Ventilator-associated pneumonia: impact of organisms on clinical resolution and medical resources utilization.

abstract：STUDY OBJECTIVE:With the development of percutaneous inferior vena cava (IVC) filters, IVC interruption has become a widely used procedure in patients with or at risk for venous thromboembolism. In an attempt at clarifying the indications for filter placement, a systematic literature review was undertaken. DESIGN:Bibl...

journal_title：Chest

authors： Girard P,Stern JB,Parent F

更新日期：2002-09-01 00:00:00

abstract：:Oxygen uptake (VO2) reflects the rate of aerobic regeneration of high-energy phosphate compounds (primarily adenosine triphosphate [ATP]). Since lactate increase is thought to result from an inadequate rate of aerobic ATP regeneration, it might be expected that lactate increase would be associated with a delayed attai...

journal_title：Chest

authors： Zhang YY,Wasserman K,Sietsema KE,Ben-Dov I,Barstow TJ,Mizumoto G,Sullivan CS

更新日期：1993-03-01 00:00:00

abstract：:We report a patient with ischemic cardiomyopathy who was treated with a continuous high dose infusion of intravenous nitroglycerin for six months while awaiting cardiac transplantation. Surprisingly, methemoglobinemia did not develop and nitroglycerin continued to be clinically effective in relieving angina during the...

journal_title：Chest

authors： Perry GY,Murali S,Uretsky BF

更新日期：1991-11-01 00:00:00

abstract：BACKGROUND:Self-reported tobacco pack-year history plays a large role in decisions about low-dose CT screening for lung cancer, yet is challenging to measure accurately. RESEARCH QUESTION:To what extent does random measurement error in pack-year information impact screening decisions and screening effectiveness? STUD...

journal_title：Chest

authors： Caverly TJ,Zhang X,Hayward RA,Zhu J,Waljee AK

更新日期：2020-09-14 00:00:00

abstract：:This report describes a patient with right lower lung (RLL) pneumonia of a subacute nature. Sputum and bronchial washings both grew N asteroides. Open lung biopsy showed bronchiolitis obliterans. Both the clinical and radiologic picture dramatically improved during three weeks of treatment with trimethoprim and sulfam...

journal_title：Chest

authors： Camp M,Mehta JB,Whitson M

更新日期：1987-12-01 00:00:00

abstract：:Serum angiotensin-converting enzyme activity (SACE) and lysozyme activity were measured in a group of 40 underground coal miners and two control groups, 20 subjects with sarcoidosis and 15 normal non-dust-exposed volunteers. The miners were grouped first according to whether they had recent exposure (still actively mi...

journal_title：Chest

authors： Thompson AB,Cale WF,Lapp NL

更新日期：1991-10-01 00:00:00

abstract：:Acute elevation of the ST segment in several ECG leads was observed in seven patients with bacterial shock during the course of therapy. Six patients had bacterial pneumonia, one had acute cholecystitis, and none had a previous history of heart disease. At the onset of the ST elevation, all patients were receiving dop...

journal_title：Chest

authors： Terradellas JB,Bellot JF,Sarís AB,Gil CL,Torrallardona AT,Garriga JR

更新日期：1982-04-01 00:00:00

abstract：:Colonization of the lower respiratory tract by enteric Gram-negative bacilli (EGNB) has been a frequent finding in patients with long-term tracheostomies; however, the association of hospitalization and certain features of serious illness with this phenomenon has not been clearly established. Because such factors can ...

journal_title：Chest

authors： Niederman MS,Ferranti RD,Zeigler A,Merrill WW,Reynolds HY

更新日期：1984-01-01 00:00:00

abstract：:The dynamics of cerebral blood flow velocity (CBFV) during sleep were investigated in the right middle cerebral artery of 10 patients with sleep apnea syndrome (SAS) (mean age, 37 years) and 10 healthy control subjects (mean age, 32 years) throughout the entire sleep period. A computer-assisted pulsed (2 MHz) transcra...

journal_title：Chest

authors： Hajak G,Klingelhöfer J,Schulz-Varszegi M,Sander D,Rüther E

更新日期：1996-09-01 00:00:00

abstract：:A 75-year-old man with a history of resected colon carcinoma presented to his primary care physician because of a new onset of coughing. The patient had expectorated a small piece of solid tissue; pathologic examination of the tissue found it to be consistent with metastatic colon adenocarcinoma. After further work-up...

journal_title：Chest

authors： Zias EA,Owen RP,Borczuk A,Reichel J,Frater RW

更新日期：1998-01-01 00:00:00

abstract：:Advances in critical care practice have led to a substantial decline in the incidence of ARDS over the past several years. Low tidal volume ventilation, timely resuscitation and antimicrobial administration, restrictive transfusion practices, and primary prevention of aspiration and nosocomial pneumonia have likely co...

journal_title：Chest

authors： Beitler JR,Schoenfeld DA,Thompson BT

更新日期：2014-10-01 00:00:00

abstract：:We report a patient in whom cardiac magnetic resonance imaging detected a clinically unsuspected pulmonary artery thromboembolus. Follow-up MRI after surgical removal of the thromboembolus showed normal pulmonary arteries. This case illustrates the potential utility of MRI in the detection and follow-up of central pul...

journal_title：Chest

authors： Szucs RA,Rehr RB,Tatum JL

更新日期：1989-01-01 00:00:00

abstract：STUDY OBJECTIVE:Factors influencing diastolic filling of the left ventricle may serve as critical determinants of both maximal cardiac output and oxygen uptake. This study was conducted to assess diastolic filling dynamics of the left ventricle during progressive upright cycle exercise in children. METHODS:Twelve boys...

journal_title：Chest

authors： Rowland T,Mannie E,Gawle L

更新日期：2001-07-01 00:00:00

abstract：BACKGROUND:Population-based studies have documented an association between obesity and an increased prevalence of asthma in women. METHODS:We prospectively studied 58 obese women with a body mass index of > 30 kg/m(2), 24 of whom had asthma, who were enrolled in an intensive 6-month weight loss program to determine wh...

journal_title：Chest

authors： Aaron SD,Fergusson D,Dent R,Chen Y,Vandemheen KL,Dales RE

更新日期：2004-06-01 00:00:00

abstract：OBJECTIVE:To ascertain the differences in smoking characteristics between a group of smokers with COPD and another group of healthy smokers, both of which were identified in a population-based epidemiologic study. DESIGN AND PARTICIPANTS:This is an epidemiologic, multicenter, population-based study conducted in seven ...

journal_title：Chest

authors： Jiménez-Ruiz CA,Masa F,Miravitlles M,Gabriel R,Viejo JL,Villasante C,Sobradillo V

更新日期：2001-05-01 00:00:00

abstract：:Based on the theory that obstructive (OSA) and central (CSA) sleep apneas share common pathophysiologic mechanisms, we attempted to treat eight patients with predominantly CSA by continuous positive airway pressure (CPAP). All patients exhibited repetitive episodes of CSA and mixed sleep apneas (MSA) in the supine pos...

journal_title：Chest

authors： Issa FG,Sullivan CE

更新日期：1986-08-01 00:00:00

abstract：:This article describes the methodology for the Seventh American College of Chest Physicians (ACCP) Conference on Antithrombotic and Thrombolytic Therapy: Evidence-Based Guidelines. Guideline authors began by specifying the population, the intervention and alternative, and the outcomes for each clinical question, and d...

journal_title：Chest

authors： Schünemann HJ,Munger H,Brower S,O'Donnell M,Crowther M,Cook D,Guyatt G

更新日期：2004-09-01 00:00:00

abstract：:Preclinical studies indicate that allogeneic human mesenchymal stem cells (MSC) may be useful for the treatment of several clinical disorders, including sepsis, acute renal failure, acute myocardial infarction, and more recently, acute lung injury (ALI). This article provides a brief review of the biologic qualities o...

journal_title：Chest

authors： Matthay MA,Thompson BT,Read EJ,McKenna DH Jr,Liu KD,Calfee CS,Lee JW

更新日期：2010-10-01 00:00:00

abstract：:Two subjects had silicosis complicated by tuberculosis. In both patients, there was a relapse of the tuberculosis after chemotherapy was discontinued, in one case after 13 years of therapy with isoniazid and p-aminosalicylic acid. It would appear that the risk of tuberculosis in subjects with silicosis persists for li...

journal_title：Chest

authors： Morgan EJ

更新日期：1979-02-01 00:00:00

abstract：:The antimicrobial resistance problem in hospitals continues to worsen. In particular, extended-spectrum beta-lactamase-producing Klebsiella pneumoniae (ESBL-KP) and vancomycin-resistant enterococci (VRE) are significant causes of morbidity and mortality among critically ill patients. Treating infections caused by thes...

journal_title：Chest

authors： Patterson JE

更新日期：2001-02-01 00:00:00

abstract：:A 66-year-old man with a history of COPD and Aspergillus fumigatus infection developed massive hemoptysis. Pulmonary artery angiography revealed an aneurysm which was successfully treated with coil embolization. This is the first known report of a pulmonary artery aneurysm causing massive hemoptysis in a patient with ...

journal_title：Chest

authors： Bowler RP,Durham J,Schwarz MI

更新日期：1998-04-01 00:00:00

abstract：STUDY OBJECTIVE:The aim of this study was to investigate the basal level as well as the tumor necrosis factor (TNF)-alpha- and interferon (IFN)-gamma-induced expression and release of the neutrophil chemoattractants interleukin (IL)-8 and growth-related oncogene (GRO)-alpha in primary bronchial epithelial cells (PBECs)...

journal_title：Chest

authors： Schulz C,Krätzel K,Wolf K,Schroll S,Köhler M,Pfeifer M

更新日期：2004-05-01 00:00:00

abstract：:A patient underwent exercise testing during evaluation for unexplained dyspnea. Evidence of ventilation-perfusion mismatch was noted and subsequent testing revealed multiple pulmonary emboli. Ventilation perfusion parameters by serial exercise testing progressively improved during the course of the patient's illness b...

journal_title：Chest

authors： Helmers RA,Zavala DC

更新日期：1988-09-01 00:00:00

abstract：BACKGROUND:While the beneficial effect of exercise capacity on mortality is well-accepted, its effect on health-care costs remains uncertain. This study investigates the relationship between exercise capacity and health-care costs. METHODS:The Veterans Affairs Health Care System recently implemented a Decision Support...

journal_title：Chest

authors： Weiss JP,Froelicher VF,Myers JN,Heidenreich PA

更新日期：2004-08-01 00:00:00

abstract：:Herein is a report of an adult case of primary HIV infection with cytomegalovirus coinfection causing cough, fever, and lymphocytic alveolitis. Primary HIV infection has not been previously reported as a cause of lymphocytic alveolitis. ...

journal_title：Chest

authors： Jouveshomme S,Couderc LJ,Ferchal F,Vignon D,Autran B,Balloul E,Caubarrere I

更新日期：1997-10-01 00:00:00

abstract：:Intravenous rtPA (total dose, 100 mg over 3 h) was compared with placebo in a prospective, randomized, double-blind trial in 5,011 patients with suspected AMI of less than 5 h duration. No ECG or enzymatic confirmation of the diagnosis was required for study entry. At 1 month 9.8% of patients given placebo had died co...

journal_title：Chest

authors： Wilcox RG

更新日期：1989-05-01 00:00:00

abstract：BACKGROUND:We hypothesized that breathing helium-hyperoxia (HeO2) would significantly improve 6-min walking test (6MWT) distance in COPD subjects. METHODS:This was a blinded, randomized crossover study. At visit 1, we assessed pulmonary function, exercise capacity, and 6MWT distance. Visits 2 and 3 consisted of four 6...

journal_title：Chest

authors： Marciniuk DD,Butcher SJ,Reid JK,MacDonald GF,Eves ND,Clemens R,Jones RL

更新日期：2007-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the prevalence of thrombocytopenia in an ICU and assess which factors were associated with thrombocytopenia. DESIGN:A review of the medical records of patients admitted during 3 separate months during 1 academic year. Patients must have survived at least 12 h in the ICU. SETTING:A medical...

journal_title：Chest

authors： Baughman RP,Lower EE,Flessa HC,Tollerud DJ

更新日期：1993-10-01 00:00:00

abstract：BACKGROUND:Exhaled nitric oxide (eNO) is a convenient noninvasive marker for airway inflammation in several pulmonary diseases. However, external factors such as nitrate-rich nutrition can affect the levels of eNO and thus compromise its diagnostic value. STUDY OBJECTIVES:The objective of this investigation was to hav...

journal_title：Chest

authors： Vints AM,Oostveen E,Eeckhaut G,Smolders M,De Backer WA

更新日期：2005-10-01 00:00:00

abstract：:A mechanical model was employed to examine phase and amplitude relationships between simulated pleural and mouth pressures during panting at different frequencies with and without lower airway obstruction and with rigid or flaccid extrathoracic airways. Results confirm the hypothesis that, in the presence of lower air...

journal_title：Chest

authors： Knudson RJ,Knudson DE

更新日期：1984-10-01 00:00:00