Can mediastinal nodal mobility explain the low yield rates for transbronchial needle aspiration without real-time imaging?

abstract：:Prior antibiotic therapy, size of the infiltrate, and the person who performed the technique were the three factors that we studied to assess their influence on the effectiveness of transthoracic needle aspiration (TNA). Ninety-one patients with a diagnosis of severe bacterial pneumonia, who underwent TNA, have been i...

journal_title：Chest

authors： Zalacain R,Llorente JL,Gaztelurrutia L,Pijoan JI,Sobradillo V

更新日期：1995-01-01 00:00:00

abstract：:A patient with rheumatic heart disease, mitral stenosis, and mitral insufficiency is described. The thrombosed giant left atrium paralyzed the left vocal cord and completely obstructed the bronchi to the middle and lower lobes of the right lung. The giant left atrium mimicked a mediastinal tumor on the chest x-ray fil...

journal_title：Chest

authors： Rimon D,Cohen L,Rosenfeld J

更新日期：1977-03-01 00:00:00

abstract：:Inadequate tissue oxygenation may occur in critically ill patients with sepsis despite an apparently adequate O2 transport (QO2), and this may contribute to the development of an O2 debt and also to multiple organ failure. It has been shown that increasing QO2 by infusing a vasodilator may reveal this O2 debt in septi...

journal_title：Chest

authors： Pittet JF,Lacroix JS,Gunning K,Laverriere MC,Morel DR,Suter PM

更新日期：1990-12-01 00:00:00

abstract：:The role of infection in exacerbations of COPD remains controversial and incompletely understood. Although some investigators believe that bacteria are not important for patients with exacerbation, we disagree and believe that patients with at least two of the three cardinal symptoms of exacerbation should receive ant...

journal_title：Chest

authors： Murphy TF,Sethi S,Niederman MS

更新日期：2000-07-01 00:00:00

abstract：:It is well-recognized that atrial natriuretic peptide (ANP) and B-type natriuretic peptide (BNP) are raised in conditions with ventricular volume and pressure overload. In addition to this established role in left ventricular congestive cardiac failure, there is good evidence that BNP has a diagnostic role in right ve...

journal_title：Chest

authors： Yap LB,Mukerjee D,Timms PM,Ashrafian H,Coghlan JG

更新日期：2004-10-01 00:00:00

abstract：:Thoracic splenosis (post-traumatic autotransplantation of splenic tissue) is rare and generally asymptomatic. We report a patient with thoracic splenosis presenting with repeated hemoptysis. The blood supply of the hypervascular splenic transplants originated from a bronchial and an intercostal artery. Hemoptysis impr...

journal_title：Chest

authors： Cordier JF,Gamondes JP,Marx P,Heinen I,Loire R

更新日期：1992-08-01 00:00:00

abstract：BACKGROUND:Venous thromboembolism (VTE) remains a major cause of morbidity following stroke. The optimal form of pharmacologic prophylaxis following stroke is unknown. METHODS:We identified randomized trials comparing unfractionated heparin (UFH) to low-molecular-weight heparin (LMWH) for VTE prevention in ischemic st...

journal_title：Chest

authors： Shorr AF,Jackson WL,Sherner JH,Moores LK

更新日期：2008-01-01 00:00:00

abstract：:Identifying patients with impaired renal function is crucial in the setting of critical illness. Serum creatinine serves as the gold standard for assessing steady-state renal function, helping to define those with chronic kidney disease (CKD). Although these baseline creatinine values are often not available in the se...

journal_title：Chest

authors： Koyner JL

更新日期：2012-06-01 00:00:00

abstract：STUDY OBJECTIVES:Pocket hematoma is a common complication after pacemaker or implantable cardioverter defibrillator (ICD) implantation. Thus, we investigated the influence of patient comorbidity, implantation strategy, operator experience, antiplatelet therapy, and anticoagulation therapy on hematoma rate. DESIGN:Betw...

journal_title：Chest

authors： Wiegand UK,LeJeune D,Boguschewski F,Bonnemeier H,Eberhardt F,Schunkert H,Bode F

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:To develop an evidence-based approach to follow-up of patients after curative intent therapy for lung cancer. METHODS:Guidelines on lung cancer diagnosis and management published between 2002 and December 2005 were identified by a systematic review of the literature, and supplemental material appropriate to...

journal_title：Chest

authors： Rubins J,Unger M,Colice GL,American College of Chest Physicians.

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND:Hypertrophic cardiomyopathy (HCM) is a common genetic disease that may cause left ventricular outflow tract (LVOT) obstruction, heart failure, and sudden death. Recent studies have shown a high prevalence of OSA among patients with HCM. Because the hemodynamics in patients with LVOT obstruction are unstable ...

journal_title：Chest

authors： Nerbass FB,Salemi VMC,Pedrosa RP,Portilho NP,Ferreira-Filho JCA,Moriya HT,Antunes MO,Arteaga-Fernández E,Drager LF,Lorenzi-Filho G

更新日期：2016-11-01 00:00:00

abstract：:Reliable long-term assessment of cough is necessary in many clinical and scientific settings. A new method for long-term recording and automatic analysis of cough is presented. The method is based on simultaneous recording of two independent signals: high-pass filtered cough sounds and cough-induced fast movements of ...

journal_title：Chest

authors： Salmi T,Sovijärvi AR,Brander P,Piirilä P

更新日期：1988-11-01 00:00:00

abstract：:Between January 1990 and August 1991, there were 37 patients admitted to our Department of Internal Medicine with hematologic malignancies or solid tumors who showed colonization of the respiratory tract with Pseudomonas cepacia. Extensive surveillance cultures of the environmental surfaces and respiratory equipment o...

journal_title：Chest

authors： Yamagishi Y,Fujita J,Takigawa K,Negayama K,Nakazawa T,Takahara J

更新日期：1993-06-01 00:00:00

abstract：:A saccular aneurysm arising from the descending thoracic aorta was identified ultrasonically in a 60-year-old man with a subsequent pathologic diagnosis of a Listeria monocytogenes mycotic aneurysm. A cross-sectional scanning technique, which permitted visualization of the descending thoracic aorta in long axis, demon...

journal_title：Chest

authors： Come PC,Sacks B,Vine H,McArdle C,Koretsky S,Weintraub R

更新日期：1981-04-01 00:00:00

abstract：STUDY OBJECTIVE:To measure the ability of a set of clinical parameters, the Winthrop-University Hospital (WUH) criteria, to identify Legionella pneumonia while discriminating against bacteremic pneumococcal pneumonia at the time of hospitalization for community-acquired pneumonia (CAP). DESIGN:Retrospective case-contr...

journal_title：Chest

authors： Gupta SK,Imperiale TF,Sarosi GA

更新日期：2001-10-01 00:00:00

abstract：:Prior to 1978, the conventional treatment of pneumothorax generally consisted of conservative therapies such as rest, needle puncture, or thoracic cavity drainage; however, when conservative therapies were ineffective or relapse occurred therapeutic approach, 34 percent (11/32) of our patients required a thoracotomy. ...

journal_title：Chest

authors： Tsukamoto T,Nakamura H,Satoh T,Yamada K,Nagasawa M

更新日期：1991-10-01 00:00:00

abstract：:Patients with cystic fibrosis (CF) often hypoventilate during sleep with marked falls in oxygen saturation (SaO2%). This occurs most commonly during REM sleep, when there is a reduction in rib cage excursion and a fall in end-expiratory lung volume (EELV). The aim of this study was to examine the effect of nocturnal n...

journal_title：Chest

authors： Regnis JA,Piper AJ,Henke KG,Parker S,Bye PT,Sullivan CE

更新日期：1994-12-01 00:00:00

abstract：STUDY OBJECTIVES:The aim of this study was to develop an acute asthma index for utilization in the early differentiation between patients with poor and good therapeutic response in the emergency department (ED) setting. SETTING:The ED of a large tertiary-care hospital in Montevideo, Uruguay. PATIENTS AND DESIGN:The s...

journal_title：Chest

authors： Rodrigo G,Rodrigo C

更新日期：1998-10-01 00:00:00

abstract：STUDY OBJECTIVES:To determine the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the dipyridamole stress test (DSST) in predicting > or = 50% obstruction of an internal mammary artery or new native coronary artery disease (CAD) compared with saphenous vein graft obstru...

journal_title：Chest

authors： Deluca AJ,Cusack E,Aronow WS,Monsen CE

更新日期：2004-10-01 00:00:00

abstract：:In two patients a documented Texas A2 influenza infection was associated with the development of interstitial pulmonary disease. One patient had an acute fulminating process resulting in respiratory failure and necessitating ventilatory assistance. Open lung biopsy revealed a histologic picture consistent with usual i...

journal_title：Chest

authors： Pinsker KL,Schneyer B,Becker N,Kamholz SL

更新日期：1981-08-01 00:00:00

abstract：OBJECTIVE:Symptomatic malignant pleural effusions are common sequelae in patients with certain malignancies. Pleurodesis via bedside thoracostomy is the current treatment option most commonly used. To our knowledge, this is the first prospective randomized trial to examine which agent, bleomycin or talc slurry, is supe...

journal_title：Chest

authors： Zimmer PW,Hill M,Casey K,Harvey E,Low DE

更新日期：1997-08-01 00:00:00

abstract：CASE PRESENTATION:A 62-year-old woman with a history of partially treated Graves disease and hypertension presented with approximately 3 weeks of worsening fatigue, lower extremity myalgias, and shortness of breath. Her medical history included a thyroid radiofrequency ablation several years earlier. Following the abla...

journal_title：Chest

authors： Park BD,Lyn-Kew K,Granchelli A,Mehta A

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Central sleep apnea (CSA) is common among patients with heart failure (HF) and is promoted by elevated CO2 chemosensitivity. Left atrial size is a marker of the hemodynamic severity of HF. The aim of this study was to determine if left atrial size predicts chemosensitivity to CO2 and CSA in patients with HF....

journal_title：Chest

authors： Calvin AD,Somers VK,Johnson BD,Scott CG,Olson LJ

更新日期：2014-07-01 00:00:00

abstract：:The clinical and histopathologic features of pulmonary amyloidosis were reviewed in 22 patients with systemic amyloidosis who came to autopsy. Eleven of 12 patients (92 percent) with primary amyloidosis had prominent interalveolar amyloid deposits. Symptoms attributable to these deposits were found in four cases (33 p...

journal_title：Chest

authors： Celli BR,Rubinow A,Cohen AS,Brody JS

更新日期：1978-11-01 00:00:00

abstract：BACKGROUND:Postnasal drip (PND) is a common symptom associated with upper respiratory tract disorders. It occurs without other symptoms or combined with chronic rhinosinusitis. However, the pathophysiology of PND is debated to this day, and an objective definition of PND has not been established. Therefore, we aimed to...

journal_title：Chest

authors： Bucher S,Schmid-Grendelmeier P,Soyka MB

更新日期：2019-10-01 00:00:00

abstract：STUDY OBJECTIVES:(1) To determine physician preferences in the management of warfarin-induced excessive anticoagulation (AC); and (2) to assess compliance with the American College of Chest Physicians (ACCP) guidelines for the reversal of excessive AC. DESIGN:Cross-sectional physician survey. PARTICIPANTS:Members of ...

journal_title：Chest

authors： Wilson SE,Douketis JD,Crowther MA

更新日期：2001-12-01 00:00:00

abstract：INTRODUCTION:The diaphragm plays a pivotal role in weaning and successful extubation. We hypothesized that ultrasonographic evaluation of the movements of the diaphragm by measuring liver/spleen displacement during spontaneous breathing trials is a good predictor for extubation outcome. PATIENTS AND METHODS:The studie...

journal_title：Chest

authors： Jiang JR,Tsai TH,Jerng JS,Yu CJ,Wu HD,Yang PC

更新日期：2004-07-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate whether the respiratory changes in peak velocity (Vpeak) of aortic blood flow could be related to the effects of volume expansion on cardiac index. DESIGN:Prospective clinical study. SETTING:Medical ICUs of a university hospital (20 beds) and of a nonuniversity hospital (15 beds). PATI...

journal_title：Chest

authors： Feissel M,Michard F,Mangin I,Ruyer O,Faller JP,Teboul JL

更新日期：2001-03-01 00:00:00

abstract：CASE PRESENTATION:A 38-year-old man of Indian origin, who migrated to Greece 13 years prior to presentation, was admitted to our hospital with a 2-month history of nonprogressive, intermittent (mostly evening), low-grade (up to 38.5°C) fever, accompanied by night sweats, dry cough, mild dyspnea on exertion (modified Me...

journal_title：Chest

authors： Papadopoulos D,Nakou A,Lymperopoulos K,Filaditaki V

更新日期：2018-10-01 00:00:00

abstract：:Widespread use of thrombolytic agents in a variety of settings has highlighted the need for measures of safety and efficacy. Previously used laboratory parameters, such as decreasing levels of fibrinogen and increasing levels of fibrin(ogen) degradation products (FDPs), have failed to correlate consistently with hemor...

journal_title：Chest

authors： Hirsch DR,Goldhaber SZ

更新日期：1990-04-01 00:00:00