Respiratory Care Year in Review 2011: Long-Term Oxygen Therapy, Pulmonary Rehabilitation, Airway Management, Acute Lung Injury, Education, and Management

Abstract

SummaryFor the busy clinician, educator, or manager, it is becoming an increasing challenge to filter the literature to what is relevant to one's practice and then update one's practice based on the current evidence. The purpose of this paper is to review the recent literature related to long-term oxygen therapy, pulmonary rehabilitation, airway management, acute lung injury and acute respiratory distress syndrome, respiratory care education, and respiratory care management. These topics were chosen and reviewed in a manner that is most likely to have interest to the readers of RESPIRATORY CARE.

Automated Home Oxygen Delivery for Patients with COPD and Respiratory Failure: A New Approach

“…Improvement in oxygenation is attributable to the fact that the adjustment of oxygen flow during daily living activities in response to higher oxygen demand is done, in conventional POCs, manually by the patient. Incorrect use in the oxygen flow adjustment or adjustment made with a delay relative to the change in physical activity intensity often leads to desaturation episodes [24]. Table 12 presents a synthesis of the results obtained in the semi-structured interview with the participants in the initial phase.…”

“…Existing flow regulators modify the flow mechanically, by manipulating a valve, or electronically, by means of a keypad integrated into the device. However, the manually continuous adjustment of the oxygen flow rate is a time-consuming task that requires experienced and trained patients [23], and this can lead to the improper use of the device and consequently to a poor quality flow adjustment during the changing daily activities, which is usually linked to unintended delays and periods of desaturation [24,25]. Given the advanced average age of patients with COPD under LTOT [26], the probability of inadequate use of the device is significant.…”

Die Langzeit-Sauerstoff-Therapie (LTOT) – Was sollten Arzt, Versorger und Krankenkasse wissen?

“…Mobile Patienten, die mehrere Stunden am Tage unterwegs sind, benötigen entweder eine Funktionseinheit aus einem stationären Flüssigsauerstofftank sowie einem mobilen tragbaren System oder einen mobilen Konzentrator [17,18,19]. Die neu auf dem Markt befindlichen Minikonzentratoren weisen den entscheidenden Vorteil auf, dass sie den Patienten unabhängig von der Versorgung mit Flüssigsauerstoff machen und überall betrieben werden können, wo Strom verfügbar ist.…”

Novel Flurometric Tool to Assess Mitochondrial Redox State of Isolated Perfused Rat Lungs After Exposure to Hyperoxia

“…High oxygen \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}$({\rm O}_{2})$\end{document} therapy (hyperoxia) is a necessary treatment of low blood \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}${\rm O}_{2}$\end{document} in adult and pediatric patients with acute lung injury (ALI) [1]–[3]. This treatment is effective in restoring blood \documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{upgreek} \usepackage{mathrsfs} \setlength{\oddsidemargin}{-69pt} \begin{document} }{}${\rm pO}_{2}$\end{document} to a level which sustains vital organ metabolic requirements.…”