Does an Obese Body Mass Index Affect Hospital Outcomes After Coronary Artery Bypass Graft Surgery?
A retrospective examination of data in a cohort of 10590 patients admitted for coronary artery bypass graft (CABG) surgery between 2003 and 2007 was examined to determine body mass index (BMI). Regression analysis was conducted to determine whether BMI was an independent predictor of morbidity and mortality after CABG. The results found that CABG patients in [...]
Prone Positioning in Patients With Moderate and Severe Acute Respiratory Distress Syndrome
The goal of the Prone-Supine II Study was to evaluate possible outcome benefits of prone positioning in patients with ARDS and moderate or severe hypoxemia. From February 2004 through June 2008, a total of 342 adults with ARDS receiving mechanical ventilation at 23 centers in Italy and 2 in Spain were enrolled and prospectively stratified [...]
Surviving critical illness: acute respiratory distress syndrome as experienced by patients and their caregivers.
This study attempted to determine and characterize the effects of critical illness in the daily lives and functioning of acute respiratory distress syndrome survivors. Survivors and Caregivers were interviewed 3 to 9 months after intensive care admission. Participants related five key elements of experience as survivors of acute respiratory distress syndrome: 1) pervasive memories of critical care; 2) [...]
Inspiratory muscle strength as a determinant of functional capacity early after coronary artery bypass graft surgery.
 The objective of this study was to evaluate the effects of a 6-day postoperative in-hospital cardiopulmonary rehabilitation program on inspiratory muscle strength and its potential association with improved functional capacity after coronary artery bypass graft (CABG) surgery. Twenty  men were randomised to receive either usual care or a six-day cardiopulmonary rehabilitation program following CABG. The rehabilitation included the use of expiratory [...]
Functional status after intensive care: a challenge for rehabilitation professionals to improve outcome.
The objectives of this study were to determine the restrictions in daily functioning from a rehabilitation perspective in patients one year after discharge from the intensive care unit, and to identify prognostic factors for functional status. The study sample included 255 consecutive patients admitted to intensive care for more than 48 hours. A year after intensive care, functional status (the [...]
The 15-step oximetry test: a reliable tool to identify candidates for lung transplantation among patients with idiopathic pulmonary fibrosis.
Shitrit D, Rusanov V, Peled N, Amital A, Fuks L, Kramer MR This study was design to determine whether the simple 15-step climbing exercise oximetry test accurately characterised disease severity and survival in patients with idiopathic pulmonary fibrosis (IPF). Results of performance on the 15-step climbing test, pulmonary function tests, cardiopulmonary exercise test and [...]
Physiotherapy does not prevent, or hasten recovery from, ventilator-associated pneumonia in patients with acquired brain injury
Patman S, Jenkins S, Stiller K. This study was designed to determine whether, regular respiratory physiotherapy in mechanically ventilated patients with acquired brain injury (ABI), prevented ventilator-associated pneumonia (VAP), reduce length of mechanical ventilation or ICU stay. One hundred and forty-four subjects with acquired brain injury, a Glasgow Coma Scale ?9, requiring intracranial pressure monitoring, [...]
Discomfort associated with underhumidified high-flow oxygen therapy in critically ill patients
Chanques G, Constantin J-M, Sauter M, Jung B, Sebbane M, Verzilli D, Lefrant J-Y, Jaber S. This randomised cross-over study set out to measure the discomfort in non-intubated patients under high-flow oxygen therapy (>5 L/min) humidified with bubble through (BH) or heated humidifiers (HH). In addition the hygrometric properties of oxygen with a BH and [...]
Water content of delivered gases during non-invasive ventilation in healthy subjects
Lellouche F, Maggiore SM, Lyazidi A, Deye N, Taillé S, Brochard L In this study the authors measured hygrometry during non invasive ventilation (NIV) delivered to healthy subjects with different humidification strategies: heated humidifier (HH), heat and moisture exchanger, (HME) or no humidification (NoH). They found that during NIV, with NoH, gas humidity was very [...]
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