Respiratory Rehabilitation
ERS statement on airway clearance techniques in adults with bronchiectasis
12 May, 2023 | 13:42h | UTC
M-A | Effects of different types of early rehabilitation on ventilator weaning among patients in the ICU
10 May, 2023 | 15:34h | UTC
What’s new in reducing the impact of tracheostomy on communication and swallowing in the ICU
4 May, 2023 | 13:34h | UTC
Commentary on Twitter
💨 Tracheostomy? Profound impact on functional communication, swallowing/oral intake & other comorbidities in #ICU. Early strategies to restore laryngo‑pharyngeal airflow/subglottic P likely to ⬇️ negative impact ⬆️ short/longer-term sequelae.#ICUrehab
🖇️ https://t.co/Jslkv04Djf pic.twitter.com/YKLNKYvabC— Intensive Care Medicine (@yourICM) April 23, 2023
SR | Exercise‐based rehabilitation programs for pulmonary hypertension
17 Apr, 2023 | 12:44h | UTCExercise‐based rehabilitation programmes for pulmonary hypertension – Cochrane Library
Summary: Exercise-based rehabilitation in pulmonary hypertension – Cochrane Library
Review | Managing respiratory muscle weakness during weaning from invasive ventilation
11 Apr, 2023 | 14:12h | UTC
M-A | Noninvasive respiratory support after extubation
11 Apr, 2023 | 14:03h | UTC
Review | Post-COVID syndrome
6 Apr, 2023 | 13:21h | UTCPost-COVID Syndrome – Deutsches Ärzteblatt International
Related:
Long COVID: major findings, mechanisms and recommendations – Nature Reviews Microbiology
RCT | Effect of non-invasive ventilation after extubation in critically ill patients with obesity
17 Feb, 2023 | 13:10h | UTCEffect of non-invasive ventilation after extubation in critically ill patients with obesity in France: a multicentre, unblinded, pragmatic randomised clinical trial – The Lancet Respiratory Medicine (link to abstract – $ for full-text)
Commentary on Twitter
NEW Research—Among critically ill adults with obesity undergoing extubation, the use of NIV was effective to reduce treatment-failure within 3 days
Read the RCT from Audrey De Jong & colleagues here: https://t.co/nMB3W8NAYX #SCCM2023 pic.twitter.com/iEHExPEhSN
— The Lancet Respiratory Medicine (@LancetRespirMed) January 21, 2023
RCT | Effect of early mobilization on long-term cognitive impairment in critical illness
17 Feb, 2023 | 13:07h | UTCEffect of early mobilisation on long-term cognitive impairment in critical illness in the USA: a randomised controlled trial – The Lancet Respiratory Medicine (free registration required)
Related:
M-A | The effect of early active mobilization at 6 months after critical illness
Early Active Mobilization during Mechanical Ventilation in the ICU – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
NEW Research—Early mobilisation might improve long-term cognitive impairment in ICU survivors after MV, but the increased risk of adverse events in the intervention group should be noted
Read the RCT from Bhakti Patel & colleagues here: https://t.co/DeqraodGXq #SCCM2023 pic.twitter.com/RMDhE7UxPM
— The Lancet Respiratory Medicine (@LancetRespirMed) January 21, 2023
RCT | Home high-flow nasal cannula oxygen therapy for stable hypercapnic COPD
17 Feb, 2023 | 12:53h | UTC
SR | Inspiratory muscle training, with or without concomitant pulmonary rehabilitation, for COPD
15 Feb, 2023 | 15:42h | UTC
Review | How to optimize extubation?
3 Feb, 2023 | 14:13h | UTCHow to optimize extubation? – Intensive Care Medicine
Commentary on Twitter
How to optimize extubation?
➡️ anticipate cause of failure before extubation
➡️ after extubation: still anticipate to avoid re-intubation
➡️ high risk specific populations: COPD, obesity, brain injury
Free to read #FOAMcc on @yourICM
🖇️ https://t.co/C1fxrzO6Mf pic.twitter.com/1L4FdsuW6p— Intensive Care Medicine (@yourICM) February 1, 2023
SR | Patient-reported outcomes to assess dyspnea in interstitial lung disease and pulmonary hypertension
27 Jan, 2023 | 12:12h | UTC
M-A | Post-operative outcomes of pre-thoracic surgery respiratory muscle training vs. aerobic exercise training
26 Jan, 2023 | 12:19h | UTCPost-Operative Outcomes of Pre-Thoracic Surgery Respiratory Muscle Training Vs. Aerobic Exercise Training: A Systematic Review and Network Meta-analysis – Archives of Physical Medicine and Rehabilitation (link to abstract – $ for full-text)
M-A | The effect of early active mobilization at 6 months after critical illness
19 Jan, 2023 | 14:21h | UTCThe Effect of Mobilization at 6 Months after Critical Illness — Meta-Analysis – NEJM Evidence
Related:
Early Active Mobilization during Mechanical Ventilation in the ICU – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
In this systemic review and meta-analysis on early mobilization in the ICU, Paton et al. find no significant effect on days alive and out of hospital. However, they find a possibility that it might increase mortality and adverse events. https://t.co/NrzDi7Y5KY#CriticalCare pic.twitter.com/mOW6BF44qx
— NEJM Evidence (@NEJMEvidence) December 20, 2022
Policy Statement | Palliative care early in the care continuum among patients with serious respiratory illness.
7 Dec, 2022 | 14:22h | UTC
Commentary on Twitter
Read "Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement" here: https://t.co/vMALIcwp3K pic.twitter.com/lUclouz0Dj
— American Thoracic (@atscommunity) September 26, 2022
RCT | Effects of a physical exercise intervention during vs. after chemotherapy to improve cardiorespiratory fitness.
23 Nov, 2022 | 14:01h | UTCEditorial: Inclusion of Exercise in Cancer Treatment Planning: When Is the Right Time? – JACC: CardioOncology
Commentary: Exercise Intervention During Chemotherapy Beneficial – HealthDay
RCT | NIV is superior to high-flow nasal cannula to prevent reintubation in patients at high risk for extubation failure.
21 Nov, 2022 | 14:41h | UTCEffect of postextubation noninvasive ventilation with active humidification vs high-flow nasal cannula on reintubation in patients at very high risk for extubation failure: a randomized trial – Intensive Care Medicine (free for a limited period)
Commentary on Twitter
NIV + active humidification vs HFNC in adult critically ill pts at very high-risk for extubation failure, RCT in 🇪🇸 ICUs: noninvasive ventilation superior to high-flow nasal cannula O2
➡️ reintubation required in 23.3% pts receiving NIV vs 38.8% if HFNC
📎 https://t.co/2mNTf3PYEF pic.twitter.com/Fp2GtZpcLx— Intensive Care Medicine (@yourICM) November 19, 2022
M-A | High-flow nasal cannula vs. non-invasive ventilation for acute hypercapnic respiratory failure in adults.
17 Nov, 2022 | 12:25h | UTC
M-A | Effect of pulmonary rehabilitation in dyspnea, exercise capacity, fatigue, and quality of life in patients with COVID-19.
3 Nov, 2022 | 14:09h | UTC
RCT | In hypoxemic patients after extubation, high-flow vs. Venturi mask oxygen therapy resulted in similar re-intubation rates.
1 Nov, 2022 | 12:11h | UTC
M-A | Efficacy of preventive use of oxygen therapy after planned extubation in high-risk patients with extubation failure.
1 Nov, 2022 | 11:55h | UTC
RCT | Early active mobilization during mechanical ventilation in the ICU did not improve outcomes and increased adverse events.
28 Oct, 2022 | 13:28h | UTCEarly Active Mobilization during Mechanical Ventilation in the ICU – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
https://twitter.com/NEJM/status/1585246120963604481
RCT | Spontaneous-breathing trials performed with pressure-support ventilation are no better than trials using a T-piece.
28 Oct, 2022 | 13:25h | UTCSpontaneous-Breathing Trials with Pressure-Support Ventilation or a T-Piece – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
Among patients with a high risk of reintubation, spontaneous-breathing trials performed with pressure-support ventilation did not result in significantly fewer ventilator-free days at day 28 than T-piece trials. #LIVES2022 https://t.co/kqSDe3X89v pic.twitter.com/dCcPxdCWmJ
— NEJM (@NEJM) October 26, 2022
RCT | A lower oxygen saturation target did not improve outcomes after out-of-hospital cardiac arrest.
27 Oct, 2022 | 12:38h | UTCEffect of Lower vs Higher Oxygen Saturation Targets on Survival to Hospital Discharge Among Patients Resuscitated After Out-of-Hospital Cardiac Arrest: The EXACT Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Early Oxygen Supplementation After Resuscitation From Cardiac Arrest – JAMA (free for a limited period)
Related:
Oxygen targets – Intensive Care Medicine (if the link is paywalled, try this one)