D R Hess

Summary

Affiliation: Massachusetts General Hospital
Country: USA

Publications

  1. ncbi request reprint Aerosol delivery devices in the treatment of asthma
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02114, USA
    Respir Care 53:699-723; discussion 723-5. 2008
  2. ncbi request reprint Position of exhalation port and mask design affect CO2 rebreathing during noninvasive positive pressure ventilation
    Guilherme P P Schettino
    Department of Anesthesia and Critical Care and Respiratory Care, Massachusetts General Hospital, Harvard Medical School, Boston, 02214, USA
    Crit Care Med 31:2178-82. 2003
  3. ncbi request reprint Retrospective studies and chart reviews
    Dean R Hess
    Respiratory Care, Ellison 401, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Respir Care 49:1171-4. 2004
  4. ncbi request reprint Heliox and noninvasive positive-pressure ventilation: a role for heliox in exacerbations of chronic obstructive pulmonary disease?
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Boston, MA 02114, USA
    Respir Care 51:640-50. 2006
  5. ncbi request reprint Tracheostomy tubes
    Dean R Hess
    Respiratory Care Department, Massachusetts General Hospital, Boston, Massachusetts Department of Anesthesia, Harvard Medical School, Boston, Massachusetts
    Respir Care 59:956-73. 2014
  6. doi request reprint Noninvasive ventilation for acute respiratory failure
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
    Respir Care 58:950-72. 2013
  7. doi request reprint A 5-year observational study of lung-protective ventilation in the operating room: a single-center experience
    Dean R Hess
    Respiratory Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
    J Crit Care 28:533.e9-15. 2013
  8. ncbi request reprint The role of noninvasive ventilation in the ventilator discontinuation process
    Dean R Hess
    Respiratory Care Services, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
    Respir Care 57:1619-25. 2012
  9. doi request reprint The growing role of noninvasive ventilation in patients requiring prolonged mechanical ventilation
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Respir Care 57:900-18; discussion 918-20. 2012
  10. pmc Determinants of tracheostomy decannulation: an international survey
    Henry Thomas Stelfox
    Department of Critical Care Medicine, University of Calgary, Foothills Medical Centre, EG23A, 1403 29 Street NW, Calgary, AB, Canada, T2N 2T9
    Crit Care 12:R26. 2008

Collaborators

Detail Information

Publications75

  1. ncbi request reprint Aerosol delivery devices in the treatment of asthma
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02114, USA
    Respir Care 53:699-723; discussion 723-5. 2008
    ..However, many patients use these devices incorrectly, so proper patient education in their use is critical...
  2. ncbi request reprint Position of exhalation port and mask design affect CO2 rebreathing during noninvasive positive pressure ventilation
    Guilherme P P Schettino
    Department of Anesthesia and Critical Care and Respiratory Care, Massachusetts General Hospital, Harvard Medical School, Boston, 02214, USA
    Crit Care Med 31:2178-82. 2003
    ..This study was conducted to evaluate the effect of exhalation port location and mask design on CO2 rebreathing during noninvasive positive pressure ventilation...
  3. ncbi request reprint Retrospective studies and chart reviews
    Dean R Hess
    Respiratory Care, Ellison 401, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Respir Care 49:1171-4. 2004
    ..Retrospective study designs are generally considered inferior to prospective study designs. Therefore, a retrospective study design should never be used when a prospective design is feasible...
  4. ncbi request reprint Heliox and noninvasive positive-pressure ventilation: a role for heliox in exacerbations of chronic obstructive pulmonary disease?
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Boston, MA 02114, USA
    Respir Care 51:640-50. 2006
    ..Lacking such evidence, the use of heliox in patients with COPD exacerbation cannot be considered standard therapy...
  5. ncbi request reprint Tracheostomy tubes
    Dean R Hess
    Respiratory Care Department, Massachusetts General Hospital, Boston, Massachusetts Department of Anesthesia, Harvard Medical School, Boston, Massachusetts
    Respir Care 59:956-73. 2014
    ..In mechanically ventilated patients with a tracheostomy, a talking tracheostomy tube, a deflated cuff technique with a speaking valve, or a deflated cuff technique without a speaking valve can be used to facilitate speech. ..
  6. doi request reprint Noninvasive ventilation for acute respiratory failure
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
    Respir Care 58:950-72. 2013
    ..NIV should be part of the armamentarium of all clinicians caring from patients with acute respiratory failure...
  7. doi request reprint A 5-year observational study of lung-protective ventilation in the operating room: a single-center experience
    Dean R Hess
    Respiratory Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
    J Crit Care 28:533.e9-15. 2013
    ..We assessed the evolution of lung-protective ventilation strategies during anesthesia and identified factors associated with the selection of a nonprotective ventilation strategy...
  8. ncbi request reprint The role of noninvasive ventilation in the ventilator discontinuation process
    Dean R Hess
    Respiratory Care Services, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
    Respir Care 57:1619-25. 2012
    ..Reintubation should not be delayed if NIV is not immediately successful in reversing the post-extubation respiratory failure. Evidence does not support routine use of NIV post-extubation...
  9. doi request reprint The growing role of noninvasive ventilation in patients requiring prolonged mechanical ventilation
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Respir Care 57:900-18; discussion 918-20. 2012
    ....
  10. pmc Determinants of tracheostomy decannulation: an international survey
    Henry Thomas Stelfox
    Department of Critical Care Medicine, University of Calgary, Foothills Medical Centre, EG23A, 1403 29 Street NW, Calgary, AB, Canada, T2N 2T9
    Crit Care 12:R26. 2008
    ..Although tracheostomy is probably the most common surgical procedure performed on critically ill patients, it is unknown when a tracheostomy tube can be safely removed...
  11. ncbi request reprint The history and physics of heliox
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Boston, MA 02114, USA
    Respir Care 51:608-12. 2006
    ..Specifically covered are the Hagen-Poiseuille equation, laminar versus turbulent flow, the Reynolds number, orifice flow, Bernoulli's principle, Graham's law, wave speed, and thermal conductivity...
  12. ncbi request reprint Metered-dose inhalers and dry powder inhalers in aerosol therapy
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, and Harvard Medical School, Boston, Massachusetts 02114, USA
    Respir Care 50:1376-83. 2005
    ..The proceedings of this conference provide the current state of the art of metered-dose inhalers and dry powder inhalers...
  13. ncbi request reprint Training and education challenges for the twenty-first century: respiratory care competency and practice
    Dean Hess
    Harvard Medical School, and Department of Respiratory Care, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Respir Care Clin N Am 11:531-42. 2005
    ..Each of these factors will affect how respiratory therapists should be trained and educated in the twenty-first century...
  14. ncbi request reprint Noninvasive positive-pressure ventilation and ventilator-associated pneumonia
    Dean R Hess
    Department of Respiratory Care, Ellison 401, Massachusetts General Hospital, and Harvard Medical School, 55 Fruit Street, Boston Massachusetts 02114, USA
    Respir Care 50:924-9; discussion 929-31. 2005
    ..Perhaps "endotracheal-tube-associated pneumonia" is a better term than "ventilator-associated pneumonia."..
  15. ncbi request reprint Patient positioning and ventilator-associated pneumonia
    Dean R Hess
    Department of Respiratory Care, Ellison 401, Massachusetts General Hospital, and Harvard Medical School, 55 Fruit Street, Boston Massachusetts 02114, USA
    Respir Care 50:892-8; discussion 898-9. 2005
    ..The available evidence suggests that semi-recumbent position should be used routinely, rotational therapy should be considered in selected patients, and prone position should not be used as a technique to reduce the risk of VAP...
  16. ncbi request reprint Facilitating speech in the patient with a tracheostomy
    Dean R Hess
    Department of Respiratory Care, Ellison 401, Massachusetts General Hospital, 55 Fruit Street, Boston MA 02114, USA
    Respir Care 50:519-25. 2005
    ..Teamwork between the patient and the patient care team (respiratory therapist, speech-language pathologist, nurse, and physician) can result in effective restoration of speech in many patients with a long-term tracheostomy...
  17. ncbi request reprint Tracheostomy tubes and related appliances
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, 55 Fruit Street, Boston MA 02114, USA
    Respir Care 50:497-510. 2005
    ..It is important for clinicians caring for patients with a tracheostomy tube to understand the nuances of various tracheostomy tube designs and to select a tube that appropriately fits the patient...
  18. ncbi request reprint Ventilator waveforms and the physiology of pressure support ventilation
    Dean R Hess
    Respiratory Care, Ellison 401, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Respir Care 50:166-86; discussion 183-6. 2005
    ..The newer generation ventilators offer clinician-adjustable flow-termination during PSV. Ventilator waveforms may be useful to appropriately adjust the ventilator during PSV...
  19. ncbi request reprint How to write an effective discussion
    Dean R Hess
    Respiratory Care, Ellison 401, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Respir Care 49:1238-41. 2004
    ..Always write the discussion for the reader; remember that the focus should be to help the reader understand the study and that the highlight should be on the study data...
  20. ncbi request reprint Monitoring during mechanical ventilation
    Dean R Hess
    Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
    Paediatr Respir Rev 7:S37-8. 2006
  21. ncbi request reprint Noninvasive ventilation in neuromuscular disease: equipment and application
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
    Respir Care 51:896-911; discussion 911-2. 2006
    ..Appropriate selection of equipment and settings for NPPV is paramount to the success of this therapy...
  22. doi request reprint Approaches to conventional mechanical ventilation of the patient with acute respiratory distress syndrome
    Dean R Hess
    Respiratory Care Services, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
    Respir Care 56:1555-72. 2011
    ..In most, if not all, cases of ALI/ARDS, conventional ventilation strategies can be used effectively to provide lung-protective ventilation strategies...
  23. doi request reprint Patient-ventilator interaction during noninvasive ventilation
    Dean R Hess
    Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
    Respir Care 56:153-65; discussion 165-7. 2011
    ..Asynchronies can also be related to the underlying disease process. This paper reviews issues related to asynchrony during NIV and suggests strategies that might be used to correct asynchrony when it occurs...
  24. doi request reprint The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Respiratory Care Services, Boston, MA 02114, USA
    Chest 138:1475-9. 2010
    ..002). Supplementing a written report with a verbal telephone report was associated with a significant reduction in cost and an average savings of ∼ $184,000 for every 100 patients discharged, representing added value in delivered care...
  25. ncbi request reprint A survey of the use of noninvasive ventilation in academic emergency departments in the United States
    Dean R Hess
    Respiratory Care Services, Ellison 401, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA
    Respir Care 54:1306-12. 2009
    ....
  26. ncbi request reprint How to initiate a noninvasive ventilation program: bringing the evidence to the bedside
    Dean R Hess
    Massachusetts General Hospital, Boston, MA 02114, USA
    Respir Care 54:232-43; discussion 243-5. 2009
    ..The NIV program should be a quality-improvement initiative. Following these principles, a successful program can be initiated in any acute-care setting...
  27. ncbi request reprint Airway clearance: physiology, pharmacology, techniques, and practice
    Dean R Hess
    Respiratory Care, Ellison 401, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Respir Care 52:1392-6. 2007
    ..Appropriately powered and methodologically sound research is desperately needed in this area...
  28. ncbi request reprint Respiratory controversies in the critical care setting. Should noninvasive positive-pressure ventilation be used in all forms of acute respiratory failure?
    Dean R Hess
    Respiratory Care Services, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02114, USA
    Respir Care 52:568-78; discussion 578-81. 2007
    ..It will assist the clinician to identify both good and poor candidates for NPPV and thereby devote respiratory care resources where they will be most effective, and optimize patient outcomes...
  29. ncbi request reprint The mask for noninvasive ventilation: principles of design and effects on aerosol delivery
    Dean R Hess
    Department of Anesthesia, Harvard Medical School, Department of Respiratory Care, Massachusetts General Hospital, Boston, Massachusetts, USA
    J Aerosol Med 20:S85-98; discussion S98-9. 2007
    ..With NPVV, issues related to the optimal interface, ventilator settings, and aerosol generator (nebulizer versus MDI) are largely unexplored...
  30. ncbi request reprint The evidence for noninvasive positive-pressure ventilation in the care of patients in acute respiratory failure: a systematic review of the literature
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Boston MA 02114, USA
    Respir Care 49:810-29. 2004
    ..Inhaled bronchodilators can be administered during NPPV, and NPPV can be delivered with helium-oxygen mixture. Institution-specific practice guidelines may be useful to improve NPPV success...
  31. ncbi request reprint Liquid nebulization: emerging technologies conference summary
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Boston, MA 02114 2696, USA
    Respir Care 47:1471-6. 2002
    ..This provides, in a complete and cogent manner, the scientific basis for which clinicians can improve their knowledge of the new generation of nebulizers...
  32. ncbi request reprint Noninvasive pressure support ventilation
    D Hess
    Anaesthesia, Harvard Medical School, Respiratory Care, Massachusetts General Hospital, Boston, MA, USA
    Minerva Anestesiol 68:337-40. 2002
    ..Despite these issues, pressure support ventilation has been used successfully for noninvasive ventilation in thousands of patients with acute respiratory failure...
  33. ncbi request reprint Mechanical ventilation strategies: what's new and what's worth keeping?
    Dean R Hess
    Department of Respiratory Care, Ellison 401, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 2696, USA
    Respir Care 47:1007-17. 2002
    ..When new mechanical ventilation technology and strategies are introduced, a question we need to ask ourselves is whether these are solutions for problems or whether these are simply solutions in search of problems...
  34. ncbi request reprint Ventilators and weaning modes
    D Hess
    Department of Respiratory Care, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Respir Care Clin N Am 6:407-35;v-vi. 2000
    ..Prospective, randomized clinical studies are required to examine whether such modalities are superior to existing approaches...
  35. ncbi request reprint Infection control in the intensive care unit. The role of the ventilator circuit
    D Hess
    Respiratory Care, Massachusetts General Hospital, Anesthesia, Harvard Medical School Boston, MA, USA
    Minerva Anestesiol 68:356-9. 2002
    ..There is also accumulating evidence that passive humidifiers and closed suction catheters do not need to be changed on a daily basis...
  36. ncbi request reprint The evidence for secretion clearance techniques
    D R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114 2696, USA
    Respir Care 46:1276-93. 2001
    ....
  37. ncbi request reprint Ventilator modes used in weaning
    D Hess
    Respiratory Care, Massachusetts General Hospital, Boston, MA 02114, USA
    Chest 120:474S-6S. 2001
    ..Noninvasive positive-pressure ventilation also has been reported to facilitate weaning, but the ability to generalize these findings remains to be determined...
  38. ncbi request reprint High-frequency ventilation design and equipment issues
    D Hess
    Respiratory Care, Harvard Medical School, Massachussetts General Hospital, Boston 02114, USA
    Respir Care Clin N Am 7:577-98. 2001
    ..Of these, HFOV is used most commonly. As high-frequency ventilation becomes increasingly used in the care of adult patients, the technical issues related to this therapy will become increasingly important...
  39. ncbi request reprint Aerosol delivery during mechanical ventilation
    D Hess
    Respiratory Care, Massachusetts General Hospital, Anaesthesia, Harvard Medical School, Boston, MA, USA
    Minerva Anestesiol 68:321-5. 2002
    ..Aerosols can be delivered during mechanical ventilation using either a nebulizer or MDI. The MDI is the most efficient method of aerosol delivery, whereas the greatest absolute amount of drug delivery is with the nebulizer...
  40. ncbi request reprint Tracheal gas insufflation and related techniques to introduce gas flow into the trachea
    D R Hess
    Department of Respiratory Care, Ellison 401, Massachusetts General Hospital, 55 Fruit Street, Boston MA 02114 2696, USA
    Respir Care 46:119-29. 2001
    ..Although some of these techniques are promising adjuncts to mechanical ventilation and may help reduce ventilator-associated lung injury, much remains to be learned about their role in the care of patients with acute lung injury...
  41. ncbi request reprint Nebulizers: principles and performance
    D R Hess
    Respiratory Care, Massachusetts General Hospital and Harvard Medical School, Boston, USA
    Respir Care 45:609-22. 2000
    ..Several new designs have recently become available that improve the performance of the nebulizer, but their cost-effectiveness remains to be determined...
  42. ncbi request reprint In vitro evaluation of aerosol bronchodilator delivery during mechanical ventilation: pressure-control vs. volume control ventilation
    Dean R Hess
    Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Intensive Care Med 29:1145-50. 2003
    ..To determine the effect of inspiratory time and inspiratory flow pattern on albuterol delivery by aerosol during mechanical ventilation...
  43. ncbi request reprint The effect of heliox on nebulizer function using a beta-agonist bronchodilator
    D R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA
    Chest 115:184-9. 1999
    ..To evaluate nebulizer performance when heliox was used to power the nebulizer...
  44. ncbi request reprint What is evidence-based medicine and why should I care?
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Boston MA 02114, USA
    Respir Care 49:730-41. 2004
    ..Although not all tenets of evidence-based medicine are universally accepted, the principles of evidence-based medicine nonetheless provide a valuable approach to respiratory care practice...
  45. ncbi request reprint Information retrieval in respiratory care: tips to locate what you need to know
    Dean R Hess
    Department of Respiratory Care, Massachusetts General Hospital, Boston, USA
    Respir Care 49:389-99; discussion 399-400. 2004
    ..However, there is also much information available on the Internet that has not been validated or subjected to peer review. Thus, it is important not only to find information but also to separate useful from useless information...
  46. ncbi request reprint Lung recruitment: the role of recruitment maneuvers
    Dean R Hess
    Department of Respiratory Care Services, Massachusetts General Hospital, and Harvard Medical School, Boston, Massachusetts 02114, USA
    Respir Care 47:308-17; discussion 317-8. 2002
    ..There have been a number of recent reports describing improvements in arterial oxygenation with the use of recruitment maneuvers. However, the impact of recruitment maneuvers on patient-important outcomes such as survival is unknown...
  47. ncbi request reprint Care of the ventilator circuit and its relation to ventilator-associated pneumonia
    Dean R Hess
    Respiratory Care, Massachusetts General Hospital, Boston, MA 02114, USA
    Respir Care 48:869-79. 2003
    ..Clinicians caring for mechanically ventilated patients should be aware of risk factors for VAP (eg, nebulizer therapy, manual ventilation, and patient transport)...
  48. ncbi request reprint Detection and monitoring of hypoxemia and oxygen therapy
    D Hess
    Respiratory Care Services, Massachusetts General Hospital, Boston 02114, USA
    Respir Care 45:65-80; discussion 80-3. 2000
    ..Monitoring of oxygenation should not be done just because it is technically feasible. The decision to monitor, like any other clinical decision, should be based on therapeutic objectives...
  49. ncbi request reprint Ventilator-induced lung injury and the evolution of lung-protective strategies in acute respiratory distress syndrome
    M A Gillette
    Pulmonary and Critical Care Unit, Bullfinch 148, Massachusetts General Hospital, 55 Fruit Street, Boston MA 02114 2696, USA
    Respir Care 46:130-48. 2001
    ..Tracheal gas insufflation is considered as a means to reconcile the clinical goals of ventilatory reduction and control of acidosis...
  50. ncbi request reprint Heliox delivery with noninvasive positive pressure ventilation: a laboratory study
    S Chatmongkolchart
    Department of Respiratory Care, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Respir Care 46:248-54. 2001
    ..With heliox there was a potential for ventilator malfunction in some conditions. The clinical implications of these findings remain to be determined...
  51. ncbi request reprint Albuterol delivery during noninvasive ventilation
    Matthew P Branconnier
    Department of Respiratory Care, Massachusetts General Hospital, Boston, 02114, USA
    Respir Care 50:1649-53. 2005
    ..Albuterol delivered during noninvasive positive-pressure ventilation is affected by use of a nebulizer or metered-dose inhaler (MDI) and whether the leak port is in the hose or the mask...
  52. ncbi request reprint An objective analysis of the pressure-volume curve in the acute respiratory distress syndrome
    R S Harris
    Pulmonary and Critical Care Unit, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
    Am J Respir Crit Care Med 161:432-9. 2000
    ..Calculating objective parameters such as P(mci,i) or P(inf,d) from curve-fitted P-V data can minimize this large variability...
  53. ncbi request reprint Albuterol delivery via tracheostomy tube
    Christopher M Piccuito
    Department of Respiratory Care, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Respir Care 50:1071-6. 2005
    ..Albuterol delivery through a tracheostomy tube is affected by device (nebulizer vs metered-dose inhaler), interface (mask vs T-piece), bias flow, and humidification...
  54. pmc Inhaled agonists of soluble guanylate cyclase induce selective pulmonary vasodilation
    Oleg V Evgenov
    Department of Anesthesia and Critical Care, Massachusetts General Hospital, 55 Fruit Street, Gray Bigelow 444, Boston, MA 02114, USA
    Am J Respir Crit Care Med 176:1138-45. 2007
    ..Nitric oxide-independent agonists of soluble guanylate cyclase (sGC) have been developed...
  55. ncbi request reprint Pulmonary artery occlusion increases the ratio of diffusing capacity for nitric oxide to carbon monoxide in prone sheep
    R Scott Harris
    Pulmonary and Critical Care Unit, Massachusetts General Hospital and Harvard Medical School, Boston 02114, USAL
    Chest 126:559-65. 2004
    ..To test the hypothesis that the ratio of diffusing capacity of the lung for nitric oxide (DLno) to diffusing capacity of the lung for carbon monoxide (DLco) would be affected by occlusion of a fraction of the pulmonary vascular bed...
  56. ncbi request reprint Factors affecting oxygen delivery with bi-level positive airway pressure
    Andrew R Schwartz
    Respiratory Care, Ellison 401, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Respir Care 49:270-5. 2004
    ..We conducted this study to test the hypothesis that delivered oxygen concentration using this configuration is affected by the choice of leak port, oxygen injection site, and ventilator settings...
  57. ncbi request reprint Are inhaled vasodilators useful in acute lung injury and acute respiratory distress syndrome?
    Mark S Siobal
    Respiratory Care Services, NH GA2, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco CA 94110, USA
    Respir Care 55:144-57; discussion 157-61. 2010
    ..There is no role for the routine use of inhaled vasodilators in patients with ARDS. Inhaled vasodilator as a rescue therapy for severe refractory hypoxemia in patients with ARDS may be reasonable, but is controversial...
  58. doi request reprint Do newer monitors of exhaled gases, mechanics, and esophageal pressure add value?
    Robert L Owens
    Department of Medicine, Pulmonary and Critical Care Unit, Cox 2, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
    Clin Chest Med 29:297-312, vi-vii. 2008
    ..The authors explore the concepts, benefits, difficulties, and relevant clinical trials of each...
  59. ncbi request reprint Evaluation of inspiratory rise time and inspiration termination criteria in new-generation mechanical ventilators: a lung model study
    S Chatmongkolchart
    Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
    Respir Care 46:666-77. 2001
    ..Inspiration termination criteria adjustment markedly affects transition to exhalation in the Puritan Bennett 840...
  60. doi request reprint The chest wall in acute lung injury/acute respiratory distress syndrome
    Dean R Hess
    Respiratory Care, Massachusetts General Hospital, Boston 02114, Massachusetts, USA
    Curr Opin Crit Care 14:94-102. 2008
    ..The purpose of this review is to address relevant issues related to the chest wall and mechanical ventilation, particularly in patients with acute lung injury/acute respiratory distress syndrome...
  61. ncbi request reprint Conventional mechanical ventilation in acute lung injury and acute respiratory distress syndrome
    Venktesh R Ramnath
    Pulmonary and Critical Care Unit, Department of Medicine, Bulfinch 148, Massachusetts General Hospital, Boston, MA 02114, USA
    Clin Chest Med 27:601-13; abstract viii. 2006
    ..This article examines the evidence supporting lung-protective ventilation strategies and addresses the methods, outcomes, and potential obstacles to implementation of such approaches...
  62. ncbi request reprint Urgent tracheal intubation in general hospital units: an observational study
    William J Benedetto
    Department of Anesthesia and Critical Care, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02114, USA
    J Clin Anesth 19:20-4. 2007
    ..To determine the frequency of complications and outcomes of urgent intubations in general hospital units...
  63. doi request reprint Effect of the chest wall on pressure-volume curve analysis of acute respiratory distress syndrome lungs
    Robert L Owens
    Departments of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
    Crit Care Med 36:2980-5. 2008
    ..We sought to quantify the effect of the chest wall by considering the chest wall and lung in series...
  64. ncbi request reprint Capnography for procedural sedation and analgesia in the emergency department
    Baruch Krauss
    Division of Emergency Medicine, Children s Hospital, Boston, MA 02115, USA
    Ann Emerg Med 50:172-81. 2007
    ....
  65. ncbi request reprint Tracheomalacia in an adult with respiratory failure and Morquio syndrome
    Carolyn J Pelley
    Respiratory Care Department, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Respir Care 52:278-82. 2007
    ..Mechanical ventilation may be difficult because of upper-airway obstruction or low compliance imposed by the restrictive chest wall. Complete tracheal collapse can occur in these patients, especially with fixed head flexion...
  66. ncbi request reprint Device selection and outcomes of aerosol therapy: Evidence-based guidelines: American College of Chest Physicians/American College of Asthma, Allergy, and Immunology
    Myrna B Dolovich
    Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
    Chest 127:335-71. 2005
    ..There are advantages and disadvantages associated with each device category. Evidence-based guidelines for the selection of the appropriate aerosol delivery device in specific clinical settings are needed...
  67. ncbi request reprint Respiratory controversies in the critical care setting. Does high-frequency ventilation offer benefits over conventional ventilation in adult patients with acute respiratory distress syndrome?
    Henry E Fessler
    Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, 1830 Monument Street, Baltimore, MD 21287, USA
    Respir Care 52:595-605; discussion 606-8. 2007
    ....
  68. ncbi request reprint In vitro evaluation of aerosol bronchodilator delivery during noninvasive positive pressure ventilation: effect of ventilator settings and nebulizer position
    Sunisa Chatmongkolchart
    Department of Anesthesiology, Faculty of Medicine, Prince of Songkla University, Thailand
    Crit Care Med 30:2515-9. 2002
    ..However, there have been no reports of factors affecting aerosol delivery during NPPV. Our objective was to determine the effect of ventilator settings and nebulizer position on albuterol delivery during NPPV...
  69. ncbi request reprint Patient-ventilator dyssynchrony during lung protective ventilation: what's a clinician to do?
    Dean R Hess
    Crit Care Med 34:231-3. 2006
  70. ncbi request reprint Liberation from mechanical ventilation: weaning the patient or weaning old-fashioned ideas?
    Dean R Hess
    Crit Care Med 30:2154-5. 2002
  71. ncbi request reprint Noninvasive positive-pressure ventilation: a silver bullet for extubation failure?
    Dean R Hess
    Respir Care 52:1454-6. 2007
  72. ncbi request reprint Guidelines for preventing health-care-associated pneumonia, 2003: buyer beware!
    Dean R Hess
    Respir Care 49:891-3. 2004
  73. ncbi request reprint Evidence-based clinical practice guidelines: where's the evidence and what do I do with it?
    Dean R Hess
    Respir Care 48:838-9. 2003
  74. ncbi request reprint Inhaled nitric oxide for treatment of sickle cell stroke
    Pedro Montero-Huerta
    Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia, Augusta, Georgia, USA
    Anesthesiology 105:619-21. 2006
  75. ncbi request reprint Secretion clearance techniques: absence of proof or proof of absence?
    Dean R Hess
    Respir Care 47:757-8. 2002