Respiratory Rehabilitation
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)
Retrospective Cohort Study | Association of ECMO with new mental health diagnoses in adult survivors of critical illness.
27 Oct, 2022 | 12:37h | UTCAssociation of Extracorporeal Membrane Oxygenation With New Mental Health Diagnoses in Adult Survivors of Critical Illness – JAMA (free for a limited period)
Editorial: Mental Health Outcomes Following Extracorporeal Membrane Oxygenation in Survivors of Critical Illness – JAMA (free for a limited period)
News Release: ECMO survivors have higher rate of new mental health diagnoses than other ICU survivors – Ottawa Hospital
Commentary from the author on Twitter (thread – click for more)
? Long-term outcomes after #ECMO are lacking in the literature.
A brief thread on our new paper in @JAMA_current, looking at mental health outcomes in survivors after ECMO (OPEN ACCESS).
Thrilled to have presented the results live @ESICM #LIVES2022 https://t.co/xaqKxCky67 pic.twitter.com/4zUomfNE7K
— Shannon Fernando (@shanfernands) October 26, 2022
RCT | In critically ill patients receiving MV, there was no difference in outcomes between different O2 saturation targets.
25 Oct, 2022 | 13:23h | UTCOxygen-Saturation Targets for Critically Ill Adults Receiving Mechanical Ventilation – New England Journal of Medicine (link to abstract – $ for full-text)
Related:
Oxygen targets – Intensive Care Medicine (if the link is paywalled, try this one)
Commentary on Twitter
In this trial involving patients receiving mechanical ventilation, randomly assigned low, intermediate, or high oxygenation targets did not alter the number of ventilator-free days. @CritCareReviews https://t.co/UUxrEPRxs6 pic.twitter.com/ueUSX8ZmHG
— NEJM (@NEJM) October 24, 2022
Review | Poor physical recovery after critical illness.
4 Oct, 2022 | 14:27h | UTC
Systematic Review | Physical activity and exercise training in cystic fibrosis.
3 Oct, 2022 | 13:46h | UTCPhysical activity and exercise training in cystic fibrosis – Cochrane Library
Summary: Physical activity to improve exercise capacity in people with cystic fibrosis – Cochrane Library
Commentary on Twitter
??♂️?️♂️?♂️ People with #cysticfibrosis probably benefit from physical activity interventions for six months: evidence from a recent #Cochrane review ➡️https://t.co/T3JyBm6bSd@CochraneLibrary @CochraneNursing #CochraneHongKong #SystematicReview #cuhknursing #exercise pic.twitter.com/evzTm7Xpo9
— Cochrane Nursing (@CochraneNursing) August 24, 2022
Cochrane Library | Preoperative exercise training for people with non‐small cell lung cancer.
3 Oct, 2022 | 13:44h | UTCPreoperative exercise training for people with non‐small cell lung cancer – Cochrane Library
Chronic critical illness and post-intensive care syndrome: from pathophysiology to clinical challenges.
27 Sep, 2022 | 13:03h | UTC
Cohort Study | Aerosol precautions and airway complications.
14 Sep, 2022 | 12:57h | UTC
Commentary on Twitter
?FFP2/3 mask use by anaesthetists was associated with increased patient airway complications?@t_Potter_1 @john_n_cronin @justin_kua @EvieNurmi @dannyjnwong @dr_imranahmad @doctimcook @elboghdadly @PeriopResearch @STAResearch @SQuAResNet @NWRAG
?https://t.co/NnJZqGzU4R pic.twitter.com/PhSsU0KcGC
— ??????????? (@Anaes_Journal) September 8, 2022
Systematic Review | Pulmonary rehabilitation versus usual care for adults with asthma.
26 Aug, 2022 | 13:12h | UTCPulmonary rehabilitation versus usual care for adults with asthma – Cochrane Library
Commentary on Twitter
Very excited to see our new @CochraneAirways review in print! A modest body of evidence highlights likely benefits of #pulmonaryrehab on ex.tol and QoL in people with #asthma. Big thanks to @EvidSynIRL for supporting @ccass2000's mentorship! Link here: https://t.co/DlgdTqETtb pic.twitter.com/RAtOO0Oam6
— Christian Osadnik (@COsadnik) August 23, 2022
Retrospective cohort study | Symptoms and risk factors for long COVID in non-hospitalized adults.
19 Aug, 2022 | 16:17h | UTCSymptoms and risk factors for long COVID in non-hospitalized adults – Nature Medicine
Commentary: UK study finds over 100 symptoms of long COVID in non-hospitalized adults – News Medical
M-A | The accuracy of pulse oximetry in measuring oxygen saturation by levels of skin pigmentation.
19 Aug, 2022 | 16:15h | UTCRelated:
Racial Bias in Pulse Oximetry Measurement – New England Journal of Medicine
FDA issues alert on ‘limitations’ of pulse oximeters, without explicit mention of racial bias – STAT
Pulse Oximeter Accuracy and Limitations: FDA Safety Communication – U.S. Food & Drug Administration
RCT | Effectiveness of a long-term home-based exercise training program in patients with COPD following pulmonary rehabilitation.
18 Aug, 2022 | 12:43h | UTC
Commentary on Twitter
Effectiveness of a long-term home-based exercise training program in patients with COPD following pulmonary rehabilitation: A multi-center randomized controlled trialhttps://t.co/8u1nizaDNq pic.twitter.com/QwqzN1dDHK
— Physio Meets Science (@PhysioMeScience) August 17, 2022
Under a Creative Commons license
Prolonged mechanical ventilation: outcomes and management.
17 Aug, 2022 | 13:53h | UTCProlonged Mechanical Ventilation: Outcomes and Management – Journal of Clinical Medicine
Study suggests long covid symptoms affect 1 in 8 patients.
16 Aug, 2022 | 13:52h | UTCNews Release: Most reliable estimates to date suggest one in eight COVID-19 patients develop long COVID symptoms – Lancet
Commentaries:
Long COVID symptoms affect 1 in 8 adults, some for 2 years – CIDRAP
Covid-19: One in eight adults develops long covid symptoms, study suggests – The BMJ
Review | Chronic hypercapnic respiratory failure and non-invasive ventilation in people with chronic obstructive pulmonary disease.
16 Aug, 2022 | 13:37h | UTC
Commentary on Twitter
? The latest review on non-invasive ventilation aims to provide background for internists to consider this therapeutic option for their #COPD patients. Read it now ▶️ https://t.co/7mnYMPHKEp#MedTwitter #BMJMedicine #CCFCOPD @CCF_PCCM pic.twitter.com/DfmOZxAIjG
— BMJMedicine (@BMJMedicine) August 5, 2022
RCT | Temporary transvenous phrenic nerve stimulation does not benefit difficult-to-wean patients in the ICU.
8 Aug, 2022 | 11:41h | UTC
M-A | Respiratory support strategy in adults with acute hypoxemic respiratory failure.
1 Aug, 2022 | 12:18h | UTC
RCT | Using a smartphone application maintains physical activity following pulmonary rehabilitation in patients with COPD.
21 Jul, 2022 | 12:45h | UTC
M-A of RCTs | Effectiveness of home-based cardiac rehabilitation, using wearable sensors, as a multicomponent, cutting-edge intervention.
15 Jul, 2022 | 12:35h | UTC
M-A | Home oxygen for moderate hypoxemia in chronic obstructive pulmonary disease.
13 Jul, 2022 | 11:47h | UTCHome oxygen for moderate hypoxaemia in chronic obstructive pulmonary disease: a systematic review and meta-analysis – The Lancet Respiratory Medicine (link to abstract – $ for full-text)
Commentary on Twitter
Home oxygen probably makes little or no difference to 3-year mortality in pts with #COPD and moderate hypoxaemia
Systematic review & meta-analysis from Yves Lacasse & colleagues https://t.co/8wDrkEd1LH pic.twitter.com/UoOqW7hngT
— The Lancet Respiratory Medicine (@LancetRespirMed) July 11, 2022
ARDS Clinical Practice Guideline.
11 Jul, 2022 | 12:49h | UTCARDS Clinical Practice Guideline 2021 – Journal of Intensive Care
Retrospective Cohort Study | Racial bias and reproducibility in pulse oximetry among medical and surgical inpatients.
7 Jul, 2022 | 12:57h | UTCNews Release: Pulse oximeters missed low oxygen levels in more Black veterans than white veterans – University of Michigan
Related:
Racial Bias in Pulse Oximetry Measurement – New England Journal of Medicine
FDA issues alert on ‘limitations’ of pulse oximeters, without explicit mention of racial bias – STAT
Pulse Oximeter Accuracy and Limitations: FDA Safety Communication – U.S. Food & Drug Administration
Commentary on Twitter
New research found that for individuals in general (medical and surgical) care in hospital, occult hypoxemia was more common for black patients than for white patients https://t.co/DrNlaIE7ho
— The BMJ (@bmj_latest) July 6, 2022