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  1. Article

    Open Access

    Stress–strain curve and elastic behavior of the fibrotic lung with usual interstitial pneumonia pattern during protective mechanical ventilation

    Patients with acute exacerbation of lung fibrosis with usual interstitial pneumonia (EUIP) pattern are at increased risk for ventilator-induced lung injury (VILI) and mortality when exposed to mechanical venti...

    Roberto Tonelli, Raffaella Rizzoni, Salvatore Grasso in Scientific Reports (2024)

  2. No Access

    Article

    Effect of high flow nasal oxygen on inspiratory effort of patients with acute hypoxic respiratory failure and do not intubate orders

    High flow nasal oxygen (HFNO) is recommended as a first-line respiratory support during acute hypoxic respiratory failure (AHRF) and represents a proportionate treatment option for patients with do not intubat...

    Roberto Tonelli, Riccardo Fantini, Giulia Bruzzi in Internal and Emergency Medicine (2024)

  3. Article

    Open Access

    Physiological effects of lung-protective ventilation in patients with lung fibrosis and usual interstitial pneumonia pattern versus primary ARDS: a matched-control study

    Although patients with interstitial pneumonia pattern (ILD-UIP) and acute exacerbation (AE) leading to severe acute respiratory failure may require invasive mechanical ventilation (MV), physiological data on l...

    Roberto Tonelli, Salvatore Grasso, Andrea Cortegiani, Lorenzo Ball in Critical Care (2023)

  4. Article

    Open Access

    Nasal pressure swings as the measure of inspiratory effort in spontaneously breathing patients with de novo acute respiratory failure

    Excessive inspiratory effort could translate into self-inflicted lung injury, thus worsening clinical outcomes of spontaneously breathing patients with acute respiratory failure (ARF). Although esophageal mano...

    Roberto Tonelli, Andrea Cortegiani, Alessandro Marchioni, Riccardo Fantini in Critical Care (2022)

  5. No Access

    Article

    Predictors of respiratory decline in myotonic dystrophy type 1 (DM1): a longitudinal cohort study

    We studied 33 patients affected by juvenile and adult myotonic dystrophy type 1 (DM1). The aim of the study was to assess clinical and laboratory parameters that could predict the requirement of noninvasive ve...

    Marco Mazzoli, Alessandra Ariatti, Giancarlo Garuti in Acta Neurologica Belgica (2021)

  6. Article

    Open Access

    Marked T cell activation, senescence, exhaustion and skewing towards TH17 in patients with COVID-19 pneumonia

    The immune system of patients infected by SARS-CoV-2 is severely impaired. Detailed investigation of T cells and cytokine production in patients affected by COVID-19 pneumonia are urgently required. Here we sh...

    Sara De Biasi, Marianna Meschiari, Lara Gibellini in Nature Communications (2020)

  7. Article

    Open Access

    Ventilatory support and mechanical properties of the fibrotic lung acting as a “squishy ball”

    Protective ventilation is the cornerstone of treatment of patients with the acute respiratory distress syndrome (ARDS); however, no studies have yet established the best ventilatory strategy to adopt when pati...

    Alessandro Marchioni, Roberto Tonelli, Giulio Rossi in Annals of Intensive Care (2020)

  8. Article

    Open Access

    Serial ultrasound assessment of diaphragmatic function and clinical outcome in patients with amyotrophic lateral sclerosis

    Diaphragmatic assessment by ultrasound (US) is a non-invasive and useful method in the clinical management of patients with Amyotrophic Lateral Sclerosis (ALS). The aim of our observational study was to evalua...

    Riccardo Fantini, Roberto Tonelli, Ivana Castaniere, Luca Tabbì in BMC Pulmonary Medicine (2019)

  9. Article

    Open Access

    An uncommon cause of hemoptysis: aortobronchial fistula

    Hemoptysis is a frequent sign of respiratory and non-respiratory diseases. While in most cases the underlying cause is rapidly identified, sometimes the real etiology might be misdiagnosed with dramatic delay ...

    Matteo Fontana, Roberto Tonelli, Filippo Gozzi in Multidisciplinary Respiratory Medicine (2018)

  10. Article

    Open Access

    Ultrasound-assessed diaphragmatic impairment is a predictor of outcomes in patients with acute exacerbation of chronic obstructive pulmonary disease undergoing noninvasive ventilation

    Ultrasound (US) evaluation of diaphragmatic dysfunction (DD) has proved to be a reliable technique in critical care. In this single-center prospective study, we investigated the impact of US-assessed DD on non...

    Alessandro Marchioni, Ivana Castaniere, Roberto Tonelli, Riccardo Fantini in Critical Care (2018)

  11. Article

    Open Access

    Acute exacerbation of idiopathic pulmonary fibrosis: lessons learned from acute respiratory distress syndrome?

    Idiopathic pulmonary fibrosis (IPF) is a fibrotic lung disease characterized by progressive loss of lung function and poor prognosis. The so-called acute exacerbation of IPF (AE-IPF) may lead to severe hypoxem...

    Alessandro Marchioni, Roberto Tonelli, Lorenzo Ball, Riccardo Fantini in Critical Care (2018)

  12. Article

    Open Access

    Effectiveness of pulmonary rehabilitation in patients with interstitial lung disease of different etiology: a multicenter prospective study

    Recent evidences show that Pulmonary Rehabilitation (PR) is effective in patients with Interstitial Lung Disease (ILD). It is still unclear whether disease severity and/or etiology might impact on the reported...

    Roberto Tonelli, Elisabetta Cocconcelli, Barbara Lanini in BMC Pulmonary Medicine (2017)

  13. No Access

    Article

    When Acute Respiratory Distress Syndrome is not ARDS

    Roberto Tonelli, Alessandro Andreani, Ivana Castaniere, Riccardo Fantini in Lung (2016)

  14. No Access

    Article

    An uncommon cause of weaning failure from mechanical ventilation

    Alessandro Marchioni, Riccardo Fantini, Federico Antenora in Intensive Care Medicine (2015)