Archive for February, 2011

Ok, I have seen this in action now during a bronchoscopy on a pt previously on 100% hffm and it really does work.

If anyone has a chance to check this piece of equipment out, I think you might be pleasantly surprised!

Diffuser Technology

The OxyMask oxygen delivery system creates a higher concentration of oxygen within the mask, as opposed to the inefficiency of traditional blow-by systems.

OxyMask’s unique Diffuser system creates a Velocity Vortex of a high concentration of oxygen molecules.

This Velocity Vortex of Oxygen molecules are directed to the mouth and nose area, by the precision angling of the Diffuser Cup.

Obstructive Sleep Apnea

Obstructive sleep apnea (OSA) is a sleep disorder that involves cessation or significant decrease in airflow in the presence of breathing effort. Obstructive sleep apnea is a sleep disorder characterized by recurrent episodes of upper airway (UA) collapse during sleep.[1 ]By definition, apnea episodes last 10 seconds or longer and commonly last 30 seconds or longer. Apnea may occur hundreds of times nightly, 1-2 times per minute, in severe obstructive sleep apnea patients, and it is often accompanied by wide swings in heart rate, a precipitous decrease in oxygen saturation, and brief electroencephalogram (EEG) arousals concomitant with stertorous breathing sounds as a bolus of air is exhaled when the airway reopens. This may occur hundreds of times nightly. Obstructive apnea events are most often associated with recurrent sleep arousals and recurrent oxygen desaturation.

Full Article

The Canadian Thoracic Society (CTS) published an executive summary of guidelines for the diagnosis and treatment of sleep disordered breathing in 2006/2007. These guidelines were developed during several meetings by a group of experts with evidence grading based on committee consensus.

Download PDF

Web Link

From Medscape Medical News

Laurie Barclay, MD

February 14, 2011 — New clinical practice guidelines describe the use of noninvasive positive-pressure ventilation (NPPV) and noninvasive continuous positive airway pressure (CPAP) in the acute care setting, according to a report published online February 14 in the Canadian Medical Association Journal.

The new recommendations, which are based on increasing evidence from the literature and variations in practice in recent years, describe the use of noninvasive ventilation in the postoperative setting, in immunocompromised patients, in patients being weaned from conventional mechanical ventilation, and in patients at high risk for respiratory failure after removal of the breathing tube.

Read More:

New Clinical Practice Guidelines Issued for Noninvasive Ventilation (printer-friendly)

Locals breathe easier after St. Mary’s expands asthma education….From The Record

More people like Rachel will get help with the expansion of the Priisme program into three local health centres and long-term care and retirement homes across the Waterloo-Wellington region.

The program began in 2005 in partnership with drug manufacturer GlaxoSmithKline to help asthma patients at local doctor’s offices, family health teams and the University of Waterloo’s campus clinic. Two years later, it grew to include patients with COPD, an irreversible and disabling lung disease.

More than 1,000 patients have been helped at those sites by respiratory educators from St. Mary’s, which has a dedicated respiratory program with in- and outpatient care, and since then the hospital has seen a drop in emergency room visits and admissions for asthma and steady numbers for COPD despite the rising prevalence.

Read Full Story

TheRecord – Locals breathe easier after St. Mary’s expands asthma…

Good one over on HFOV video

So you want to oscillate your patient, eh? Here’s a quick once-over.

******Disclaimer: The purpose of this video is a training refresher to RT’s. Any views or opinions presented in this video are solely those of the author and do not necessarily represent those of MUSC or Sensormedics. ****

The effect of increasing positive end-expiratory pressure on an atelectatic lung

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