| Preliminary observations of transtracheal augmented ventilation for chronic severe respiratory disease. | |
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MedLine Citation:
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PMID: 11175234 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Evaluate the potential safety and efficacy of transtracheal augmented ventilation (TTAV), which is the transtracheal delivery of high flows of a humidified air-oxygen blend. METHODS: The first of 2 observational studies evaluated patients before and after a 3-month intervention with the nocturnal (Noc) administration of TTAV at 10 L/min. Resting physiologic studies evaluated standard low-flow transtracheal oxygen (LFTTO), TTAV, and breathing without transtracheal flow via mouthpiece (MP). Patients also underwent nocturnal polysomnography, bronchoscopy, ventilatory drive evaluation, and treadmill exercise. The second study assessed the safety of Noc TTAV for up to 60 months. Each study evaluated 15 different transtracheal patients with severe lung disease. RESULTS: Pleural pressure-time index and respiratory duty cycle were significantly lower (p < 0.05) when comparing MP to TTAV. TTAV contributed more (p < 0.05) than LFTTO to the total volume delivered to the lung (V(L)). Arterial blood gases and (V(L)) were unaltered by TTAV. Sleep quality and nocturnal oxygenation with TTAV were similar to LFTTO, and Noc TTAV had no effect on ventilatory drive. Bronchoscopy showed no evidence of substantial injury. Treadmill exercise tests showed a longer exercise time (p < 0.005) and greater total work (p < 0.05) following Noc TTAV. During exercise, the changes in slope for heart rate and pH were less steep (p < 0.05) following Noc TTAV. The 3-month study and a long-term evaluation showed that Noc TTAV was well-tolerated and safe, with a reported high compliance. CONCLUSIONS: Patients with chronic hypoxemia and severe respiratory insufficiency may benefit from Noc TTAV. |
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Authors:
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K L Christopher; D T VanHooser; S J Jorgenson; L Winslett; S S Diehl; D A Young; H Shapiro; T L Petty |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Respiratory care Volume: 46 ISSN: 0020-1324 ISO Abbreviation: Respir Care Publication Date: 2001 Jan |
Date Detail:
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Created Date: 2001-02-22 Completed Date: 2001-03-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7510357 Medline TA: Respir Care Country: United States |
Other Details:
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Languages: eng Pagination: 15-25 Citation Subset: IM |
Affiliation:
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Division of Pulmonary Sciences and Critical Care Medicine, Dept. of Medicine, University of Colorado Health Sciences Center, Denver CO 80231, USA. drkchristopher@home.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Bronchoscopy Chronic Disease Exercise Test Female Humans Lung Diseases, Obstructive / therapy Male Middle Aged Oxygen Inhalation Therapy / methods* Polysomnography Respiratory Insufficiency / etiology, physiopathology, therapy* Respiratory Mechanics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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