Killen H Briones Claudett

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BACKGROUND Non-invasive mechanical ventilation (NIV) in patients with acute respiratory failure has been traditionally determined based on clinical assessment and changes in blood gases, with NIV support pressures manually adjusted by an operator. Bilevel positive airway pressure-spontaneous/timed (BiPAP S/T) with average volume assured pressure support(More)
OBJECTIVES The objective of this study was to assess the effectiveness of noninvasive motion ventilation (NIMV) in patients with chronic obstructive pulmonary disease (COPD), having infectious exacerbation and severe hypercapnic neurological dysfunction in the emergency room. DESIGN This is a prospective interventional study. SETTING The study setting(More)
To the Editor: I have read with attention the original article entitled “Outcome of patients treated with noninvasive ventilation by a medical emergency team on the wards.”1 In this study, the authors prospectively evaluated 238 patients with an SpO2 of 90% and a breathing frequency of 28 breaths/min identified by a medical emergency team (MET). Fifty-four(More)
To the Editor: I have read with interest the original article entitled, “Noninvasive ventilation for acute hypercapnic respiratory failure: intubation rate in an experienced unit.”1 In this paper, the authors prospectively evaluated 242 patients who received noninvasive ventilation (NIV) for acute hypercapnic respiratory failure in the presence of COPD or(More)
First, authors included hospitals that use heterogeneous NIV devices and interfaces. This could have influenced the results reported because technically, NIV devices present differences in their ability to leak compensations [3]. In addition, we have no clear information on other factors such as ventilatory modes and ventilator setup (pressure support(More)
mize the conditions of extubation, eg, steroid pretreatment, optimization of fluid balance, glucose control, and nutrition support. These patients could also be targeted for interventions such as aggressive bronchial hygiene protocols, early mobilization, and careful titration of analgesics. The prediction of early versus late reintubation includes(More)