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37 Results Found

  • Article
  • Open Access
1,712 Views
17 Pages

Design and Bench Testing of a Novel, Pediatric, Non-Invasive, Bubble Bilevel Positive Pressure Ventilation Device

  • Ibukun Sonaike,
  • Robert M. DiBlasi,
  • Jonathan Arthur Poli,
  • Andrew Vamos,
  • Ofer Yanay and
  • Amelie von Saint Andre-von Arnim

Acute lower respiratory tract infections are a leading cause of death in individuals under the age of 5 years, mostly in low- and middle-income countries (LMICs). The lack of respiratory support systems contributes to the poor outcomes. Bubble CPAP i...

  • Review
  • Open Access
24 Citations
12,522 Views
12 Pages

Management of COVID-19-Associated Acute Respiratory Failure with Alternatives to Invasive Mechanical Ventilation: High-Flow Oxygen, Continuous Positive Airway Pressure, and Noninvasive Ventilation

  • Barbara Bonnesen,
  • Jens-Ulrik Stæhr Jensen,
  • Klaus Nielsen Jeschke,
  • Alexander G. Mathioudakis,
  • Alexandru Corlateanu,
  • Ejvind Frausing Hansen,
  • Ulla Møller Weinreich,
  • Ole Hilberg and
  • Pradeesh Sivapalan

2 December 2021

Patients admitted to hospital with coronavirus disease 2019 (COVID-19) may develop acute respiratory failure (ARF) with compromised gas exchange. These patients require oxygen and possibly ventilatory support, which can be delivered via different dev...

  • Review
  • Open Access
21 Citations
9,364 Views
12 Pages

Update on the Role of High-Flow Nasal Cannula in Infants with Bronchiolitis

  • Valentina Fainardi,
  • Lara Abelli,
  • Maria Muscarà,
  • Giovanna Pisi,
  • Nicola Principi and
  • Susanna Esposito

20 January 2021

Bronchiolitis (BR), a lower respiratory tract infection mainly caused by respiratory syncytial virus (RSV), can be very severe. Presently, adequate nutritional support and oxygen therapy remain the only interventions recommended to treat patients wit...

  • Article
  • Open Access
708 Views
13 Pages

Sleep Disordered Breathing and Its Predictors in Pediatric Muscular Dystrophies

  • Mahmoud Abu Zahra,
  • Raanan Arens,
  • Muhammed Amir Essibayi and
  • Neha Patel

8 November 2025

Background/Objectives: To evaluate the prevalence, age at diagnosis, non-invasive ventilation pressures used in management, and clinical predictors for sleep disordered breathing (SDB) in pediatric patients with muscular dystrophies (MDs). Methods: A...

  • Article
  • Open Access
1 Citations
3,066 Views
10 Pages

A Novel Medical Device for Airway Clearance

  • Nir Helper,
  • Moshe Ashkenazi,
  • Gil Sokol,
  • Adi Dagan and
  • Ori Efrati

30 January 2025

Background: Airway clearance techniques are a key element in the daily treatment of people with bronchiectasis. There are several methods and devices to assist in effective airway clearance. We investigated LibAirty, a novel medical device, and compa...

  • Article
  • Open Access
6 Citations
3,259 Views
8 Pages

Switch of Nocturnal Non-Invasive Positive Pressure Ventilation (NPPV) in Obstructive Sleep Apnea (OSA)

  • Pasquale Tondo,
  • Caterina Pronzato,
  • Irene Risi,
  • Nadia D’Artavilla Lupo,
  • Rossella Trentin,
  • Simona Arcovio and
  • Francesco Fanfulla

1 June 2022

Background. Continuous positive airway pressure (CPAP) is considered the first-line treatment for patients with OSA, but Bilevel-PAP (BiPAP) therapy is a recognized option for noncompliant/unresponsive patients to CPAP. The present study was designed...

  • Review
  • Open Access
2 Citations
8,530 Views
13 Pages

Hemodynamic Effects of Positive Airway Pressure: A Cardiologist’s Overview

  • Anna Di Cristo,
  • Andrea Segreti,
  • Nardi Tetaj,
  • Simone Pasquale Crispino,
  • Emiliano Guerra,
  • Emanuele Stirpe,
  • Gian Paolo Ussia and
  • Francesco Grigioni

Positive airway pressure (PAP) therapy is widely used to manage both acute and chronic respiratory failure and plays an increasingly important role in cardiology, particularly in treating patients with respiratory comorbidities. PAP, including contin...

  • Article
  • Open Access
1 Citations
2,121 Views
17 Pages

The Use of Bi-Nasal Prongs for Delivery of Non-Invasive Ventilation to Foals

  • Michael van Diggelen,
  • Chris T. Quinn,
  • Chee Sum M. Catanchin,
  • Heidi S. Lehmann and
  • Sharanne L. Raidal

11 March 2024

Non-invasive ventilation (NIV) is a method of providing respiratory support without the need for airway intubation. The current study was undertaken to assess tolerance to bi-nasal prongs and NIV in healthy, standing, lightly sedated foals. Bi-nasal...

  • Review
  • Open Access
5 Citations
2,644 Views
13 Pages

A Debate on Surgical and Nonsurgical Approaches for Obstructive Sleep Apnea: A Comprehensive Review

  • Andreea Zabara-Antal,
  • Ionela Grosu-Creanga,
  • Mihai Lucian Zabara,
  • Andrei Tudor Cernomaz,
  • Bogdan Mihnea Ciuntu,
  • Oana Melinte,
  • Cristian Lupascu and
  • Antigona Carmen Trofor

23 August 2023

Regular and unobstructed breathing during the night is the prerequisite for an undisturbed and restful sleep. The most prevalent nocturnal breathing disturbance with morbid consequences is obstructive sleep apnea syndrome. The prevalence of obstructi...

  • Article
  • Open Access
1 Citations
3,359 Views
10 Pages

The Association between Non-Invasive Ventilation and the Rate of Ventilator-Associated Pneumonia

  • Hollie Saunders,
  • Subekshya Khadka,
  • Rabi Shrestha,
  • Arvind Balavenkataraman,
  • Alexander Hochwald,
  • Colleen Ball and
  • Scott A. Helgeson

27 October 2023

Ventilator-associated pneumonia (VAP) has significant effects on patient outcomes, including prolonging the duration of both mechanical ventilation and stay in the intensive care unit (ICU). The aim of this study was to assess the association between...

  • Article
  • Open Access
984 Views
10 Pages

Positive Airway Pressure Therapies and Oxygen Therapy in Obstructive Sleep Apnea (OSA): 5-Year Survival

  • Juan Sebastian Hernández Puentes,
  • Alirio Rodrigo Bastidas,
  • Eduardo Andres Tuta Quintero,
  • Juan David Acosta Otero,
  • Valeria Leyton Franco,
  • Juan Diego Castro Córdoba,
  • Lina María López Nuñez,
  • Isabella Lenhardt Guaqueta,
  • Alejandra Mora Vega and
  • Avril Johanna Rubio Noel
  • + 5 authors

6 December 2025

Background: Obstructive sleep apnea (OSA) is a highly prevalent disorder associated with increased morbidity and mortality. Continuous positive airway pressure (CPAP) remains the first-line therapy, but its long-term effectiveness is limited by subop...

  • Article
  • Open Access
2,201 Views
9 Pages

A Data-Driven Framework for Clinical Decision Support Systems in Positive Airway Pressure and Oxygen Titration

  • Artis Svaža,
  • Dāvis Freimanis,
  • Dana Zariņa,
  • Pavels Osipovs,
  • Svjatoslavs Kistkins,
  • Vitālijs Ankudovičs,
  • Olegs Sabeļnikovs,
  • Valdis Pīrāgs,
  • Yuriy Chizhov and
  • Dmitrijs Bliznuks

28 January 2024

Background: Current obstructive sleep apnea treatment relies on manual PAP titration, but it has limitations. Complex interactions during titration and variations in SpO2 data accuracy pose challenges. Patients with co-occurring chronic hypercapnia m...

  • Article
  • Open Access
22 Citations
7,979 Views
20 Pages

Associations of Patient Mood, Modulators of Quality of Life, and Pharmaceuticals with Amyotrophic Lateral Sclerosis Survival Duration

  • Leila Bond,
  • Gloria Bowen,
  • Benjamin Mertens,
  • Keelie Denson,
  • Kathleen Jordan,
  • Branislav Vidakovic and
  • Cassie S. Mitchell

10 January 2020

Associations of modulators of quality of life (QoL) and survival duration are assessed in the fatal motor neuron disease, Amyotrophic Lateral Sclerosis. Major categories include clinical impression of mood (CIM); physical health; patient social suppo...

  • Article
  • Open Access
431 Views
22 Pages

Impact of Pressure Variability and Comorbidities on PAP Therapy Compliance and Adherence in Obstructive Sleep Apnea

  • Ioana Munteanu,
  • George Alexandru Diaconu,
  • Constantin Gheorghevici,
  • Nicolae Feraru,
  • Beatrice Burdusel,
  • Catalin Constantin Coca,
  • Florin Dumitru Mihaltan,
  • Beatrice Mahler,
  • Sergiu Ioachim Chirila and
  • Valeria Herdea

27 December 2025

Obstructive sleep apnea syndrome (OSAS) is a common disorder with established cardiovascular and metabolic risks. Positive airway pressure (PAP) therapy remains the standard of care; however, its long-term effectiveness is often limited by poor compl...

  • Case Report
  • Open Access
1 Citations
3,322 Views
6 Pages

Respiratory Failure during BIS-Guided Sedation in a Patient with Relapsing Polychondritis: A Case Report

  • Jaesang Lee,
  • Hosik Moon,
  • Sungjin Hong,
  • Jinyoung Chon,
  • Hyejin Kwon,
  • Hunwoo Park and
  • Jiyung Lee

28 December 2022

Relapsing polychondritis (RP) is a rare autoimmune disorder that causes inflammation and deterioration of cartilaginous structures such as the ears, nose, joints and laryngotracheobronchial tree. A 42-year-old man receiving treatment for RP underwent...

  • Review
  • Open Access
1 Citations
827 Views
5 Pages

29 October 2012

Światowa epidemia otyłości dotarła do Polski. Otyłość może być powodem całkowitej, hiperkapnicznej niewydolności oddychania. Powikłanie to należy podejrzewać u osób chorobliwie otyłych, o BMI > 35. Rozpoznanie potwierdza się badaniem gazów krwi tę...

  • Feature Paper
  • Article
  • Open Access
27 Citations
4,110 Views
13 Pages

Development of Non-Invasive Ventilator for Homecare and Patient Monitoring System

  • Michele Menniti,
  • Filippo Laganà,
  • Giuseppe Oliva,
  • Maria Bianco,
  • Antonino S. Fiorillo and
  • Salvatore A. Pullano

17 February 2024

Recently, the incidence of, and interest in, respiratory diseases has been amplified by severe acute respiratory syndrome coronavirus (SARS-CoV-2) and other respiratory diseases with a high prevalence. Most of these diseases require mechanical ventil...

  • Article
  • Open Access
10 Citations
3,085 Views
11 Pages

Features of Obstructive Sleep Apnea in Children with and without Comorbidities

  • Eusebi Chiner,
  • Jose N. Sancho-Chust,
  • Esther Pastor,
  • Violeta Esteban,
  • Ignacio Boira,
  • Carmen Castelló,
  • Carly Celis,
  • Sandra Vañes and
  • Anastasiya Torba

21 March 2023

Background: To compare the clinical and polysomnographic features of obstructive sleep apnea (OSA) in children with adenotonsillar hypertrophy (Group A) and comorbidities (Group B). Methods: A five-year prospective study using nocturnal polysomnograp...

  • Article
  • Open Access
3 Citations
3,155 Views
11 Pages

Reversing Neuromuscular Blockade without Nerve Stimulator Guidance in a Postsurgical ICU—An Observational Study

  • Andrea Calef,
  • Rashel Castelgrande,
  • Kristin Crawley,
  • Sara Dorris,
  • Joanna Durham,
  • Kaitlin Lee,
  • Jen Paras,
  • Kristen Piazza,
  • Abigail Race and
  • Jeffrey M. Dodd-o
  • + 5 authors

We aimed to determine if not using residual neuromuscular blockade (RNB) analysis to guide neuromuscular blockade reversal administration in the postsurgical ICU resulted in consequences related to residual weakness. This single-center, prospective s...

  • Case Report
  • Open Access
5 Citations
2,585 Views
7 Pages

Severe COVID-19 Infection during Pregnancy Requiring ECMO: Case Report and Review of the Literature

  • Diana Diago-Muñoz,
  • Alicia Martínez-Varea,
  • Esther Pérez-Sancho and
  • Vicente Diago-Almela

30 January 2023

Background: The risk of developing severe COVID-19 that requires admission to an intensive care unit (ICU) and invasive ventilation is increased in pregnant women. Extracorporeal membrane oxygenation (ECMO) has been successfully used to manage critic...

  • Article
  • Open Access
3 Citations
2,881 Views
12 Pages

A Retrospective Study of Complications of Enteral Feeding in Critically Ill Children on Noninvasive Ventilation

  • Montserrat Sierra-Colomina,
  • Nagam Anna Yehia,
  • Farhan Mahmood,
  • Christopher Parshuram and
  • Haifa Mtaweh

20 June 2023

The utilization of noninvasive ventilation (NIV) in pediatric intensive care units (PICUs), to support children with respiratory failure and avoid endotracheal intubation, has increased. Current guidelines recommend initiating enteral nutrition (EN)...

  • Case Report
  • Open Access
1,528 Views
9 Pages

Life-Threatening Respiratory Complications in Two Young Children with Extreme Obesity

  • Joanna Wielopolska,
  • Klaudia Górnostaj,
  • Joanna Olejnik-Wojciechowska,
  • Maciej Kawczyński,
  • Katarzyna Radomska and
  • Elżbieta Petriczko

11 December 2024

Background/Objectives: Obesity is a chronic disease characterized by pathological accumulation of adipose tissue. The exponentially increasing number of children with severe obesity draws attention to the tragic consequences of the lack of, or inadeq...

  • Review
  • Open Access
2,796 Views
18 Pages

Role of Non-Invasive Ventilation in Elderly Patients: Therapeutic Opportunity or Medical Futility? An Updated Narrative Review

  • Francesca Sangiovanni,
  • Giulia Sartori,
  • Nadia Castaldo,
  • Alberto Fantin and
  • Ernesto Crisafulli

17 July 2025

Background and Objectives: Acute respiratory failure (ARF) represents an increasingly relevant clinical challenge in older subjects due to population aging and the high prevalence of cardiopulmonary comorbidities. Non-invasive ventilation (NIV), deve...

  • Review
  • Open Access
2 Citations
2,825 Views
15 Pages

A Multidisciplinary Approach to Obesity Hypoventilation Syndrome: From Diagnosis to Long-Term Management—A Narrative Review

  • Mara Andreea Vultur,
  • Bianca Liana Grigorescu,
  • Dragoș Huțanu,
  • Edith Simona Ianoși,
  • Corina Eugenia Budin and
  • Gabriela Jimborean

22 August 2025

Obesity Hypoventilation Syndrome (OHS), also known as Pickwickian syndrome, is a complex disorder characterized by obesity (BMI > 30 kg/m2), daytime hypercapnia (PaCO2 ≥ 45 mmHg), and sleep-disordered breathing, primarily affecting individuals...

  • Case Report
  • Open Access
2,774 Views
10 Pages

Enzyme Replacement Therapy in Mucopolysaccharidosis Type VII: A Three-Year Clinical Outcome Study of the First Taiwanese Case

  • Chung-Lin Lee,
  • Chih-Kuang Chuang,
  • Huei-Ching Chiu,
  • Ya-Hui Chang,
  • Yuan-Rong Tu,
  • Yun-Ting Lo,
  • Hsiang-Yu Lin and
  • Shuan-Pei Lin

14 February 2025

Background and Clinical Significance: Mucopolysaccharidosis type VII (MPS VII), an ultrarare lysosomal storage disorder caused by β-glucuronidase deficiency, presents significant therapeutic challenges. Given its extreme rarity and limited treat...

  • Article
  • Open Access
39 Citations
4,072 Views
14 Pages

Isolation, Characterization and Bioactive Properties of Alkali-Extracted Polysaccharides from Enteromorpha prolifera

  • Shifeng Zhao,
  • Yuan He,
  • Chungu Wang,
  • Israa Assani,
  • Peilei Hou,
  • Yan Feng,
  • Juanjuan Yang,
  • Yehua Wang,
  • Zhixin Liao and
  • Songdong Shen

6 November 2020

Four new purified polysaccharides (PAP) were isolated and purified from the Enteromorpha prolifera by alkali extraction, and further characterization was investigated. Their average molecular weights of PAP-1, PAP-2, PAP-3, and PAP-4 were estimated a...

  • Review
  • Open Access
1,458 Views
15 Pages

Respiratory Support in Cardiogenic Pulmonary Edema: Clinical Insights from Cardiology and Intensive Care

  • Nardi Tetaj,
  • Giulia Capecchi,
  • Dorotea Rubino,
  • Giulia Valeria Stazi,
  • Emiliano Cingolani,
  • Antonio Lesci,
  • Andrea Segreti,
  • Francesco Grigioni and
  • Maria Grazia Bocci

Cardiogenic pulmonary edema (CPE) is a life-threatening manifestation of acute heart failure characterized by rapid accumulation of fluid in the interstitial and alveolar spaces, leading to severe dyspnea, hypoxemia, and respiratory failure. The cond...

  • Article
  • Open Access
7 Citations
2,729 Views
11 Pages

Preparation and Properties of Mechanically Robust, Colorless, and Transparent Aramid Films

  • Heesang Kim,
  • Jin-Hee Noh,
  • Young-Rae Kim,
  • Hyojin Kim and
  • Giseop Kwak

20 February 2024

In this study, various diamine monomers were used to synthesize aramid polymer films via a low-temperature solution condensation reaction with diacid chloride. For diamines with relatively high basicity, the reaction system became opaque because amin...

  • Article
  • Open Access
14 Citations
3,383 Views
14 Pages

The purpose of this study was to explore the regulation of BcMYB44 on anthocyanin synthesis and drought tolerance of non-heading Chinese cabbage. The BcMYB44 gene was cloned from the purple inbred line ‘NJZX1-3’ and its green mutant &lsqu...

  • Article
  • Open Access
4 Citations
6,801 Views
17 Pages

Preservation of Renal Blood Flow by the Antioxidant EUK-134 in LPS-Treated Pigs

  • Sheldon Magder,
  • Dimitrios G. Parthenis and
  • Imad Al Ghouleh

25 March 2015

Sepsis is associated with an increase in reactive oxygen species (ROS), however, the precise role of ROS in the septic process remains unknown. We hypothesized that treatment with EUK-134 (manganese-3-methoxy N,N'-bis(salicyclidene)ethylene-diamine c...

  • Article
  • Open Access
49 Citations
10,606 Views
24 Pages

PFAS Biotransformation Pathways: A Species Comparison Study

  • Richard C. Kolanczyk,
  • Megan R. Saley,
  • Jose A. Serrano,
  • Sara M. Daley and
  • Mark A. Tapper

12 January 2023

Limited availability of fish metabolic pathways for PFAS may lead to risk assessments with inherent uncertainties based only upon the parent chemical or the assumption that the biodegradation or mammalian metabolism map data will serve as an adequate...

  • Case Report
  • Open Access
3,042 Views
7 Pages

18 July 2023

Obstructive sleep apnea (OSA) is well known to often improve with non-supine positioning as opposed to supine positioning. Emerging research supports a role for sleep position management in patients with central sleep apnea (CSA) as well. We report a...

  • Article
  • Open Access
709 Views
16 Pages

Gaps in Community-Based Screening for Non-Communicable Diseases in Saudi Arabia

  • Ghadeer Al Ghareeb,
  • Zaenab M. Alkhair,
  • Zainab Alradwan,
  • Hussain Alqaissoom,
  • Horiah Ali Soumel,
  • Khadijah R. Alsaffar,
  • Fatema Muhaimeed,
  • Burair Alsaihati,
  • Mohammad N. Alkhrayef and
  • Ibrahim Alradwan

18 December 2025

Background: Non-communicable diseases (NCDs) such as cardiovascular diseases, diabetes, obesity, and cancer are the leading cause of mortality globally and in Saudi Arabia, accounting for more than 70% of all deaths. Despite national initiatives offe...

  • Article
  • Open Access
841 Views
17 Pages

10 November 2025

Crack segmentation in cluttered scenes with slender and irregular patterns remains difficult, and practical systems must balance accuracy and efficiency. We present CONTI-CrackNet, which is a lightweight visual state-space network that integrates a M...

  • Article
  • Open Access
27 Citations
3,678 Views
13 Pages

Home Respiratory Polygraphy is Useful in the Diagnosis of Childhood Obstructive Sleep Apnea Syndrome

  • Eusebi Chiner,
  • Cristina Cánovas,
  • Virginia Molina,
  • Jose N. Sancho-Chust,
  • Sandra Vañes,
  • Esther Pastor and
  • Miguel Angel Martinez-Garcia

The utility of home respiratory polygraphy (HRP) was assessed as an alternative to polysomnography (PSG) in the diagnosis of childhood obstructive sleep apnea syndrome (OSAS). PSG was indicated only in patients with concomitant disease or where HRP r...

  • Article
  • Open Access
4 Citations
2,273 Views
11 Pages

8 September 2023

Introduction: Acute hypercapnic respiratory failure has a poor prognosis in patients with interstitial lung disease (ILD). Recent data demonstrated a positive effect of nasal high-flow (NHF) in patients with acute hypoxemic respiratory failure. Preli...

  • Article
  • Open Access
12 Citations
3,695 Views
18 Pages

The Role of Lung Ultrasound in SARS-CoV-19 Pneumonia Management

  • Marina Lugarà,
  • Stefania Tamburrini,
  • Maria Gabriella Coppola,
  • Gabriella Oliva,
  • Valeria Fiorini,
  • Marco Catalano,
  • Roberto Carbone,
  • Pietro Paolo Saturnino,
  • Nicola Rosano and
  • Luca Rinaldi
  • + 12 authors

Purpose: We aimed to assess the role of lung ultrasound (LUS) in the diagnosis and prognosis of SARS-CoV-2 pneumonia, by comparing it with High Resolution Computed Tomography (HRCT). Patients and methods: All consecutive patients with laboratory-conf...