scholarly journals Potential Inadequacy of Automatic Tube Compensation to Decrease Inspiratory Work Load After at Least 48 Hours of Endotracheal Tube Use in the Clinical Setting

2012 ◽  
Vol 57 (5) ◽  
pp. 697-703 ◽  
Author(s):  
J. Oto ◽  
H. Imanaka ◽  
E. Nakataki ◽  
R. Ono ◽  
M. Nishimura
Keyword(s):  
Endotracheal Tube ◽  
Clinical Setting ◽  
Work Load ◽  
Inspiratory Work ◽  
Tube Compensation

scholarly journals Expiratory automatic endotracheal tube compensation reduces dynamic hyperinflation in a physical lung model

Critical Care ◽  
2009 ◽  
Vol 13 (1) ◽  
pp. R4 ◽  
Author(s):  
Christoph Haberthür ◽  
Annekathrin Mehlig ◽  
John F Stover ◽  
Stefan Schumann ◽  
Knut Möller ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Lung Model ◽  
Dynamic Hyperinflation ◽  
Tube Compensation ◽  
Physical Lung Model

scholarly journals Low-pressure support vs automatic tube compensation during spontaneous breathing trial for weaning

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Claude Guérin ◽  
Nicolas Terzi ◽  
Mehdi Mezidi ◽  
Loredana Baboi ◽  
Nader Chebib ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Spontaneous Breathing ◽  
Pressure Support ◽  
Spontaneous Breathing Trial ◽  
Lung Ventilation ◽  
Low Pressure ◽  
Ventilation Distribution ◽  
Data Logger ◽  
Impedance Tomography ◽  
Tube Compensation

Abstract Background During spontaneous breathing trial, low-pressure support is thought to compensate for endotracheal tube resistance, but it actually should provide overassistance. Automatic tube compensation is an option available in the ventilator to compensate for flow-resistance of endotracheal tube. Its effects on patient effort have been poorly investigated. We aimed to compare the effects of low-pressure support and automatic tube compensation during spontaneous breathing trial on breathing power and lung ventilation distribution. Results We performed a randomized crossover study in 20 patients ready to wean. Each patient received both methods for 30 min separated by baseline ventilation: pressure support 0 cmH2O and automatic tube compensation 100% in one period and pressure support 7 cmH2O without automatic tube compensation in the other period, a 4 cmH2O positive end-expiratory pressure being applied in each. Same ventilator brand (Evita XL, Draeger, Germany) was used. Breathing power was assessed from Campbell diagram with esophageal pressure, airway pressure, flow and volume recorded by a data logger. Lung ventilation distribution was assessed by using electrical impedance tomography (Pulmovista, Draeger, Germany). During the last 2 min of low-pressure support and automatic compensation period breathing power and lung ventilation distribution were measured on each breath. Breathing power generated by the patient’s respiratory muscles was 7.2 (4.4–9.6) and 9.7 (5.7–21.9) J/min in low-pressure support and automatic tube compensation periods, respectively (P = 0.011). Lung ventilation distribution was not different between the two methods. Conclusions We found that ATC was associated with higher breathing power than low PS during SBT without altering the distribution of lung ventilation.

Biracial Testing: The Question of Clinicians' Influence on Children’s Test Performance

1977 ◽  
Vol 8 (1) ◽  
pp. 5-14 ◽  
Author(s):  
David L. Ratusnik ◽  
Roy A. Koenigsknecht
Keyword(s):  
Clinical Setting ◽  
Test Performance ◽  
Test Scores ◽  
Preschool Age ◽  
Speech And Language ◽  
Black And White ◽  
Drawing Test ◽  
Lower Socioeconomic ◽  
Preschool Age Children

Six speech and language clinicians, three black and three white, administered the Goodenough Drawing Test (1926) to 144 preschoolers. The four groups, lower socioeconomic black and white and middle socioeconomic black and white, were divided equally by sex. The biracial clinical setting was shown to influence test scores in black preschool-age children.

Systems of Oppression in Geriatric Clinical Service Delivery

2021 ◽  
pp. 1-3
Author(s):  
Diane L. Kendall
Keyword(s):  
Higher Education ◽  
Service Delivery ◽  
Clinical Setting ◽  
Service Providers ◽  
Hard Work ◽  
Clinical Service ◽  
Meaningful Change ◽  
Important Work ◽  
Speech Language Pathologists ◽  
Medical Institutions

Purpose The purpose of this article was to extend the concepts of systems of oppression in higher education to the clinical setting where communication and swallowing services are delivered to geriatric persons, and to begin a conversation as to how clinicians can disrupt oppression in their workplace. Conclusions As clinical service providers to geriatric persons, it is imperative to understand systems of oppression to affect meaningful change. As trained speech-language pathologists and audiologists, we hold power and privilege in the medical institutions in which we work and are therefore obligated to do the hard work. Suggestions offered in this article are only the start of this important work.

Misplaced Trust: Latent Faults of Health IT in the Clinical Setting

2008 ◽  
Author(s):  
Shawna J. Perry ◽  
Robert L. Wears ◽  
Sandra McDonald
Keyword(s):  
Clinical Setting ◽  
Health It
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