Explore the latest in respiratory failure and ventilation, including definitions and management of ARDS, noninvasive ventilation, and more.
This Special Communication describes a Bayesian reanalysis of a randomized clinical trial comparing the effects on mortality of venovenous extracorporeal membrane oxygenation (ECMO) vs conventional mechanical ventilation among patients with severe acute respiratory distress syndrome, performed because of divergence between the clinical vs statistical significance of the trial’s findings and continued controversy over the benefit of ECMO.
This randomized clinical trial compares the effects of high-flow nasal vs standard oxygen therapy on 28-day mortality among immunocompromised patients with acute hypoxemic respiratory failure.
This case study examines a man in his 30s who presented 20 months after an emergency intubation with an iatrogenic retained nasal trumpet.
This randomized trial compares the effects of protocolized weaning via early extubation to noninvasive ventilation vs standard weaning from invasive ventilation on time to liberation from mechanical ventilation among adults with respiratory failure ready to wean but with an unsuccessful spontaneous breathing trial.
This randomized trial compares the effects of low vs intermediate tidal volumes on ventilator-free days and mortality among intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS).
This surgical innovation describes the use and advantages of the high-flow nasal cannula system, a noninvasive respiratory treatment that can be applied inside and outside the critical care setting.
This randomized clinical trial compares the effects of sudden wean and pressure wean from nasal continuous positive airway pressure in Danish infants born before 32 weeks of gestation.
This cohort study determines the frequency of daily chest radiograph use for adult patients receiving mechanical ventilation in the United States, assesses variability across hospitals, and evaluates whether use has decreased over time.
This randomized clinical trial compares the effect on first-attempt success of intubation using a tracheal tube bougie introducer vs endotracheal tube with stylet in patients with difficult airway characteristics requiring emergency intubation.
This cohort study examines the medical records of adults patients who had a tracheostomy placed before and after implementation of a standardized tracheostomy care protocol and assesses the occurrence of acute life-threatening respiratory events before and after protocol implementation.
This randomized trial compares the effect of premedication with atropine and propofol vs atropine, atracurium, and sufentanil on prolonged desaturation of neonates in the NICU requiring nonemergency nasotracheal intubation.
In this narrative medical essay, the author recounts a patient’s brave decision to refuse a face mask and mechanical ventilation while deoxygenating from spontaenous pneumothorax and interstitial lung disease, a care choice none of the physicians considered.
This noninferiority randomized trial compares the effects of on-demand nebulization of acetylcysteine or salbutamol vs routine nebulization of acetylcysteine and salbutamol on duration of invasive ventilation and mortality in adult intensive care unit (ICU) patients.
This review examines a series of children with Klippel-Feil syndrome to define the otolaryngologic diagnoses made and procedures performed in this challenging patient population.
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