The brave new world revealed: wrestling with reality, rationing, and rationality.

abstract：:Community-acquired pneumonia (CAP) is associated with significant morbidity and mortality in Latin America and the Caribbean (LAC) region. Poverty, socioeconomic factors, and malnutrition influence the incidence and outcome of CAP in LAC. In LAC, Streptococcus pneumoniae is the most frequent microorganism responsible ...

journal_title：Seminars in respiratory and critical care medicine

authors： Iannella HA,Luna CM

更新日期：2016-12-01 00:00:00

abstract：:The increasing prevalence and recognition of obstructive sleep apnea (OSA) coupled with an awareness of its detrimental health consequences has resulted in the need for timely and cost efficient access to diagnostic sleep testing and treatment. As a result, increased emphasis is being placed on simplified ambulatory m...

journal_title：Seminars in respiratory and critical care medicine

authors： Cruz SD,Littner MR,Zeidler MR

更新日期：2014-10-01 00:00:00

abstract：:Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), is the third most common cardiovascular pathology after coronary disease and cerebrovascular diseases and is responsible for significant morbidity and mortality in the general population. Full-dose anticoagulation is the st...

journal_title：Seminars in respiratory and critical care medicine

authors： Imberti D,Maraldi C,Gallerani M

更新日期：2012-04-01 00:00:00

abstract：:Shock is a broad category of injury to the human body caused by a variety of insults. Fluid resuscitation is the cornerstone of initial therapy for nearly all forms of shock. This article reviews the basic physiology determining body fluid composition, the goals of fluid resuscitation in shock, the types of fluids ava...

journal_title：Seminars in respiratory and critical care medicine

authors： Martin GS,Lewis CA

更新日期：2004-12-01 00:00:00

abstract：:Acute exacerbations of chronic bronchitis (AECBs) are one of the major causes of morbidity and mortality in the United States, resulting in significant cost to the health care system. Epidemiological information on chronic bronchitis is abundant and has been collected in most industrialized countries. The epidemiology...

journal_title：Seminars in respiratory and critical care medicine

authors： Kim N,Leeper KV Jr

更新日期：2000-01-01 00:00:00

abstract：:Advances have been made in minimally invasive diagnostic procedures in sarcoidosis, including bronchoalveolar lavage (BAL), endobronchial ultrasonography-guided transbronchial needle aspiration (EBUS-TBNA), and positron emission tomography (PET). Several independent groups found almost identical predictive values of t...

journal_title：Seminars in respiratory and critical care medicine

authors： Costabel U,Bonella F,Ohshimo S,Guzman J

更新日期：2010-08-01 00:00:00

abstract：: ...

journal_title：Seminars in respiratory and critical care medicine

authors： Oh SS,Folch E

更新日期：2018-12-01 00:00:00

abstract：:Severe chronic obstructive pulmonary disease (COPD) exacerbations requiring hospitalization are a major cause of morbidity and mortality. Recognition of the importance of COPD exacerbations has led to the knowledge that prevention of exacerbations and early treatment are important goals of COPD therapy. Preventive man...

journal_title：Seminars in respiratory and critical care medicine

authors： Bourbeau J

更新日期：2010-06-01 00:00:00

abstract：:Hyperoxia, or excess oxygen supplementation, prevails in the intensive care unit (ICU) without a beneficial effect and, in some instances, may cause harm. Recent interest and surge in clinical studies in mechanically ventilated critically ill patients has brought this to the attention of clinicians and researchers. Hy...

journal_title：Seminars in respiratory and critical care medicine

authors： Pannu SR

更新日期：2016-02-01 00:00:00

abstract：:With the improving survival of cystic fibrosis (CF) patients and the advent of highly effective cystic fibrosis transmembrane conductance regulator therapy, the clinical spectrum of this complex multisystem disease continues to evolve. One of the most important clinical events for patients with CF in the course of thi...

journal_title：Seminars in respiratory and critical care medicine

authors： Goss CH

更新日期：2019-12-01 00:00:00

abstract：:A significant number of drugs and toxins have been associated with eosinophilic pneumonia. Antibiotics and NSAID, are the most commonly reported drugs. Toxins suspected to cause eosinophilic pneumonia include cigarette smoke and illicit drugs. Drug- or toxin-induced eosinophilic pneumonia is indistinguishable from idi...

journal_title：Seminars in respiratory and critical care medicine

authors： Solomon J,Schwarz M

更新日期：2006-04-01 00:00:00

abstract：:Pulmonary fibrosis is a devastating disease that occurs in association with environmental exposures, several inherited diseases, collagen vascular disease, as well as in an idiopathic form. Epithelial cell damage, excessive fibroblast proliferation, upregulation of extracellular matrix production, and attenuated matri...

journal_title：Seminars in respiratory and critical care medicine

authors： Wurfel MM,Raghu G

更新日期：2002-04-01 00:00:00

abstract：:Sarcoidosis is a granulomatous disease of unknown etiology that involves the lungs or intrathoracic lymph nodes in more than 90% of patients. The clinical spectrum of sarcoidosis is protean, but pulmonary manifestations often dominate. Chest radiographs are abnormal in 90 to 95% of patients with sarcoidosis; the most ...

journal_title：Seminars in respiratory and critical care medicine

authors： Lynch JP 3rd

更新日期：2003-08-01 00:00:00

abstract：:Sinonasal sarcoidosis is a fairly uncommon, yet clinically challenging, manifestation of this systemic disease. The diagnosis is often difficult to establish, treatment options are often unclear, and ultimate clinical responses can be quite variable. This article discusses the varied clinical presentations of this unu...

journal_title：Seminars in respiratory and critical care medicine

authors： Tami TA

更新日期：2002-12-01 00:00:00

abstract：:Non-small cell lung cancer (NSCLC) is the most common subtype of lung cancer and the leading cause of cancer-related death. Although durable local control rates are high after surgical resection or definitive radiotherapy for early-stage disease, a substantial proportion of these patients eventually experience regiona...

journal_title：Seminars in respiratory and critical care medicine

authors： Dams RV,Yuan Y,Robinson CG,Lee P

更新日期：2020-06-01 00:00:00

abstract：:This article discusses the pleural effusions that occur with the post-cardiac injury (Dressler's) syndrome (PCIS) and those that occur after coronary artery bypass graft (CABG) surgery. The PCIS can occur after any type of cardiac injury and is thought to be due to anti-myocardial antibodies. The primary symptoms are ...

journal_title：Seminars in respiratory and critical care medicine

authors： Light RW

更新日期：2001-12-01 00:00:00

abstract：:Invasive candidiasis (IC) is the most frequent health care associated invasive fungal infection. It is also associated with high morbidity, mortality, and cost. The most frequent etiologic agent is Candida albicans, but non-albicans species are increasing and associated with reduced antifungal susceptibility and outbr...

journal_title：Seminars in respiratory and critical care medicine

authors： Gonzalez-Lara MF,Ostrosky-Zeichner L

更新日期：2020-02-01 00:00:00

abstract：:The term atypical pneumonia was first used in 1938, and by the 1970s it was widely used to refer to pneumonia due to Mycoplasma pneumoniae, Legionella pneumophila (or other Legionella species), and Chlamydophila pneumoniae. However, in the purest sense all pneumonias other than the classic bacterial pneumonias are aty...

journal_title：Seminars in respiratory and critical care medicine

authors： Marrie TJ,Costain N,La Scola B,Patrick W,Forgie S,Xu Z,McNeil SA

更新日期：2012-06-01 00:00:00

abstract：:Tracheostomy is a commonly performed surgical procedure in intensive care units (ICUs). Over the past three decades, there has been a substantial body of evidence to suggest percutaneous tracheostomy (PT) is at least as safe as surgical tracheostomy (ST) in the hands of trained clinicians. In most institutions, PT is ...

journal_title：Seminars in respiratory and critical care medicine

authors： Al-Shathri Z,Susanto I

更新日期：2018-12-01 00:00:00

abstract：:Evaluation of a patient with hypoventilation requires a combination of clinical history, physical examination, pulmonary function testing, and chest radiography to help determine the cause. Specialized testing such as measurement of respiratory muscle strength and assessment of ventilatory control may also be needed. ...

journal_title：Seminars in respiratory and critical care medicine

authors： Berry RB,Sriram P

更新日期：2009-06-01 00:00:00

abstract：:Non-small cell lung cancer (NSCLC) is primarily a disease of the elderly. Although NSCLC is the leading cause of cancer death in the United States and the overall prognosis of this disease is poor, treatment improves survival compared with best supportive care, independent of the stage of disease. Elderly patients hav...

journal_title：Seminars in respiratory and critical care medicine

authors： Sequist LV,Fidias P

更新日期：2005-06-01 00:00:00

abstract：:Mycobacterial infections have caused enormous morbidity and mortality in people living with human immunodeficiency virus (HIV) infection. Of these, the most devastating has been tuberculosis (TB), the leading cause of death among HIV-positive persons globally. TB has killed more people living with HIV than any other i...

journal_title：Seminars in respiratory and critical care medicine

authors： Haas MK,Daley CL

更新日期：2016-04-01 00:00:00

abstract：:The human Herpesviridae family consists of eight members: cytomegalovirus (CMV), Epstein-Barr virus (EBV), herpes simplex virus 1 and 2 (HSV-1, -2), varicella-zoster virus (VZV), and human herpesvirus 6, 7, and 8 (HHV-6, -7, -8). Lifelong latency may develop in the host with reactivation during periods of relative imm...

journal_title：Seminars in respiratory and critical care medicine

authors： Zamora MR

更新日期：2011-08-01 00:00:00

abstract：:Over the last decade, improvements in surgical techniques, lung preservation, immunosuppression, and management of ischemia-reperfusion injury and infections have contributed to increase the 1 year patient survival after lung transplantation to 70 to 80%. However, the incidence of acute rejection remains higher than a...

journal_title：Seminars in respiratory and critical care medicine

authors： Knoop C,Estenne M

更新日期：2006-10-01 00:00:00

abstract：:The purpose of this review is to familiarize a broad range of medical professionals with a relatively new and growing problem of infections caused by mycobacteria other than M. tuberculosis and M. leprae. There are at least 60 mycobacterial species that have been identified as causative agents of diseases in humans. T...

journal_title：Seminars in respiratory and critical care medicine

authors： Heifets L

更新日期：2004-06-01 00:00:00

abstract：:Chronic pulmonary sepsis is the predominant cause of morbidity for patients with cystic fibrosis (CF) and non-CF bronchiectasis. Previously it was thought that respiratory infection in these patients was mostly limited to a very small number of typical pathogens; however, in recent years there have been increasing rep...

journal_title：Seminars in respiratory and critical care medicine

authors： Green H,Jones AM

更新日期：2015-04-01 00:00:00

abstract：:The evolution of scientific investigation in acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) is replete with examples of effective bench-to-bedside transitions, pioneering research methodology, and international collaboration. This article highlights for clinicians a selection of challenges and ...

journal_title：Seminars in respiratory and critical care medicine

authors： Meade MO,Lamontagne F

更新日期：2013-08-01 00:00:00

abstract：:Cystic fibrosis (CF) is a complicated disease involving many organ systems. Identification of the cystic fibrosis transmembrane regulator (CFTR) genetic code has not only enhanced our understanding of the mechanism of CF pathology but has also provided explanations for phenotypic variation. Additionally, genetic testi...

journal_title：Seminars in respiratory and critical care medicine

authors： Lommatzsch ST,Aris R

更新日期：2009-10-01 00:00:00

abstract：:Selective decontamination of the digestive tract (SDD) is an infection prevention strategy in intensive care unit (ICU) patients by topical administration of antibiotics to the mouth and stomach to eradicate potentially pathogenic bacteria and yeast that may cause infections. It also includes a short course of intrave...

journal_title：Seminars in respiratory and critical care medicine

authors： van Essen EH,de Jonge E

更新日期：2011-04-01 00:00:00

abstract：:In heart failure (HF), pleural effusion results from increased interstitial fluid in the lung due to elevated pulmonary capillary pressure. Rarely, pleural effusions may occur in association with isolated right HF. HF-associated effusions are typically bilateral, but if unilateral, they are more commonly seen on the r...

journal_title：Seminars in respiratory and critical care medicine

authors： Porcel JM

更新日期：2010-12-01 00:00:00