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Chronic obstructive pulmonary disease (COPD) patients with chronic ventilatory failure (CVF) are more likely to develop exacerbations, which are an important determinant of health-related quality of life (HRQL). Long-term noninvasive positive-pressure ventilation (NPPV) has been proposed in addition to long-term oxygen therapy (LTOT) to treat CVF but little(More)
A survey was performed on behalf of the European Respiratory Society to assess end-of-life practices in patients admitted to European respiratory intermediate care units and high dependency units over a 6-month period. A 33-item questionnaire was sent by e-mail to physicians throughout Europe and the response rate was 28 (29.5%) out of 95. A total of 6,008(More)
INTRODUCTION To assess whether respiratory intermediate care units (RICUs) are cost effective alternatives to intensive care units (ICUs) for patients with exacerbation of chronic obstructive pulmonary disease (COPD). PATIENTS AND METHODS Multi-centre, prospective, bottom-up cost study performed in 15 ICUs and 6 RICUs. COPD patients staying longer than 48(More)
Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1344 Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1345 Geographical distribution and type of units . . . . . . . . . . . . . . . . . . . . . . . . . . . 1345 Location . . . . . . . . . . . . . . . . . . . . . . . . . . 1345 Type of intervention according to different levels(More)
BACKGROUND In Italy, respiratory intensive care units (RICUs) provide an intermediate level of care between the intensive care unit (ICU) and the general ward for patients with single organ respiratory failure. Because of the lack of official epidemiological data in these units, a two phase study was performed with the aim of describing the work profile in(More)
OBJECTIVES To determine the effectiveness of ranitidine and sucralfate in the prevention of stress ulcer in critical patients and to assess if these treatments affect the risk of nosocomial pneumonia. DESIGN Published studies retrieved through Medline and other databases. Five meta-analyses evaluated effectiveness in terms of bleeding rates (A: ranitidine(More)
We evaluated retrospectively the short-term and the long-term prognosis of 105 patients with COPD and prolonged respiratory insufficiency admitted to our respiratory intensive care unit from 1976 to 1980 for acute respiratory failure. All subjects underwent intermittent negative pressure ventilation by means of an iron lung to overcome the acute episode.(More)
BACKGROUND Tracheostomy is increasingly performed in intensive care units (ICU), with many patients transferred to respiratory ICU (RICU). Indications/timing for closing tracheostomy are discussed. AIM AND METHOD We report results of a one-year survey evaluating: 1) clinical characteristics, types of tracheostomy, complications in patients admitted to(More)
To investigate in clinical practice the role of non-invasive mechanical ventilation in the treatment of acute respiratory failure on chronic respiratory disorders. An 18 months prospective cohort study. A specialised respiratory intensive care unit in a university-affiliated hospital. A total of 258 consecutive patients with acute respiratory failure on(More)
Long term oxygen therapy (LTOT) has been shown to improve the survival rate in Chronic Obstructive Pulmonary Disease (COPD) patients with severe resting hypoxemia by NOTT and MRC studies, published more than 25 years ago. The improved survival was found in patients who received oxygen for more than 15 hours/day. The effectiveness of LTOT has been documented(More)