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The aim of our study was to evaluate the raspiratory complications and changes in the parameters of the function of external respiration in patients (pts) with end-stage renal disease on the replacement therapy. Materials and metods: All pts were divided into groups: I group included 24 pts with end-stage renal disease and the duration of replacement therapy under five years, II group - 26 pts with end-stage renal disease and the duration over ten years. Control group – 12 almost healthy persons...
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Background: Long-term non-invasive ventilation (NIV) is recommended in patients with COPD and persistent hypercapnic respiratory failure. The reduction of arterial pCO2 by NIV may be associated with prolonged survival. Patients treated with high inspiratory pressures often experience a “deventilation syndrome”, i.e. prolonged respiratory distress after mask removal. A new ventilation mode mimicking the technique of pursed lip breathing (PLB) has recently been developed. PLB ventilation (PLBV) im...
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Background: Patients with chronic respiratory insufficiency (CRI) suffer from many symptoms and also from depression, but the symptom burden and screening tools are poorly described. Aims and objectives: To describe symptom burden in patients with CRI using Edmonton Symptom Assessment System (ESAS) and to find out whether the depression question in ESAS could serve as a screening tool for depression. Methods: We evaluated symptoms in 226 patients with CRI using ESAS questionnaire measuring sympt...
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#1Szuying Liu (Mackay Memorial Hospital)
#2yenwei shao (Mackay Memorial Hospital)
Last. Tejung Chia (Mackay Memorial Hospital)
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High flow nasal cannula(HFNC) has been used wildly last decades. However, the criteria for using, weaning and stopping have not been mentioned. In 2016, Oriol Roca et. al first published an index- ROX, which can predict whether the patient will fail to use HFNC in pneumonia patients. Our study wants to know if it can use in all kinds of patients. Our retrospective study was conducted in the medical intensive care unit. Patients who encountered respiratory failure again within 72 hours after extu...
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Background: Despite the encouraging results of non-invasive ventilation (NIV) in chronic hypercapnic COPD patients, it is also evident that some patients do not tolerate NIV or do not benefit from it. We conducted a study in which COPD patients with stable, chronic hypercapnia were treated with NIV and NHF to compare effectiveness. Methods: In a multi-centered, randomized, controlled, cross-over design, patients received six weeks of NHF ventilation followed by six weeks of NIV ventilation or vi...
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Background– Tabaco smoking is the most important risk factor for COPD. However considerable amount of patients who develop COPD never smoked. Aims– To compare the populations of current/former smokers and never smokers in stable COPD patients under home noninvasive ventilation (HNIV) concerning demographics, radiology, respiratory function and blood gas analysis. Materials and methods– Retrospective observational study of severe COPD patients under HNIV followed at our hospital in 2018. Whenever...
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#1Meg Macdonald (Boston Children's Hospital)
#2Kim Lund (Boston Children's Hospital)
Last. Clare P. Halfhide (Boston Children's Hospital)H-Index: 4
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Background: There are no evidence-based guidelines when to initiate Non-Invasive Ventilation (NIV) in Cystic Fibrosis (CF) in children. Aim: To review the use of NIV in all patients with Cystic Fibrosis, within a large regional paediatric service in UK. Methods: A retrospective case note review of patients within the regional CF service, >300 children (0-18 years,) who have used NIV. For each child DOB, genes, markers of lung health and nutritional status were noted. The date, presence of humidi...
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#1Kim Lund (Boston Children's Hospital)
#2Meg Macdonald (Boston Children's Hospital)
Last. Clare P. Halfhide (Boston Children's Hospital)H-Index: 4
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Introduction: Our hospital has recently launched a dedicated inpatient setup bed (ISUB) with staff available to train and support out of our hours in order to admit children for management of their non-invasive ventilation (NIV). The patients are admitted for up to 1 week enabling intensive support and ability to adjust management swiftly in response to observations. Aims: 1. To identify patient and parents perceptions of ISUB 2. To identify any trends in patients utilising the ISUB. Methods: We...
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Patients who receive long-term ventilation (LTV) often have significant physical disability as a result of their underlying condition. With any life-sustaining therapy, consideration should be given to the burden of treatment, with a focus on promoting patient independence and quality of life, and not just survival. Our objective is to provide bespoke equipment adaptation to ensure that independence, and subsequently quality of life, is maintained for patients receiving LTV. The Assisted Ventila...
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