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The future of respiratory care
1Respiratory Care, Department of Medicine, Harbor View Medical Center, University of Washington, Seattle, USA. pierson@aarc.org.
Respiratory Care
|June 14, 2001
Summary
Respiratory care is evolving, shifting focus from oxygen levels to tissue oxygenation and embracing technology. Future trends include increased noninvasive ventilation, palliative care, and proactive COPD management by respiratory therapists.
Area of Science:
- Clinical Medicine
- Health Care Profession
Background:
- Review of respiratory care history through 20th-century healthcare transformations.
- Defines respiratory care as both a medical subject and a distinct profession.
Observation:
- Predicts a shift from P(aO2) to tissue oxygenation adequacy in acute hypoxemic respiratory failure.
- Anticipates 'permissive hypoxemia' and advanced, integrated monitoring systems.
- Foresees increased use of noninvasive ventilation for COPD exacerbations, reducing intubations.
Findings:
- Highlights increased ICU triage and protocol-driven patient management.
- Predicts enhanced palliative care integration and a greater role for respiratory therapists.
- Expects accelerated progress in smoking cessation, COPD prevention, and early detection.
Implications:
- Respiratory therapists will expand roles in home care coordination.
- The journal 'Respiratory Care' will continue to be vital for disseminating research and guidelines.
- These changes signify a significant evolution in respiratory care practices and professional scope.
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