Management of bacterial pneumonia in ventilated patients. Protected bronchoalveolar lavage as a diagnostic tool.

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:During noninvasive ventilation, nonintentional leaks have a detrimental effect on the efficacy of ventilation. A wide range of industrial masks are available, with intentional leaks of different importance. The potential impact of this variability in intentional leaks on performances of bilevel ventilators h...

journal_title：Chest

authors： Borel JC,Sabil A,Janssens JP,Couteau M,Boulon L,Lévy P,Pépin JL

更新日期：2009-03-01 00:00:00

abstract：INTRODUCTION:Pulmonary arterial hypertension (PAH) is the most common cause of scleroderma-related deaths. New medications for PAH patients make it necessary to identify patients with high risk factors for PAH. This study looks at the use of an exercise echocardiogram in identifying patients who may have PAH and may be...

journal_title：Chest

authors： Steen V,Chou M,Shanmugam V,Mathias M,Kuru T,Morrissey R

更新日期：2008-07-01 00:00:00

abstract：CASE PRESENTATION:A 61-year-old Caribbean man presented to the ED with dyspnea that had progressed over the previous week with associated cough and high fevers. Four days prior to admission, his primary care physician noted oral thrush and obtained a chest radiograph that revealed a right middle lobe infiltrate. He was...

journal_title：Chest

authors： Gong J,Melamud A,Koenig S

更新日期：2018-07-01 00:00:00

abstract：STUDY OBJECTIVES:To explore the role of respiratory interactive computer games in teaching spirometry to preschool children, and to examine whether the spirometry data achieved are compatible with acceptable criteria for adults and with published data for healthy preschool children, and whether spirometry at this age c...

journal_title：Chest

authors： Vilozni D,Barak A,Efrati O,Augarten A,Springer C,Yahav Y,Bentur L

更新日期：2005-09-01 00:00:00

abstract：:Because of its greater ease and rapidity of insertion, the percutaneous intraaortic balloon in many institutions has become the primary method for implementing counterpulsation. We report the results and complications of 113 attempted procedures in a variety of clinical settings. We had a high (93.8 percent) insertion...

journal_title：Chest

authors： Hauser AM,Gordon S,Gangadharan V,Ramos RG,Westveer DC,Garg AK,Timmis GC

更新日期：1982-10-01 00:00:00

abstract：:Two patients receiving positive pressure ventilation experienced marked gaseous abdominal distension. Analysis of gases from the stomach, ventilator, and room air suggested that the gastric gases came from the ventilator in one patient. The diagnosis of tracheoesophageal fistula was confirmed by esophagoscopy. Analysi...

journal_title：Chest

authors： Kovitz KL,Siebens A,Brower RG

更新日期：1993-08-01 00:00:00

abstract：:Since publication of the seventh American College of Chest Physicians (ACCP) supplement on antithrombotic and thrombolytic therapy, the results of clinical trials have provided important new information on the management of thromboembolic disorders, and the science of developing recommendations has advanced. In the ac...

journal_title：Chest

authors： Hirsh J,Guyatt G,Albers GW,Harrington R,Schünemann HJ

更新日期：2008-06-01 00:00:00

abstract：:Patients with COPD often have reduced inspiratory muscle strength and endurance as well as poor exercise tolerance. Increased inspiratory work during sleep (probably due to increased upper airway resistance) may further strain these compromised respiratory muscles in COPD patients. We hypothesized that nasal continuou...

journal_title：Chest

authors： Mezzanotte WS,Tangel DJ,Fox AM,Ballard RD,White DP

更新日期：1994-10-01 00:00:00

abstract：BACKGROUND:Idiopathic pulmonary fibrosis (IPF) is a progressive and fatal lung disease with limited response to currently available therapies. Alveolar type II (ATII) cells act as progenitor cells in the adult lung, contributing to alveolar repair during pulmonary injury. However, in IPF, ATII cells die and are replace...

journal_title：Chest

authors： Serrano-Mollar A,Gay-Jordi G,Guillamat-Prats R,Closa D,Hernandez-Gonzalez F,Marin P,Burgos F,Martorell J,Sánchez M,Arguis P,Soy D,Bayas JM,Ramirez J,Tetley TD,Molins L,de la Bellacasa JP,Rodríguez-Villar C,Rovira I,Fi

更新日期：2016-09-01 00:00:00

abstract：:This study describes an unusual patient with X-linked Alport syndrome (XLAS) in whom diffuse alveolar hemorrhage (DAH) developed as a complication of alemtuzumab therapy following renal transplantation. A 26-year-old man with XLAS underwent retransplantation with a cadaveric renal allograft. He received alemtuzumab th...

journal_title：Chest

authors： Sachdeva A,Matuschak GM

更新日期：2008-06-01 00:00:00

abstract：BACKGROUND:Pulmonary edema may alter alveolar bacterial clearance and infectivity. Manipulation of fluid balance aimed at reducing fluid overload may, therefore, influence ventilator-associated pneumonia (VAP) occurrence in intubated patients. The objective of the present study was to assess the impact of a depletive f...

journal_title：Chest

authors： Mekontso Dessap A,Katsahian S,Roche-Campo F,Varet H,Kouatchet A,Tomicic V,Beduneau G,Sonneville R,Jaber S,Darmon M,Castanares-Zapatero D,Brochard L,Brun-Buisson C

更新日期：2014-07-01 00:00:00

abstract：:Despite many years of clinical research, there is still no effective therapy for malignant pleural mesothelioma (MPM). Untreated, the prognosis is poor, with a median survival of < 1 year. Single-agent or combination chemotherapy as well as radiotherapy have not shown persistent improvements in response or survival. I...

journal_title：Chest

authors： van Ruth S,Baas P,Zoetmulder FA

更新日期：2003-02-01 00:00:00

abstract：:Persistent minor hemoptysis resulted from extensive granulation tissue on the main carina and adjacent bronchi due to frequent spraying of metered-dose inhaler (MDI)-generated aerosol medications directly into a permanent tracheostomy. Salbutamol, containing oleic acid, was considered the most likely cause. After an A...

journal_title：Chest

authors： Newhouse MT

更新日期：1999-01-01 00:00:00

abstract：:Recent extensive development of thoracic surgery meets the need to treat elderly patients with a wide variety of pathophysiologic alterations, even if they require continuous medical assistance and high technologic support. Methods in providing such care are still limited by imprecision in evaluation of results; in th...

journal_title：Chest

authors： Giangiuliani G,Gui D,Bonatti P,Tozzi P,Caracciolo F

更新日期：1990-09-01 00:00:00

abstract：STUDY OBJECTIVE:Cysteinyl leukotrienes are important proinflammatory mediators in the pathogenesis of asthma. Since bronchial hyperresponsiveness is a noninvasive surrogate marker of asthmatic airway inflammation, we evaluated the bronchoprotection afforded by leukotriene receptor antagonists (LTRAs). DESIGN:Systemati...

journal_title：Chest

authors： Currie GP,Lipworth BJ

更新日期：2002-07-01 00:00:00

abstract：:Nearly all patients with pulmonary embolism (PE) have complete clinical and hemodynamic and at least near complete roentgenographic and angiographic resolution within four to six weeks of the acute event. To classify the syndrome of unresolved pulmonary embolism we reviewed our experience and that of the English liter...

journal_title：Chest

authors： Benotti JR,Ockene IS,Alpert JS,Dalen JE

更新日期：1983-12-01 00:00:00

abstract：:The American Association of Critical-Care Nurses (AACN) Standards for Establishing and Sustaining Healthy Work Environments and the American College of Chest Physicians (ACCP) Patient-Focused Care Project are complementary initiatives that provide a road map for creating practice environments where interdisciplinary, ...

journal_title：Chest

authors： McCauley K,Irwin RS

更新日期：2006-11-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate gas exchange, pulmonary function, and lung histology during gas ventilation of the perfluorocarbon-filled lung compared with gas ventilation of the gas-filled lung in severe respiratory failure. STUDY DESIGN:Application of gas (GV) or partial liquid (PLV) ventilation in lung-injured sheep. ...

journal_title：Chest

authors： Hirschl RB,Tooley R,Parent AC,Johnson K,Bartlett RH

更新日期：1995-08-01 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：BACKGROUND:The practice of treating a solitary pulmonary nodule (SPN) suspicious for stage I non-small cell lung cancer (NSCLC) with stereotactic ablative radiotherapy (SABR) in the absence of pathology is growing. In the absence of randomized evidence, the appropriate prior probability threshold of lung cancer of when...

journal_title：Chest

authors： Louie AV,Senan S,Patel P,Ferket BS,Lagerwaard FJ,Rodrigues GB,Salama JK,Kelsey C,Palma DA,Hunink MG

更新日期：2014-10-01 00:00:00

abstract：OBJECTIVE:Devices that reduce technical difficulty and anastigmatic time when repairing large vessels such as the thoracic aorta would be beneficial. The aim of this study was to determine if titanium vascular closure staples (3 mm) could be safely and quickly applied in the repair of large vessels such as the thoracic...

journal_title：Chest

authors： Deb S,Martin B,Sun L,Burris D,Wherry D,Pikoulis E,Rhee P

更新日期：2000-12-01 00:00:00

abstract：BACKGROUND:Approximately 40% of patients in medical ICUs require mechanical ventilation (MV). Approximately 20% to 25% of these patients will encounter difficulties in discontinuing MV. Multiple studies have suggested that MV has an unloading effect on the respiratory muscles that leads to diaphragmatic atrophy and dys...

journal_title：Chest

authors： Grosu HB,Lee YI,Lee J,Eden E,Eikermann M,Rose KM

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:In a rodent model of cardiac arrest and resuscitation in which the inspired gas mixture was enriched with oxygen, resuscitability and survival were unaffected by positive pressure ventilation. In the present study, in a larger animal model, tidal volumes generated during precordial compression and with spont...

journal_title：Chest

authors： Noc M,Weil MH,Tang W,Turner T,Fukui M

更新日期：1995-09-01 00:00:00

abstract：OBJECTIVE:To evaluate the costs, consequences, effectiveness, and safety of ciprofloxacin vs standard antibiotic care in patients with an initial acute exacerbation of chronic bronchitis (AECB) as well as recurrent AECBs over a 1-year period. DESIGN:Randomized, multicenter, parallel-group, open-label study. SETTING:O...

journal_title：Chest

authors： Grossman R,Mukherjee J,Vaughan D,Eastwood C,Cook R,LaForge J,Lampron N

更新日期：1998-01-01 00:00:00

abstract：:The pathogenesis and clinical manifestations of COPD are not restricted to pulmonary inflammation and structural remodeling. Rather, this disorder is associated with clinically significant systemic alterations in biochemistry and organ function. The systemic aspects of COPD include oxidative stress and altered circula...

journal_title：Chest

authors： Wouters EF,Creutzberg EC,Schols AM

更新日期：2002-05-01 00:00:00

abstract：OBJECTIVES:To report observations on preserved regular atrial electrical and mechanical systole during ventricular fibrillation (VF) and to quantitate blood flow generated by atrial contractions in this setting. METHODS:In 10 rats, right atrial pressure pulses were continuously recorded before and for an interval of 8...

journal_title：Chest

authors： Pernat A,Weil MH,Sun S,Tang W,Yamaguchi H,Bisera J

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:Skeletal muscle dysfunction occurring as a result of ICU admission associates with higher mortality. Although preadmission higher BMI correlates with better outcomes, the impact of baseline muscle and fat mass has not been defined. We therefore investigated the association of skeletal muscle and fat mass at ...

journal_title：Chest

authors： Jaitovich A,Khan MMHS,Itty R,Chieng HC,Dumas CL,Nadendla P,Fantauzzi JP,Yucel RM,Feustel PJ,Judson MA

更新日期：2019-02-01 00:00:00

abstract：:The literature on pulmonary function testing in sarcoidosis is critically reviewed. The results indicate that pulmonary function tests are not a reliable means for detecting the presence of parenchymal sarcoidosis, nor do they provide an accurate estimate of the extent of parenchymal disease. There are at present no k...

journal_title：Chest

authors： Winterbauer RH,Hutchinson JF

更新日期：1980-10-01 00:00:00

abstract：:The self-expandable stainless steel stents (Gianturco, William Cook, Bjaeverskov, Denmark) used extensively in biliary ducts and the vascular system have recently been modified for use in the tracheobronchial tree. Between March 1991 and September 1992, six patients with unresectable tracheobronchial and mediastinal d...

journal_title：Chest

authors： Zannini P,Melloni G,Chiesa G,Carretta A

更新日期：1994-07-01 00:00:00