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

American Association For Inhalation Therapy

Sujets

• Respiratory therapy

Informations

• Publié par: les_archives_du_savoir
• Nombre de lectures: 45
• Langue: English
• Poids de l'ouvrage: 11 Mo

Extrait

December 1995
Volume 40, Number 12
ISSN0020-1324-RECACP
97
A MONTHLY SCIENCE JOURNAL
40TH YEAR—ESTABLISHED 1956
EditorialsCall for
CPGs: Why, Whence, & Whither?
1996 Open Forum Abstracts
Call for CPG Implementation &
Early Deadline February 11, 1996!
Assessment
WOB with Ventilators for Long-Term
Support
Airway Management of the
Chronically Intubated Patient
Special Article from NHLBI: Sleep
Apnea
Clinical Practice Guidelines
Assessing Response to Bronchodilator
Therapy at Point of Care
Discharge Planning for the Respiratory
Care Patient
Long-Term Invasive Mechanical
Ventilation in the Home
Capnography/Capnometry during
Mechanical Ventilation
Selection of an Aerosol Delivery Device
for Neonatal and Pediatric Patients
Polysomnography'
The act of
Ins
apprehending
the inner nature
ofthings
^
or of
seeing intuitively,
won'tL ook closely. energy expenditure. So youAccording to Dr. C. Price, M.D., CM.,
F.R.C.P. and Gail Lang, RRT, CreditHere lies the reflection of your good of waste your own energy attempting to
Valley Hospital in Ontario Canada,
judgement. In recognizing that your estimate the complete daily nutri-
patients rely upon the most qualified tional picture from inconclusive spot"In our opinion, the 7250
clinical decisions, Nellcor Puritan provided an checks.Metabolic Monitor
Bennett brings you effective informa- accurate assessment ofour
Seeyour patients more clearly
tion tools for making them with confi- nutritional requirementspatient's
To find out more about our"Newdence and clarity. and assisted us in making the
Tools for Greater Insight," contact the
necessary adjustments to quicklyIntroducing new trending parameters
world's leading supplier of ventilator
Monitor wean him from the ventilator."for the 7250 Metabolic
systems. Call Nellcor Puritan Bennett
Together, with the 7200" Series
800-255-6773at (U.S.A.)
Ventilator, they comprise a ventilatory We even make continuous trending
44-181-577-1870 (Europe)
system that gives you more than respi- look easy. With the new Graphics 2.0
619-929-4551 (Far East/
ratory and metabolic data. It gives you software option, you can opt for a
Latin America)
breath-by-breath display of metabolicthe means to look beyond the surface
to evaluate a patient's status at a glance. parameters like O2 consumption, CO2 NELLCOR
production, respiratory quotient and PURITAN
BENNETT
Willi the 7250 Mcliiholic Monitornew
iiikI (imphics2.0, trending pnranictcrs
null (IS VO, clearly showyour patient's
response to decreased venlilatory support
7200 and 7251) .in- lr.idi.-m.irk.s iil l'urit.ir
during weaning.
nghlsull'JS Nclluir I'uril.m IkniK-M All rmcn
Circle 155 on reader service card
Visit AARC Booths 802, 1302, 1303, and 1305 In Orlando. .
SldllsMade TlieYour Critical
Tell How.Difference, Us .
ii
Positive Closure" ContestPositive Outcomes with
Passy-Muir Speaking Valves with your ventilatorShare your expertise utilizing the "positive closure"
could win an opportunity for you, your patient and/or your department to bedependent patients. You
scholarship tofeatured in full page color advertisement in a national respiratoryjournal, as well as a$250a
Valves foryourdepartment or facility.theCEU program ofyourchoice and Passy-Muir VentilatorSpeaking
Positive Closure Design
TheyValves are designed for comnninication for trachcostoinized and ventilator dependent patients.The Passy-MuirTrachcostotny Speaking
stay closed, except when the patient inhales, providing a positive seal witharc the only one-way vahes that have positive closure. The \al\es
over open-position one-way valves because it promotes a "closedno air leak on expiration. Positi\e closure pro\ides significant benefits
improvement in swallowing, secretion management,system" which restores the patient's airway to a more normal physiology. This facilitates
in tlietracheoslomv tuberestoration ofphysiologic PEEP, and speech; voice production. Positive closure also creates a protectixe column ofair
to resist secretions from coming up the tube into the \alvc.
Rules
maximum 250 typewritten words. Please includenamesofthe patient,
1 Entries must be submitted by practicing respiratory therapistsand submission should be a of
woilcingwith a ventilatorrespiratory therapist, facility, address, phone and faxnumber Submission should describe in adequate detail a success story (hatyou had
swallowing, quality of life).dependent patient and the Passy-Muir Valve (e.g. weaning, decannulalion.
will mail or fax photo comi;'-t-'^n'-o"ifiT'ii2. Submit a photograph(s)ofyoutxelfand'oryourslaft"withyourpalient wearing the Pas.sy-MuirValve. Passy-Muir Inc.
19%. Winner will be notified by Febniary 1996.3. us participants only. Entries must be received no laterthan January 31,
wouldEducation Seminar schedule and/or ifyou have neverused the Passy-MuirValve andPlease contact us for a free clinical video, a Continuing
• 833-8299.927 [phone] • [phone] FAX (714)like a sample. Passy-Muir Inc. 452 1 Campus Drive. Suite 273. Irvine. California 15
VisitAARC Booth 1020 in Orlando Circle 165 on reader service cardIn status
isthmaticus: Don't
guess.
NAEP Adult
Emergency
Guidelines:^
40-70%PEFR
of predicted Assess.
value after
4 hrs tx in ER.
Rapid initiation and close monitoring oftherapy vitalare to
Consider
successfulER management ofsevere asthma.' That's w^hy
'
the ASSESS®Peak Flow Meter should be a vital part ofhospitalization.
—youi" armamentarium. ASSESS lets you
Measure airway obstruction easily,
accurately, cost-effectively.
Peak expiratory flow rate (PEFR) provides an objective,
—clinically relevant measurement ofairflow at a fraction
ofthe cost, bulk, and inconvenience of conventional
spirometiy." And when seconds count, can count onyou
ASSESS to deliver those measurements with superior
accuracy and reproducibility.'^
Evaluate response to therapy and
need for hospitalization.
How is your patient doing? What doing?should you be
From initial presentation through discharge, the rugged,
—compactASSESSgivesyouthe harddatayou need as
often asyouneed it—to helpyoumakeinformedtreatment
decisions in linewithNAEPrecommendations."
exacerbations.Help prevent future acute
Patients don't come back when theii" maintenance therapy
with ASSESS— and astays on track. Keep it on track
regular progi-am ofPEFR monitoring at home, work, or
—school as a routine part ofyour discharge orders.
Formore information abouthowASSESScanhelp
you deliverbetterasthma cai-e, call HealthScan
Products at 1-800-962-1266.
PeakFlow
Meter
/Is
REFERENCES t Peters Jl.^liinickefJ Cui'en ronnepis in nWBOing status aslhnrBlicusJflsspff Oft LOW RANGE
A=*rt,a trt,,, .... STANDARD RANGEf3(6) 829-849, 1992 2 NaliSal piwj'am- i^umines lortheDisgnm snd Mmage-
' 30 to 390 L/nnin
> Services, NIH No 91-3042 60 to 880 L/minmenlotMI\mM\ii^i.m.\}' 1991, Pud
3 Oaia on We HeaithScan Ptorfiict' °i.JM,ODiralaftG,'elal. An evaluation ol
'•''
llie accuracy ol Assess and Min)V/rni'iy>;i» ' >. '••.'V!X2) 358-362. 1991, 5,Gar()nmRM. Setting the standard
•>'Ctapo RO, Jaciison BR, et al Evaluit'C! accuracv and tm(od\Kil)ility ol peak llowtneters at 1.400m
flow monitoring.for peakCftM/ 948-952. 1992 AA710003-0 b/93 HeaitlScan ProducisW;(4) 't' 1993,
Circle 119 on reader service card
VisitAARC Booth 1310 In OrlandoRE/PIRATORy QiRE
A Monthly Science Journal. Established 1956. Official Journal of the American Association for Respiratory Care
Editor December 1995
Pat BrougherBA RRT Volume NumberContents ... 40, 12
Associate Editor
Kaye WeberMS RRT
Editorials
Editorial Office
1264 Clinical Practice Guidelines: Why, Whence, and
Abies11030 Lane
Whither?
DallasTX 75229 —by Dean Hess Boston. Massachusetts
[phone]
1269 Guidelines: A Call for Local Implementation and
Assessment of ImpactEditorial Board
—hy Kingman P Strohl Cleveland. Ohio
JamesK StollerMD, Chairman
Cleveland Clinic Foundation Original Contributions
Cleveland, Ohio
Work of Breathing Imposed by Five Ventilators1270
RichardD Branson RRT
Used for Long-Term Support: The Effects ofPEEP
University of Cincinnati
and Simulated Patient Demand
Medical Center —by RichardD Branson and Kenneth Davis Jr Cincinnati. Ohio
Cincinnati, Ohio
Reviews, Overviews, & Updates
Crystal L Dunlevy EdD RRT
The Ohio State University
1279 Airway Management of the Chronically IntubatedColumbus, Ohio
Patient
CharlesG Durbin JrMD by George S Leisure, David J Stone, Burkliard F Spiekermann,
University Virginia and David L Bogdonojf^Cliarlottesville, VirginiaThe of
Health Sciences Center
Charlottesville. Virginia Special Article
Thomas D East PhD
1287 Sleep Apnea: Is Your Patient at Risk?
LDS Hospital
A special articlefrom the National Heart, Lung, ami Blood
University of Utah
Institute, reprinted with permission.
Salt Lake City, Utah
Guidelines, Recommendations, &Dean R Hess Ph