Douglas McKim
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View article: Patterns of Adherence to Lung Volume Recruitment Therapy Amongst Individuals With Duchenne Muscular Dystrophy: A Secondary Analysis of the STEADFAST Randomized Controlled Trial
Patterns of Adherence to Lung Volume Recruitment Therapy Amongst Individuals With Duchenne Muscular Dystrophy: A Secondary Analysis of the STEADFAST Randomized Controlled Trial Open
Background Duchenne muscular dystrophy (DMD) is associated with impaired airway clearance and chest wall restriction, treated with lung volume recruitment (LVR) therapy. This study evaluated adherence patterns to LVR over 2 years in a coho…
View article: A Randomized Controlled Clinical Trial of Lung Volume Recruitment in Adults with Neuromuscular Disease
A Randomized Controlled Clinical Trial of Lung Volume Recruitment in Adults with Neuromuscular Disease Open
Rationale: Clinical care guidelines advise that lung volume recruitment (LVR) be performed routinely by people with neuromuscular disease (NMD) to maintain lung and chest wall flexibility and slow lung function decline. However, the…
View article: The experience of family caregivers of ventilator-assisted individuals who participated in a pilot web-based peer support program: A qualitative study
The experience of family caregivers of ventilator-assisted individuals who participated in a pilot web-based peer support program: A qualitative study Open
Introduction Family caregivers play an important role supporting the day-to-day needs of ventilator-assisted individuals (VAIs) living at home. Peer-to-peer communication can help support these caregivers and help them sustain caregiving i…
View article: Objective measurement of lung volume recruitment therapy: laboratory and clinical validation
Objective measurement of lung volume recruitment therapy: laboratory and clinical validation Open
Lung volume recruitment manoeuvres are often prescribed to maintain respiratory health in neuromuscular disease. Unfortunately, no current system accurately records delivered dose. This study determined the performance characteristics of a…
View article: Long-term non-invasive ventilation in patients with chronic obstructive pulmonary disease (COPD): 2021 Canadian Thoracic Society Clinical Practice Guideline update
Long-term non-invasive ventilation in patients with chronic obstructive pulmonary disease (COPD): 2021 Canadian Thoracic Society Clinical Practice Guideline update Open
BACKGROUND: Chronic hypercapnic respiratory failure is common in advanced chronic obstructive pulmonary disease (COPD) and it is associated with adverse outcomes such as repeat hospitalization and death. Long-term non-invasive ventilation …
View article: Excel Macro for Lung Volume Recruitment Counter Data (Omega Data Logger).
Excel Macro for Lung Volume Recruitment Counter Data (Omega Data Logger). Open
Lung volume recruitment (LVR) is a common respiratory therapy for people living with restrictive neuromuscular disease. LVR is important in acute respiratory compromise, during respiratory rehabilitation and as a preventative therapy. Coho…
View article: The Oral Secretion Scale and Prognostic Factors for Survival in Subjects With Amyotrophic Lateral Sclerosis
The Oral Secretion Scale and Prognostic Factors for Survival in Subjects With Amyotrophic Lateral Sclerosis Open
The subjects with an OSS score of 4 tolerated NIV and survived significantly longer than subjects with an OSS score of <4. An OSS score of 1 signaled NIV intolerance and the need for hospice or transition to planned tracheostomy. Use of OS…
View article: Trends in incidence, prevalence, and mortality of neuromuscular disease in Ontario, Canada: A population-based retrospective cohort study (2003-2014)
Trends in incidence, prevalence, and mortality of neuromuscular disease in Ontario, Canada: A population-based retrospective cohort study (2003-2014) Open
In both adults and children, NMD prevalence is rising and mortality rates are declining. In adults incidence is decreasing while in children it remains stable. This confirms on a population-based level the increased survival of children an…
View article: Home mechanical ventilation for patients with Amyotrophic Lateral Sclerosis: A Canadian Thoracic Society clinical practice guideline
Home mechanical ventilation for patients with Amyotrophic Lateral Sclerosis: A Canadian Thoracic Society clinical practice guideline Open
Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disorder involving both upper and lower motor neurons that results in progressive weakness of skeletal muscles. Regardless of site of first onset, death usually occurs as a result …
View article: Development of a Web-Based Peer Support Program for Family Caregivers of Ventilator-Assisted Individuals Living in the Community: Protocol for a Pilot Randomized Controlled Trial
Development of a Web-Based Peer Support Program for Family Caregivers of Ventilator-Assisted Individuals Living in the Community: Protocol for a Pilot Randomized Controlled Trial Open
PRR1-10.2196/11827.
View article: Monitoring Cough Effectiveness and Use of Airway Clearance Strategies: A Canadian and UK Survey
Monitoring Cough Effectiveness and Use of Airway Clearance Strategies: A Canadian and UK Survey Open
The somewhat variable cough effectiveness monitoring and airway clearance practices identified in this survey confirm the need for further work on knowledge translation related to guideline recommendations and the need to address common co…
View article: Patterns of healthcare utilisation for respiratory complications of adults with neuromuscular disease: a population study
Patterns of healthcare utilisation for respiratory complications of adults with neuromuscular disease: a population study Open
Our objective was to quantify health service utilisation including monitoring and treatment of respiratory complications for adults with neuromuscular disease (NMD), identifying practice variation and adherence to guideline recommendations…
View article: Healthcare utilisation and costs of home mechanical ventilation
Healthcare utilisation and costs of home mechanical ventilation Open
Background Individuals using home mechanical ventilation (HMV) frequently choose to live at home for quality of life, despite financial burden. Previous studies of healthcare utilisation and costs do not consider public and private expendi…
View article: Health transition experiences of Canadian ventilator-assisted adolescents and their family caregivers: A qualitative interview study
Health transition experiences of Canadian ventilator-assisted adolescents and their family caregivers: A qualitative interview study Open
Important opportunities exist to enable improvements in the transition experiences of VAAs and their family caregivers. To maximize service continuity during paediatric to adult transition, future research should focus on transition naviga…
View article: Continuous Mouthpiece Daytime Amyotrophic Lateral Sclerosis in Noninvasive Ventilation: Definitive Solid Therapy?—Reply
Continuous Mouthpiece Daytime Amyotrophic Lateral Sclerosis in Noninvasive Ventilation: Definitive Solid Therapy?—Reply Open
In reply: We appreciate very much the opportunity to respond to the letter from Drs Fiorentino and Esquinas with regard to our publication on mouthpiece ventilation in amyotrophic lateral sclerosis (ALS).[1][1] We are pleased that it was r…
View article: Cough augmentation techniques for extubation or weaning critically ill patients from mechanical ventilation
Cough augmentation techniques for extubation or weaning critically ill patients from mechanical ventilation Open
The overall quality of evidence on the efficacy of cough augmentation techniques for critically-ill people is very low. Cough augmentation techniques when used in mechanically-ventilated critically-ill people appear to result in few advers…
View article: Lung volume recruitment acutely increases respiratory system compliance in individuals with severe respiratory muscle weakness
Lung volume recruitment acutely increases respiratory system compliance in individuals with severe respiratory muscle weakness Open
The aim of the present study was to determine whether lung volume recruitment (LVR) acutely increases respiratory system compliance ( C rs ) in individuals with severe respiratory muscle weakness (RMW). Individuals with RMW resulting from …
View article: Cough Augmentation Techniques in the Critically Ill: A Canadian National Survey
Cough Augmentation Techniques in the Critically Ill: A Canadian National Survey Open
We found moderate adoption of cough augmentation techniques, particularly for secretion management. Lack of expertise and knowledge are potentially modifiable barriers addressed with educational interventions.
View article: Daytime Mouthpiece for Continuous Noninvasive Ventilation in Individuals With Amyotrophic Lateral Sclerosis
Daytime Mouthpiece for Continuous Noninvasive Ventilation in Individuals With Amyotrophic Lateral Sclerosis Open
Mouthpiece ventilation provides effective ventilation and prolonged survival for individuals with ALS requiring full-time ventilatory support and maintaining adequate bulbar function.
View article: Loss of Dignity in Severe Chronic Obstructive Pulmonary Disease
Loss of Dignity in Severe Chronic Obstructive Pulmonary Disease Open
View article: Efficacy of Mechanical Insufflation-Exsufflation in Extubating Unweanable Subjects With Restrictive Pulmonary Disorders
Efficacy of Mechanical Insufflation-Exsufflation in Extubating Unweanable Subjects With Restrictive Pulmonary Disorders Open
In this issue of Respiratory Care, Bach et al[1][1] report the successful extubation of 97 of 98 subjects with profound respiratory muscle weakness using mechanical insufflation-exsufflation with the CoughAssist device, which promotes secr…