Article
Respiratory System
Dararat Eksombatchai, Chalermwut Sukkratok, Yuda Sutherasan, Detajin Junhasavasdikul, Pongdhep Theerawit
Summary: This study aimed to evaluate the effectiveness of the respiratory rate to diaphragm thickening fraction (RR/DTF) ratio in predicting successful extubation. The study found that the RR/DTF was significantly lower in the successful extubation group compared to the extubation failure group. The study suggests using a cut-off point of 0.81 for the right RR/DTF to predict extubation success, and concludes that RR/DTF is more reliable than conventional or diaphragmatic parameters alone in predicting extubation success.
BMC PULMONARY MEDICINE
(2023)
Article
Respiratory System
Jia Song, Zhixian Qian, Haixiang Zhang, Minjia Wang, Yihua Yu, Cong Ye, Weihang Hu, Shijin Gong
Summary: This study found that two weaning indices determined by bedside ultrasonography, DE-RSBI (RR/DE) and DTF-RSBI (RR/DTF), were more accurate in predicting weaning outcome during a PSV SBT compared to the traditional RSBI.
BMC PULMONARY MEDICINE
(2022)
Article
Pediatrics
Anita Duyndam, Joke Smit, Robert Jan Houmes, Leo Heunks, Jeroen Molinger, Marloes IJland, Joost van Rosmalen, Monique van Dijk, Dick Tibboel, Erwin Ista
Summary: The association between thickening fraction of the diaphragm (dTF) and extubation success in children undergoing mechanical ventilation was investigated. The study found no significant association between dTF and extubation success in ventilated children.
FRONTIERS IN PEDIATRICS
(2023)
Article
Critical Care Medicine
Fabio Varon-Vega, Luis F. Giraldo-Cadavid, Ana Maria Uribe, Adriana Rincon, Jonathan Palacios, Stephanie Crevoisier, Eduardo Tuta-Quintero, Lina Ordonez, Natalia Boada, Paola Rincon, Marcela Poveda, Pablo Monedero
Summary: The study found that objective measurements of cough and diaphragmatic contraction velocity can predict the success of the spontaneous breathing trial. The equation for predicting successful extubation, which includes values for the trial, cough, and diaphragmatic contraction velocity, showed excellent discriminative capacity.
Review
Respiratory System
Razieh Sangsari, Maryam Saeedi, Marzieh Maddah, Kayvan Mirnia, Jay P. Goldsmith
Summary: Mechanical ventilation is a lifesaving treatment for critical neonates, but it may also cause injury, especially in preterm infants. Therefore, it is recommended to consider weaning neonates from invasive mechanical ventilation as soon as possible.
BMC PULMONARY MEDICINE
(2022)
Article
Critical Care Medicine
Guillaume Fossat, Blanche Daillet, Emmanuelle Desmalles, Thierry Boulain
Summary: This prospective study aimed to improve the accuracy of the rapid shallow breathing index (RSBI) in predicting extubation success by incorporating diaphragmatic excursion (DE) measured by ultrasonography. The results showed that RSBI and RSBI/DE were not able to accurately predict weaning success. Predictive indices incorporating ultrasound DE and diaphragm thickening fraction (DTF) may have better predictive performance and deserve further investigation.
AUSTRALIAN CRITICAL CARE
(2022)
Article
Acoustics
Ami J. Shah, Kitman Wai, Matthew P. Sharron, Marisa Mize, Joanna Cohen, Sonali Basu
Summary: This study investigates the use of non-invasive cardiac output monitoring (NICOM) to assess the hemodynamic status of COVID-19 patients and the impact of COVID-19 on critically ill patients in the intensive care unit.
JOURNAL OF ULTRASOUND IN MEDICINE
(2022)
Review
Critical Care Medicine
Flavia Torrini, Segolene Gendreau, Johanna Morel, Guillaume Carteaux, Arnaud W. Thille, Massimo Antonelli, Armand Mekontso Dessap
Summary: Extubation failure is a crucial issue in ventilated patients, influenced by multiple factors including age, medical history, disease severity, etc. Multiparametric clinical scores and/or artificial intelligence algorithms could potentially improve the prediction accuracy of extubation outcomes.
Article
Critical Care Medicine
Kelby E. Knox, Justin C. Hotz, Christopher J. L. Newth, Michael C. K. Khoo, Robinder G. Khemani
Summary: This study analyzed a clinical trial on pediatric ARDS and found that a 30-minute spontaneous breathing trial may be too short for children. The study also identified respiratory rate and rapid shallow breathing index at 30 minutes as predictors of trial failure.
Article
Respiratory System
Shigang Li, Zhe Chen, Weifeng Yan
Summary: This study found that diaphragm thickening fraction (DTF) has higher sensitivity and specificity for predicting successful weaning in elderly patients compared to other parameters. Using a combination of rapid shallow breathing index (RSBI), lung ultrasound score (LUS), diaphragmatic excursion (DE), and DTF performed well in predicting weaning outcome, with high sensitivity and specificity. The clinical utility of these parameters in predicting extubation success may have important implications and should be further evaluated.
BMC PULMONARY MEDICINE
(2021)
Article
Critical Care Medicine
Mathangi Krishnakumar, Radhakrishnan Muthuchellappan, Dhritiman Chakrabarti
Summary: This study investigated diaphragm function in mechanically ventilated patients with neuromuscular diseases, finding that changes in Edi and diaphragm excursion can predict successful weaning trials. These results provide additional objective tools for decision-making in weaning trials for neuromuscular diseases.
NEUROCRITICAL CARE
(2021)
Article
Critical Care Medicine
Giovanna Mercurio, Sonia D'Arrigo, Rossana Moroni, Domenico Luca Grieco, Luca Salvatore Menga, Anna Romano, Maria Giuseppina Annetta, Maria Grazia Bocci, Davide Eleuteri, Giuseppe Bello, Luca Montini, Mariano Alberto Pennisi, Giorgio Conti, Massimo Antonelli
Summary: In de-novo ARF patients, both Diaphragmatic Thickening Fraction (DTF) and respiratory rate/DTF ratio can serve as valid tools for predicting NIV outcomes.
Article
Critical Care Medicine
P. K. Shamil, N. K. Gupta, Pranav Ish, M. K. Sen, Rohit Kumar, Shibdas Chakrabarti, Nitesh Gupta
Summary: This study found that diaphragmatic rapid shallow breathing index (D-RSBI) has a higher diagnostic accuracy than the conventional rapid shallow breathing index (RSBI), and can be used as a predictor of weaning outcomes.
INDIAN JOURNAL OF CRITICAL CARE MEDICINE
(2022)
Article
Respiratory System
Nuttapol Rittayamai, Natwipha Ratchaneewong, Pirat Tanomsina, Withoon Kongla
Summary: This study found that the ventilator significantly overestimates the RSBI value compared to the standard technique by Wright spirometer. The average RSBIvent value among 5 time points (0, 15, 30, 45, and 60 s) was found to best correlate with RSBIstandard.
BMC PULMONARY MEDICINE
(2021)
Review
Nursing
Aymeric Le Neindre, Francois Philippart, Marta Luperto, Johan Wormser, Johanna Morel-Sapene, Serge L. Aho, Silvia Mongodi, Francesco Mojoli, Belaid Bouhemad
Summary: Diaphragm ultrasound shows moderate-to-high specificity in predicting extubation failure in critically ill patients. However, its sensitivity is low due to the influence of non-diaphragm-related factors on weaning outcomes. Further research with homogeneous definitions and measures is needed to assess the accuracy of diaphragm ultrasound.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2021)
Article
Multidisciplinary Sciences
Sreshtha Chowdhury, Simanta Roy, Mohammad Azmain Iktidar, Shahidur Rahman, Mowshomi Mannan Liza, A. M. Khairul Islam, Sharmin Akhter, Madhuritu Bhadra Medha, Afia Tasnim, Antara Das Gupta, Auditia Deb, Shresta Chowdhury, Mohammad Delwer Hossain Hawlader
Summary: This study investigated the adverse reactions caused by personal protective equipment (PPE) use, especially face masks, among healthcare workers (HCWs). The results showed that skin, oral, and neurological problems are prevalent among HCWs who use face masks.
Article
Multidisciplinary Sciences
Simanta Roy, Mohammad Azmain Iktidar, Sreshtha Chowdhury, A. M. Khairul Islam, Auditia Deb, Shresta Chowdhury, Shahidur Rahman, Madhuritu Bhadra Medha, Antara Das Gupta, Afia Tasnim, Rifat Ara, Mohammad Delwer Hossain Hawlader
Summary: This study explored the prevalence of dermatological symptoms associated with face mask usage in Bangladesh. Acne, allergy symptoms, and traumatic symptoms were the common manifestations. Risk factors such as previous skin diseases, obesity, and gender were identified. Different types of masks had different effects, with surgical mask users reporting more complaints. Further research is needed to understand the reasons behind these findings.
Article
Multidisciplinary Sciences
Sreshtha Chowdhury, Simanta Roy, Mehedi Hasan, Asif Al Sadique, Tariful Islam, Mehedi Hasan, Md Yeasin Arafat, Md Atiqur Rahman Bhuiyan, A. M. Khairul Islam, Omar Khalid, Ramisha Maliha, Mohammad Ali Hossain, Mohammad Lutfor Rahman, Mohammad Hayatun Nabi, Mohammad Delwer Hossain Hawlader
Summary: This research aimed to assess the oral health status and knowledge and practice of Rohingya refugees living in Cox's Bazar. The study found that a significant number of participants lacked basic oral health knowledge and had poor oral health practices. Age and educational level were positively associated with oral health knowledge, and knowledge level was linked to oral health practice. Participants with a history of teeth pain were more likely to seek treatment.
Article
Oncology
Romana Chowdhury, Mohammad Azmain Iktidar, Newaz Ahmed, Mohammad Mehedi Hasan, Sheikh Saiful Islam Shaheen, Atiar Rahman, Ayesha Khatun
Summary: Hypogonadism is a common complication in transfusion-dependent thalassemia patients. This study aimed to characterize the pattern of gonadal function in these patients and investigate the role of serum ferritin level as a diagnostic tool for hypogonadism. The results showed a significant association between serum ferritin level and hypogonadism, suggesting that it can be considered a screening tool for early detection and prevention of hypogonadism in transfusion-dependent thalassemia patients.
HEMATOLOGY TRANSFUSION AND CELL THERAPY
(2023)
Article
Multidisciplinary Sciences
Saifur Rahman Chowdhury, Humayun Kabir, Nahida Akter, Mohammad Azmain Iktidar, Anjan Kumar Roy, Mahfuzur Rahman Chowdhury, Ahmed Hossain
Summary: This study aimed to investigate the relationship between workplace bullying, burnout, and job satisfaction among Bangladeshi nurses. The results showed that job satisfaction was significantly negatively correlated with bullying and burnout. Private-employed nurses had lower job satisfaction compared to government-employed nurses, while nurses in the Chattogram division and other divisions had higher job satisfaction. Nurses without sufficient equipment to manage patients and nurses not paid on time were predicted to have significantly lower job satisfaction. Nurses' job satisfaction levels decreased with higher levels of workplace bullying and burnout.
Article
Pediatrics
Mowshomi Mannan Liza, Mohammad Azmain Iktidar, Simanta Roy, Musa Jallow, Sreshtha Chowdhury, Mustari Nailah Tabassum, Tarannum Mahmud
Summary: This study aimed to assess the relationship between media usage and cognitive function among school-going children. A cross-sectional study was conducted in three populous metropolitan areas in Bangladesh, and the findings showed a significant association between gadget addiction and decreased cognitive performance in children who regularly use digital gadgets.
BMJ PAEDIATRICS OPEN
(2023)
Review
Medicine, General & Internal
Mohammad Azmain Iktidar, Rifat Ara, Simanta Roy, Mashrur Ahmed, Sreshtha Chowdhury, Fahima Nasrin Eva, Sadia Mahmud Trisha, Azaz Bin Sharif
Summary: Health professionals and medical students are at increased risk of the imposter phenomenon (IP), which is linked to burnout and suicidal ideation. However, there is no published review with meta-analysis on the character and associated factors of IP among healthcare personnel. This study aims to investigate IP prevalence and risk factors among healthcare personnel.
Article
Respiratory System
Mohammad Fazle Rabbi, Mushfiq Newaz Ahmed, Md. Shafiqul Alam Patowary, Syed Rezaul Haque, S. M. Abdur Razzaque, Hossain Md. Arafat, Tasnuva Nahar, Mohammad Azmain Iktidar
Summary: The study aimed to evaluate the diagnostic accuracy of pleural fluid ADA to serum CRP (ADA/CRP) ratio in discriminating between tuberculous and malignant pleural effusion, and found that the ADA/CRP ratio adds diagnostic value to ADA for tuberculous pleural effusion.
BMC PULMONARY MEDICINE
(2023)
Article
Integrative & Complementary Medicine
Mohammad Azmain Iktidar, Sreshtha Chowdhury, Simanta Roy, Mowshomi Mannan Liza, Sharmin Akter, A. M. Khairul Islam, Sefat Alam Pranto, Sristi Chowdhury, Md Asikur Rahman, Chowdhury Shama Binte Shafiul, Dipa Dev, Syed Md Sayeem Tanvir, Mohammad Hayatun Nabi
Summary: Undergraduate students in Bangladesh have some knowledge and practice of Complementary and alternative medicine (CAM), but medical students have relatively inadequate knowledge of CAM, highlighting the need for incorporating CAM modules into medical training.
BMC COMPLEMENTARY MEDICINE AND THERAPIES
(2022)