Abstract：
:A previously healthy 23-year-old man with nonproductive cough and sore throat presented to the hospital a few hours after chlorine gas exposure at a fitness center swimming pool. Initial physical examination and chest radiograph were normal. Thirty-six hours later he developed worsening dyspnea and cough, with development of blood-tinged sputum. Arterial blood gas analysis showed mild hypoxemia and a subsequent chest radiograph demonstrated diffuse tiny nodular opacities. Findings on a thin-section computed tomogram of the chest were consistent with diffuse bronchiolitis. Pulmonary function tests showed a mild obstructive abnormality and he demonstrated substantial bronchodilator response. The patient was treated with oral corticosteroids and an inhaled beta(2) agonist, to which he responded well, with full clinical recovery occurring over 5 months. This manifestation of chlorine gas exposure at a swimming pool is unusual.
journal_name
Respir Carejournal_title
Respiratory careauthors
Parimon T,Kanne JP,Pierson DJkeywords:
subject
Has Abstractpub_date
2004-03-01 00:00:00pages
291-4issue
3eissn
0020-1324issn
1943-3654journal_volume
49pub_type
杂志文章相关文献
Respiratory Care文献大全abstract：:Acute brain injury, in the form of trauma, stroke, or spontaneous hemorrhage, occurs commonly and in all age groups. Although the management of these conditions differs considerably, certain physiologic principles are shared by all and are useful in guiding the management of the most severely injured patients. This ar...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：:Children with progressive neuromuscular weakness undergo a stereotypical progression of respiratory involvement, beginning with impaired airway clearance and progressing to nocturnal and then diurnal ventilatory failure. This review examines issues related to airway clearance and mucus mobilization, sleep problems, an...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/respcare.05250
更新日期：2017-06-01 00:00:00
abstract：:Assisted (interactive) breathing is generally preferred to controlled breaths in patients on mechanical ventilators. Assisted breaths allow the patient's respiratory muscles to be used, and ventilatory muscle atrophy can be prevented. Moreover, the respiratory drive of the patient does not have to be aggressively blun...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.00953
更新日期：2011-01-01 00:00:00
abstract：OBJECTIVE:To determine whether outcomes (mortality and need for intensive care unit [ICU] readmission) of patients undergoing tracheostomy in the ICU can be predicted by common clinical or historical criteria. METHODS:We conducted a retrospective review of data from the medical record and Project Impact database in a ...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2009-12-01 00:00:00
abstract：BACKGROUND:High-flow nasal cannula (HFNC) enables delivery of humidified gas at high flow while controlling the FIO2 . Although its use is growing in patients with acute respiratory failure, little is known about the impact of HFNC on lung volume. Therefore, we aimed to assess lung volume changes in healthy subjects at...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.06031
更新日期：2018-08-01 00:00:00
abstract：:Rotational beds, prone position, and semi-recumbent position have been proposed as procedures to prevent ventilator-associated pneumonia (VAP). Rotational therapy uses a special bed designed to turn continuously, or nearly continuously, the patient from side to side; specific designs include kinetic therapy and contin...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：
更新日期：2005-07-01 00:00:00
abstract：BACKGROUND:Mechanical ventilation during patient transport frequently utilizes compact portable pneumatic ventilators that have limited ventilator-settings options. New advanced transport ventilators should yield quality improvements, but their user-friendliness needs to be tested. OBJECTIVE:To evaluate the ventilator...
journal_title：Respiratory care
pub_type： 杂志文章,多中心研究
doi：
更新日期：2007-12-01 00:00:00
abstract：BACKGROUND:Aspiration is a serious clinical concern in patients with long-term artificial airways. The purpose of this study was to determine the reliability of a bedside colored dye assessment of aspiration in tracheostomized patients and to determine its comparability to a more sophisticated videofluoroscopic study. ...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2001-03-01 00:00:00
abstract：BACKGROUND:In several studies, low spirometric levels have been shown to increase the success rates of smoking cessation, whereas other studies have indicated that pulmonary function has no effects on quitting smoking. Given the fact that there are contradictory results on this subject, we aimed to investigate the effe...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04490
更新日期：2016-08-01 00:00:00
abstract：:Ventilator-associated pneumonia (VAP) is an acquired infection related primarily to the consequences of prolonged endotracheal intubation. It is considered the most important infectious challenge in the critical care setting. Preventable complications of hospital care are considered an important source of wasted healt...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/respcare.03774
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Dynamic airway resistance from obstructive disease causes a concavity in the mid-expiratory portion of the spirometric flow-volume loop. We developed a simple model to measure the exponential decay in air flow during forced exhalation to quantify the extent of dynamic airway obstruction and facilitate the de...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04850
更新日期：2017-07-01 00:00:00
abstract：:Although some clinicians still believe that cystic fibrosis (CF) lung disease is largely due to hypersecretion of very viscous mucus, it has never been demonstrated that there is mucus hypersecretion in CF and it is clear that there is almost no intact mucin (the principal polymeric component of normal mucus) in CF sp...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/002013209790983269
更新日期：2009-06-01 00:00:00
abstract：:Optimizing patient-ventilator synchrony is essential in managing patients who require prolonged mechanical ventilation in the long-term acute-care hospital. Inadequate synchrony can increase work of breathing, cause patient discomfort, and delay both weaning and general rehabilitation. Achieving optimal synchrony in t...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：10.4187/respcare.01084
更新日期：2011-02-01 00:00:00
abstract：BACKGROUND:Metered-dose inhalers with valved holding chambers (MDI-VHCs) have been shown to be equivalent to small-volume nebulizers (SVNs) for the delivery of bronchodilators in children. At Seattle Children's Hospital and Regional Medical Center we sought to implement the conversion from SVN to MDI-delivered albutero...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:The impulse oscillometry system (IOS) is increasingly used to evaluate lung function, but individual results must be compared with appropriate reference values. We aimed to obtain such reference values in Mexican children and adolescents. METHODS:Healthy subjects were recruited from kindergartens and school...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.03374
更新日期：2015-01-01 00:00:00
abstract：:Surveys are a valuable research tool for studying the knowledge, attitudes, and behavior of a study population. This article explores quantitative analyses of written questionnaires as instruments for survey research. Obtaining accurate and precise information from a survey requires minimizing the possibility of bias ...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2004-10-01 00:00:00
abstract：:Three devices used to humidify the air delivered to hospitalized patients were evaluated for their relative hazard as measured by the concentration of bacterial output delivered with the gas. Two of the devices were evaporative types (commonly called "humidifiers"), moisturizing with water vapor, while the third was a...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：1979-03-01 00:00:00
abstract：:Clinicians who conduct pulmonary function tests should understand the principles and rules of the coding and billing system for pulmonary function testing. Certain billing codes will not be paid by most insurance payers. To ensure that your pulmonary function tests are appropriately coded, billed, and paid: (1) obtain...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：
更新日期：2003-08-01 00:00:00
abstract：:Positive end-expiratory pressure (PEEP) and inspired oxygen fraction (F(IO(2))) are the primary means of improving P(aO(2)) during mechanical ventilation. Patients with acute respiratory distress syndrome (ARDS) typically present with a large intrapulmonary shunt, which makes even high F(IO(2)) ineffective in improvin...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2007-04-01 00:00:00
abstract：BACKGROUND:Impaired spirometric parameters have been reported in patients with stage C heart failure and portend worse outcomes in these patients. The impact of spirometric parameters on outcomes in patients with stage D heart failure listed for heart transplantation is unknown. METHODS:We collected data on consecutiv...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.03709
更新日期：2015-05-01 00:00:00
abstract：:Mechanical ventilation incurs substantial morbidity, mortality, and costs. Both premature extubation and delayed extubation can cause harm. Therefore, weaning that is both expeditious and safe is highly desirable. The purpose of this review is to summarize the literature related to weaning modes, spontaneous breathing...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：
更新日期：2001-12-01 00:00:00
abstract：BACKGROUND:Though smokers are known to have elevated blood carboxyhemoglobin (COHb), due to inhalation of carbon monoxide (CO) in cigarette smoke, limited data exist regarding COHb levels in nonsmokers exposed to secondhand smoke. METHODS:COHb was measured using a new noninvasive pulse CO-oximeter (Rad-57, Masimo, Irv...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：BACKGROUND:Some patients with obstructive sleep apnea syndrome remove the CPAP device during sleep, although they start CPAP at bedtime. We hypothesized that body position changes and oxygen desaturations may be associated with patient removal of the CPAP device. METHODS:We consecutively enrolled 36 poor CPAP adherers...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.03520
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:Nebulizers are a popular means of delivering aerosolized medication, primarily albuterol, to the bronchial airways of patients, and there has been extensive research done on numerous nebulizers used with nebulizer T-pieces and corrugated tubing. Very little research has been performed on other types of nebul...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
abstract：BACKGROUND:The ecological momentary assessment method may collect more accurate data about a patient's symptoms and functioning during the patient's normal daily life than does a retrospective measurement method such as the standardized Asthma Quality of Life Questionnaire (AQLQ-S), which relies on the patient's recoll...
journal_title：Respiratory care
pub_type： 临床试验,杂志文章
doi：
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:A clinical classification system has been developed to define the severity and predict the prognosis of subjects with non-cystic fibrosis (CF) bronchiectasis. We aimed to identify laboratory parameters that are correlated with the bronchiectasis severity index (BSI) and FACED score. METHODS:The medical reco...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.05276
更新日期：2017-08-01 00:00:00
abstract：BACKGROUND:Frailty is a key issue in the care of elderly patients. Patients with COPD are more likely to be frail, with a prevalence of 57.8%. Frailty is associated with a low level of physical activity. The aim of this study was to analyze the predictive power and identify the cutoffs of physical activity in their dif...
journal_title：Respiratory care
pub_type： 杂志文章
doi：10.4187/respcare.04118
更新日期：2016-02-01 00:00:00
abstract：:In light of today's tight hospital financial picture caused by Medicare's prospective payment system and local constraints, capital expenditures must be made with great care and forethought. The process for purchase decision making should assess the need for the device; specifically identify what is required; carefull...
journal_title：Respiratory care
pub_type： 杂志文章
doi：
更新日期：1985-08-01 00:00:00
abstract：:Hospital-wide computerized information systems evolved from the need to capture patient information and perform billing and other financial functions. These systems, however, have fallen short of meeting the needs of respiratory care departments regarding work load assessment, productivity management, and the level of...
journal_title：Respiratory care
pub_type： 杂志文章,评审
doi：
更新日期：2004-04-01 00:00:00
abstract：BACKGROUND:The contribution of the central respiratory drive in the hypercapnic respiratory failure of neuromuscular diseases (NMD) is controversial. OBJECTIVE:To compare the CO2 response and the duration of weaning of mechanical ventilation between a group of NMD patients and a group of quadriplegic patients due to I...
journal_title：Respiratory care
pub_type： 杂志文章,多中心研究
doi：10.4187/respcare.01873
更新日期：2013-03-01 00:00:00
