Bhakti K Patel

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IMPORTANCE Noninvasive ventilation (NIV) with a face mask is relatively ineffective at preventing endotracheal intubation in patients with acute respiratory distress syndrome (ARDS). Delivery of NIV with a helmet may be a superior strategy for these patients. OBJECTIVE To determine whether NIV delivered by helmet improves intubation rate among patients(More)
BACKGROUND ICU-acquired weakness (ICU-AW) has immediate and long-term consequences for critically ill patients. Strategies for the prevention of weakness include modification of known risk factors, such as hyperglycemia and immobility. Intensive insulin therapy (IIT) has been proposed to prevent critical illness polyneuropathy. However, the effect of(More)
Due to inconsistent definitions used in the literature, the prevalence of rapid eye movement (REM)-related sleep-disordered breathing (SDB) has been quite variable and its clinical significance remains unclear. This study aimed to compare the prevalence of and clinical characteristics between various criteria for defining REM-related SDB. We also(More)
BACKGROUND Studies have suggested that the fat mass and obesity-associated (FTO) genotype is associated with individual variability in weight loss in response to diet/lifestyle interventions, but results are inconsistent. OBJECTIVE We aimed to provide a summary of the literature evaluating the relation between the FTO genotype and weight loss in response(More)
BACKGROUND While early reports highlight the benefits of tablet computing in hospitals, introducing any new technology can result in inflated expectations. OBJECTIVE The aim of the study is to compare anticipated expectations of Apple iPad use and perceptions after deployment among residents. METHODS 115 internal medicine residents received Apple iPads(More)
FaceMask vs Helmet for Noninvasive Ventilation To the Editor Dr Patel and colleagues randomized 83 patients with acute respiratory distress syndrome (ARDS) to receive noninvasive ventilation (NIV) delivered by helmet or face mask.1 Thehelmetwas significantlymoreeffective inpreventing the need for intubation. It was interesting that the most common cause of(More)
Traditionally,endotracheal intubationhasbeenusedasatreatment for patients with respiratory failure who require mechanical ventilation. Although intubation can be lifesaving, it is also associated with significantmorbidity.1 Immunocompromised patients with acute hypoxemic respiratory failure are at particularly high risk; these patients often require high(More)