The role of physician-assistants in critical care units.

abstract：:A newborn infant with severe respiratory distress from bilateral diaphragmatic paralysis caused by birth injury was successfully treated with nasal continuous positive airway pressure (CPAP). Improvement gradually occurred, and CPAP was discontinued after he was 23 days of age. This therapy has advantages over alterna...

journal_title：Chest

authors： Zajkowski EJ,Kravath RE

更新日期：1979-03-01 00:00:00

abstract：:Body position can lead to respiratory symptoms and affect gas exchange in disease states. We describe a patient with carcinoma of the left lung in whom dyspnea and oxygen desaturation developed in the right lateral position only. Fiberoptic bronchoscopic study demonstrated a tumor mass protruding into the left main-st...

journal_title：Chest

authors： Mahler DA,Snyder PE,Virgulto JA,Loke J

更新日期：1983-05-01 00:00:00

abstract：:The authors believe this to be the first case report of atrial fibrillation following pulse methylprednisolone therapy in an adult. The literature regarding the complications of pulse methylprednisolone therapy is reviewed, with particular emphasis on the incidence and pathogenesis of arrhythmias. ...

journal_title：Chest

authors： McLuckie AE,Savage RW

更新日期：1993-08-01 00:00:00

abstract：BACKGROUND:Current guidelines recommend the use of inhaled corticosteroids (ICSs) added to long-acting beta(2)-agonists (LABAs) for treatment of symptomatic patients with severe and very severe COPD. However, the evidence has been inconclusive. The aim of this review was to assess the safety and efficacy of LABAs/ICSs ...

journal_title：Chest

authors： Rodrigo GJ,Castro-Rodriguez JA,Plaza V

更新日期：2009-10-01 00:00:00

abstract：:Pure posterior mediastinal cystic lymphangiomas are very rare and have seldom been documented. This is the report of such a case, including the ultrasonographic and computed tomographic manifestations of the lesion, the first documentation of such manifestations in the literature. ...

journal_title：Chest

authors： Murayama S

更新日期：1985-12-01 00:00:00

abstract：CASE PRESENTATION:A 75-year-old man was referred to our institution for worsening dyspnea, decreased activity tolerance, myalgias, and an increase in oxygen requirement. Nine months before the initial referral, the patient presented to an outside hospital for acute hypoxemic respiratory failure requiring a right-sided ...

journal_title：Chest

authors： Tseng S,Olson K,Shamsid-Deen N,Savajiyani S,Sista R,Hodges T,Saggar R

更新日期：2020-05-01 00:00:00

abstract：:Every country has finite resources that are expended to provide citizens with social "goods," including education, protection, infrastructure, and health care. Rationing-of any resource-refers to distribution of an allotted amount and may involve withholding some goods that would benefit some citizens. Health-care rat...

journal_title：Chest

authors： Evans TW,Nava S,Mata GV,Guidet B,Estenssoro E,Fowler R,Scheunemann LP,White D,Manthous CA

更新日期：2011-12-01 00:00:00

abstract：:We wanted to determine the efficacy of dobutamine infusions and Prbc transfusions on splanchnic tissue oxygen utilization by measuring gastric pHi. Physiologic parameters and pHi measurements via the use of a gastric tonometer were obtained in 21 septic patients before and after the administration of a dobutamine infu...

journal_title：Chest

authors： Silverman HJ,Tuma P

更新日期：1992-07-01 00:00:00

abstract：OBJECTIVES:Primary pulmonary hypertension (PPH) is a pulmonary vasculopathy resulting in exercise intolerance, usually due to dyspnea. We hypothesized that ventilation is increased during exercise in PPH relative to normal because the ventilated lung is underperfused, cardiac output increase is restricted, and arterial...

journal_title：Chest

authors： Yasunobu Y,Oudiz RJ,Sun XG,Hansen JE,Wasserman K

更新日期：2005-05-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the role of microaspiration in gastroesophageal reflux-induced bronchoconstriction. DESIGN:Prospective study blinded to the subject. SETTING:Outpatient laboratory of a 908-bed university hospital. PARTICIPANTS:Thirty nonsmoking adults divided into two groups: asthmatics with reflux (AR), ...

journal_title：Chest

authors： Harding SM,Schan CA,Guzzo MR,Alexander RW,Bradley LA,Richter JE

更新日期：1995-11-01 00:00:00

abstract：BACKGROUND:Changes in Paco(2) have not been described during thoracoscopy under sedation-assisted local anesthesia. We hypothesized that hypoventilation might occur secondary to administration of sedatives and decreased ventilation in one lung. AIM:Prospectively measure cutaneous carbon dioxide tension (Pcco(2)) in ad...

journal_title：Chest

authors： Chhajed PN,Kaegi B,Rajasekaran R,Tamm M

更新日期：2005-02-01 00:00:00

abstract：BACKGROUND:It would be valuable to have a noninvasive method of measuring impaired pulmonary gas exchange in patients with lung disease and thus reduce the need for repeated arterial punctures. This study reports the results of using a new test in a group of outpatients attending a pulmonary clinic. METHODS:Inspired a...

journal_title：Chest

authors： West JB,Crouch DR,Fine JM,Makadia D,Wang DL,Prisk GK

更新日期：2018-08-01 00:00:00

abstract：BACKGROUND:Black smokers have earlier development of lung disease as well as poorer sleep health than whites. RESEARCH QUESTION:In a sample of black smokers, to what extent does sleep health modify the association between smoking level and functional exercise capacity? DESIGN AND METHODS:Cross-sectional data from 209...

journal_title：Chest

authors： Gangemi AJ,Satti A,Zantah M,Blair R,Brewer B,Ma G,Grandner MA,Davey A,Criner GJ,Patterson F

更新日期：2020-10-01 00:00:00

abstract：:Primary neurogenic tumors of the lung are rare. Often, their histologic behavior presents a treatment dilemma. We present a case of benign endobronchial neurilemmoma managed by means of YAG laser resection together with a brief discussion of the management options available for these tumors. ...

journal_title：Chest

authors： Feldhaus RJ,Anene C,Bogard P

更新日期：1989-02-01 00:00:00

abstract：BACKGROUND:The presence of aerobic Gram-negative bacilli (AGNB) in the oropharynx can be either temporary or persistent. Prolonged colonization (ie, carriage) is distinguished from transient presence (ie, acquisition), which often occurs in healthy individuals but less frequently in those with underlying disease. Preva...

journal_title：Chest

authors： Mobbs KJ,van Saene HK,Sunderland D,Davies PD

更新日期：1999-06-01 00:00:00

abstract：:A V/Q lung scan was obtained in a patient with LLL collapse who was receiving IPPV and PEEP. This revealed absent ventilation and hyperperfusion to the collapsed lobe. After a reduction in PEEP from 12 to 5 cm H2O, a repeat V/Q scan showed a more even distribution of pulmonary perfusion. Arterial hypoxemia improved. ...

journal_title：Chest

authors： Hawker FH,Torzillo PJ,Southee AE

更新日期：1991-04-01 00:00:00

abstract：:Bronchoalveolar lavage (BAL) has not been associated with the complication of pneumothorax. Candidates for this procedure are predisposed to develop pneumothorax due to underlying infectious interstitial emphysema. This risk factor is increased by the hyperbaric consequences of lavage and also by the cough induced by ...

journal_title：Chest

authors： Krueger JJ,Sayre VA,Karetzky MS

更新日期：1988-08-01 00:00:00

abstract：BACKGROUND:Electromagnetic navigation bronchoscopy (ENB) with biopsy under fluoroscopic guidance has enhanced the yield of flexible bronchoscopy in the diagnosis of peripheral lung lesions. However, the accuracy of ENB navigation suggests that the addition of fluoroscopy is redundant. OBJECTIVES:Data were prospectivel...

journal_title：Chest

authors： Eberhardt R,Anantham D,Herth F,Feller-Kopman D,Ernst A

更新日期：2007-06-01 00:00:00

abstract：STUDY OBJECTIVE:Our group performed a randomized trial to assess whether the addition of endobronchial ultrasound (EBUS) guidance will lead to better results than standard transbronchial needle aspiration (TBNS). EBUS guidance seems to be beneficial in increasing the yield of TBNA but has not been proven to be superior...

journal_title：Chest

authors： Herth F,Becker HD,Ernst A

更新日期：2004-01-01 00:00:00

abstract：:Hereditary motor and sensory neuropathy (Charcot-Marie-Tooth disease) is characterized by chronic degeneration of peripheral nerves and roots, resulting in distal muscle atrophy, beginning in the feet and legs and later involving the hands. The association of this disease with diaphragmatic dysfunction has not been re...

journal_title：Chest

authors： Chan CK,Mohsenin V,Loke J,Virgulto J,Sipski ML,Ferranti R

更新日期：1987-04-01 00:00:00

abstract：BACKGROUND:This study reports the effect of thoracentesis on respiratory mechanics and gas exchange in patients receiving mechanical ventilation. STUDY DESIGN:Prospective. SETTING:University hospital. PATIENTS:Eight patient receiving mechanical ventilation with unilateral (n = 7) or bilateral (n = 1) large pleural e...

journal_title：Chest

authors： Doelken P,Abreu R,Sahn SA,Mayo PH

更新日期：2006-11-01 00:00:00

abstract：STUDY OBJECTIVES:Evaluation of the effectiveness of negative-pressure ventilation (NPV) with the use of the iron lung vs noninvasive positive-pressure ventilation (NIPPV) in the treatment of COPD patients with acute on chronic respiratory failure. DESIGN:A retrospective case-control study. SETTING:Four Italian respir...

journal_title：Chest

authors： Corrado A,Confalonieri M,Marchese S,Mollica C,Villella G,Gorini M,Della Porta R

更新日期：2002-01-01 00:00:00

abstract：:The effects were assessed of ingestion of 1 ml/kg of 100 proof vodka on sleep-disordered breathing, nocturnal oxygen desaturation, and ventricular ectopy in patients with chronic obstructive pulmonary disease (COPD). Ethanol ingestion (mean blood alcohol concentration of 40 mg/dl) was associated with a significant inc...

journal_title：Chest

authors： Dolly FR,Block AJ

更新日期：1983-03-01 00:00:00

abstract：:A 32-year-old woman with a one-year history of progressive shortness of breath and chest pain was found to have a grade 4/6 systolic murmur at the base of the heart and left sternal border. Right ventricular enlargement was found by physical examination, ECG, and chest roentgenogram. Cardiac catheterization showed ele...

journal_title：Chest

authors： Betancourt B,Defendini EA,Johnson C,De Jesús M,Pavía-Villamil A,Díaz Cruz A,Medina JC

更新日期：1979-04-01 00:00:00

abstract：:Myiasis refers to a parasitic infestation of vertebrate mammals by dipterous larvae (maggots) of higher flies. Infections in humans typically occur in tropical and subtropical regions, regions with limited medical access, and areas with poor hygiene and living conditions. Infestations in humans have been described in ...

journal_title：Chest

authors： Patel MB,Munzer K,Dougherty M,Williams P,Loiselle A

更新日期：2016-06-01 00:00:00

abstract：STUDY OBJECTIVES:We designed and performed a survey to assess the roles and knowledge level of physicians, by specialty, in the management of non-small cell lung cancer (NSCLC). The primary objective was to evaluate the potential variability of physician perceptions of prognosis, recommended treatments, and the impact ...

journal_title：Chest

authors： Perez EA

更新日期：1998-08-01 00:00:00

abstract：BACKGROUND:To address the burden of tobacco use in underserved populations, our safety net hospital developed a tobacco treatment intervention consisting of an "opt-out" electronic health record-based best practice alert + order set, which triggers consultation to an inpatient tobacco treatment consult (TTC) service fo...

journal_title：Chest

authors： Herbst N,Wiener RS,Helm ED,O'Donnell C,Fitzgerald C,Wong C,Bulekova K,Waite M,Mishuris RG,Kathuria H

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:Bronchiectasis and pulmonary infection with nontuberculous mycobacteria (NTM) may be associated with disease-causing mutations in the cystic fibrosis transmembrane regulator (CFTR). METHODS:Fifty adult patients at Stanford University Medical Center with a diagnosis of bronchiectasis and/or pulmonary NTM inf...

journal_title：Chest

authors： Ziedalski TM,Kao PN,Henig NR,Jacobs SS,Ruoss SJ

更新日期：2006-10-01 00:00:00

abstract：:A radioaerosol procedure using 99mcTc-DTPA (diethylene triamine penta acetate) was used to evaluate the permeability of the pulmonary epithelium in smokers and nonsmokers. The average clearance of this indicator from the lungs of smokers without significant airway obstruction exceeded that found in normal subjects by ...

journal_title：Chest

authors： Mason GR,Uszler JM,Effros RM,Reid E

更新日期：1983-01-01 00:00:00

abstract：BACKGROUND:Hospital readmissions for acute exacerbations of COPD (AECOPDs) pose burdens to the health-care system and patients. A current gap in knowledge is whether a predischarge screening and educational tool administered to patients with COPD reduces readmissions and ED visits. METHODS:A single-center, randomized ...

journal_title：Chest

authors： Jennings JH,Thavarajah K,Mendez MP,Eichenhorn M,Kvale P,Yessayan L

更新日期：2015-05-01 00:00:00