Canadian Journal of Respiratory Therapy最新文献

{"title":"Telehealth: The role of respiratory therapists during the COVID-19 emergency.","authors":"Mrudula M Sawadkar, Varun R Nayak","doi":"10.29390/cjrt-2021-039","DOIUrl":"https://doi.org/10.29390/cjrt-2021-039","url":null,"abstract":"","PeriodicalId":39373,"journal":{"name":"Canadian Journal of Respiratory Therapy","volume":"57 ","pages":"119-120"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/43/a8/cjrt-2021-039.PMC8372871.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39356549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Duration of noninvasive ventilation is not a predictor of clinical outcomes in patients with acute exacerbation of COPD and respiratory failure.","authors":"Laith Ghazala,&nbsp;Umur Hatipoğlu,&nbsp;Tanya Devnani,&nbsp;Erin Covert,&nbsp;Justin Hanks,&nbsp;Katelyn Edwards,&nbsp;Maeve Macmurdo,&nbsp;Manshi Li,&nbsp;Xiaofeng Wang,&nbsp;Abhijit Duggal","doi":"10.29390/cjrt-2021-021","DOIUrl":"https://doi.org/10.29390/cjrt-2021-021","url":null,"abstract":"<p><strong>Purpose: </strong>Acute exacerbation of chronic obstructive pulmonary disease (COPD) is a major cause of mortality and morbidity. Noninvasive ventilation (NIV) is proven to be effective in the majority of patients with acute exacerbation COPD (AECOPD) complicated with respiratory failure. NIV could be lifesaving but also can delay mechanical ventilation if its efficacy is not assessed in a timely manner. In this study, we analyzed potential predictors of NIV failure in AECOPD in a tertiary medical intensive care unit (MICU). In particular, we wondered whether duration of NIV among those who eventually failed was associated with poor outcomes.</p><p><strong>Methods: </strong>A retrospective review of consecutive patients with a primary diagnosis of AECOPD requiring NIV admitted to the MICU was conducted for the period between 2012 and 2017. Baseline data included demographics, APACHE III score, albumin level, blood lactate, and blood gas elements. Additional chart review was performed to collect NIV setting parameters on presentation to the MICU. Clinical outcome variables collected included outcome and duration of NIV, duration of invasive mechanical ventilation, MICU length of stay, hospital length of stay, and in-hospital mortality. Multivariate regression analysis was performed to determine independent variables associated with clinical outcomes.</p><p><strong>Results: </strong>There were 370 patients who met the inclusion criteria; 53.2% were male. Mean age was 64.7 ± 11.2 years old. Mean baseline FEV₁ was 34 ±17% of predicted. Patients had mean pH of 7.20 ± 0.54 and P_aCO₂ of 70.3 ± 28.7 on presentation; 323 patients (87.3%) were successfully weaned off NIV; 47 patients (12.7%) failed NIV and required invasive mechanical ventilation. APACHE III score was higher among patients who failed NIV (68.3±18.9 versus 48.8± 15.2, <i>P</i> < 0.001). In the subset of 47 patients who failed NIV requiring intubation, duration of NIV was 25.0 ± 58.8 h. Multivariate regression analysis yielded a model consisting of APACHE III score and body mass index as predictive variables for NIV failure (C-statistic = 0.809). Duration of NIV was not associated with worse clinical outcomes among patients who failed NIV.</p><p><strong>Conclusions: </strong>NIV is successful in preventing invasive mechanical ventilation in majority of patients with acute respiratory failure due to COPD. Patients with worse clinical status at presentation are more likely to fail NIV and require mechanical ventilation. In the subgroup of patients who failed NIV, duration of NIV prior to intubation was not associated with poor clinical outcomes.</p>","PeriodicalId":39373,"journal":{"name":"Canadian Journal of Respiratory Therapy","volume":"57 ","pages":"113-118"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/48/d0/cjrt-2021-021.PMC8372872.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39356613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual mask fitting in pediatric patients during COVID-19: A case series.","authors":"Tuyen Tran,&nbsp;Mika Nonoyama,&nbsp;Nisha Cithiravel,&nbsp;Faiza Syed,&nbsp;Joanna Janevski,&nbsp;Jackie Chiang,&nbsp;Reshma Amin","doi":"10.29390/cjrt-2021-023","DOIUrl":"https://doi.org/10.29390/cjrt-2021-023","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic has been an unprecedented threat to our health care system. Clinicians had to pivot and develop creative and timely \"virtual\" solutions to provide clinical care. Our aim was to develop a standardized approach to virtual \"mask fitting\" for children who are either being initiated or are already on existing long-term ventilation (LTV) at a pediatric hospital.</p><p><strong>Case and outcomes: </strong>We present three cases involving the care of children who required mask fitting for noninvasive ventilation (NIV). LTV team consultations were delivered via videoconference or phone. With the guidance of the respiratory therapist (RT), the family caregiver (FC) took measurements on their child using a standardized clinical approach (developed by the LTV RTs). Based on the measurements, an appropriate mask was selected. Successful mask fit was based on patient/FC reports, as well as objective leak data obtained from the NIV download data.</p><p><strong>Discussion: </strong>Virtual clinics used for managing patients in our LTV program were feasible and efficient resulting in improved workflow for the RTs and convenience for patients and FCs. Patients and FCs had significantly less pressure to attend in-person clinics and expressed high satisfaction in terms of their experience and importantly, meeting respiratory care needs. Within the context of COVID-19, remote patient education and intervention can be delivered effectively, while reducing the risk of exposure from in-person visits to hospital.</p><p><strong>Conclusion: </strong>A virtual/telemedicine program to manage pediatric patients requiring mask fitting for LTV was a feasible option during COVID-19.</p>","PeriodicalId":39373,"journal":{"name":"Canadian Journal of Respiratory Therapy","volume":"57 ","pages":"93-98"},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/93/cjrt-2021-023.PMC8302071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39273485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incorporating remote patient monitoring in virtual pulmonary rehabilitation programs.","authors":"Jenna V Jangalee,&nbsp;Pooneh Ghasvareh,&nbsp;Jordan A Guenette,&nbsp;Jeremy Road","doi":"10.29390/cjrt-2021-015","DOIUrl":"https://doi.org/10.29390/cjrt-2021-015","url":null,"abstract":"<p><p>Most pulmonary rehabilitation (PR) programs have had to adapt due to the COVID-19 pandemic and associated restrictions. Current alternative home-based programs have limitations and require modification. In this paper, we outline a novel method to monitor home-based PR programs, which has the potential to improve PR safety and efficacy. This new method is based on a remote patient monitoring (RPM) system with connected smart devices that enables the Respiratory Therapist (RT) to have real-time access to patient data including heart rate and peripheral oxygen saturation during exercise. The RPM system also monitors daily physical activity, sedentary time, sleep quality, rescue inhaler use, and maintenance inhaler adherence, among other variables, which has the added advantage of predicting patterns consistent with symptoms that may require medical intervention. To increase privacy, data are anonymized at all levels and only the RT has access to patient information. RPM systems have the potential to give practitioners a holistic view of the participants' health status to better evaluate them during the entire PR program and to improve self-management. As this is not a formal research study, we cannot make definitive conclusions about the efficacy of the system, and further research is needed to examine safety and to compare our approach to other ways of conducting PR.</p>","PeriodicalId":39373,"journal":{"name":"Canadian Journal of Respiratory Therapy","volume":"57 ","pages":"83-89"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3d/98/cjrt-2021-015.PMC8297692.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39273484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Respiratory Therapy Practice-Based Outcomes Initiative (RT-PBOI): Developing a framework to explore the value added by respiratory therapists to health care in Alberta.","authors":"Roberta Dubois,&nbsp;Rena Sorensen,&nbsp;Bryan Buell,&nbsp;Tracey Telenko,&nbsp;Andrew West","doi":"10.29390/cjrt-2021-010","DOIUrl":"https://doi.org/10.29390/cjrt-2021-010","url":null,"abstract":"<p><strong>Background: </strong>There exists a political imperative to have access to data that meets the needs of health care administrators, governments, and funding bodies to support evidence-informed decision making. It is incumbent upon respiratory therapists to examine how they can deliver the highest-quality patient care, but also that they add value to health systems that ensure the benefits of health innovations are shared equitably among all members of our communities.</p><p><strong>Purpose: </strong>To explore the perceived value contributed by the respiratory therapy profession to health care and the health care system in the Province of Alberta at patient, team, and system levels.</p><p><strong>Research methods: </strong>An interpretive descriptive approach was adopted, including the formation of a description and exploration of possible associations, relationships, and patterns within a field of practice.</p><p><strong>Conclusions: </strong>The qualitative data analysis uncovered a framework that could inform research efforts of the respiratory therapy community in a way that contributes to the proposed mechanisms by which the profession generates value for the organization and patients. The RT-PBOI Conceptual Model identified five key concepts relating to the value contributed by respiratory therapists to health care: technical skills, practice across settings, strategic expertise, tools that leverage capacity, and growing value into the future.</p>","PeriodicalId":39373,"journal":{"name":"Canadian Journal of Respiratory Therapy","volume":"57 ","pages":"99-104"},"PeriodicalIF":0.0,"publicationDate":"2021-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1c/e9/cjrt-2021-010.PMC8291291.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39279019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting self-management in Iranian tuberculosis patients: A path analysis model.","authors":"Tayebeh Fasihi Harandi,&nbsp;Zohreh Mahmoodi,&nbsp;Nooshin Ghavidel,&nbsp;Zhila Sharifipour","doi":"10.29390/cjrt-2021-009","DOIUrl":"https://doi.org/10.29390/cjrt-2021-009","url":null,"abstract":"<p><strong>Background: </strong>Self-management behaviors can reduce the progression of an illness. Although various factors affect self-management, no study has been conducted on the self-management of tuberculosis (TB) through path analysis.</p><p><strong>Objectives: </strong>This study evaluated the factors affecting self-management in TB patients using path analysis.</p><p><strong>Methods: </strong>A cross-sectional study was done on 133 non-prisoner TB patients that referred to all health centers in Karaj, Iran, in 2017. A structured questionnaire was applied. Data were analyzed with SPSS-17 and Lisrel 8.8, utilizing statistical path analysis to evaluate the relationships between self-management and its related factors.</p><p><strong>Results: </strong>Overall, 52.3% of the participants in the study were female and 47.7% were male. Respondents of were 46.9% smear-positive, 9.4% smear-negative, and 43.8% extra-pulmonary TB. Fit indices confirmed the model fitness and logical relationships between the variables according to the conceptual model (χ² = 49.80, df = 25). The final path model showed that age (<i>β</i> = 0.84), attitude (<i>β</i> = 0.10), marital status (<i>β</i> = 0.04), and house condition (<i>β</i> = 0.03) impact self-management through the direct path. Knowledge (<i>β</i> = 0.83) and education (<i>β</i> = 0.16) affect self-management through both direct and indirect paths. Education indirectly affects self-management through both knowledge and attitude. Knowledge indirectly impacts self-management through attitude. In other words, knowledge and attitude mediate the relationship between some factors and self-management.</p><p><strong>Conclusions: </strong>This study provided an empirical model that illustrates the relationships between self-management and related factors in TB patients. The knowledge can be the target of interventions in support of self-management.</p>","PeriodicalId":39373,"journal":{"name":"Canadian Journal of Respiratory Therapy","volume":"57 ","pages":"73-78"},"PeriodicalIF":0.0,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/66/cjrt-2021-009.PMC8221375.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39141420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout in health care providers working in the intensive care units of a tertiary care hospital, South India-a questionnaire-based survey.","authors":"Meghana Sanil,&nbsp;Glevita Machado,&nbsp;Varun R Nayak","doi":"10.29390/cjrt-2021-005","DOIUrl":"https://doi.org/10.29390/cjrt-2021-005","url":null,"abstract":"<p><strong>Background: </strong>The intensive care unit (ICU) is a special section of the hospital where intense monitoring and patient care are required. Health care providers (HCPs) who work in the ICU are exposed to a stressful environment and, in the long run, this may lead to exhaustion and burnout. It is observed that the burnout in HCPs in the ICU may have an impact on patient care and the psychological wellbeing of the caregiver. Thus, we aimed to assess the burnout in HCPs working in the ICUs of a tertiary care hospital in South India.</p><p><strong>Methods: </strong>A single-center, questionnaire-based survey was carried out by HCPs who work in the ICUs of a tertiary care hospital in South India. A Google form link was created after obtaining approval from the Institutional Ethics Committee. The link was then circulated to the HCPs who work in the ICU and the responses were collected. The Google form fetched data related to demographics, profession, area of work, duration of work per day, total days of work in the ICU during the work period, and details of night duty. The Oldenburg burnout inventory questionnaire was used to measure burnout in the HCPs.</p><p><strong>Results: </strong>A total of 60 HCPs with a mean age of 23.37±2.93 years, consented and filled out the online questionnaire. Of the 60 HCPs, 41 (68.33%) were females and 19 (31.67%) were males. Most of the participants were working in adult medical ICUs. The overall burnout level in all the participants was 2.39± 0.31, with the exhaustion level being 2.45±0.43 and the disengagement level being 2.32± 0.31. Between 70% and 80% of HCPs experienced high levels of burnout while working in the ICUs. Work area, work duration, sleep duration, and clinical experience had an impact on burnout levels of the HCPs.</p><p><strong>Conclusion: </strong>Most of the HCPs who work in the ICU experience high levels of burnout. Lack of clinical experience in the ICU and long work hours with lack of sleep can increase burnout in the HCPs.</p>","PeriodicalId":39373,"journal":{"name":"Canadian Journal of Respiratory Therapy","volume":"57 ","pages":"68-72"},"PeriodicalIF":0.0,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e3/10/cjrt-2021-005.PMC8176914.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39102578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation of Oxygenation and Radiographic Assessment of Lung Edema (RALE) Score to Lung Ultrasound Score (LUS) in Acute Respiratory Distress Syndrome (ARDS) Patients in the Intensive Care Unit.","authors":"Pratibha Todur,&nbsp;N Srikant,&nbsp;Prabha Prakash","doi":"10.29390/cjrt-2020-063","DOIUrl":"https://doi.org/10.29390/cjrt-2020-063","url":null,"abstract":"<p><strong>Background: </strong>Lung ultrasound score (LUS) as well as radiographic assessment of lung edema (RALE) score as calculated from chest radiography (CXR) have been applied to assess Acute Respiratory Distress Syndrome (ARDS) severity. CXRs, which are frequently performed in ARDS patients, pose a greater risk of radiation exposure to patients and health care staff.</p><p><strong>Aims and objectives: </strong>The aim of the study was to evaluate if LUS had a better correlation to oxygenation (PaO₂/FiO₂) compared with the RALE score in ARDS patients. We also aimed to analyse if there was a correlation between RALE score and LUS. We wanted to determine the LUS and RALE score cut-off, which could predict a prolonged length of intensive care unit (ICU) stay (≥10 days) and survival.</p><p><strong>Methods: </strong>Thirty-seven patients aged above 18 years with ARDS as per Berlin definition and admitted to the ICU were included in the study. It was a retrospective study done over a period of 11 months. On the day of admission to ICU, the global and basal LUS, global and basal RALE score, and PaO₂ /FiO₂ were recorded. Outcome and days of ICU stay were noted.</p><p><strong>Results: </strong>Global LUS score and PaO₂/FiO₂ showed the best negative correlation (<i>r =</i> -0.491), which was significant (<i>p</i> = 0.002), followed by global RALE score and PaO₂/FiO₂ (<i>r =</i> -0.422, <i>p</i> = 0.009). Basal LUS and PaO₂/FiO₂ also had moderate negative correlation (<i>r</i> = -0.334, <i>p</i> = 0.043) followed by basal RALE score and PaO₂/FiO₂ (<i>r</i> = -0.34, <i>p</i> = 0.039). Global RALE score and global LUS did not show a significant correlation. Similarly, there was no significant correlation between basal RALE score and basal LUS. Global and basal LUS as well as global and basal RALE score were not beneficial in predicting either a prolonged length of ICU stay or survival as the area under curve was low.</p><p><strong>Conclusion: </strong>In ARDS patients, global LUS had the best correlation to oxygenation (PaO₂/FiO₂), followed by global RALE score. Basal LUS and basal RALE score also had moderate correlation to oxygenation. However, there was no significant correlation between global LUS and global RALE score as well as between basal LUS and basal RALE score. Global and basal LUS as well as global and basal RALE scores were not able to predict a prolonged ICU stay or survival in ARDS patients.</p>","PeriodicalId":39373,"journal":{"name":"Canadian Journal of Respiratory Therapy","volume":"57 ","pages":"53-59"},"PeriodicalIF":0.0,"publicationDate":"2021-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4a/1f/cjrt-2020-063.PMC8132988.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39023329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aerosol drug delivery to tracheotomized patients with COVID-19: Pragmatic suggestions for clinicians.","authors":"Arzu Ari,&nbsp;James B Fink","doi":"10.29390/cjrt-2020-054","DOIUrl":"https://doi.org/10.29390/cjrt-2020-054","url":null,"abstract":"<p><p>Because of the wide and rapid spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the number of hospitalized patients with coronavirus disease 2019 (COVID-19) has rapidly increased medically complex and resource-intensive treatment requirements in health care settings. Although tracheostomy is frequently needed for critically ill patients requiring extended mechanical ventilation, it has been described as an aerosol-generating procedure that puts health care professionals at an increased risk of viral transmission. In addition, the delivery of aerosolized medications to this patient population has become controversial because of concerns on the transmission of SARS-CoV-2 via droplets. Although aerosol therapy in spontaneously breathing patients with COVID-19 was described in recent publications, innovations in aerosol drug delivery to COVID-19 patients with tracheostomy have not been presented. Therefore, empirically based guidance on how to deliver aerosols safely and effectively to tracheotomized patients with COVID-19 is still lacking. This paper provides recommendations and rationales for device selection, interface selection, delivery techniques, and infection control based on the evolving body of literature.</p>","PeriodicalId":39373,"journal":{"name":"Canadian Journal of Respiratory Therapy","volume":"57 ","pages":"49-52"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7e/5e/cjrt-2020-054.PMC8086593.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38958723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kartagener syndrome: A case report.","authors":"Rahaf Ibrahim,&nbsp;Huda Daood","doi":"10.29390/cjrt-2020-064","DOIUrl":"https://doi.org/10.29390/cjrt-2020-064","url":null,"abstract":"<p><p>Kartagener syndrome is a rare, autosomal recessive genetic disorder that causes defects in the action of ciliary movement, comprises of triad situs inversus, chronic sinusitis, and bronchiectasis. We present the case of a 3-year-old boy with repeated respiratory infections and pneumonic infections presenting with acute respiratory failure. He was diagnosed with Kartagener syndrome based on his clinical presentation and imaging features. The current diagnosis was consistent with severe acute bronchitis. He was managed initially with conventional medical therapy, but he didn't respond and was transferred immediately to the pediatric intensive care unit where noninvasive ventilation was administered. He had shown significant predictors of early noninvasive ventilation failure and was mechanically ventilated, after which, he was disconnected from the ventilator and discharged without complications. In patients presenting with recurrent upper and lower respiratory tract infections, Kartagener syndrome should always be kept in mind. The correct diagnosis of this disorder in early life is very important to prevent complications and improve patients' quality of life.</p>","PeriodicalId":39373,"journal":{"name":"Canadian Journal of Respiratory Therapy","volume":"57 ","pages":"44-48"},"PeriodicalIF":0.0,"publicationDate":"2021-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/45/cjrt-2020-064.PMC8059757.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38839853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}