{"title":"Monitoring respiration during sleep.","authors":"Teofilo L Lee-Chiong, Ulysses Magalang","doi":"10.1016/j.rcc.2005.08.008","DOIUrl":"https://doi.org/10.1016/j.rcc.2005.08.008","url":null,"abstract":"<p><p>Monitoring of respiration during sleep allows the assessment of physiologic variables that are required to characterize SRBD events. The patency of the upper airway, the pattern of breathing, oxygenation, and ventilation usually can be inferred from simultaneous measurements of airflow, respiratory effort, thoracic volume, and blood gases. As new techniques of respiratory monitoring emerge, the respiratory therapist and sleep technologist must be familiar with the advantages and shortcomings of each modality.</p>","PeriodicalId":79530,"journal":{"name":"Respiratory care clinics of North America","volume":"11 4","pages":"663-78"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25723604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiac arrhythmias.","authors":"Jon W Atkinson","doi":"10.1016/j.rcc.2005.08.006","DOIUrl":"https://doi.org/10.1016/j.rcc.2005.08.006","url":null,"abstract":"<p><p>This article presents an overview of common cardiac arrhythmias. Interventions for severe and potentially severe arrhythmias are discussed. Tips for recording and viewing the electrocardiogram as employed in polysomnography are presented. The focus is on arrhythmias, and as such the information revolves around rhythm, rate, and blocks. The reader is referred to other sources for discussion of topics such as axis, ischemia, and infarct.</p>","PeriodicalId":79530,"journal":{"name":"Respiratory care clinics of North America","volume":"11 4","pages":"635-61, viii"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25723603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Instrumentation and electrode placement.","authors":"James A Munday","doi":"10.1016/j.rcc.2005.08.004","DOIUrl":"https://doi.org/10.1016/j.rcc.2005.08.004","url":null,"abstract":"<p><p>The field of sleep diagnostics and polysomnography has increased significantly in the past 2 decades, and the need for expertly trained and qualified technologists has never been greater. This article instructs the therapist in the importance of proper patient hookup, reviews the 10-20 international system of electrode placement, considers accurate placement of electrodes and sensors, and discusses the use of various instrumentation.</p>","PeriodicalId":79530,"journal":{"name":"Respiratory care clinics of North America","volume":"11 4","pages":"605-15, viii"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25703508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Event scoring in polysomnography: scoring arousals, respiratory events, and leg movements.","authors":"Marietta Bellamy Bibbs, Max Hirshkowitz","doi":"10.1016/j.rcc.2005.08.007","DOIUrl":"https://doi.org/10.1016/j.rcc.2005.08.007","url":null,"abstract":"<p><p>Polysomnographic events comprise a wide variety of phenomena,including episodes of apnea, episodes of hypopnea, leg movements, transient central nervous system arousals, and eye movements. The process of event scoring involves pattern recognition and provides a description of potentially pathophysiologic activity occurring during sleep. The rules for scoring sleep-related events continue to be developed. The rules are precise and must be followed with extreme care. When the polysomnogram is interpreted,the report must include a summary of event scoring and clinical correlation to the sleep complaint. Arousals, periodic limb movements, and respiratory events are significant because they represent pathophysiologies on which final diagnosis largely depends.</p>","PeriodicalId":79530,"journal":{"name":"Respiratory care clinics of North America","volume":"11 4","pages":"709-30, ix"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25723607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Respiratory care continuing education.","authors":"Lucy Kester, Richard Rice, James K Stoller","doi":"10.1016/j.rcc.2005.04.004","DOIUrl":"https://doi.org/10.1016/j.rcc.2005.04.004","url":null,"abstract":"<p><p>The need for continuing education for respiratory therapists as well as other for health care practitioners is well established. The changing nature and increased volume of medical information, along with the rapid growth of technology related to respiratory care, demand that professionals engage in continuing education. Educational activities may be formal lectures or seminars, or self-directed studies, teleconferences, or video presentations. Recent studies indicate that interactive workshops, alone or in combination with other educational methods, are more likely to be effective that didactic lectures alone. Evaluation methods for continuing education programs have focused on attendees' ratings but should be revised to emphasize the impact of the educational program on beneficial changes in practice.</p>","PeriodicalId":79530,"journal":{"name":"Respiratory care clinics of North America","volume":"11 3","pages":"505-15"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25307246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"State-of-the-Art Respiratory Care Education","authors":"R. Branson, N. MacIntyre","doi":"10.1016/J.RCC.2005.05.002","DOIUrl":"https://doi.org/10.1016/J.RCC.2005.05.002","url":null,"abstract":"","PeriodicalId":79530,"journal":{"name":"Respiratory care clinics of North America","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89089133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incorporating geriatrics into the respiratory care curriculum.","authors":"Helen M Sorenson","doi":"10.1016/j.rcc.2005.04.007","DOIUrl":"https://doi.org/10.1016/j.rcc.2005.04.007","url":null,"abstract":"<p><p>The absolute number of adults over the age of 65 years is increasing nationwide and worldwide. Older adults today are more independent and self-sufficient than persons of that age were a generation ago. An increased incidence of acute and chronic disease results in relative morbidity but less mortality in those aged 65 years and older. The decision to incorporate or infuse education in geriatrics into existing respiratory care classes is not difficult. Implementation may be a little more challenging, but gradually adding geriatric components to courses over time is a perfectly reasonable way to introduce students to their future patient population. Fortunately, a growing number of elderly individuals desire to treat pathology rather than accept it as an inevitable consequence of aging. For these reasons, respiratory therapists have been brought into the realm of geriatric medicine, more by default than by organizational planning. The most passionate converts to the important role of geriatrics are physicians, nurses, and therapists who have recently attempted to shepherd their own aging parents through a health care system. If that experience that leads to these conversions could be measured and communicated, the world at large might be convinced of the value of education in geriatrics.</p>","PeriodicalId":79530,"journal":{"name":"Respiratory care clinics of North America","volume":"11 3","pages":"449-60"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rcc.2005.04.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25307242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New roles for respiratory therapists: expanding the scope of practice.","authors":"Diana Merendino, Dennis R Wissing","doi":"10.1016/j.rcc.2005.04.002","DOIUrl":"https://doi.org/10.1016/j.rcc.2005.04.002","url":null,"abstract":"<p><p>With diverse training and experience, respiratory therapists enjoy a wide variety of employment opportunities. The profession is moving beyond the traditional acute-care facility, such as a hospital, into extended care, sleep medicine, disease management, patient transport, and even fields beyond health care delivery, such as education and research. Respiratory therapists will survive in these changing times if they possess the ability to recognize change as an opportunity for growth. As the baby boomer generation ages, and the incidence of chronic illness increases, respiratory therapists will be in even greater demand.</p>","PeriodicalId":79530,"journal":{"name":"Respiratory care clinics of North America","volume":"11 3","pages":"543-55"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rcc.2005.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25305326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Graduate degree education programs: organization, structure, and curriculum.","authors":"Terry S LeGrand","doi":"10.1016/j.rcc.2005.04.008","DOIUrl":"https://doi.org/10.1016/j.rcc.2005.04.008","url":null,"abstract":"<p><p>A master's degree is quickly becoming the minimum requirement for many professions across the United States. Leaving college with a baccalaureate degree alone is no longer the sure ticket to employment that it once was. In respiratory care graduate education, it is essential to advance the science and practice of the profession. The MS degree in respiratory care can provide \"a link between the sciences, clinical research, and practice; increase knowledge within the discipline; provide for interdisciplinary collaboration and research;and train future faculty for the profession\" of respiratory care.</p>","PeriodicalId":79530,"journal":{"name":"Respiratory care clinics of North America","volume":"11 3","pages":"417-24"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rcc.2005.04.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25014644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Training and education challenges for the twenty-first century: respiratory care competency and practice.","authors":"Dean Hess","doi":"10.1016/j.rcc.2005.04.011","DOIUrl":"https://doi.org/10.1016/j.rcc.2005.04.011","url":null,"abstract":"<p><p>In recent years, there has been a paradigm shift in the roles and responsibilities of respiratory therapists. Therapists increasingly are expected to design and implement respiratory care plans within the scope of protocols. Respiratory therapists also are expected to perform greater numbers of advanced procedures such as endotracheal intubation and arterial catheter insertion. The greatest impact on respiratory care practice is likely to be the increasing use of the principles of evidence-based medicine. Each of these factors will affect how respiratory therapists should be trained and educated in the twenty-first century.</p>","PeriodicalId":79530,"journal":{"name":"Respiratory care clinics of North America","volume":"11 3","pages":"531-42"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25305325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}