Research Topics
| Robert L ChatburnSummaryAffiliation: Cleveland Clinic Foundation Country: USA Publications
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Detail Information
Publications
Computer control of mechanical ventilationRobert L Chatburn
Respiratory Care Department, University Hospitals of Cleveland, and Department of Pediatrics, Case Western Reserve University, 44106, USA
Respir Care 49:507-17. 2004..The operator-ventilator interface has received little attention in the literature, despite the fact that there is a whole science of human-computer interaction. This report suggests a methodology for the study of ventilator interfaces...
An analysis of needs for respiratory therapists in northeast Ohio and development of strategies to meet increased recruitment demandsDouglas K Orens
Section of Respiratory Therapy, M 56, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195, USA
Respir Care 52:1767-73. 2007..At the Cleveland Clinic an expected hospital expansion of 350 beds by 2008 has increased the need for RT staff. This report describes a strategy by which we developed a plan, in concert with local RT colleges, to recruit RTs...
Closed-loop control of mechanical ventilation: description and classification of targeting schemesRobert L Chatburn
Respiratory Institute, The Cleveland Clinic, and with Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio 44195, USA
Respir Care 56:85-102. 2011..Conversely, their descriptions may provide engineers with a means to better communicate to end users...
A new system for understanding nebulizer performanceRobert L Chatburn
Section of Respiratory Care, Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195, USA
Respir Care 52:1037-50. 2007..This model should help researchers communicate more clearly and study planners to design experiments whose data may be more comparable and thus amenable to meta-analysis...
High-frequency assisted airway clearanceRobert L Chatburn
Respiratory Therapy, M 56, Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195, USA
Respir Care 52:1224-35; discussion 1235-7. 2007..Aside from patient preference and capability, cost-effectiveness studies based on existing clinical data are necessary to determine when a given technique is most practical...
Determining the basis for a taxonomy of mechanical ventilationRobert L Chatburn
Cleveland Clinic, OH, USA
Respir Care 57:514-24. 2012..One consequence is the creation of an unmanageable number of names to describe modes of ventilation. The proliferation of names makes education of end users difficult, potentially compromising the quality of patient care...
Understanding mechanical ventilatorsRobert L Chatburn
Cleveland Clinic, Respiratory Therapy Department, M56, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Expert Rev Respir Med 4:809-19. 2010..This taxonomy uses the equation of motion for the respiratory system as the underlying theoretical framework. All terms relevant to describing modes of mechanical ventilation are defined in an extensive appendix...
Which ventilators and modes can be used to deliver noninvasive ventilation?Robert L Chatburn
Section of Respiratory Care, Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, USA
Respir Care 54:85-101. 2009..This review provides the basis for a simple procedure for selecting the most appropriate NIV technology for the patient and the environment of care...
Respiratory controversies in the critical care setting. Should weaning protocols be used with all patients who receive mechanical ventilation?Robert L Chatburn
Respiratory Therapy, M 56, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Respir Care 52:609-19; discussion 619-21. 2007..Weaning protocols might improve patient care and outcomes, but their implementation should be based on local clinical characteristics and needs, and accompanied by an intensive education effort and measurement of adherence and outcomes...
Classification of ventilator modes: update and proposal for implementationRobert L Chatburn
Section of Respiratory Therapy, M 56, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Respir Care 52:301-23. 2007..The classification system proposed in this article uses the equation of motion for the respiratory system as the underlying theoretical framework. All terms relevant to describing ventilation modes are defined in an extensive glossary...
Respiratory care work assignment based on work rate instead of work loadRobert L Chatburn
Section of Respiratory Therapy, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA
Respir Care 56:1785-90. 2011..We found that work rates were unachievable (ie, exceeded 1 hour of scheduled work per hour of available labor) for 75% of scheduled due times, despite presumed achievable average work load...
How to find the best evidenceRobert L Chatburn
Respiratory Institute, M 56, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Respir Care 54:1360-5. 2009..Many medical journals, including Respiratory Care, are now available online. Finally, even generalized search engines such as Google, Yahoo, Ask, and Dogpile can provide a wealth of information on medical topics...
Documentation issues for mechanical ventilation in pressure-control modesRobert L Chatburn
Respiratory Therapy, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Respir Care 55:1705-16. 2010..We review the clinically relevant issues surrounding documentation of the patient-ventilator interactions related to airway pressure and provide suggestions for a standardized vocabulary...
Performance comparison of 4 portable oxygen concentratorsRobert L Chatburn
Respiratory Institute, M 56, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Respir Care 55:433-42. 2010..Several portable oxygen concentrators (POCs) have become available in the United States. Technical trade-offs are made in designing POCs, so their performance is expected to differ...
An analysis of features of respiratory therapy departments that are avid for changeJames K Stoller
Section of Respiratory Therapy, the Respiratory Institute, Cleveland Clinic, Cleveland, Ohio, USA
Respir Care 53:871-84. 2008....
A comparison of respiratory care workload with 2 different nebulizersEdward R Hoisington
Respiratory Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A90, Cleveland OH 44195, USA
Respir Care 54:495-9. 2009..We studied the workload effect of adopting a faster nebulizer. We hypothesized that time saved by faster SVN treatment can be used by respiratory therapists for other patient-care activities...
Tidal volume variability during airway pressure release ventilation: case summary and theoretical analysisMadhu Sasidhar
Respiratory Institute, The Cleveland Clinic, Cleveland, Ohio, USA
Respir Care 57:1325-33. 2012..The important point of this case study and model analysis is that the application of APRV is more complex than it appears to be. It requires a lot more knowledge and skill than may be apparent from descriptions in the literature...
High flow through a nasal cannula and CPAP effect in a simulated infant modelTeresa A Volsko
Children s Hospital Medical Center of Akron, Akron, OH, USA
Respir Care 56:1893-900. 2011..Limited data are available to describe the CPAP effects that can be expected when using high flow with a traditional nasal cannula...
Effects of imposed resistance on tidal volume with 5 neonatal nasal continuous positive airway pressure systemsShannon E Cook
Respiratory Institute, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Respir Care 55:544-8. 2010..Nasal CPAP methods include electronic feedback control, underwater seal, flow opposition, and flow opposition with fluidic flow reversal on expiration. Few studies have compared those modes, and the results have been contradictory...
Mid-frequency ventilation: unconventional use of conventional mechanical ventilation as a lung-protection strategyEduardo Mireles-Cabodevila
Respiratory Therapy, M 56, Cleveland Clinic, Cleveland, OH 44195, USA
Respir Care 53:1669-77. 2008..Studies have found that increasing the respiratory frequency during mechanical ventilation does not always improve alveolar minute ventilation and may cause air-trapping...
Team-building and change management in respiratory care: description of a process and outcomesJames K Stoller
Department of Pulmonary, Allergy, and Critical Care Medicine, Respiratory Institute, A90, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Respir Care 55:741-8. 2010..quot; This study describes an intervention that fostered teamwork among 4 separate respiratory therapy (RT) departments within a single hospital...
Concordance of respiratory care plans generated by protocols from different hospitals: a comparative studyJames K Stoller
Department of Pulmonary, Allergy, and Critical Care Medicine, A90, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland OH 44195, USA
Respir Care 52:1006-12. 2007..Do protocols from different hospitals agree with regard to indications for respiratory care treatments and use of the Clinical Practice Guidelines from the American Association for Respiratory Care?..
A comparison of intrapulmonary percussive ventilation and conventional chest physiotherapy for the treatment of atelectasis in the pediatric patientKathleen Deakins
Department of Respiratory Care, University Hospitals of Cleveland, 11100 Euclid Avenue, Cleveland, OH 44106, USA
Respir Care 47:1162-7. 2002..IPV is a safe and effective method of alternative airway clearance and can be used on patients with artificial airways...
Performance comparison of two oscillating positive expiratory pressure devices: Acapella versus FlutterTeresa A Volsko
University Hospitals of Cleveland, Case Western Reserve University, Ohio, USA
Respir Care 48:124-30. 2003..We hypothesized that the Acapella and Flutter would produce similar mean PEP, oscillatory pressure amplitude, and frequency over a clinically relevant range of flows...
Laboratory evaluation of the Vortran Automatic Resuscitator Model RTMMark D Babic
Respiratory Care Services, Fairview Hospital, 18101 Lorain Avenue, Cleveland OH 44111, USA
Respir Care 52:1718-27. 2007..One device that has been proposed to address the need for emergency ventilation is the Vortran Automatic Resuscitator...
Airway pressure release ventilation: what do we know?Ehab G Daoud
Respiratory Institute, The Cleveland Clinic, Cleveland, OH, USA
Respir Care 57:282-92. 2012..This paper reviews the different methods proposed for APRV settings, and summarizes the different studies comparing APRV and BIPAP, and the potential benefits and pitfalls for APRV...
Work of breathing in adaptive pressure control continuous mandatory ventilationEduardo Mireles-Cabodevila
Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA
Respir Care 54:1467-72. 2009..The purpose of this study was to evaluate the relationship between ventilator work output and patient effort in adaptive pressure control...
Knowledge of alpha-1 antitrypsin deficiency among internal medicine house officers and respiratory therapists: results of a surveyRachel M Taliercio
Department of Pulmonary, Allergy, and Critical Care Medicine, Respiratory Institute, The Cleveland Clinic, Cleveland, Ohio 44195, USA
Respir Care 55:322-7. 2010....
Sudden development of right and left lung asymmetry in a pediatric patient following craniotomyKathleen Deakins
Rainbow Babies and Children's Hospital of University Hospitals of Cleveland, OH, USA
Respir Care 47:91-3. 2002..There was no mediastinal shift. Another chest radiograph 3 hours later showed substantial improvement. We discuss the causes of acute lung volume asymmetry and possible interpretations of the radiographs...
A rational framework for selecting modes of ventilationEduardo Mireles-Cabodevila
Respiratory Institute, Cleveland Clinic, Cleveland, Ohio
Respir Care 58:348-66. 2013..The proposed model, utilizing a systematic nomenclature, provides a useful framework to address this unmet need...
Human versus Computer Controlled Selection of Ventilator Settings: An Evaluation of Adaptive Support Ventilation and Mid-Frequency VentilationEduardo Mireles-Cabodevila
Department of Pulmonary and Critical Care Medicine, University of Arkansas for Medical Sciences, 4301 West Markham Street, Slot 555, Little Rock, AR 77205, USA Respiratory Institute, Cleveland Clinic, 9500 Euclid Avenue, A90, Cleveland, OH 44195, USA
Crit Care Res Pract 2012:204314. 2012..The ventilation outcomes are the result of the lung physiological characteristics and their interaction with the targeting scheme...
Nocturnal oxygenation using a pulsed-dose oxygen-conserving device compared to continuous flowRobert L Chatburn
Respiratory Care Department, University Hospitals of Cleveland, Cleveland, Ohio 44106, USA
Respir Care 51:252-6. 2006..This study was designed to compare heart rate and oxygen saturation (measured via pulse oximetry [S(pO2)]) of sleeping patients using one brand of PDOCD versus continuous-flow oxygen...
Zen and the art of nomenclature maintenance: a revised approach to respiratory symbols and terminologyFrank P Primiano
Respiratory Therapy, M 56, Clevelnad Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
Respir Care 51:1458-70. 2006....
Advancing beyond the average: the importance of mentoring in professional achievementRobert L Chatburn
Respiratory Care Department, University Hospitals of Cleveland, 11100 Euclid Avenue, Cleveland, OH 44106, USA
Respir Care 49:304-8. 2004..The final aspect is, meaning that your practice of respiratory care reaches a level at which you meet challenges for which you feel you have no response in memory and yet you succeed...
Procedure to normalize data for benchmarkingRobert L Chatburn
Respiratory Care Department, University Hospitals of Cleveland, Cleveland, Ohio 44106, USA
Respir Care 51:145-57. 2006....
It hurts to say "Hertz"Robert L Chatburn
Respir Care 47:1018. 2002
Controversies in the critical care setting. Should adaptive pressure control modes be utilized for virtually all patients receiving mechanical ventilation?Richard D Branson
Division of Trauma and Critical Care, Department of Surgery, University of Cincinnati Medical Center, 231 Albert Sabin Way, Room 2457, Cincinnati, OH 45267 0558, USA
Respir Care 52:478-85; discussion 485-8. 2007..Clinicians should be aware of the limitations of adaptive pressure control and understand when other breath delivery techniques are more suitable...
