Marked Improvement of Extensive Atelectasis by Unilateral Application of the RTX Respirator in Elderly Patients
The RTX respirator is a biphasic external cuirass-style ventilator that supports both inspiration and expiration at various cycle rates and pressures, as well as allowing application of the vibration and cough modes. With this respirator, the duration and pressure can be altered in both the inspirat...
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| Veröffentlicht in: | Internal Medicine 2009, Vol.48(16), pp.1419-1423 |
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| container_title | Internal Medicine |
| container_volume | 48 |
| creator | Kato, Koji Sato, Naoki Takeda, Shinhiro Yamamoto, Takeshi Munakata, Ryo Tsurumi, Masafumi Suzuki, Daigo Yagi, Kaori Tanaka, Keiji Mizuno, Kyoichi |
| description | The RTX respirator is a biphasic external cuirass-style ventilator that supports both inspiration and expiration at various cycle rates and pressures, as well as allowing application of the vibration and cough modes. With this respirator, the duration and pressure can be altered in both the inspiratory and expiratory phases, and it can promote the removal of secretions by switching between the vibration mode (which involves external high-frequency oscillation: EHFO) and the cough mode. We used this respirator to remove secretions in two elderly patients with extensive atelectasis. They were nursed in the lateral decubitus position with the cuirass attached to one side of the chest only. The vibration mode removed secretion to reduce the viscosity of secretions and loosen impacted bronchial secretions. The cough mode interrupts the vibration mode and forces secretions towards the pharynx. The lateral decubitus position was useful for postural drainage. The extensive atelectasis of both patients was improved by this procedure. The RTX respirator may be a useful tool for the management of elderly patients with sputum retention. |
| doi_str_mv | 10.2169/internalmedicine.48.1988 |
| format | Article |
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With this respirator, the duration and pressure can be altered in both the inspiratory and expiratory phases, and it can promote the removal of secretions by switching between the vibration mode (which involves external high-frequency oscillation: EHFO) and the cough mode. We used this respirator to remove secretions in two elderly patients with extensive atelectasis. They were nursed in the lateral decubitus position with the cuirass attached to one side of the chest only. The vibration mode removed secretion to reduce the viscosity of secretions and loosen impacted bronchial secretions. The cough mode interrupts the vibration mode and forces secretions towards the pharynx. The lateral decubitus position was useful for postural drainage. The extensive atelectasis of both patients was improved by this procedure. The RTX respirator may be a useful tool for the management of elderly patients with sputum retention.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.48.1988</identifier><identifier>PMID: 19687590</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; atelectasis ; external high-frequency oscillation (EHFO) ; Female ; Humans ; Male ; Pulmonary Atelectasis - diagnosis ; Pulmonary Atelectasis - therapy ; Respiration, Artificial - instrumentation ; RTX respirator ; Ventilators, Mechanical</subject><ispartof>Internal Medicine, 2009, Vol.48(16), pp.1419-1423</ispartof><rights>2009 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c583t-e5df01ba052d8f3a13b9db0ff1794dd596a91ab7f8745e188151c1c7d8c625d23</citedby><cites>FETCH-LOGICAL-c583t-e5df01ba052d8f3a13b9db0ff1794dd596a91ab7f8745e188151c1c7d8c625d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19687590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kato, Koji</creatorcontrib><creatorcontrib>Sato, Naoki</creatorcontrib><creatorcontrib>Takeda, Shinhiro</creatorcontrib><creatorcontrib>Yamamoto, Takeshi</creatorcontrib><creatorcontrib>Munakata, Ryo</creatorcontrib><creatorcontrib>Tsurumi, Masafumi</creatorcontrib><creatorcontrib>Suzuki, Daigo</creatorcontrib><creatorcontrib>Yagi, Kaori</creatorcontrib><creatorcontrib>Tanaka, Keiji</creatorcontrib><creatorcontrib>Mizuno, Kyoichi</creatorcontrib><title>Marked Improvement of Extensive Atelectasis by Unilateral Application of the RTX Respirator in Elderly Patients</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>The RTX respirator is a biphasic external cuirass-style ventilator that supports both inspiration and expiration at various cycle rates and pressures, as well as allowing application of the vibration and cough modes. With this respirator, the duration and pressure can be altered in both the inspiratory and expiratory phases, and it can promote the removal of secretions by switching between the vibration mode (which involves external high-frequency oscillation: EHFO) and the cough mode. We used this respirator to remove secretions in two elderly patients with extensive atelectasis. They were nursed in the lateral decubitus position with the cuirass attached to one side of the chest only. The vibration mode removed secretion to reduce the viscosity of secretions and loosen impacted bronchial secretions. The cough mode interrupts the vibration mode and forces secretions towards the pharynx. The lateral decubitus position was useful for postural drainage. The extensive atelectasis of both patients was improved by this procedure. The RTX respirator may be a useful tool for the management of elderly patients with sputum retention.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>atelectasis</subject><subject>external high-frequency oscillation (EHFO)</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Pulmonary Atelectasis - diagnosis</subject><subject>Pulmonary Atelectasis - therapy</subject><subject>Respiration, Artificial - instrumentation</subject><subject>RTX respirator</subject><subject>Ventilators, Mechanical</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkEFv1DAQhS0EotvCX0C-ccrWE8exfVxVC1QqKqpaiVvk2BPq4jjB9lbsvyerXRUJcZk5zPfe0zxCKLB1Da2-9LFgiiaM6Lz1EdeNWoNW6hVZAW90JWsuXpMV06Cqehln5DznJ8a4krp-S85At0oKzVZk-mrST3T0epzT9IwjxkKngW5_F4zZPyPdFAxoi8k-035PH6IPZgk3gW7mOXhrip_iQVIekd7df6d3mGefTJkS9ZFug8MU9vTbwi3e-R15M5iQ8f1pX5CHT9v7qy_Vze3n66vNTWWF4qVC4QYGvWGidmrgBnivXc-GAaRunBO6NRpMLwclG4GgFAiwYKVTtq2Fq_kF-Xj0Xd76tcNcutFniyGYiNMud5JzzSQALKQ6kjZNOSccujn50aR9B6w7tN3923bXqO7Q9iL9cArZ9cvxr_BU7wLcHoGnXMwPfAFMKt4G_L9ze5rQgH4h7aNJHUb-B67nn_Y</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Kato, Koji</creator><creator>Sato, Naoki</creator><creator>Takeda, Shinhiro</creator><creator>Yamamoto, Takeshi</creator><creator>Munakata, Ryo</creator><creator>Tsurumi, Masafumi</creator><creator>Suzuki, Daigo</creator><creator>Yagi, Kaori</creator><creator>Tanaka, Keiji</creator><creator>Mizuno, Kyoichi</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090101</creationdate><title>Marked Improvement of Extensive Atelectasis by Unilateral Application of the RTX Respirator in Elderly Patients</title><author>Kato, Koji ; Sato, Naoki ; Takeda, Shinhiro ; Yamamoto, Takeshi ; Munakata, Ryo ; Tsurumi, Masafumi ; Suzuki, Daigo ; Yagi, Kaori ; Tanaka, Keiji ; Mizuno, Kyoichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c583t-e5df01ba052d8f3a13b9db0ff1794dd596a91ab7f8745e188151c1c7d8c625d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>atelectasis</topic><topic>external high-frequency oscillation (EHFO)</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Pulmonary Atelectasis - diagnosis</topic><topic>Pulmonary Atelectasis - therapy</topic><topic>Respiration, Artificial - instrumentation</topic><topic>RTX respirator</topic><topic>Ventilators, Mechanical</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kato, Koji</creatorcontrib><creatorcontrib>Sato, Naoki</creatorcontrib><creatorcontrib>Takeda, Shinhiro</creatorcontrib><creatorcontrib>Yamamoto, Takeshi</creatorcontrib><creatorcontrib>Munakata, Ryo</creatorcontrib><creatorcontrib>Tsurumi, Masafumi</creatorcontrib><creatorcontrib>Suzuki, Daigo</creatorcontrib><creatorcontrib>Yagi, Kaori</creatorcontrib><creatorcontrib>Tanaka, Keiji</creatorcontrib><creatorcontrib>Mizuno, Kyoichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kato, Koji</au><au>Sato, Naoki</au><au>Takeda, Shinhiro</au><au>Yamamoto, Takeshi</au><au>Munakata, Ryo</au><au>Tsurumi, Masafumi</au><au>Suzuki, Daigo</au><au>Yagi, Kaori</au><au>Tanaka, Keiji</au><au>Mizuno, Kyoichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Marked Improvement of Extensive Atelectasis by Unilateral Application of the RTX Respirator in Elderly Patients</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>48</volume><issue>16</issue><spage>1419</spage><epage>1423</epage><pages>1419-1423</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>The RTX respirator is a biphasic external cuirass-style ventilator that supports both inspiration and expiration at various cycle rates and pressures, as well as allowing application of the vibration and cough modes. With this respirator, the duration and pressure can be altered in both the inspiratory and expiratory phases, and it can promote the removal of secretions by switching between the vibration mode (which involves external high-frequency oscillation: EHFO) and the cough mode. We used this respirator to remove secretions in two elderly patients with extensive atelectasis. They were nursed in the lateral decubitus position with the cuirass attached to one side of the chest only. The vibration mode removed secretion to reduce the viscosity of secretions and loosen impacted bronchial secretions. The cough mode interrupts the vibration mode and forces secretions towards the pharynx. The lateral decubitus position was useful for postural drainage. The extensive atelectasis of both patients was improved by this procedure. The RTX respirator may be a useful tool for the management of elderly patients with sputum retention.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>19687590</pmid><doi>10.2169/internalmedicine.48.1988</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Internal Medicine, 2009, Vol.48(16), pp.1419-1423 |
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| language | eng |
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| source | MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese |
| subjects | Age Factors Aged Aged, 80 and over atelectasis external high-frequency oscillation (EHFO) Female Humans Male Pulmonary Atelectasis - diagnosis Pulmonary Atelectasis - therapy Respiration, Artificial - instrumentation RTX respirator Ventilators, Mechanical |
| title | Marked Improvement of Extensive Atelectasis by Unilateral Application of the RTX Respirator in Elderly Patients |
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