May 2009


Features

Stepwise Approach to Asthma Management
  by Tim Op'T Holt, EdD, RRT, AE-C, FAARC
  The stepwise approach to asthma management is an evidence-based means of providing asthma care dependent on frequency of the patient's symptoms, impairment of daily activities, nighttime awakenings, effect on spirometry, and frequency of asthma attacks requiring oral corticosteroids.

Diffusing Capacity—Making It Better Than Ever
  by Carl D. Mottram, RRT, RPFT, FAARC
  Measuring diffusion capacity is becoming an important component in evaluating the alveolar-capillary membrane interface. To be most accurate, these tests must be performed with strict adherence to ATS-ERS guidelines.
Take a Deep Breath
  by Rich Smith
  The US workforce is exposed to dozens of harmful chemicals and agents, many of which can cause lung disease. A spirometry-based surveillance program can reduce workplace exposure to toxic agents.
Sleep Disturbances and Asthma: Double Trouble!
  by Sleep Disturbances and Asthma: Double Trouble!
  Patients who have been diagnosed with asthma have to deal with many issues, and an added complication often arises when sleep comes. These individuals start coughing, wheezing, and struggling for breath—often losing out on getting much-needed rest.
The CESAR Trial: ECMO Versus Conventional Ventilation
  by Tor Valenza
  Researchers in Britain will soon publish their findings on a randomized clinical and economic trial comparing ECMO and conventional ventilation for ARDS.
Reducing VAP in Your Hospital: Three Practice Changes that May Be the Recipe for Success
  by Travis Collins, RRT, and Ginny Lipke, RN, MHA, ACRN
  A hospital group's experiment with ventilator bundles, changes in circuitry, and noninvasive ventilation led to "0" VAP.


Departments

  Editor's Message
Conflict-Free?
  by Marian Benjamin
  Conference Forecast
SLEEP 2009
  by Katie Griffith
  Tech Focus
Spirometry
  Ventilation Modes
Adaptive Support Ventilation
Product Profiles

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