Abstract
Despite a plethora of publications on the art and science of respiratory care, a number of basic issues remain unanswered. These clinical controversies are often settled by expert opinion and personal bias. By definition, a controversy has compelling arguments for each side of the issue. This Respiratory Care Journal Conference addressed 12 clinical controversies, ranging from spirometry screening for chronic lung disease to the timing of tracheostomy. This paper is a concise synopsis of the salient points of each side of each argument and provides the points of consensus and points of contention. When appropriate, further research is suggested to address still unanswered questions.
- respiratory
- controversy
- spirometry
- smoking
- steroids
- acute respiratory distress syndrome
- acute lung injury
- extubation
- polysomnography
- tracheostomy
- mechanical ventilation
- prone positioning
- inhaled vasodilators
- esophageal pressure
- pressure-targeted ventilation
- lung-protective ventilation
- endotracheal tube
- heat-and-moisture exchanger
- ventilator-associated pneumonia
- spontaneous breathing trial
- noninvasive ventilation
- humidification
Footnotes
- Correspondence: Richard D Branson MSc RRT FAARC is affiliated with the Department of Surgery, University of Cincinnati Medical Center, PO Box 670558, 231 Albert Sabin Way, Cincinnati OH 45267-0558. E-mail: richard.branson{at}uc.edu.
Mr Branson presented a version of this paper at the 44th Respiratory Care Journal Conference, “Respiratory Care Controversies II,” held March 13-15, 2009, in Cancún, Mexico.
Mr Branson has disclosed relationships with Ikaria, Bayer, Newport, Carefusion, and Covidien.
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