A Follow-up Study on Acute Respiratory Distress Syndrome Survivors after Extra-corporeal Membrane
Oxygenation by Pulmonary High-Resolution CT
Acute Respiratory Distress Syndrome (ARDS) is a very serious syndrome that’s often fatal to the
patient. In ARDS fluid collects in the lungs' air sacs and this deprives the body and vital organs of
oxygen. The patient suffers from dyspnea and refractory hypoxemia. Refractory hypoxemia is a very
rare condition. It is pretty much only seen with cases of ARDS. ARDS is a condition that appears
secondary to a different disorder or condition, such as Anemia or Pneumonia. Refractory hypoxemia is
a condition in which the body is deprived of oxygen, but even when oxygen is being delivered to the
lungs, it is not absorbed. The
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They
found in the study that the patients didn’t show much of an improvement with the ECMO device being
used.
Reflection
This study was really hard for me to understand. I had to read, reread and look up a lot of words that I
didn’t know the meaning to. They did a lot of different studies of the patients' illnesses and compared
them all to the other patients by monthly intervals. They also did CT scans of each patients' lungs and
compared their CT scans before and after ECMO treatment. There was a lot of pictures of the CT scans
and I wasn’t really sure what I was looking at. After I started to understand the article and what I was
reading, it all became very interesting. I’m really happy I picked health care as the career field for me
to go into because the science that goes into all the advancements in health care amazes me!
Citation
Li, MD, X., Sun, MD, B., Wang, MD, C., & He, MD, H. (2015). A Follow-up Study on Acute
Respiratory Distress Syndrome Survivors after Extra-Corporeal Membrane Oxygenation b Pulmonary
High-Resolution CT. Archives of Iranian
Mrs. Jones, An elderly woman, presented severely short of breath. She required two rest periods in order to ambulate across the room, but refused the use of a wheel chair. She was alert and oriented, but was unable to speak in full sentences. Her skin was pale and dry. Her vital signs were as follows: Temperature 97.3°F, pulse 83, respirations 27, blood pressure 142/86, O2 saturation was 84% on room air. Auscultation of the lungs revealed crackles in the lower lobes and expiratory wheezing. Use of accessory muscles was present. She was put on 2 liters of oxygen via nasal canal. With the oxygen, her O2 saturation increased to 90%. With exertion her O2 saturation dropped to the 80's. Mrs. Jones began coughing and she produced large amounts of milky sputum.
...dult Respiratory Failure: Life Support in the New Era. Intensive Care Med, 38, 210-220. http://dx.doi.org/10.1007/s00134-011-2439-2
While this study did not produce the result we wanted, we believe that we could use the information learned from this study and develop a study that would be more effective.
... original study was precisely detailed throughout the entire journal article. Colen presented a background of the entire study for readers to capture the importance and relevance of the topic and broke each finding and outcome down through full comprehensive explanation. Overall, the TIME article complemented the original study’s findings very well without sharing too much information, but leaving the reader to inform themselves further if desired.
This study is a clinical trial that aims to find out the effect of massage on behavioral state of neonates with respiratory distress syndrome. The participants were 45 neonates who hospitalized in neonatal intensive care unit of Afzalipour hospital in Kerman. Parental consent was obtained for research participation. The inclusion criteria included all infants born with respiratory distress syndrome, less than 36 weeks gestational age and without of any the following conditions: contraindication of touch, skin problems, hyperbilirubinemia, anemia, respirators, chest tube, addicted mother, congenital and central nervous system disease. Infants entered the massage protocol during the second day after starting enteral feeding, because the initiation of enteral feeding means that the infants in physiologically stable [12]. The researcher determined if infants met the study criteria. After initial assessment, the infants were entered to the group. The infants received 45 minute periods of massage intervention per day for 5 days. Each infant received tactile/kinesthetic stimulation, 15 minute periods at the beginning of three consecutive hours. Each massage always started at approximately 30 minutes after afternoon feeding and provided by one or two trained nurses. The 15 minute stimulation sessions consist of 3 standardized 5 minute phases. Tactile stimulation was given during the first and third phases, and kinesthetic stimulation was given during the middle phase. For the tactile stimulation, the neonate was placed in a prone position. After thorough hand scrubbing, the person providing stimulation placed the palms of her warmed hands on the infant’s body through the isolate portholes. Then She gently stroked with her hands for five ...
However, with pulmonary edema the alveoli fill with fluid instead of air. Pulmonary edema is the ending result of abnormal build-up of fluid leads to shortness of breath. The term edema itself generally means swelling. This can happen either because of too much pressure in the blood vessels or not enough proteins in the bloodstream to hold on to the fluid in the plasma; the part of the blood that does not contain any blood cells (Medicinenet). This lung condition is usually caused by a number of cardiac and non-cardiac conditions such as: Coronary artery disease, cardiomyopathy, heart valve problems, high blood pressure, acute respiratory distress syndrome, high altitudes, nervous system conditions, adverse drug reactions, pulmonary embolism, and smoke inhalation (Brunner 2015). These many conditions are all health related problems that should be examined by a
One of the common diseases in the respiratory system that many people around the world face is emphysema or also known as chronic obstructive pulmonary disease (COPD). It is a chronic lung condition where the alveoli or air sacs may be damaged or enlarged resulting in short of breath (Mayo Clinic, 2011). If emphysema is left untreated, it will worsen causing the sphere shaped air sacs to come together making holes and reduce the surface area of the lungs and the amount of oxygen that travels through the bloodstream, blocking the airways of the lungs (Karriem- Norwood, 2012). The most common ways a patient can get emphysema are by cigarette smoking or being exposed to chemicals, dust or air pollutants for a long period of time. Common physical exams reveal a temperature of 100.8 Fahrenheit, 104 beats per minute, a blood pressure of 146/92, and a respiratory rate of 36 breaths per min (Karriem- Norwood, 2012). (see appendix A.1,A.2, A.3, A.4 for complete proof.)
Throughout this researched that I investigated I became interested in this field in a way. If I had an option in medical field I would take the option. Knowing that you are helping patients out is an amazing feeling. I would work with infants rather than adults. I would cherish every moment because you would never know if that’s the last time to work with the patient not just because of death but maybe cause they might recover from there sickness.
Turner, B. J., Newschaffer, C. J., Zhang, D., Fanning, T., & Hauck, W. W. (1999). Translating clinical trial results into practice. Annals of Internal Medicine, 130(12), 979-986.
From a time, longer than I could remember, I had always known that I wanted to have a career in the medical field. My first choice was in Obstetrics, then after a few years, it changed to Dentistry. It was not until around the age of 11 that I discovered the career that I wanted to pursue after college, which was Orthopedic Surgery. Now to this day, this has been the first career choice that I still follow, research, and can proudly say I still hope to obtain.
PURPOSE AND GENERAL RATIONALE. In broad terms what was the purpose of the study, and how did the author(s) make a case for its general importance?
...e lungs it is where the alveoli of the lungs are destroyed this means that the amount of surface area is reduced which is needed for gaseous exchange and coronary heart disease.
From a young age, I was drawn to the healthcare field, not because the amount of money doctors, nurses and other health professionals made, but because of the dedication and contentment I saw on their faces helping someone in need. Growing up everyone wanted to become a doctor or a nurse and as a little child being a doctor or a nurse was a profession many parents wanted their child to pursue as a career. Needless to say, I fell into that category because I had high hopes that one day I will become a nurse. However, that dream came to a halt.
From a young age, I was drawn to the healthcare field, not because of the amount of money doctors, nurses and other health professionals made, but because of the dedication and contentment I saw on their faces helping someone in need. Growing up everyone wanted to become a doctor or a nurse and as a little child being a doctor or a nurse was a profession many parents wanted their child to pursue as a career. Needless to say, I fell into that category because I wanted too. However, that dream came to a halt.
I made the decision to join the health care field based on my own desire, love of the people that live and thrive around me, and to be a role model for my daughter. I feel it is important to have a goal in life, and it is important to me to show my daughter the value of goals, and achieving them as well. I love meeting new people, and being able to lend a helping hand in any way I possibly can. What better way to help the general population then to have a profession in the health care industry.