Spirometry: don't blow it!

abstract：BACKGROUND:Lidocaine is used to alleviate procedural pain but paradoxically increases pain during injection. Pain perception can be modulated by non-noxious stimuli such as temperature or touch according to the gate control theory of pain. We postulated that lidocaine dripped onto the skin prior to injection would cool...

journal_title：Chest

authors： Patel BK,Wendlandt BN,Wolfe KS,Patel SB,Doman ER,Pohlman AS,Hall JB,Kress JP

更新日期：2018-10-01 00:00:00

abstract：:Bronchopulmonary Kaposi's sarcoma (KS) occurs in 20 percent of AIDS patients with cutaneous involvement; however, complete endobronchial occlusion is uncommon. Moreover, bronchopulmonary KS is infrequent in the absence of cutaneous manifestations. We report a case of documented complete endobronchial obstruction by KS...

journal_title：Chest

authors： Chin R Jr,Jones DF,Pegram PS,Haponik EF

更新日期：1994-05-01 00:00:00

abstract：:Cardiac tamponade, a potentially lethal complication following cardiac surgery, may present either early or late postoperatively and may be difficult to diagnose due to atypical clinical, hemodynamic, or echocardiographic findings. To determine the frequency and clinical features of postoperative cardiac tamponade, we...

journal_title：Chest

authors： Russo AM,O'Connor WH,Waxman HL

更新日期：1993-07-01 00:00:00

abstract：:Peripheral undefined pulmonary nodules have become a favorable indication for the videoendoscopic approach in thoracic surgery. In our latest experience, we also successfully applied this technique in centrally located lesions of the lung. In reviewing our first 29 cases, we looked for preoperative features of videoen...

journal_title：Chest

authors： Schwarz CD,Lenglinger F,Eckmayr J,Schauer N,Hartl P,Mayer KH

更新日期：1994-11-01 00:00:00

abstract：:Cytomegaloviral infection presenting in an immunologically compromised host as a solitary pulmonary nodule has not previously been reported. A patient with a renal transplant and with no pulmonary symptoms was noted to have a single nodule on a chest roentgenogram. At autopsy, this proved to be secondary to cytomegalo...

journal_title：Chest

authors： Ravin CE,Smith GW,Ahern MJ,McLoud T,Putman C,Milchgrub S

更新日期：1977-02-01 00:00:00

abstract：BACKGROUND:Despite increasing knowledge about partial liquid ventilation (PLV), the optimal dose of perfluorocarbon (PFC) is not yet established. Because there exist normal regions in the lung with ARDS and because PLV in the normal lung results in worsened gas exchange, we postulated that the optimal dose of PFC for P...

journal_title：Chest

authors： Lim CM,Koh Y,Jung BO,Lee SD,Kim WS,Kim DS,Kim WD

更新日期：2000-01-01 00:00:00

abstract：:alpha 1-Antitrypsin (alpha 1-AT) accumulates in the rough endoplasmic reticulum through a mechanism of polymerization. Polymerization is favored by the incorrect tertiary structure of the alpha 1-AT caused by a point mutation at position 342 of the protein. Accumulation of alpha 1-AT in the liver cells (and in hepatoc...

journal_title：Chest

authors： Massi G

更新日期：1996-12-01 00:00:00

abstract：:The characteristic arteriopathy of primary pulmonary hypertension (PPH) with attendant endothelial dysfunction provides an opportunity for enhanced cellular activation in the lung. Data from many laboratories support the concept of altered eicosanoid metabolism in PPH. Rigorously quantitative measurements of the excre...

journal_title：Chest

authors： Christman BW

更新日期：1998-09-01 00:00:00

abstract：:The long-term pulmonary consequences of right middle lobe syndrome (RMLS) in childhood are not known. Therefore, outcome was evaluated in 17 children with RMLS diagnosed in early childhood (mean age, 3.3 years; SD, 1.1 year). Mean age at follow-up was 10.1 years (SD, 2.6 years). RMLS was defined as atelectasis of the ...

journal_title：Chest

authors： De Boeck K,Willems T,Van Gysel D,Corbeel L,Eeckels R

更新日期：1995-07-01 00:00:00

abstract：:This study investigated the effect of dynamic exercise on mitral regurgitation (MR) as assessed by color flow Doppler imaging and tested the hypothesis that MR increases in patients with left ventricular (LV) function worsening during exercise. We studied 513 patients (390 men, 123 women:mean age [+/-1 SD] 58+/-11 yea...

journal_title：Chest

authors： Peteiro J,Freire E,Montserrat L,Castro-Beiras A

更新日期：1998-10-01 00:00:00

abstract：BACKGROUND:The clinical course of idiopathic pulmonary fibrosis (IPF) is characterized by progressive decline in lung function and eventual mortality. We sought to determine if future declines in pulmonary function, mortality, or both can be predicted from prior trends in pulmonary function tests (PFTs). METHODS:Data ...

journal_title：Chest

authors： Schmidt SL,Tayob N,Han MK,Zappala C,Kervitsky D,Murray S,Wells AU,Brown KK,Martinez FJ,Flaherty KR

更新日期：2014-03-01 00:00:00

abstract：:Pulmonary encroachment by a large chronic pericardial effusion is reported in a woman with pericardiocentesis whom we recently treated. A restrictive pulmonary impairment is documented with pulmonary function data obtained before and after drainage of the effusion and the patient's dyspnea improved. ...

journal_title：Chest

authors： Kane GC,Figueroa WG

更新日期：1988-02-01 00:00:00

abstract：BACKGROUND:Shared decision-making is an essential element of low-dose CT (LDCT) screening for lung cancer. Understanding patient-level outcomes from the National Lung Screening Trial (NLST) is critical to effectively communicate risks and benefits of screening to patients. METHODS:We performed a secondary analysis of ...

journal_title：Chest

authors： Iaccarino JM,Silvestri GA,Wiener RS

更新日期：2019-11-01 00:00:00

abstract：:A 60-year-old man with massive hemoptysis was treated successfully by modified bronchoscopic balloon tamponade technique. Compared with previously reported techniques, the modified technique requires no special catheter, no complicated maneuver, and is able to be applied to more massive bleeding. ...

journal_title：Chest

authors： Kato R,Sawafuji M,Kawamura M,Kikuchi K,Kobayashi K

更新日期：1996-03-01 00:00:00

abstract：:We studied hemodynamic and oxygen transport parameters in 12 stable critically ill patients on assist control (ACV), synchronized intermittent mandatory (SIMV), and pressure support (PSV) ventilatory modes. Patients were optimally ventilated on ACV, were awake, and capable of spontaneous breathing. After baseline meas...

journal_title：Chest

authors： Sternberg R,Sahebjami H

更新日期：1994-06-01 00:00:00

abstract：:Numerous clinical trials of chemotherapy for tuberculosis conducted throughout the world over the past 4 decades have established 2 basic principles of treatment: effective treatment requires the initial concomitant administration of at least 2 drugs to which the patient's organisms are susceptible; and cure of tuber...

journal_title：Chest

authors： Snider DE Jr,Cohn DL,Davidson PT,Hershfield ES,Smith MH,Sutton FD Jr

更新日期：1985-02-01 00:00:00

abstract：STUDY OBJECTIVE:To compare the diagnostic performance of volumetric capnography (VCap), which is the plot of the expired CO(2) partial pressure against the expired volume during a single breath, with the PaCO(2) to end-tidal CO(2) (EtCO(2)) gradient, in the case of suspected pulmonary embolism (PE). DESIGN:Single-cent...

journal_title：Chest

authors： Verschuren F,Liistro G,Coffeng R,Thys F,Roeseler J,Zech F,Reynaert M

更新日期：2004-03-01 00:00:00

abstract：OBJECTIVE:Ultrafiltration (UF) can improve the exercise performance of patients with moderate congestive heart failure (CHF). Our aim was to define the starting levels of performance below which UF is beneficial. PATIENTS AND METHOD:We studied 26 patients in 2 to 3 NYHA class, whose clinical condition was stable, left...

journal_title：Chest

authors： Marenzi GC,Lauri G,Guazzi M,Perego GB,Agostoni PG

更新日期：1995-07-01 00:00:00

abstract：BACKGROUND:Strong evidence exists for clinically relevant night-to-night variability of respiratory events in patients with suspected OSA. RESEARCH QUESTION:How many sleep study nights are required to diagnose OSA accurately? STUDY DESIGN AND METHODS:Patients with suspected OSA underwent up to 14 nights of pulse oxim...

journal_title：Chest

authors： Roeder M,Sievi NA,Bradicich M,Grewe F,Siegfried S,Gaisl T,Kohler M

更新日期：2020-09-25 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：:Follow-up of patients with subclinical inflammatory alveolitis associated with systemic diseases may represent the best opportunity to study the mechanisms responsible for the development of interstitial lung disease. We report a seven-year sequential pulmonary evaluation of one patient with clinically isolated gastri...

journal_title：Chest

authors： Dugas M,Wallaert B,Tonnel AB,Voisin C

更新日期：1989-10-01 00:00:00

abstract：UNLABELLED:STUDY SETTINGS AND INTERVENTIONS: Sixty individuals complaining of dyspnea on exertion, but with normal spirometry and lung volumes and normal chest roentgenograms were reviewed for this study. These individuals were selected from a large group of outpatients (552 individuals over a seven-year period) who we...

journal_title：Chest

authors： Mohsenifar Z,Collier J,Belman MJ,Koerner SK

更新日期：1992-04-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the effectiveness of treatment with corticosteroids in patients with COPD. METHODS:In this study, we investigated the effect of a 2-year treatment with corticosteroids on clinical symptoms and the decline of lung function in 58 nonallergic patients with COPD. Subjects were treated in a dou...

journal_title：Chest

authors： Renkema TE,Schouten JP,Koëter GH,Postma DS

更新日期：1996-05-01 00:00:00

abstract：OBJECTIVE:Congenital airway malacia is one of the few causes of irreversible airways obstruction in children, but the incidence in the general population is unknown. Severe airway malacia or malacia associated with specific syndromes is usually recognized and diagnosed early in infancy, but information about clinical f...

journal_title：Chest

authors： Boogaard R,Huijsmans SH,Pijnenburg MW,Tiddens HA,de Jongste JC,Merkus PJ

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:Epidemiologic investigations of acute lung injury (ALI) and ARDS have focused on mechanically ventilated patients in ICUs, and have reported high mortality rates. We sought to determine the incidence and lethality of these syndromes in the respiratory isolation areas of general wards, a non-ICU setting that ...

journal_title：Chest

authors： Quartin AA,Campos MA,Maldonado DA,Ashkin D,Cely CM,Schein RMH

更新日期：2009-02-01 00:00:00

abstract：BACKGROUND:Vasodilatory shock refractory to catecholamine vasopressors and arginine vasopressin is highly morbid and responsible for significant mortality. Synthetic angiotensin II is a potent vasoconstrictor that may be suitable for use in these patients. RESEARCH QUESTION:What is the safety and effectiveness of angi...

journal_title：Chest

authors： Wieruszewski PM,Wittwer ED,Kashani KB,Brown DR,Butler SO,Clark AM,Cooper CJ,Davison DL,Gajic O,Gunnerson KJ,Tendler R,Mara KC,Barreto EF

更新日期：2020-08-31 00:00:00

abstract：STUDY DESIGN:We tested the hypothesis that maximal exercise performance in subjects with interstitial lung disease (ILD) is limited by respiratory factors. Assuming this is so, ventilatory stimulation by added dead space (VD) should impair exercise capacity. METHODS:Six subjects with ILD each underwent three maximal i...

journal_title：Chest

authors： Marciniuk DD,Watts RE,Gallagher CG

更新日期：1994-01-01 00:00:00

abstract：BACKGROUND:Endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (EBUS-TBNA) is performed with a dedicated 22- or 21-gauge needle while suction is applied. Fine-needle sampling without suction (capillary sampling) has been studied for endoscopic ultrasound and for biopsies at various body sites and ha...

journal_title：Chest

authors： Casal RF,Staerkel GA,Ost D,Almeida FA,Uzbeck MH,Eapen GA,Jimenez CA,Nogueras-Gonzalez GM,Sarkiss M,Morice RC

更新日期：2012-09-01 00:00:00

abstract：:We studied the correspondence between fluctuations of esophageal pressure measured before and after placement of a nasogastric (NG) tube in six normal volunteers. Flow, airway pressure, and esophageal pressure data from at least 20 breaths were recorded in seven ventilatory conditions in two body postures: 0 degree (s...

journal_title：Chest

authors： Niknam J,Chandra A,Adams AB,Nahum A,Ravenscraft SA,Marini JJ

更新日期：1994-07-01 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