Respiratory care : the official journal of the American Association for Respiratory Therapy
130 pages
English

Respiratory care : the official journal of the American Association for Respiratory Therapy

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130 pages
English
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October 1991 Volume 36. Number 10 A MONTHLY SCIENCE JOURNAL 36TH YEAR—ESTABLISHED 1956 Professional Literacy Determination of Ventilatory Reserve in Mechanically Ventilated Patierts Effect of PEEP-Valve Function or a Home-Care Ventilator Cost Impact of MDI vs SVN: Cleveland Clinic Experience Comparison of Ventilation Delivered with Pocket Mask vs Demand Valve Flow-By vs T-Piece Ventilation prior to Extubation in Postsurgical Patients Compression Volume in Disposable and Nondisposable Ventilator Circuits A New System for Understanding Mechanical Ventilators CRCE through the .Journal: Answer Key 7200Thenew °ae ventilator.A Unlimited simplified keyboard. Easier-to- use. Easier-to-learn. It's as simple as that. If you'd like to learnSimplicity. more, that's easy too. Call 1-800-255-6773. \Nmjff ,1PURITAN_1 1BENNETT, Circle 108 on reader service card Anew7200ae ventilator.The fornew microprocessorSimply powerful pressure control ventila-graphics, quick,and more. As always ation,Unlimited. upgrade away. More optionseasy Call . . . more tomorrow.today 1-800-255-6773. It's that simple. URITAN- 1 -p —* ~JBENNETT cardCircle 128 on reader service In Cardiac Rehab,IfYouWork Don'tLookAnywhere Else For AccurateTelemetry. 24-Apr-1991|Rehab 2:47:06 PM Jin ALLEN ** "7CI R 7 13 I sJ E — -j-—-a wV-^\^Aa~j\a^j\j\-Aa-Aj - IAC_155-145 | 2 1011 SHITHE pvc R -/-_/— 7 45 80! E ^v-~— c120-110;III 3 JILL JACKSOHpvc see 75! II 120-110 PVC 25 80 155-145 RPE 1 JIM ALLEN Ueek 6- Ex.

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Poids de l'ouvrage 10 Mo

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October 1991
Volume 36. Number 10
A MONTHLY SCIENCE JOURNAL
36TH YEAR—ESTABLISHED 1956
Professional Literacy
Determination of Ventilatory
Reserve in Mechanically Ventilated
Patierts
Effect of PEEP-Valve Function or
a Home-Care Ventilator
Cost Impact of MDI vs SVN:
Cleveland Clinic Experience
Comparison of Ventilation
Delivered with Pocket Mask vs
Demand Valve
Flow-By vs T-Piece Ventilation
prior to Extubation in Postsurgical
Patients
Compression Volume in
Disposable and Nondisposable
Ventilator Circuits
A New System for Understanding
Mechanical Ventilators
CRCE through the .Journal:
Answer Key7200Thenew °ae ventilator.A
Unlimited simplified keyboard. Easier-to-
use. Easier-to-learn. It's as simple
as that. If you'd like to learnSimplicity.
more, that's easy too. Call
1-800-255-6773.
\Nmjff
,1PURITAN_1
1BENNETT,
Circle 108 on reader service cardAnew7200ae ventilator.The
fornew microprocessorSimply powerful
pressure control ventila-graphics,
quick,and more. As always ation,Unlimited.
upgrade away. More optionseasy
Call
. . . more tomorrow.today
1-800-255-6773. It's that simple.
URITAN- 1 -p
—* ~JBENNETT
cardCircle 128 on reader serviceIn Cardiac Rehab,IfYouWork
Don'tLookAnywhere Else
For AccurateTelemetry.
24-Apr-1991|Rehab
2:47:06 PM
Jin ALLEN
** "7CI R
7 13 I sJ E — -j-—-a wV-^\^Aa~j\a^j\j\-Aa-Aj - IAC_155-145 |
2 1011 SHITHE
pvc R
-/-_/—
7 45 80! E ^v-~—
c120-110;III
3 JILL JACKSOHpvc
see 75!
II 120-110
PVC
25 80
155-145
RPE 1 JIM ALLEN
Ueek
6-
Ex. Limb Tine RPE Stat-7 Uery Uery Light
8-
81 Leg 8:00R 13 Pend UFU-9 Uery Light
10 82 Am 6:00R
-11 Fairly Light LJ
12 83 Leg 8:00R Pend
-13 Somewhat Hard 84 Ann 6:00R14
-15 Hard 85 Leg 8:00R Pend
16
86 6:00RAm-17 Uery Hard
18-
-19 Uery Uery Hard
20-
MaybeThreeMore Places.Oh,AllRight—
And because Q-Tel features a powerful transmitterWhat you see here is (me > A the ft mr screens of patient digital
have with System. and spectrum analyzer, thesen ice screen allows to "dialinformation you can the new Q-Tel Telemetry you in"
It's first the strongest signal possible. You crystal clear datathe telemetry system designed especially for your get
transmissionsAnd it and substantially less artifact on patient tracings.cardiac rehab unit puts needed information in front oi you
— Every rime.quicklyand easily.
The theQ-Tel see There's a lot moreQ-Telcandoforyou. To gel thebigset-upscreenon lets you yourpatient's
picture, uscomplete name, rate, give a call.configuration target heart alarm settings,
— No reason to l< x >k else'.even exercise prescription all with anywherethesimple clickofthe mouse.
The calculatem screen hi iwer make 2121 Terry Avenue, 98121-2791gi\ es y< the |> to specific Seattle. WA
Telex 3794094 QUINTON SEA
workload calculations likeVO , METS, andKCALS. Automati- FAX 206 223-8465
USA 800 426-0347 Canada 800 623-2888
It'scally. likr having an extra helping
INTERNATIONAL SALEShand in yourcardiac rehab unit.
Latin America and Asia-Pacific
,,; 206/467-8326 •ne: 206/223-7373.FAXAnd the mainscreenyou see above Europe/Lode BV Gromngen. The Netherlands
31050 712811 FAX 31050 716746e
lets you select and record youi patient's
Middle East/Dubai. U A. E.
Telephone 971 J 511491, FAX 971 4 515741
rating of perceived exertion so(RPE), Australia
Telephone 61 02 899-5055, FAX 61 02-680 3274
you'll always have the information to
make proper workload increases.
Quinton
instrument co.
Circle 1 1 4 on reader service cardRE/PIRATORy CARE
LA Momhlv Journal Established l '5d Official Journal oi the American Association foi Respirator) Care.Science
October 1991
EDITORIAL OFFICE
10II030 Abies Lane CONTENTS Volume 36, Number
Dallas TX 75229
(214)243-2272
EDITOR
Pal Broughei RRT EDITORIALS
EDITORADJUNCT
1083 Professional Literacy
Philip Kittredge RRT
—R Texasby Robert Weilacher Palestine,MANAGING EDITOR
Rj\ Masferrer RRT
EDITORIALCOORDINATOR ORIGINAL CONTRIBUTIONS
Donna Stephens
1085 ReserveDetermination ofVentilatory in Mechanically Ventilated BOARD
Neil Maclntyre MD. Chairman Patients: ComparisonA ofTechniques
Thomas A Barnes EdD RRT
Robertby M Kacmarek, Kevin Foley. Penny Cheever, and David
Richard D Branson RRT —Romagnoli Boston. Massachusetts
Robert L Chalburn RRT
Charles G Durbin Jr MD
1093 Effect of PEEP-Valve Placement on Function of a Home-Care
Thomas D Easi PhD
VentilatorDean Hess MEd RRT
M —Robert Kacmarek PhD RRT by Jon W Gietzen, John A Lund, and Jon L Swegarden Fargo, North
David J Plerson MD
Dakota
James K SlollerMD
CONSULTING EDITORS 1099 Cost Impact of Metered Dose Inhalers vs Small Volume Nebulizers in
Frank E Biondo BS RRT
Howard J Birenbaum Hospitalized Patients: The Cleveland Clinic ExperienceMD
John G BurfordMD
by Douglas K Orens, Lucy Kester, Lawrence C Fergus, andJames K
Bob Demers BS RRT
Douglas B Eden BS RRT —Stoller Cleveland. Ohio
Donald R Ellon MD
Robert R Ruck Jr MS RRT
1 105 Comparison of Tidal Volumes. Minute Ventilation, and Respiratory
Ronald B George MD
JamesM HurstMD Frequencies Delivered by Paramedic and Respiratory StudentsCare
Charles G Irvin PhD
MS Jastremski MD w Pocket Mask versusith Demand Valve
Hugh S Malhewson MD —Robert Josephby R Fluck and G Sorbello Syracuse. New YorkMichael McPeck BS RRT
Richard R Richard BS RRT
John Shigcoka MD 1 1 Compression Volume Ventilator13 in Adult Circuits: A Comparison of
R Bnan Smilh MD
Five Disposable Circuits and a Nondisposable Circuitltd Vv anger RCPT RRT
Jeffrey J Ward MEd RRT —by Dean Hess, Sandra McCurdy. and Mark Simmons York,
JOURNAL ASSOCIATES
PennsylvaniaStephen M AyresMD
Reuben M Cherniack MD
Joseph M Civetla MD 1119 A Comparison of the Puritan-Bennett 7200a Ventilator's Flow-By
John B DownsMD
Mode to the T-Piece Mode prior to Extubation in Postsurgical PatientsDonald T Egan MD
Garelh B Grsh MS RRT
by Zvi Herschman, Norman Sonnenklar, Gene Blumberg, Art
George Gregory MD
Ake Grennk MD —Klapholz. and John Oropello Elmhurst. New York
H Frederick Helmholi JrMD
John E Hodgkin MD
William F Miller MD
SPECIAL ARTICLES
Elian J Nelson RN RRT
Thomas L PettyMD
1 123 A New System for Understanding Mechanical Ventilators
Alan K Pierce MD
—Henning Pontoppidan MD by Robert L Chatham Cincinnati. Ohio
JohnW Sevennghaus MD
Barry A ShapiroMD
PRODI CTION STAFF CONTINUING EDUCATION EXAMINATION
Donna Knauf
1 156 CRCE through the Journal. Answer Key
Jude RevoU
Jeannie Marcham
RESPIRATORY Carf iISSN 0098914-1 is a monthly publication of Daedalus Enterprises, Inc. for the American Association for Respiratory Care. Copyright - 1991
by Daedalus Enterprises Inc. 1 1030 Abies Lane. Dallas TX 75229. All rights reserved. Reproduction in whole or in part without the express, written permission of Daedalus
Enterprises. Inc. is prohibited. The opinions expressed in any article or editorial are those of the author and do not necessarily reflect the views of Daedalus Enterprises.
Inc. the Editorial Board, or the American Association for Respiratory Care. Neither can Daedalus Enterprises, Inc. the Editorial Board, or the American Association for
Respiratory Care be responsible for the consequences of the clinical applications of any methods or devices described herein.
RESPIRATORS CARI is indexed in Hospital Literature Index and in Cumulative Index to Nursing and Allied Health Literature.
Subscription Rates: $5.00 per copy; $50.00 per year (12 issues) in the US: $70.00 in all other countries (add $84.00 for air mail)
Second Class Postage paid at Dallas. TX. POSTMASTER: Send address changes to RESPIRATORY CARE, Daedalus Enterprises, Inc. 1 1030 Abies Lane, Dallas TX
75229.
"91• 1059RESPIRATORY CARE OCTOBER Vol 36 No 10SleepTesting
Imaginethepeopleyoucan reach,
the can fulfill.needsyou
Insunmia
Hypertension
CNS, Inc. 1250 Park Road. Chanhassen, MN 55317-9260. (800) 843-2978. InMN (612) 474-7600 In Europe: ErichJaeger GmbH Germany, 0931/41902-0
Circle 11 7 on reader service cardMAN! SCRIP! si BMISSION October 1991
rypists is primedInstructions for Authors and
Continual 36. Number 10CONTENTS, Volume
end ever} issue ol Kt spir vtom Camnear the ol
PHOTOCOPYING & QUOTATION PETCORNER
\n> materialPHOTOCOPY 1NG in thisjournal
#411 157 PFT Corner —Helium Row-Volume Loop in an Asthmatic
isthat copyrighted h> Daedalus Enterprises, Inc.
ma) he photocopied For noncommericial pur- Patient
or advancement.poses ol scientific educational —Robert and .1 Burlington,by Pickering Fernando Martinez
\Iin\Ql m Anyone may, without per- Massachusetts
words niaien.il inmission, quote up to 500 of
isthis journal thai copyrighted b> Daedalus En-
HISTORICAL NOTES
isterprises. Inc., provided the quotation for non-
commercial use. and provided Respirators Care 1161 Tobacco Use in 1771. 1799. and 1957
writtenis credited Longer quotation requires ap-
proval b) the author and publisher.
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