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Breathing Easy: Can Stress & Effort Be Measured Noninvasively in Mechanically Ventilated Patients?.
Ende, Holly B. 1; Rathmell, James P. 2; Wanderer, Jonathan P. 3
Instructions for Obtaining ANESTHESIOLOGY Continuing Medical Education (CME) Credit.
Monitoring Respiratory Effort and Lung-distending Pressure Noninvasively during Mechanical Ventilation: Ready for Prime Time.
Dianti, Jose M.D. 1; Goligher, Ewan C. M.D., Ph.D., F.R.C.P.C. 2
Paradox of Power: Dynamic Tools to Predict Respiratory Failure in Spontaneously Breathing Patients.
Calabrese, Daniel R. M.D. 1; London, Martin J. M.D. 2
Comparison of Contralateral Acceleromyography and Electromyography for Posttetanic Count Measurement.
Joo, Hyunyoung M.D. 1; Cho, Sooyoung M.D., Ph.D. 2; Lee, Jong Wha M.D., Ph.D. 3; Kim, Won Joong M.D., Ph.D. 4; Lee, Hyun Jung M.D., Ph.D. 5; Woo, Jae Hee M.D., Ph.D. 6; Lee, Giyear M.D. 7; Baik, Hee Jung M.D., Ph.D. 8
doi : 10.1097/ALN.0000000000004466
Electromyography has advantages over mechanomyography and acceleromyography. Previously, agreement of the train-of-four counts between acceleromyography and electromyography was found to be fair.
Respiratory Effects of Biased Ligand Oliceridine in Older Volunteers: A Pharmacokinetic-Pharmacodynamic Comparison with Morphine.
Simons, Pieter M.D. 1; van der Schrier, Rutger M.D. 2; van Lemmen, Maarten B.Sc. 3; Jansen, Simone M.D. 4; Kuijpers, Kiki W.K. B.Sc. 5; van Velzen, Monique Ph.D. 6; Sarton, Elise M.D., Ph.D. 7; Nicklas, Todd M.S.N. 8; Michalsky, Cathy M.Sc. 9; Demitrack, Mark A. M.D. 10; Fossler, Michael Pharm.D., Ph.D., F.C.P. 11; Olofsen, Erik Ph.D. 12; Niesters, Marieke M.D., Ph.D. 13; Dahan, Albert M.D. Ph.D. 14
doi : 10.1097/ALN.0000000000004473
Oliceridine is a G protein-biased [micro]-opioid, a drug class that is associated with less respiratory depression than nonbiased opioids, such as morphine. The authors quantified the respiratory effects of oliceridine and morphine in elderly volunteers.
Extended-age Out-of-sample Validation of Risk Stratification Index 3.0 Models Using Commercial All-payer Claims.
Greenwald, Scott Ph.D. 1; Chamoun, George F. B.S. 2; Chamoun, Nassib G. M.S. 3; Clain, David B.S. 4; Hong, Zhenyu M.S. 5; Jordan, Richard Ph.D. 6; Manberg, Paul J. Ph.D. 7; Maheshwari, Kamal M.D. 8; Sessler, Daniel I. M.D. 9
doi : 10.1097/ALN.0000000000004477
The authors previously reported a broad suite of individualized Risk Stratification Index 3.0 (Health Data Analytics Institute, Inc., USA) models for various meaningful outcomes in patients admitted to a hospital for medical or surgical reasons.
Performance of Noninvasive Airway Occlusion Maneuvers to Assess Lung Stress and Diaphragm Effort in Mechanically Ventilated Critically Ill Patients.
de Vries, Heder J. M.D. 1; Tuinman, Pieter R. M.D., Ph.D. 2; Jonkman, Annemijn H. Ph.D. 3; Liu, Ling M.D., Ph.D. 4; Qiu, Haibo M.D., Ph.D. 5; Girbes, Armand R. J. M.D., Ph.D. 6; Zhang, YingRui M.D. 7; de Man, Angelique M. E. M.D., Ph.D. 8; de Grooth, Harm-Jan M.D., Ph.D. 9; Heunks, Leo M.D., Ph.D. 10
doi : 10.1097/ALN.0000000000004467
Monitoring and controlling lung stress and diaphragm effort has been hypothesized to limit lung injury and diaphragm injury. The occluded inspiratory airway pressure (Pocc) and the airway occlusion pressure at 100 ms (P0.1) have been used as noninvasive methods to assess lung stress and respiratory muscle effort, but comparative performance of these measures and their correlation to diaphragm effort is unknown.
Mechanical Power Ratio and Respiratory Treatment Escalation in COVID-19 Pneumonia: A Secondary Analysis of a Prospectively Enrolled Cohort.
Gattarello, Simone M.D., Ph.D. 1; Coppola, Silvia M.D. 2; Chiodaroli, Elena M.D. 3; Pozzi, Tommaso M.D. 4; Camporota, Luigi M.D. 5; Saager, Leif M.D. 6; Chiumello, Davide M.D. 7; Gattinoni, Luciano M.D., F.R.C.P. 8
doi : 10.1097/ALN.0000000000004465
Under the hypothesis that mechanical power ratio could identify the spontaneously breathing patients with a higher risk of respiratory failure, this study assessed lung mechanics in nonintubated patients with COVID-19 pneumonia, aiming to (1) describe their characteristics; (2) compare lung mechanics between patients who received respiratory treatment escalation and those who did not; and (3) identify variables associated with the need for respiratory treatment escalation.
Predicting Intensive Care Delirium with Machine Learning: Model Development and External Validation.
Gong, Kirby D. M.S.E. 1; Lu, Ryan B.S., M.D., Ph.D. 2; Bergamaschi, Teya S. M.S.E., Ph.D. 3; Sanyal, Akaash M.S.E. 4; Guo, Joanna B.S. 5; Kim, Han B. M.S.E. 6; Nguyen, Hieu T. B.S., Ph.D. 7; Greenstein, Joseph L. Ph.D. 8; Winslow, Raimond L. Ph.D. 9; Stevens, Robert D. M.D. 10
doi : 10.1097/ALN.0000000000004478
Delirium poses significant risks to patients, but countermeasures can be taken to mitigate negative outcomes. Accurately forecasting delirium in intensive care unit (ICU) patients could guide proactive intervention.
Multidisciplinary Pain Management: A Tale of Two Outcomes.
Butler, Stephen H. M.D. 1; Loeser, John D. M.D. 2
doi : 10.1097/ALN.0000000000004444
AB Economic implications of pain management. By Loeser JD. Acta Anaesthesiol Scand 1999; 43:957-95. Reprinted with permission. Multidisciplinary pain management was an invention of John J. Bonica, M.D. He started the Multidisciplinary Pain Clinic at the University of Washington in 1960.
Difficult Airway Management in Neonates: Fiberoptic Intubation via Laryngeal Mask Airway.
Thomas, James Joseph M.D. 1; Lingruen, Mahsa C.A.A., M.M.Sc. 2; Reddy, Abhita M.D. 3; Chan, Kenny H. M.D. 4
Advanced Point-of-care Bedside Monitoring for Acute Respiratory Failure.
Cammarota, Gianmaria M.D., Ph.D. 1; Simonte, Rachele M.D. 2; Longhini, Federico M.D. 3; Spadaro, Savino M.D. 4; Vetrugno, Luigi M.D. 5; De Robertis, Edoardo M.D., Ph.D. 6
doi : 10.1097/ALN.0000000000004480
AB Advanced respiratory monitoring involves several mini- or noninvasive tools, applicable at bedside, focused on assessing lung aeration and morphology, lung recruitment and overdistention, ventilation-perfusion distribution, inspiratory effort, respiratory drive, respiratory muscle contraction, and patient-ventilator asynchrony, in dealing with acute respiratory failure.
Advertising McNeil's Pain Exterminator: A General for the Specific?.
Hypotension and Cardiac Surgical Outcomes: Comment.
Descamps, Richard M.D. 1; Denisenko, Alina M.D.; Fischer, Marc-Olivier M.D., Ph.D.
Hypotension and Cardiac Surgical Outcomes: Reply.
Rangasamy, Valluvan M.D., D.N.B., D.E.S.A.; de la Hoz, Miguel Armengol M.S.; Subramaniam, Balachundhar M.D., M.P.H., F.A.S.A. 1
Alternative Sleep Apnea Treatment: Comment.
Roy, Amrita M.D.; Mandal, Mohanchandra M.D. 1; Bhakta, Pradipta M.D., M.N.A.M.S., F.C.A.I., E.D.R.A., E.D.I.C.; O'Brien, Brian F.C.A.R.C.S.I., F.J.F.I.C.M.I., F.C.I.C.M. (ANZ); Esquinas, Antonio M. M.D., Ph.D., F.C.C.P., F.N.I.V., F.A.A.R.C.
Alternative Sleep Apnea Treatment: Reply.
Sakaguchi, Yuichi M.D.; Nozaki-Taguchi, Natsuko M.D.; Isono, Shiroh M.D. 1
We Are All Perfectly Fine: A Memoir of Love, Medicine and Healing.
McGoldrick, Kathryn Elizabeth M.D., F.C.A.I. (Hon.). 1
Ketamine Psychedelic and Antinociceptive Effects Are Connected: Erratum.
Preoperative Plasmapheresis in Patients Undergoing Cardiac Surgery Procedures: Retraction.
