Comparative studies using a rigid thoracoscope and fiberoptic bronchoscope to treat spontaneous pneumothorax.

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. Consequently, in 1981, we began to use alternative therapies to reduce the need for thoracotomy. In this report, we describe the results of using a rigid thoracoscope and fiberoptic bronchoscope for the treatment of spontaneous pneumothorax. Initially, we treated 31 of 79 patients with a rigid thoracoscope and electrocoagulation therapy. Therapy was effective in 17 (55 percent) of the patients. Only 13 (16 percent) of the 79 patients required a thoracotomy, which represents a 50 percent reduction in incidence. Of the 14 cases in which therapy was ineffective, the major cause of failure was our inability to view a broad thoracic area and treat all blebs with a rigid thoracoscope. Subsequently, we developed a method using a fiberoptic bronchoscope (FB), which allows an unrestricted view of the thoracic area, in combination with electrocoagulation and fibrinogen or thrombin solution (or both) for the treatment of spontaneous pneumothorax. We treated 19 of 39 patients with the FB method. Treatment was effective in 15 (80 percent) of the patients. Only 4 (10 percent) of the 39 patients required a thoracotomy, which is a reduction of over 60 percent in our original incidence.

journal_name

Chest

journal_title

Chest

authors

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

doi

10.1378/chest.100.4.953

subject

Has Abstract

pub_date

1991-10-01 00:00:00

pages

953-8

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)32482-5

journal_volume

100

pub_type

杂志文章

相关文献

CHEST文献大全
  • Activation of bronchial epithelial cells in smokers without airway obstruction and patients with COPD.

    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

    pub_type: 杂志文章

    doi:10.1378/chest.125.5.1706

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

    更新日期:2004-05-01 00:00:00

  • Reducing maintenance and repair costs in an interventional pulmonology program.

    abstract:BACKGROUND:In the current economic climate, hospitals and academic institutions demand that medical departments function in an efficient and cost-effective manner. Detailed business plans are necessary to build new clinical programs, and institutions have learned that new programs are associated with significant costs ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.4.1382

    authors: Lunn W,Garland R,Gryniuk L,Smith L,Feller-Kopman D,Ernst A

    更新日期:2005-04-01 00:00:00

  • Prolonged myocardial ischemia after intravenous dipyridamole thallium imaging.

    abstract::Intravenous dipyridamole thallium imaging is reported to be a safe test with minimal side effects. It has been proposed by some that the test simply dilates the coronary vessels without actually producing myocardial ischemia. In this report, we describe a patient who, following intravenous dipyridamole thallium imagin...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.92.6.1102

    authors: Lewen MK,Labovitz AJ,Kern MJ,Chaitman BR

    更新日期:1987-12-01 00:00:00

  • Detection of aortopulmonary window with ventricular septal defect by Doppler color flow imaging.

    abstract::Aortopulmonary window is a rare congenital cardiac anomaly. When it coexists with a ventricular septal defect, the accurate diagnosis of aortopulmonary window on the basis of clinical examination is difficult. We report the case of an infant who had an aortopulmonary window together with a ventricular septal defect. A...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.1.280

    authors: Horimi H,Hasegawa T,Shiraishi H,Endo H,Yanagisawa M

    更新日期:1992-01-01 00:00:00

  • Dose-ranging study of the clinical efficacy of twice-daily triamcinolone acetonide inhalation aerosol in moderately severe asthma.

    abstract:OBJECTIVES:This multicenter, double-blind, placebo-controlled study evaluated the dose response to 6 weeks of triamcinolone acetonide inhalation aerosol (TAA, 100 microg per puff) in patients with moderately severe asthma. STUDY DESIGN:A total of 285 patients were randomly assigned to treatment with 1, 2, 4, or 8 puff...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.112.3.597

    authors: Welch MJ,Levy S,Smith JA,Feiss G,Farrar JR

    更新日期:1997-09-01 00:00:00

  • Combination antihypertensive therapy among patients with COPD.

    abstract:BACKGROUND:COPD and hypertension both increase the risk of congestive heart failure (CHF). Current clinical trials do not inform the selection of combination antihypertensive therapy among patients with COPD. We performed a comparative effectiveness study to investigate whether choice of dual agent antihypertensive the...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.12-1770

    authors: Herrin MA,Feemster LC,Crothers K,Uman JE,Bryson CL,Au DH

    更新日期:2013-05-01 00:00:00

  • Emergency room intubations--complications and survival.

    abstract::Forty-three consecutive patients requiring endotracheal intubation in an emergency room were studied prospectively to define the complications associated with intubation and the survival of these patients, and to evaluate emergency room policies. The indications for intubation were acute respiratory failure (ARF) in 2...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.5.541

    authors: Taryle DA,Chandler JE,Good JT Jr,Potts DE,Sahn SA

    更新日期:1979-05-01 00:00:00

  • Massive hemoptysis from a pulmonary artery aneurysm associated with an emphysematous bulla.

    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

    pub_type: 杂志文章

    doi:10.1378/chest.113.4.1130

    authors: Bowler RP,Durham J,Schwarz MI

    更新日期:1998-04-01 00:00:00

  • Emergency Medical Treatment and Labor Act: what every physician should know about the federal antidumping law.

    abstract::Since 1986, the Emergency Medical Treatment and Labor Act (EMTALA) has imposed an obligation on hospitals and physicians to evaluate and stabilize patients who present to a hospital ED seeking care. Available sanctions for noncompliance include fines, damages awarded in civil litigation, and exclusion from Medicare. E...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.14-2046

    authors: Hyman DA,Studdert DM

    更新日期:2015-06-01 00:00:00

  • Interleukin-2 and soluble interleukin-2 receptor in bronchoalveolar lavage fluid from patients with bronchial asthma.

    abstract::To clarify the interrelation between interleukin-2 (IL-2) and soluble IL-2R receptor (sIL-2R), as products of T-cell activation in the bronchial tree of patients with bronchial asthma, we measured the concentration of IL-2, sIL-2R, and the cellular composition in bronchoalveolar lavage (BAL) fluid. We also measured ph...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.106.2.400

    authors: Park CS,Lee SM,Chung SW,Uh S,Kim HT,Kim YH

    更新日期:1994-08-01 00:00:00

  • Metastatic squamous cell carcinoma of the mediastinum with unknown primary tumor.

    abstract::Although metastatic carcinoma from an unknown primary tumor is known to occur, the combination of squamous cell carcinoma histologic findings and a mediastinal location is quite unusual. The evaluation of a case of a patient with a posterior mediastinal mass, eventually shown to be metastatic squamous cell carcinoma o...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.3.938

    authors: Blanco N,Kirgan DM,Little AG

    更新日期:1998-09-01 00:00:00

  • Bilateral pulmonary artery stenosis associated with pericarditis. Results of surgery and follow-up by magnetic resonance imaging.

    abstract::Reported is a patient with bilateral pulmonary artery stenosis which developed concurrently with an episode of idiopathic pericarditis. This association has been unreported previously. The stenosis was corrected surgically. Postoperatively, magnetic resonance imaging was used to follow the status of the pulmonary arte...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.4.883

    authors: Friedman MJ,Gabor GE,Fishman MC,Griepp RB

    更新日期:1988-04-01 00:00:00

  • Endurance exercise in the presence of heart disease.

    abstract::Although patients with heart disease have successfully completed marathon runs, the immediate cardiac effects of similar and greater distance endurance exercise competition are unknown. Two such cases are presented, demonstrating that vigorous exercise and extreme levels of fitness are not precluded in the cardiac pat...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.3.697

    authors: Douglas PS,Sigler A,O'Toole ML,Hiller WD

    更新日期:1989-03-01 00:00:00

  • Eosinophilic Granulomatosis With Polyangiitis: Clinical Predictors of Long-term Asthma Severity.

    abstract:BACKGROUND:The long-term clinical course of asthma in patients with eosinophilic granulomatosis with polyangiitis (EGPA) remains unclear. We aimed to characterize long-term asthma in EGPA and to identify baseline predictors of long-term asthma severity. METHODS:This retrospective cohort study included patients who ful...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2019.11.045

    authors: Berti A,Cornec D,Casal Moura M,Smyth RJ,Dagna L,Specks U,Keogh KA

    更新日期:2020-05-01 00:00:00

  • Prognostic impact of cancer-associated stromal cells in patients with stage I lung adenocarcinoma.

    abstract:BACKGROUND:The tumor microenvironment, of which cancer-associated fibroblasts (CAFs) and tumor-associated macrophages (TAMs) are the major cellular components, plays an important role in tumor progression. This study evaluated the significance of podoplanin-positive CAFs and CD204-positive TAMs, which may reflect tumor...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-2458

    authors: Ito M,Ishii G,Nagai K,Maeda R,Nakano Y,Ochiai A

    更新日期:2012-07-01 00:00:00

  • Flock worker's lung disease: natural history of cases and exposed workers in Kingston, Ontario.

    abstract:BACKGROUND:The natural history of flock worker's lung (FWL) and longitudinal lung function changes in nylon flock-exposed workers have not been well characterized. METHODS:Symptoms, pulmonary function testing, and chest radiographs from five index cases, subsequent case referrals, and screened employees of a flocking ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.12-0920

    authors: Turcotte SE,Chee A,Walsh R,Grant FC,Liss GM,Boag A,Forkert L,Munt PW,Lougheed MD

    更新日期:2013-06-01 00:00:00

  • Subjective and objective measurement of tidal volume in critically ill patients.

    abstract::Subjective assessment of the respiratory rate and the adequacy of tidal ventilation are the oldest and most widely practiced forms of respiratory monitoring in critically ill patients. Surprisingly, this method of assessment has itself never been evaluated in patients. The estimation of tidal volume in nine patients w...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.87.5.577

    authors: Semmes BJ,Tobin MJ,Snyder JV,Grenvik A

    更新日期:1985-05-01 00:00:00

  • Formoterol as dry powder inhalation. A dose finding study in comparison with formoterol metered dose inhaler and placebo.

    abstract::We compared the bronchodilator effects and systemic tolerability of 12, 24 and 48 micrograms formoterol DP capsules with 12 micrograms formoterol MDI and placebo in 30 patients with reversible obstructive airway disease. Pulmonary function tests were done and pulse rate and blood pressure were recorded. We observed si...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.101.5.1376

    authors: Maesen FP,Costongs R,Smeets SJ,Zweers PG,Goedhart DM

    更新日期:1992-05-01 00:00:00

  • Effect of mechanical ventilation on hepatic drug pharmacokinetics.

    abstract::Mechanical ventilation was able to induce a decrease in cardiac output and regional blood flow, especially hepatic flow. Thus, hepatic elimination of drugs with a high hepatic-extraction ratio, which was linked to alteration in hepatic blood flow, could be reduced during mechanical ventilation. The aim of this work wa...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.6.837

    authors: Richard C,Berdeaux A,Delion F,Riou B,Rimailho A,Giudicelli JF,Auzépy P

    更新日期:1986-12-01 00:00:00

  • Nerve growth factor in serum and lymphocyte culture in pigeon fanciers' acute hypersensitivity pneumonitis.

    abstract:BACKGROUND:Nerve growth factor (NGF) is a neurotrophic cytokine with immunomodulatory activity. NGF contributes to neurogenic inflammation and has been described in asthma and idiopathic pulmonary fibrosis. OBJECTIVES:To identify and quantify NGF in serum and peripheral blood lymphocyte cultures from pigeon fanciers, ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.130.1.37

    authors: McSharry CP,Fraser I,Chaudhuri R,Anderson K,Bourke SJ,Thomson NC,Boyd G

    更新日期:2006-07-01 00:00:00

  • Specific expiratory muscle training in COPD.

    abstract:BACKGROUND:There are several reports showing that expiratory muscle strength and endurance can be impaired in patients with COPD. This muscle weakness may have clinically relevant implications. Expiratory muscle training tended to improve cough and to reduce the sensation of respiratory effort during exercise in patien...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.124.2.468

    authors: Weiner P,Magadle R,Beckerman M,Weiner M,Berar-Yanay N

    更新日期:2003-08-01 00:00:00

  • Proventil HFA provides bronchodilation comparable to ventolin over 12 weeks of regular use in asthmatics.

    abstract:OBJECTIVE:To compare the bronchodilator effectiveness of albuterol reformulated in the chlorofluorocarbon-free propellant hydrofluoroalkane (HFA)134a (Proventil HFA) to that of Ventolin and HFA placebo over 12 weeks of regular dosing. DESIGN:Randomized, double-blind, double-dummy, parallel group, placebo-controlled, m...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1378/chest.113.2.283

    authors: Bleecker ER,Tinkelman DG,Ramsdell J,Ekholm BP,Klinger NM,Colice GL,Slade HB

    更新日期:1998-02-01 00:00:00

  • Serial fiberoptic bronchoscopic observations of endobronchial tuberculosis before and early after antituberculosis chemotherapy.

    abstract:STUDY OBJECTIVE:To evaluate the antituberculous treatment responsiveness of endobronchial tuberculosis in the different stages of evolution. DESIGN:A prospective study before and after trial with 9 months of antituberculosis chemotherapy without steroid. PATIENTS AND INTERVENTION:One hundred thirty-six endobronchial ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.3.673

    authors: Kim YH,Kim HT,Lee KS,Uh ST,Cung YT,Park CS

    更新日期:1993-03-01 00:00:00

  • Effect of routine intensive care interactions on metabolic rate.

    abstract::The alterations in metabolic (oxygen consumption [VO2] and carbon dioxide production [VCO2]) and hemodynamic (heart rate and blood pressure) parameters caused by various common intensive care activities were examined in a group of 23 mechanically-ventilated critically-ill patients. The observed variations in metabolic...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.86.6.815

    authors: Weissman C,Kemper M,Damask MC,Askanazi J,Hyman AI,Kinney JM

    更新日期:1984-12-01 00:00:00

  • Two-dimensional echocardiographic diagnosis of papillary muscle rupture.

    abstract::A 69-year-old man developed a rupture of the papillary muscle on the fifth day of acute posterior myocardial infarction. The two-dimensional echocardiographic features of ruptured papillary muscle included (1) mobile mass of echos attached to normal chordae tendineae in the left ventricle, (2) absent tip of papillary ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.5.595

    authors: Erbel R,Schweizer P,Bardos P,Meyer J

    更新日期:1981-05-01 00:00:00

  • Medical literature and vena cava filters: so far so weak.

    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

    pub_type: 杂志文章,评审

    doi:10.1378/chest.122.3.963

    authors: Girard P,Stern JB,Parent F

    更新日期:2002-09-01 00:00:00

  • Native matrix metalloproteinase characteristics may influence early stenosis of venous versus arterial coronary artery bypass grafting conduits.

    abstract:PURPOSE:Stenosis and occlusion rates of internal mammary artery (IMA) and saphenous vein (SV) coronary artery bypass grafts (CABGs) are markedly different, which result from respective disparities in vascular remodeling. Matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) regulate vascu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.5.1853

    authors: Anstadt MP,Franga DL,Portik-Dobos V,Pennathur A,Bannan M,Mawulawde K,Ergul A

    更新日期:2004-05-01 00:00:00

  • Outcome of patients with idiopathic pulmonary fibrosis admitted to the ICU for respiratory failure.

    abstract:STUDY OBJECTIVES:To analyze the outcome of acute respiratory failure (ARF) in patients with idiopathic pulmonary fibrosis (IPF), and to evaluate the benefits of invasive and noninvasive mechanical ventilation (MV). DESIGN:Retrospective study. SETTING:University hospital. PATIENTS:Fifteen consecutive patients with IP...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.120.1.209

    authors: Blivet S,Philit F,Sab JM,Langevin B,Paret M,Guérin C,Robert D

    更新日期:2001-07-01 00:00:00

  • Very early onset of acute amiodarone pulmonary toxicity presenting with hemoptysis.

    abstract::A case of amiodarone pulmonary toxicity (APT) occurring within days of the start of therapy and presenting with hemoptysis is reported. Both the very early onset and the presenting symptom are highly unusual in this entity. Implications in the diagnosis of APT are discussed. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.111.5.1446

    authors: Goldstein I,Topilsky M,Segev D,Isakov A,Heller I

    更新日期:1997-05-01 00:00:00

  • The effect of body mass index on patient outcomes in a medical ICU.

    abstract:STUDY OBJECTIVES:To examine the effect of patient body mass index (BMI) on outcome in intensive care. DESIGN:In a prospective study, the patients were classified into groups based on the calculated BMI, as follows: BMI < 19.0 (n = 350), > or = 19.0 and < 25.0 (n = 663), > or = 25.0 and < 29.9 (n = 585), > or = 30.0 an...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.6.2125

    authors: Ray DE,Matchett SC,Baker K,Wasser T,Young MJ

    更新日期:2005-06-01 00:00:00