Successful First-Line Treatment With Propranolol Of Multifocal Infantile Hepatic Hemangioma With High Flow Cardiac Overload

Author(s):  
Marco Sciveres ◽  
Gianluca Marrone ◽  
Salvatore Pipitone ◽  
Silvia Riva ◽  
Marco Spada ◽  
...  
2020 ◽  
Vol 6 (4) ◽  
pp. 00114-2020
Author(s):  
Athanasia Papalampidou ◽  
Eleni Bibaki ◽  
Stylianos Boutlas ◽  
Ioannis Pantazopoulos ◽  
Nikolaos Athanasiou ◽  
...  

BackgroundNoninvasive ventilation (NIV) is considered as the first-line treatment for acute exacerbation of COPD (AECOPD) complicated by respiratory acidosis. Recent studies demonstrate a role of nasal high-flow oxygen (NHF) in AECOPD as an alternative treatment in patients intolerant to NIV or with contraindications to it.AimThe study aimed to evaluate whether NHF respiratory support is noninferior compared to NIV in respect to treatment failure, defined as need for intubation or change to alternative treatment group, in patients with AECOPD and mild-to-moderate acute or acute-on-chronic hypercapnic respiratory failure.MethodsWe designed a multicentre, prospective, randomised trial on patients with AECOPD, who have pH<7.35 but >7.25 and PaCO2 >45 mmHg, in whom NIV is indicated as a first-line treatment. According to power analysis, 498 participants will be required for establishing noninferiority of NHF compared to NIV. Patients will be randomly assigned to receive NIV or NHF. Treatment will be adjusted to maintain SpO2 between 88%–92% for both groups. Arterial blood gases, respiratory variables, comfort, dyspnoea score and any pulmonary or extrapulmonary complications will be assessed at baseline, before treatment initiation, and at 1, 2, 4, 6, 12, 24, 48 h, then once daily from day 3 to patient discharge, intubation or death.ConclusionGiven the increasing number of studies demonstrating the physiological effects of NHF in COPD patients, we hypothesise that NHF respiratory support will be noninferior to NIV in patients with AECOPD and mild-to-moderate acute or acute on chronic hypercapnic respiratory failure.


Hepatology ◽  
2017 ◽  
Vol 66 (1) ◽  
pp. 283-285 ◽  
Author(s):  
Giulia Varrasso ◽  
Amalia Schiavetti ◽  
Silvia Lanciotti ◽  
Maria Sapio ◽  
Eva Ferrara ◽  
...  

2018 ◽  
Vol 25 (3) ◽  
pp. 213-218 ◽  
Author(s):  
C. Guillot ◽  
C. Le Reun ◽  
H. Behal ◽  
J. Labreuche ◽  
M. Recher ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document