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Diaphragmatic ultrasound for extubation readiness: The role of thickening fraction.
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Universidade do Oeste de Santa Catarina, Campus de Joaçaba, Brazil; Hospital Universitário Santa Terezinha, Joaçaba, Brazil. Electronic address:
Background: Timely extubation is essential in ICU patients, yet traditional predictors such as the rapid shallow breathing index (RSBI) have limited accuracy. Diaphragm and lung ultrasound offer promising, non-invasive alternatives for assessing extubation readiness.
Methods: We conducted a prospective observational study nested within a randomized trial in a university ICU.
European Respiratory Society statement on advanced telemedicine for obstructive sleep apnoea (e-Sleep).
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Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties "G. D'Alessandro" (PROMISE), University of Palermo, Palermo, Italy.
Telemedicine (TM) as a means of remote patient-physician interaction is gaining popularity in nearly every field, and (respiratory) sleep medicine is no exception. Because obstructive sleep apnoea (OSA) is a chronic condition, and requires a continuous treatment and monitoring of therapy success, telematic communications could be useful to establish diagnostic and therapeutic strategies. This Statement summarises the evidence and efficacy of TM options in OSA.
View Article and Find Full Text PDFContinuous Ventilatory Support Without Hospitalization or Tracheotomies: A Retrospective Observational Study of Two Centers' Outcomes for Duchenne Muscular Dystrophy.
Am J Phys Med Rehabil
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Center for Neuromuscular Disease Child Health and Development, National Hospital Organization, Hokkaido, Medical Center, Japan.
Introduction: Duchenne muscular dystrophy (DMD) management often results in tracheostomies or palliative care deaths.
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Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
The differential Fick method is well established for measuring effective pulmonary blood flow (EPBF) and cardiac output (CO) but until now it has only been used for patients on mechanical ventilation. Here we present and evaluate a new approach adapted to spontaneous breathing situations. Ten healthy subjects with diverse anthropometric and respiratory parameters were studied in the sitting position.
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Pediatrics Department, Faculty of Medicine, Gharbia Governorate, El Bahr St., Tanta Qism 2, Tanta, 31527, Egypt.
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