Clinical practice guidelines are developed by experts and form the basis for development of patient driven protocols delivered by respiratory therapists care of the ventilator circuit and its relation to ventilator associated pneumonia 2003 discharge planning for the respiratory care patient 1995 pdf exercise testing for . Management of the artificial airway is an important skill of the respiratory therapist technology can both aid and hinder this practice it is the responsibility of the clinician to understand and apply new technology when it enhances care and is cost effective. Respiratory controversies in the critical care setting ira m cheifetz md faarc and neil r macintyre md faarc proach has allowed us to frame controversial clinical ques tions in a different way by exploring the extremes of an and respiratory care services duke university medical center duke university durham north carolina . Patient ventilator asynchrony is common in patients under invasive mechanical ventilation present between 10 and 80 of all respiratory cycles and is associated with adverse clinical outcomes such as delay in the weaning process increased complications of mechanical ventilation with possible impact on survival
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