Childhood obstructive sleep-disordered breathing: a clinical update and discussion of technological innovations and challenges.

abstract：BACKGROUND:When evaluating peripheral pulmonary lesions, a 3.0-mm ultrathin bronchoscope (UTB) with a 1.7-mm working channel is advantageous regarding good access to the peripheral airway, whereas a 4.0-mm thin bronchoscope provides a larger 2.0-mm working channel, which allows the use of various instruments including ...

journal_title：Chest

authors： Oki M,Saka H,Asano F,Kitagawa C,Kogure Y,Tsuzuku A,Ando M

更新日期：2019-11-01 00:00:00

abstract：:The last 5 years have brought dramatic changes to the care of patients with severe sepsis. While early diagnosis remains a challenge and, regrettably, a rapid, sensitive, and specific diagnostic test is still lacking, the methods to identify those critically ill patients who are likely to die have become clearer. The ...

journal_title：Chest

authors： Wheeler AP

更新日期：2007-12-01 00:00:00

abstract：BACKGROUND:Heparin-induced thrombocytopenia (HIT) is an antibody-mediated adverse drug reaction that can lead to devastating thromboembolic complications, including pulmonary embolism, ischemic limb necrosis necessitating limb amputation, acute myocardial infarction, and stroke. METHODS:The methods of this guideline f...

journal_title：Chest

authors： Linkins LA,Dans AL,Moores LK,Bona R,Davidson BL,Schulman S,Crowther M

更新日期：2012-02-01 00:00:00

abstract：:Uhl's disease is a rare disorder originally described in 1952 in an infant with severe diffuse right ventricular dysfunction with total absence of the myocardium. Uhl considered the disease to be congenital in origin. We report a patient with severe dilated congestive cardiomyopathy limited to the right ventricle but ...

journal_title：Chest

authors： Bewick DJ,Chandler BM,Montague TJ

更新日期：1986-08-01 00:00:00

abstract：:A 55-year-old woman had bilateral hilar lymphadenopathy and retinouveitis. Microscopic examination of a biopsy specimen from a mediastinal lymph node revealed noncaseating epithelioid cell granulomas. Since granulomatous diseases of infectious origin and sarcoid reaction were reasonably excluded, she was diagnosed as ...

journal_title：Chest

authors： Yamaguchi E,Haneda H,Okazaki N,Abe S,Kawakami Y,Nojima T

更新日期：1989-01-01 00:00:00

abstract：OBJECTIVE:To evaluate the acute effects of noninvasive positive pressure ventilation (NPPV) in patients with stable chronic respiratory failure secondary to cystic fibrosis. PATIENTS:Eight patients (29+/-5 years of age) with severe airflow limitation (mean FEV1, 24+/-3% predicted) and chronic respiratory failure (PaO2...

journal_title：Chest

authors： Granton JT,Kesten S

更新日期：1998-04-01 00:00:00

abstract：:A protocol was originally designed to study breathing control during and following cardiac arrest in humans, taking advantage of the period of pulseless ventricular fibrillation (PVF) produced while testing a newly implanted cardioverter-defibrillator device. A patient aged in his 60s with New York Heart Association c...

journal_title：Chest

authors： Bartsch S,Haouzi P

更新日期：2013-10-01 00:00:00

abstract：:A 30-year-old man with typical findings of the athletic heart syndrome is presented because of the unique feature of intermittent left bundle branch block. Observations during right atrial pacing and exercise support the concept of autonomic control of intraventricular conduction, both adrenergic and cholinergic. ...

journal_title：Chest

authors： Chapman JH

更新日期：1977-06-01 00:00:00

abstract：BACKGROUND:Adjunctive strategies are an important part of the management of ARDS. However, their application in clinical practice remains inconsistent. RESEARCH QUESTION:We wished to determine the frequency and patterns of use of adjunctive strategies in patients with moderate to severe ARDS (Pao2/Fio2 [P/F ratio] < 1...

journal_title：Chest

authors： Duggal A,Rezoagli E,Pham T,McNicholas BA,Fan E,Bellani G,Rubenfeld G,Pesenti AM,Laffey JG,LUNG SAFE Investigators and the ESICM Trials Group.

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:The use of noninvasive ventilation (NIV) in acute exacerbation of COPD has increased over time. However, little is known about patient factors influencing its use in routine clinical practice. METHODS:This was a retrospective cohort study of 723,560 hospitalizations for exacerbation of COPD at 475 hospitals...

journal_title：Chest

authors： Stefan MS,Shieh MS,Pekow PS,Hill N,Rothberg MB,Lindenauer PK

更新日期：2015-04-01 00:00:00

abstract：:Typical pulmonary carcinoid tumors often present as proximal endobronchial masses discovered during the evaluation of cough and/or hemoptysis. We present a case of a carcinoid tumor that presented with spontaneous partial expectoration. A review of the literature revealed 16 cases of expectoration of fragments from va...

journal_title：Chest

authors： Kelly WF,Crawley EA,Vick DJ,Hurwitz KM

更新日期：1999-02-01 00:00:00

abstract：OBJECTIVE:To assess the effect of baseline variables, including treatment, on outcome in patients with nosocomial pneumonia due to methicillin-resistant Staphylococcus aureus (MRSA). DESIGN:Retrospective analysis of data from two prospective, randomized, double-blind studies. SETTING:Multinational study with 134 site...

journal_title：Chest

authors： Wunderink RG,Rello J,Cammarata SK,Croos-Dabrera RV,Kollef MH

更新日期：2003-11-01 00:00:00

abstract：:In patients with chronic obstructive pulmonary disease (COPD) studied at rest, nifedipine releases hypoxic pulmonary vasoconstriction (HPV) and worsens gas exchange. During exercise, this drug lowers pulmonary hypertension, but the effects of this lower pulmonary vascular tone on ventilation-perfusion (VA/Q) relations...

journal_title：Chest

authors： Agustí AG,Barberá JA,Roca J,Wagner PD,Guitart R,Rodriguez-Roisín R

更新日期：1990-02-01 00:00:00

abstract：:Human genetic variation has enormous implications for individual susceptibility to lung disease, as well as for differences in prognosis and response to therapeutic interventions. Single-nucleotide polymorphisms (SNPs) are the most common type of DNA sequence variation. An SNP is the substitution of a single base in t...

journal_title：Chest

authors： Tebbutt SJ,James A,Paré PD

更新日期：2007-04-01 00:00:00

abstract：:The serum concentration of angiotensin-converting enzyme is frequently elevated in individuals with active sarcoidosis. The enzyme is presumably actively synthesized by the epithelioid and giant cells of the granuloma. Hypersensitivity pneumonitis, resulting from the inhalation of antigens from pigeons by susceptible ...

journal_title：Chest

authors： McCormick JR,Thrall RS,Ward PA,Moore VL,Fink JN

更新日期：1981-10-01 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：:In order to test the ability of magnetic resonance (MR) in the detection of pathologic flow conditions in man, we imaged 10 normal volunteers and 10 patients with congestive heart failure (CHF) with ECG-gated MR. We used a single spin-echo sequence on a transverse plane through the main vessels of the upper chest. The...

journal_title：Chest

authors： Casolo GC,Bucciolini M,Giani M,Bisi G

更新日期：1987-10-01 00:00:00

abstract：:The object of this study was to compare the diagnostic yield of Abrams and Cope needles. Pleural biopsies were performed in 24 patients with both needles. In two patients, the procedure was repeated within a few days. All patients had pleural effusion. The biopsies were performed at the same time; the biopsy sites wer...

journal_title：Chest

authors： Morrone N,Algranti E,Barreto E

更新日期：1987-12-01 00:00:00

abstract：:Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) can reliably sample enlarged mediastinal lymph nodes in patients with non-small cell lung cancer (NSCLC), and in practice is mostly used to sample nodes visible on CT or positron emission tomography (PET). Few data are available on the use of...

journal_title：Chest

authors： Herth FJ,Eberhardt R,Krasnik M,Ernst A

更新日期：2008-04-01 00:00:00

abstract：OBJECTIVES:To compare the rapid shallow breathing index (RSBI) under different ventilatory support settings prior to extubation trials. DESIGN:Prospective study. SETTING:Cardiac surgery unit at a university hospital. PATIENTS:A total of 33 coronary artery bypass grafting patients ready for extubation. INTERVENTIONS...

journal_title：Chest

authors： El-Khatib MF,Jamaleddine GW,Khoury AR,Obeid MY

更新日期：2002-02-01 00:00:00

abstract：:In a 75-year-old patient presenting with a solitary pulmonary mass, a localized form of Wegener's granulomatosis was diagnosed after lobectomy. In the absence of extrapulmonary manifestations and after a benign postoperative course, the patients was discharged without medical treatment. Three months later, diffuse alv...

journal_title：Chest

authors： Odeh M,Best LA,Kerner H,Bassan H,Oliven A

更新日期：1993-09-01 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 is unclear whether an abnormal swallowing reflex affects COPD exacerbations. This study investigated the prevalence of abnormal swallowing reflexes and its relationship with COPD exacerbation prospectively. We also clarified its association with gastroesophageal reflux disease (GERD) and airway bacterial ...

journal_title：Chest

authors： Terada K,Muro S,Ohara T,Kudo M,Ogawa E,Hoshino Y,Hirai T,Niimi A,Chin K,Mishima M

更新日期：2010-02-01 00:00:00

abstract：STUDY OBJECTIVES:To validate a previously developed multisystem organ failure (MSOF) score with and without the addition of the lactate dehydrogenase (LDH) level as a predictor of survival to hospital discharge in patients with AIDS-related Pneumocystis carinii pneumonia (PCP) and acute respiratory failure (ARF). DESI...

journal_title：Chest

authors： Forrest DM,Djurdjev O,Zala C,Singer J,Lawson L,Russell JA,Montaner JS

更新日期：1998-07-01 00:00:00

abstract：BACKGROUND:IV fluid represents a basic therapeutic intervention for septic shock. Unfortunately, the optimal administration of IV fluid to maximize patient outcomes and prevent complications is largely unknown. METHODS:Patients with septic shock admitted to the medical ICUs of Barnes-Jewish Hospital (January to Decemb...

journal_title：Chest

authors： Chen C,Kollef MH

更新日期：2015-12-01 00:00:00

abstract：:We reviewed results of 78 diagnostic thoracoscopic examinations of patients with lung cancer and homolateral pleural effusion. The study stresses the main locations of pleural metastasis in cases of lung cancer and correlates these data with the pleural spread from extrathoracic primary neoplasms. Also pointed out is ...

journal_title：Chest

authors： Cantó A,Ferrer G,Romagosa V,Moya J,Bernat R

更新日期：1985-05-01 00:00:00

abstract：STUDY OBJECTIVE:To obtain information about the diagnosis and management of primary pulmonary hypertension (PPH), especially about the use of epoprostenol (Glaxo-Wellcome; Research Triangle Park, NC) in this patient population. BACKGROUND:Long-term IV epoprostenol therapy was approved recently for use in patients with...

journal_title：Chest

authors： Robbins IM,Christman BW,Newman JH,Matlock R,Loyd JE

更新日期：1998-11-01 00:00:00

abstract：:A prospective study of community-acquired pneumonia in Hong Kong was carried out between January and December, 1988. Ninety adults (57 male) with a mean age of 57.3 years were admitted to the Prince of Wales Hospital with community-acquired pneumonia. The etiologic diagnosis of pneumonia was made in 37 cases (41 perce...

journal_title：Chest

authors： Chan CH,Cohen M,Pang J

更新日期：1992-02-01 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：:Pill aspiration represents a unique type of foreign body aspiration requiring a distinct diagnostic and therapeutic approach. In many cases, the "foreign body" itself may no longer be present, whereas the airway manifestations may persist for months to years. Limited data exist to guide management decisions. We report...

journal_title：Chest

authors： Kinsey CM,Folch E,Majid A,Channick CL

更新日期：2013-06-01 00:00:00