scholarly journals The Effective Doctor Patient Interface

2021 ◽  
Vol 63 (1) ◽  
pp. 1-2
Author(s):  
Satish V Khadilkar
Keyword(s):  
Patient Interface

Dermascope assisted interactive patient interface for multiple reference optical coherence tomography

2014 ◽  
Author(s):  
Roshan Dsouza ◽  
Hrebesh Subhash ◽  
Kai Neuhaus ◽  
Josh Hogan ◽  
Carol Wilson ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Optical Coherence ◽  
Multiple Reference ◽  
Patient Interface

Aerosolized Albuterol Sulfate Delivery under Neonatal Ventilatory Conditions: In Vitro Evaluation of a Novel Ventilator Circuit Patient Interface Connector

2014 ◽  
Vol 27 (1) ◽  
pp. 58-65 ◽  
Author(s):  
Jan Mazela ◽  
Krzysztof Chmura ◽  
Maksymilian Kulza ◽  
Christopher Henderson ◽  
Timothy J. Gregory ◽  
...  
Keyword(s):  
Ventilator Circuit ◽  
In Vitro Evaluation ◽  
Albuterol Sulfate ◽  
Patient Interface

scholarly journals Testing positive pressure delivered from commercial and WHO-style pediatric bubble CPAP devices

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicholas A. Ettinger ◽  
Nathan Serazin ◽  
Richard Nguyen ◽  
Jennifer Werdenberg ◽  
Minke Huibers ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Low Cost ◽  
Age Groups ◽  
Positive Pressure ◽  
Older Children ◽  
Flow Rates ◽  
Young Infants ◽  
Resource Limited ◽  
Nasal Cannulae ◽  
Patient Interface

Abstract Background/aim Low-cost commercial bCPAP devices have been deployed in resource-limited settings to treat neonatal respiratory failure. The use of these devices has increased access to pediatric respiratory support for infants. However, constrained resources may result in substitution of recommended consumables and/or use in older age groups. We hypothesized that commercially available bCPAP devices, the standard WHO-style device and various improvised adaptations would all generate effective, safe positive pressure at the patient interface. Methods Performance of 2 commercially available bCPAP devices was tested against the standard WHO-style bCPAP device, as well as several improvised modifications of these devices, by measuring positive pressure delivered at the patient interface. Variables tested included different flow rates, patient interfaces and respiratory circuit tubing. Results Both commercial devices utilized according to manufacturer recommendations generated the expected positive pressure at the patient interface. When testing the recommended WHO-style bCPAP device with recommended materials as well as other improvised modifications, we found variable and potentially unpredictable generation of positive pressure at the patient interface. Conclusions Modified or improvised bCPAP devices should be used with extreme caution as the support provided may be more or less than expected depending on respiratory tubing and flow rates employed. Our data support the effectiveness of bCPAP in newborns and young infants. But, to our knowledge, there are no bCPAP patient interfaces for older children effective with low liter flow devices. Therefore, based on these results, we recommend against using WHO-style bCPAP devices for non-infant patients with respiratory failure and instead recommend using standard oxygen therapy with nasal cannulae or face-masks, as well as early consideration of transfer to a higher level of care.

scholarly journals Deconstructing the 4-h rule for access to emergency care and putting patients first

2018 ◽  
Vol 42 (6) ◽  
pp. 698
Author(s):  
Ian Scott ◽  
Clair Sullivan ◽  
Andrew Staib ◽  
Anthony Bell
Keyword(s):  
Single Point ◽  
Compliance Rate ◽  
Emergency Admission ◽  
Transit Times ◽  
Improved Outcomes ◽  
Ed Overcrowding ◽  
Dynamic Measures ◽  
Exit Block ◽  
Ed Crowding ◽  
Patient Interface

Evidence suggests improved outcomes for patients requiring emergency admission to hospital are associated with improved emergency department (ED) efficiency and lower transit times. Factors preventing timely transfers of emergency patients to in-patient beds across the ED–in-patient interface are major causes for ED crowding, for which several remedial strategies are possible, including parallel processing of probable admissions, direct-to-ward admissions and single-point medical registrars for receiving and processing all referrals directed at specific speciality units. Dynamic measures of ED overcrowding that focus on boarding time are more indicative of EDs with exit block involving the ED–in-patient interface than static proxy measures such as hospital bed occupancy and numbers of ED presentations. The ideal 4-h compliance rate for all ED presentations is around 80%, based on a large retrospective study of more than 18million presentations to EDs of 59 Australian hospitals over 4 years, which demonstrated a highly significant linear reduction in risk-adjusted in-patient mortality for admitted patients as the compliance rate for all patients rose to 83%, but was not confirmed beyond this rate. Closely monitoring patient outcomes for emergency admissions in addition to compliance with time-based access targets is strongly recommended in ensuring reforms aimed at decongesting EDs do not compromise the quality and safety of patient care.

Optical patient interface in femtosecond laser–assisted cataract surgery: Contact corneal applanation versus liquid immersion

2013 ◽  
Vol 39 (4) ◽  
pp. 501-510 ◽  
Author(s):  
Jonathan H. Talamo ◽  
Philip Gooding ◽  
David Angeley ◽  
William W. Culbertson ◽  
Georg Schuele ◽  
...  
Keyword(s):  
Femtosecond Laser ◽  
Cataract Surgery ◽  
Liquid Immersion ◽  
Patient Interface
Sign in / Sign up

Export Citation Format

Share Document