotomies and trach tubes related renewed the interest around IAPV.

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Article Synopsis
  • The study investigates how patients with neuromuscular diseases manage tracheostomy and invasive mechanical ventilation at home during the COVID-19 pandemic in Italy, focusing on their experiences and the impact on their quality of life.
  • Researchers conducted interviews with 22 patients and used various psychological assessment tools to analyze resilience, anxiety, and mindfulness levels.
  • Findings reveal that many patients experienced significant fear of contagion and feelings of abandonment, highlighting the need for better support and management strategies for tracheostomy care in home settings.
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Article Synopsis
  • - Non-invasive ventilatory support (NVS) is commonly used for neuromuscular disease patients to prevent respiratory failure, but conventional methods with masks can be uncomfortable for extended use.
  • - The study explored intermittent abdominal pressure ventilation (IAPV), which uses a portable device and a corset, in 28 patients across three Italian centers, focusing on its effectiveness in improving respiratory issues and quality of life.
  • - Results showed significant improvements in hypoxemia and hypercapnia after using IAPV, and quality of life increased over time, suggesting IAPV could be a valuable alternative for patients who struggle with traditional NVS methods.
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Background: During a pandemic, tracheostomy management in neuromuscular disease (NMD) patients can be complex. Methods: Using a multicentre, multiple case study approach, we sought perspectives through semi-structured interviews via hybrid quali-quantitative analysis. The qualitative analysis involved a semi-structured interview and the quantitative analysis the completion of a battery of questionnaires.

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Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases was explored via the recently published international REINVENT ERS survey. The Italian subset of respondents (ITA-r), the highest above all participating nations, was analyzed and compared to non-Italian respondents (NO-ITA-r). The ITA-r represented 20% of the total answers examined.

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Tele-consultation: A new promised land?

Pulmonology

January 2023

Cardiothoracic Department, Respiratory and Critical care Unit Bari Policlinic University Hospital, Italy; Section of Respiratory Diseases, Dept. of Basic Medical Science Neuroscience and Sense Organs, University of Bari 'Aldo Moro', Italy. Electronic address:

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The right interface for the right patient in noninvasive ventilation: a systematic review.

Expert Rev Respir Med

August 2022

Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.), University of Palermo, Italy and Fondazione Istituto "G.Giglio" Cefalù', Palermo, Italy.

Introduction: Research in the field of noninvasive ventilation (NIV) has contributed to the development of new NIV interfaces. However, interface tolerance plays a crucial role in determining the beneficial effects of NIV therapy.

Areas Covered: This systematic review explores the most significant scientific research on NIV interfaces, with a focus on the potential impact that their design might have on treatment adherence and clinical outcomes.

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The eye may be the spy of injury related to NIV interface and prone positioning.

Pulmonology

March 2024

A. Cardiothoracic Department, Respiratory and Critical Care Unit Bari Policlinic University Hospital, B. Section of Respiratory Diseases, Department of Basic Medical Science Neuroscience and Sense Organs, University of Bari 'Aldo Moro'.

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COPD patients' pre-flight check: A narrative review.

Monaldi Arch Chest Dis

March 2022

Respiratory Rehabilitation Division, ICS Maugeri IRCCS, Institute of Montescano, Pavia.

 For most of the people with stable and well-controlled chronic obstructive pulmonary disease (COPD), air travel is safe and comfortable, but the flight environment may pose clinical challenges. This narrative review aims to update the requirements for allowance to fly of people with COPD without chronic respiratory failure.  A literature review was performed on platforms: Pubmed, Scopus and Ovid, for citations in English from 2000 to 2021.

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Authors' response to the Letter to the Editor regarding: Post severe COVID-19 infection lung damages study. The experience of early three months multidisciplinary follow-up.

Monaldi Arch Chest Dis

March 2022

Cardiothoracic Department, Respiratory and Critical Care Unit, Bari Policlinic University Hospital, Bari; Section of Respiratory Diseases, Department of Basic Medical Science Neuroscience and Sense Organs, University of Bari 'Aldo Moro', Bari.

To the Editor, we thank Dr Ruggeri et al. for their interest in our previously published manuscript focused on lung damages after severe respiratory COVID-19 infection..

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Exhaled breath condensate (EBC) for SARS-CoV-2 diagnosis still an open debate.

J Breath Res

February 2022

Section of Respiratory Diseases, Department of Basic Medical Science Neuroscience and Sense Organs, University of Bari 'Aldo Moro', Bari, Italy.

The real-time PCR (RT-PCR) on nasopharyngeal swabs (NPS) is the gold standard for the diagnosis of SARS-CoV-2. The exhaled breath condensate (EBC) is used to perform collection of biological fluid condensed in a refrigerated device from deep airways' exhaled air. We aimed to verify the presence of SARS-CoV-2 virus in the EBC from patients with confirmed SARS-CoV-2 infection by RT-PCR, and to determine if the EBC may represent a valid alternative to the NPS.

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The correct type and time of follow-up for patients affected by COVID19 ARDS is still unclear. The aim of this study was to evaluate at the survivors to COVID19 ARDS requiring non-invasive respiratory support (NRS) admitted to a Respiratory Intensive care unit (RICU) from March 8th till May 31th 2020 looking at all sequelae via a comprehensive follow up. All patients underwent a multi-disciplinary instrumental and clinical assessment within three months form admission to evaluate all infection related sequelae.

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Using Telemedicine to Monitor the Patient with Chronic Respiratory Failure.

Life (Basel)

October 2021

Cardiothoracic Department, Respiratory and Critical Care Unit, Bari Policlinic University Hospital, 70121 Bari, Italy.

: Advances in management have improved mortality of individuals with chronic respiratory failure (CRF), leading to an increase in need for long-term oxygen therapy and/or ventilatory support. These individuals require frequent visits and monitoring of their physiological parameters as well as of the functioning of their devices, such as ventilators or oxygen concentrators. Telemedicine is a clinical application of Information Communication Technology connecting patients to specialised care consultants.

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Prolonged Active Prone Positioning in Spontaneously Breathing Non-intubated Patients With COVID-19-Associated Hypoxemic Acute Respiratory Failure With PaO/FiO >150.

Front Med (Lausanne)

July 2021

A. Cardiothoracic Department, Respiratory and Critical Care Unit Bari Policlinic University Hospital, B. Section of Respiratory Diseases, Department of Basic Medical Science Neuroscience and Sense Organs, University of Bari 'Aldo Moro', Bari, Italy, University of Bari, Bari, Italy.

The COVID-19 pandemic has led to new approaches to manage patients outside the ICU, including prone positioning in non-intubated patients. To report the use of prolonged active prone positioning in spontaneously breathing patients with COVID-19-associated acute respiratory failure. Spontaneously breathing vs non-invasive respiratory support for COVID19 associated acute respiratory failure.

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The management of respiratory diseases requires various levels of care: multidisciplinary teams, educational and behavioural interventions, self-management and home-based technical support are vital to ensure adequate care management. However, it is often difficult to access these networks due to fragmentation of patient care and treatment burden. Care coordination aims to ensure patients have a central role and that there is continuity of care among various levels and professionals involved.

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Background And Aim: Little is known about the current use of long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases, including chest wall disorders and neuromuscular disorders (NMD). This study aimed to capture the pattern of LTHNIV in patients with restrictive thoracic diseases a web-based international survey.

Methods: The survey involved European Respiratory Society (ERS) Assembly 2.

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Background: While lung ultrasonography (LUS) has utility for the evaluation of the acute phase of COVID-19 related lung disease, its role in long-term follow-up of this condition has not been well described. The objective of this study is to compare LUS and chest computed tomography (CT) results in COVID-19 survivors with the intent of defining the utility of LUS for long-term follow-up of COVID-19 respiratory disease.

Methods: Prospective observational study that enrolled consecutive survivors of COVID-19 with acute hypoxemic respiratory failure (HARF) admitted to the Respiratory Intensive Care Unit.

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