Clinical Practice Guidelines of the Canadian Society of Nephrology for the Treatment of Patients with Chronic Renal Failure: A Re-Examination

2003 ◽  
pp. 163-169 ◽  
Author(s):  
S. Prichard
Keyword(s):  
Renal Failure ◽  
Clinical Practice ◽  
Chronic Renal Failure ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Canadian Society

scholarly journals Statins and progression of renal failure: is a reconsideration of clinical practice guidelines justified?

2005 ◽  
Vol 20 (5) ◽  
pp. 1015-1016
Author(s):  
George Tsirpanlis ◽  
Fotini Boufidou ◽  
Fotini Alevyzaki ◽  
Erasmia Psimenou
Keyword(s):  
Renal Failure ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Progression Of Renal Failure

scholarly journals The Canadian Society of Nephrology Methods in Developing and Adapting Clinical Practice Guidelines: A Review

2014 ◽  
Vol 1 ◽  
pp. 5 ◽  
Author(s):  
Reem A Mustafa ◽  
Adeera Levin ◽  
Ayub Akbari ◽  
Bethany J Foster ◽  
Deborah Zimmerman ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Canadian Society

scholarly journals Introduction to the Canadian Society of Nephrology Clinical Practice Guidelines for the management of anemia associated with chronic kidney disease

2008 ◽  
Vol 74 ◽  
pp. S1-S3 ◽  
Author(s):  
Braden J. Manns ◽  
Colin T. White ◽  
Francois Madore ◽  
Louise M. Moist ◽  
Scott W. Klarenbach ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Clinical Practice ◽  
Kidney Disease ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Canadian Society

High Flow Oxygen Therapy and the Pressure to Feed Infants With Acute Respiratory Illness

2020 ◽  
Vol 5 (4) ◽  
pp. 1006-1010
Author(s):  
Jennifer Raminick ◽  
Hema Desai
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Oxygen Therapy ◽  
Respiratory Illness ◽  
High Flow ◽  
Oral Feeding ◽  
Respiratory Support ◽  
Acute Respiratory Illness ◽  
High Flow Oxygen

Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.

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