Therapeutic management of idiopathic pulmonary fibrosis: an evidence-based approach.

abstract：:The cause and presentation of empyema thoraces has changed little since it was first described. The natural history of the disease can be divided into different stages. Different therapeutic measures, medical and surgical, are available for the treatment at various stages. The management of empyema is discussed, empha...

journal_title：Clinics in chest medicine

authors： Katariya K,Thurer RJ

更新日期：1998-06-01 00:00:00

abstract：:Selected occupational populations are at the highest risk of lung cancer, because they smoke at increased rates and are concurrently exposed to workplace lung carcinogens. Low-dose computed tomography (CT)-based lung cancer screening has an enormous potential to reduce lung cancer mortality in these populations, as sh...

journal_title：Clinics in chest medicine

authors： Markowitz SB,Dickens B

更新日期：2020-12-01 00:00:00

abstract：:Prophylaxis for DVT unequivocally is beneficial in patients identified to be at high risk. Heparin prophylaxis with subcutaneous low-dose UFH is adequate in some clinical settings but less effective in others. LMWH preparations are effective and safe as prophylaxis in certain medical patients as well as in general sur...

journal_title：Clinics in chest medicine

authors： Tapson VF,Hull RD

更新日期：1995-06-01 00:00:00

abstract：:Continuous mechanical ventilation used for life support is accepted as standard practice in nearly every hospital in the United States today. The history of the evolution of techniques that we take virtually for granted today is fascinating. This article recounts some of the highlights in the development of modern-day...

journal_title：Clinics in chest medicine

authors： Marini JJ

更新日期：1988-03-01 00:00:00

abstract：:Corticosteroids are the most effective treatment for asthma; inhaled corticosteroids (ICSs) are the first-line treatment for children and adults with persistent symptoms. ICSs are associated with significant improvements in lung function. The anti-inflammatory effects of corticosteroids are mediated by both genomic an...

journal_title：Clinics in chest medicine

authors： Ramadan AA,Gaffin JM,Israel E,Phipatanakul W

更新日期：2019-03-01 00:00:00

abstract：:The hyperventilation seen in asthma is due to an increase in respiratory drive. This may be reflected by increased neural output to the respiratory muscles and probably by alterations in the respiratory pattern. This increased respiratory drive is most likely in response to irritant receptor stimulation in the lung. O...

journal_title：Clinics in chest medicine

authors： Schiff M

更新日期：1980-01-01 00:00:00

abstract：:The Hispanic population in the United States is diverse in many respects. Although there is marked variation in the prevalence, morbidity, and mortality of asthma among Hispanic subgroups in the United States, these differences are poorly understood. Future stu-dies of asthma should include large samples of Hispanic s...

journal_title：Clinics in chest medicine

authors： Cohen RT,Celedón JC

更新日期：2006-09-01 00:00:00

abstract：:Although they are complex, the pulmonary-renal syndromes can be readily understood and managed using a clinical approach firmly grounded in the fundamental pathophysiology of these disorders. Several important principles must be borne in mind. First, therapeutic intervention must be preceded by making as firm a diagno...

journal_title：Clinics in chest medicine

authors： Young KR Jr

更新日期：1989-12-01 00:00:00

abstract：:VAP is clearly associated with an increased mortality, principally because of virulent pathogens such as P. aeruginosa. Part of the increased mortality may be due to inadequacies of antibiotic therapy. Apparent failure of antibiotic therapy has many causes; some are related to deficiencies of the antibiotic therapy, b...

journal_title：Clinics in chest medicine

authors： Wunderink RG

更新日期：1995-03-01 00:00:00

abstract：:Chronic thromboembolic pulmonary hypertension is one of the few forms of pulmonary hypertension that is surgically curable. It is likely underdiagnosed and must be considered in every patient presenting with pulmonary hypertension to avoid missing the opportunity to cure these patients. This article discusses the epid...

journal_title：Clinics in chest medicine

authors： Auger WR,Kim NH,Trow TK

更新日期：2010-12-01 00:00:00

abstract：:Photodynamic therapy is an investigational treatment of various types of carcinoma. It involves a photosensitizing agent which, when exposed to light of the proper wavelength, forms toxic oxygen radicals that result in cell death. This article describes its current use in the management of bronchogenic carcinoma. ...

journal_title：Clinics in chest medicine

authors： Edell ES,Cortese DA

更新日期：1995-09-01 00:00:00

abstract：:The features characterizing pneumonia due to Mycoplasma pneumoniae are described. Typical cases, along with chest radiographs of laboratory-documented cases, are presented. ...

journal_title：Clinics in chest medicine

authors： Luby JP

更新日期：1991-06-01 00:00:00

abstract：:As recently as the 1992 Report of the American Thoracic Society Workshop on Lung Transplantation, no QOL facts were given and no knowledge gaps related to QOL outcomes were cited. Even at the present time, the information in that area is based on a relatively small set of preliminary reports. Current information indic...

journal_title：Clinics in chest medicine

authors： Gross CR,Raghu G

更新日期：1997-06-01 00:00:00

abstract：:This article provides a systematic review of the literature on the application of noninvasive ventilation in various forms of hypercapnic and hypoxemic respiratory failures. A description of the underlying pathophysiology is followed by a review of physiologic data explaining the mechanisms of action of noninvasive ve...

journal_title：Clinics in chest medicine

authors： Meduri GU

更新日期：1996-09-01 00:00:00

abstract：:In summary, bacterial organisms are clinically relevant contributors to asthma exacerbations, and have received much less attention than viruses in this process. Streptococcus pneumoniae, Hemophilus influenzae, and Moraxella catarrhalis have been linked to asthma exacerbations, particularly when sinusitis is present. ...

journal_title：Clinics in chest medicine

authors： Kraft M

更新日期：2000-06-01 00:00:00

abstract：:Interventional pulmonology encompasses diagnostic and therapeutic bronchoscopic procedures, and pleural interventions. In the last 10 years older techniques have been refined and exciting new technologies have extended the reach and application of the instruments used. The main areas within pulmonary medicine for whic...

journal_title：Clinics in chest medicine

authors： Morgan RK,Ernst A

更新日期：2011-03-01 00:00:00

abstract：:Current advances in guided bronchoscopy methods permit minimally invasive access to essentially any area of the lungs. This provides a potential means to treat patients with localized lung malignancies who might not otherwise tolerate conventional treatment, which commonly relies on surgical resection. Ablation method...

journal_title：Clinics in chest medicine

authors： Hsia DW,Musani AI

更新日期：2018-03-01 00:00:00

abstract：:Most gravidas with asthma can be managed with an inhaled beta-adrenergic agonist (terbutaline or epinephrine) and beclomethasone dipropionate. The administration of prednisone to control exacerbation of asthma is appropriate and should not be withheld if current medications are inadequate. The outcome of pregnancy in ...

journal_title：Clinics in chest medicine

authors： Greenberger PA

更新日期：1992-12-01 00:00:00

abstract：:After half a century of clinical experience and research, management of pulmonary arterial hypertension remains a challenge. Currently, data to support the use of standard therapies for pulmonary arterial hypertension (oxygen supplementation, diuretics, digoxin, anticoagulation, and calcium channel blockers) are mostl...

journal_title：Clinics in chest medicine

authors： Alam S,Palevsky HI

更新日期：2007-03-01 00:00:00

abstract：:The features of cardiovascular and pulmonary disease in exercise testing are described. In general, ventilatory limitation is the most common factor in lung disease. An early anaerobic threshold and a decreased VO2 mix in the absence of ventilatory limitation is the usual feature of severe heart disease. ...

journal_title：Clinics in chest medicine

authors： Kanarek DJ,Hand RW

更新日期：1984-03-01 00:00:00

abstract：:The combination of the unique pathologic features of usual interstitial pneumonia (UIP) on biopsy, the progressive clinical course, and resistance to anti-inflammatory therapy constitutes the cardinal manifestations of what is termed idiopathic pulmonary fibrosis (IFP)/usual interstitial pneumonia, and it has led to r...

journal_title：Clinics in chest medicine

authors： Noble PW,Homer RJ

更新日期：2004-12-01 00:00:00

abstract：:The pharmacologic treatment of chronic obstructive pulmonary disease (COPD) differs from that of asthma in several respects. Oral therapy should be the keystone, using a long-acting theophylline or a beta 2-sympathomimetic agent. The addition of a metered dose inhalant aerosol provides additive benefit with low toxici...

journal_title：Clinics in chest medicine

authors： Ziment I

更新日期：1990-09-01 00:00:00

abstract：:Studies suggest clinically manifest cardiac involvement occurs in 5% of patients with pulmonary/systemic sarcoidosis. The principal manifestations of cardiac sarcoidosis (CS) are conduction abnormalities, ventricular arrhythmias, and heart failure. Data indicate that an 20% to 25% of patients with pulmonary/systemic s...

journal_title：Clinics in chest medicine

authors： Birnie D,Ha AC,Gula LJ,Chakrabarti S,Beanlands RS,Nery P

更新日期：2015-12-01 00:00:00

abstract：:This article reviews several important noninfectious pulmonary complications that threaten survival, pulmonary function, and quality of life after lung transplantation. Topics reviewed include primary graft dysfunction (PGD), native lung hyperinflation, anastomotic complications, phrenic nerve injury, pleural complica...

journal_title：Clinics in chest medicine

authors： Ahya VN,Kawut SM

更新日期：2005-12-01 00:00:00

abstract：:Clinically apparent involvement of the heart and nervous system occurs in a relatively small number of patients with sarcoidosis. The diagnosis of myocardial and neurological sarcoidosis is difficult because anatomic presence of granulomas without clinical dysfunction is an important feature of sarcoidosis. The chest ...

journal_title：Clinics in chest medicine

authors： Sharma OP

更新日期：1997-12-01 00:00:00

abstract：:Recent events have underscored the importance of proper diagnosis and management of patients with inhalation injury. Clinicians who care for individuals who have sustained inhalation damage to their respiratory tract need to take a careful exposure history and be alert to possibilities of delayed effects and clinical ...

journal_title：Clinics in chest medicine

authors： Rabinowitz PM,Siegel MD

更新日期：2002-12-01 00:00:00

abstract：:Massive hemoptysis is a rare, but life-threatening event. Death from massive hemoptysis is usually due to aspiration of blood. Thus, the initial evaluation should occur simultaneously with efforts to control the patient's airway and respiratory status. Therapeutic interventions can be directed with an understanding of...

journal_title：Clinics in chest medicine

authors： Thompson AB,Teschler H,Rennard SI

更新日期：1992-03-01 00:00:00

abstract：:The recent advances in our understanding of breathing in sleep include an evolution in the selection and surgical therapy of patients with the sleep apnea syndrome. Recent work suggests that shorter polysomnographic studies may be adequate for diagnostic purposes in many sleep apnea patients. It is now clear that cent...

journal_title：Clinics in chest medicine

authors： Kryger MH,White DP,Zwillich CW,Robinson RW,Guilleminault C

更新日期：1985-12-01 00:00:00

abstract：:Blood gas analyses are an essential part of modern patient care. Although all blood gas instruments have pH, PCO2, and PO2 electrodes based on the same principles, instruments in current use vary greatly in design, operator dependence, and accuracy. For the clinician to obtain accurate and timely results there must be...

journal_title：Clinics in chest medicine

authors： Hansen JE

更新日期：1989-06-01 00:00:00

abstract：:For clinicians involved in airway management, a plan of action for dealing with the difficult airway or a failed intubation should be developed well in advance of encountering a patient in whom intubation is not routine. When difficulty is anticipated, the equipment necessary for performing a difficult intubation shou...

journal_title：Clinics in chest medicine

authors： Schwartz DE,Wiener-Kronish JP

更新日期：1991-09-01 00:00:00