Related Experiment Video
Updated: May 14, 2026
14:49
Conducting Respiratory Oscillometry in an Outpatient Setting
Published on: April 8, 2022
Respiratory care protocols in the Cleveland Clinic Health System.
1Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, OH, USA. stollej@ccf.org
Summary
Respiratory care protocols are beneficial in community hospitals, similar to academic centers. Implementation in Cleveland Clinic Health System hospitals showed widespread use and positive effects on patient care.
Area of Science:
- Pulmonary Medicine
- Healthcare Management
Background:
- Respiratory care protocols (RCPs) are established in academic medical centers.
- Limited research exists on RCP implementation and impact in community hospitals.
Purpose of the Study:
- To evaluate the adoption and effectiveness of RCPs in community hospitals within the Cleveland Clinic Health System (CCHS).
Main Methods:
- An observational study utilizing a survey distributed to respiratory therapists across 9 out of 10 CCHS hospitals.
- Data collected on protocol implementation, utilization, and perceived impact on respiratory care services.
Main Results:
- Most CCHS hospitals have implemented RCPs in various formats; full respiratory therapy consult services are common.
- Over-ordering of respiratory services was a frequent issue, often prompting RCP adoption.
- Larger hospitals were more likely to implement protocols, irrespective of residency programs.
- RCP use did not negatively affect pulmonary consultations in examined hospitals.
Conclusions:
- Respiratory care protocols demonstrate efficacy and benefit in community-based hospital settings, mirroring findings from academic medical centers.
- RCPs can address issues like over-ordering and support effective respiratory care delivery in diverse healthcare environments.
Related Concept Videos
01:29Acute Respiratory Failure-V
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
01:19Respiratory Assessment: Purpose and Indications
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
01:24Chest Physiotherapy
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
01:30Acute Respiratory Failure-III
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without causing...
01:23Oxygen Delivering System III: Tracheostomy and T-piece
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
01:31Common Respiratory Disorders
Respiratory disorders, a prevalent health concern globally, are generally divided into two primary categories: upper and lower respiratory tract disorders. The categorization is based on the area of the respiratory system they affect.
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...