This also applies to protective ventilation strategies. Anaesthetists' complex workstations and the large number of distractions that occur during a single case can adversely affect patient care and hinder the consistent application of such concepts.Here medical technology has to support protective mechanical ventilation by providing intelligent technical solutions, enable and promote spontaneo...

BACKGROUND The utility of routinely obtaining arterial blood gas analyses (ABGs) prior to extubation in patients who have successfully completed a spontaneous breathing trial is not known. OBJECTIVE Review our practices and determine our extubation success rate with a policy of selective ABG utilization. METHODS Retrospective chart review. RESULTS We reviewed 54 extubations of 52 patients...

Introduction: Hyperpolarized (HP) noble gas MRI and MRS in the lungs on spontaneous breathing mice is expected as a valuable modality for drug discovery or development of the methods for evaluating physiological changes. Since the measurements under the spontaneous breathing condition are fully non-invasive protocol without using mechanical ventilation, this technique allows a long-term and the...

Surgical pneumothorax allows obtaining comfortable surgical space for minimally invasive thoracic surgery, under spontaneous ventilation and thoracic epidural anesthesia, without need to provide general anesthesia and neuromuscular blockade. One lung ventilation (OLV) by iatrogenic lung collapse, associated with spontaneous breathing and lateral position required for the surgery, involves patho...

BACKGROUND Assessment of the degree of air-flow obstruction is important for determining the treatment strategy in COPD patients. However, in some elderly COPD patients, measuring FVC is impossible because of cognitive dysfunction or severe dyspnea. In such patients a simple test of airways obstruction requiring only a short run of tidal breathing would be useful. We studied whether the spontan...

Current approaches to assess interoception of respiratory functions cannot differentiate between the physiological basis of interoception, i.e. visceral-afferent signal processing, and the psychological process of attention focusing. Furthermore, they typically involve invasive procedures, e.g. induction of respiratory occlusions or the inhalation of CO2-enriched air. The aim of this study was ...

Background About 40 to 60% of all patients admitted to pediatric intensive care unitsundergo mechanical ventilation and 10 to 20% will fail to be extubated. We aimed to determine the role of the rapid shallow breathing index (RSBI) in predicting successful weaning of pediatric patients with respiratory failure.   Materials and Methods: This cross-sectional study, was performed on 72 mechanical...

Baroreflex sensitivity (BRS) has been proposed as a diagnostic parameter for neurological disorders and as a survival-prognosis parameter in diabetic and cardiac patients. Therefore reference values and the reproducibility of BRS were assessed, taking into account the possible influence of age, gender, test conditions and some analysis variants. Healthy subjects (n=191) were randomly selected f...

PURPOSE This study aimed (1) to determine whether paced breathing (synchronization of the expiration phase with poling time) would reduce the metabolic rate and dictate a lower rate of perceived exertion (RPE) than does spontaneous breathing and (2) to analyze the effects of paced breathing on poling forces and stride-mechanics organization during roller-ski skating exercises. METHODS Thirtee...