Late admission to the ICU in patients with community-acquired pneumonia is associated with higher mortality.

abstract：:The ventilator discontinuation process is a critical component of ICU care. Ongoing ventilator dependency is caused by both disease factors (eg, respiratory, cardiac, metabolic, and neuromuscular) and clinician management factors (eg, failing to recognize discontinuation potential and inappropriate ventilator settings...

journal_title：Chest

authors： MacIntyre N

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND:Current functional assessments do not allow a reliable assessment of small airways, which are a major site of disease in COPD. Single-breath washout (SBW) tests are feasible and reproducible methods for evaluating small airway disease. Their relevance in COPD remains unknown. METHODS:We performed a cross-se...

journal_title：Chest

authors： Boeck L,Gensmer A,Nyilas S,Stieltjes B,Re TJ,Tamm M,Latzin P,Stolz D

更新日期：2016-11-01 00:00:00

abstract：:A tracheoesophageal fistula was successfully closed with a fibrin adhesive applied by means of a fiberoptic bronchoscope, instead of by esophagoscopy. To facilitate closure of the fistula, the technique was combined with decontamination of the oral cavity, to avoid bacterial contamination. The procedure is proposed as...

journal_title：Chest

authors： Antonelli M,Cicconetti F,Vivino G,Gasparetto A

更新日期：1991-08-01 00:00:00

abstract：:While the outcome of in-hospital cardiopulmonary arrest has been studied extensively, the clinical antecedents of arrest are less well defined. We studied a group of consecutive general hospital ward patients developing cardiopulmonary arrest. Prospectively determined definitions of underlying pathophysiology, severit...

journal_title：Chest

authors： Schein RM,Hazday N,Pena M,Ruben BH,Sprung CL

更新日期：1990-12-01 00:00:00

abstract：BACKGROUND:There is a growing use of procalcitonin (PCT) to facilitate the diagnosis and management of severe sepsis. We investigated the impact of one to two PCT determinations on ICU day 1 on health-care utilization and cost in a large research database. METHODS:A retrospective, propensity score-matched multivariabl...

journal_title：Chest

authors： Balk RA,Kadri SS,Cao Z,Robinson SB,Lipkin C,Bozzette SA

更新日期：2017-01-01 00:00:00

abstract：:The electrical impedance of a pulmonary mass was measured in 53 patients of whom 44 had primary lung cancer, 5 had metastatic lung tumor, and 4 had organizing pneumonia. Because biologic tissue can be regarded, electrically, to consist of extracellular resistance (Re), intracellular resistance (Ri), and the electrical...

journal_title：Chest

authors： Kimura S,Morimoto T,Uyama T,Monden Y,Kinouchi Y,Iritani T

更新日期：1994-06-01 00:00:00

abstract：:A patient with the sick sinus syndrome accompanying mirror-image dextrocardia which was associated with double superior venae cavae and an absent inferior vena cava is presented. A permanent transvenous demand pacemaker was inserted because of repeated episodes of dizziness and a documented 31/2-second period of asyst...

journal_title：Chest

authors： Goyal SL,Lichestein E,Gupta PK,Chadda KD,Lajam F

更新日期：1976-04-01 00:00:00

abstract：STUDY OBJECTIVES:Evidence exists that HIV-seropositive individuals may be at increased risk for the development of precocious pulmonary emphysema. HIV infection is also associated with antioxidant deficiency in both the serum and lungs, and it is therefore possible that increased oxidant stress may contribute to parenc...

journal_title：Chest

authors： Diaz PT,Wewers MD,King M,Wade J,Hart J,Clanton TL

更新日期：2004-11-01 00:00:00

abstract：:The eosinophil count and concentrations of eosinophil cationic protein (ECP) were measured in bronchoalveolar lavage fluid (BALF) from patients with idiopathic pulmonary fibrosis (IPF), pulmonary fibrosis associated with a collagen vascular disorder (PF-CVD), sarcoidosis, and healthy controls. The patients with IPF an...

journal_title：Chest

authors： Fujimoto K,Kubo K,Yamaguchi S,Honda T,Matsuzawa Y

更新日期：1995-07-01 00:00:00

abstract：:The efficacy of bronchoscopy for the diagnosis of tuberculosis in patients infected with human immunodeficiency virus (HIV) has not been systematically evaluated. We therefore compared the diagnostic yield of bronchoscopy in 67 HIV-infected and 45 non-HIV-infected patients with culture-proven pulmonary tuberculosis. I...

journal_title：Chest

authors： Kennedy DJ,Lewis WP,Barnes PF

更新日期：1992-10-01 00:00:00

abstract：:Nd-YAG laser resection of a completely obstructing right mainstem tumor in a 36-year-old man was complicated by right lung hyperinflation and left lung collapse and accompanying ventilatory failure. This was attributed to obstruction of the right mainstem bronchus during exhalation, but not inhalation, in a patent but...

journal_title：Chest

authors： Fairfax WR,Rollins RJ

更新日期：1988-06-01 00:00:00

abstract：OBJECTIVE:To examine the effect of preoperative smoking behavior on postoperative pulmonary complications. DESIGN:Prospective cohort study. SETTING:The Veterans Administration Medical Center, Syracuse, NY. PARTICIPANTS:Patients scheduled for noncardiac elective surgery (n=410). MEASUREMENTS AND RESULTS:Smoking stat...

journal_title：Chest

authors： Bluman LG,Mosca L,Newman N,Simon DG

更新日期：1998-04-01 00:00:00

abstract：:Postural drainage has usually been shown to be an effective component of chest physical therapy; there is currently no data showing a beneficial effect of percussion or vibration; directed coughing may be as efficacious as postural drainage (Table 3); the forced expiration technique may increase sputum clearance with ...

journal_title：Chest

authors： Kirilloff LH,Owens GR,Rogers RM,Mazzocco MC

更新日期：1985-09-01 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：UNLABELLED:STUDY OBJECTIVES AND DESIGN: Health-related quality of life (QoL) instruments are generally used for studies of asthma in specialized settings. For primary care use, there is a need for brief and simple questionnaires for structured patient-reported outcomes. We validated the Mini-Asthma Quality of Life Ques...

journal_title：Chest

authors： Ehrs PO,Nokela M,Ställberg B,Hjemdahl P,Wikström Jonsson E

更新日期：2006-04-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the efficacy of small-bore (12 French vanSonnenberg) catheters compared with standard large-bore chest tubes in the drainage and sclerotherapy of malignant pleural effusions. DESIGN:Retrospective review. SETTING:An academic tertiary care hospital. PATIENTS:Adult patients with documented n...

journal_title：Chest

authors： Parulekar W,Di Primio G,Matzinger F,Dennie C,Bociek G

更新日期：2001-07-01 00:00:00

abstract：:Cardiac tamponade is a medical emergency that can be readily reversed with timely recognition and appropriate intervention. The clinical diagnosis of cardiac tamponade requires synthesis of a constellation of otherwise nonspecific features based on an understanding of the underlying pathophysiological characteristics....

journal_title：Chest

authors： Kearns MJ,Walley KR

更新日期：2018-05-01 00:00:00

abstract：STUDY OBJECTIVES:To investigate intracranial pressure (ICP) changes and their mechanisms in chronic hypercapnia. DESIGN:After 12 male Wistar rats were maintained in CO2-mixed air (mean PaCO2, 71.0 mm Hg) for 21 weeks, their ICP levels were measured during the breathing of 0, 5, 10, 12, and 14% CO2-mixed air before and...

journal_title：Chest

authors： Kondo T,Kumagai M,Takei F,Ohta Y

更新日期：1999-05-01 00:00:00

abstract：:There is conflicting and incomplete information in the literature on the pulmonary reaction which can occur following treatment of schistosomiasis. We examined the pulmonary function, bronchoalveolar lavage profile, and lung histopathology of a patient with pneumonia and peripheral eosinophilia following oxaminquine c...

journal_title：Chest

authors： Davidson BL,el-Kassimi F,Uz-Zaman A,Pillai DK

更新日期：1986-03-01 00:00:00

abstract：:Several reports in the literature and our experience prior to 1974 support the thesis that operative risk in patients with acquired heart disease and poor ventricular function (as assessed by a biplane ejection fraction [EF] less than or equal to 0.40) was very significantly increased over the risk in patients with no...

journal_title：Chest

authors： Tyers GF,Williams DR,Babb JD,Levenson L,Zelis RF,Waldhausen JA

更新日期：1977-03-01 00:00:00

abstract：:The surgical treatment of the completely obstructed left main coronary artery is aortocoronary saphenous-vein bypass to the left coronary artery system. Without surgical intervention, this lesion has an exceedingly poor prognosis. This report describes a patient with atherosclerotic obstruction of the left main corona...

journal_title：Chest

authors： Sutherland RD,Allison W,Guynes WA,Martinez HE

更新日期：1976-02-01 00:00:00

abstract：:Previous studies on the bronchodilating effect of nitrates yielded conflicting results. We hypothesized that the concomitant bronchial vasodilatation induced by nitrates may limit the increase of airway patency due to bronchial smooth muscle relaxation. To test this hypothesis, we evaluated the bronchodilating effect ...

journal_title：Chest

authors： Rolla G,Bucca C,Brussino L

更新日期：1995-01-01 00:00:00

abstract：:The treatment of asthma relies on the use of the following two major drug classes: beta(2)-agonists, both short acting and long acting; and corticosteroids (CSs). Although the properties of each drug class are well described, their use in combination delivered either separately or through one device has provided some ...

journal_title：Chest

authors： Black JL,Oliver BGG,Roth M

更新日期：2009-10-01 00:00:00

abstract：:Parenteral tetracycline, one of the most commonly used agents for producing pleurodesis, is no longer available because of stricter regulations governing the manufacturing process. The objective of this project was to determine whether minocycline, a tetracycline derivative, is an effective sclerosant in an experiment...

journal_title：Chest

authors： Light RW,Wang NS,Sassoon CS,Gruer SE,Vargas FS

更新日期：1994-08-01 00:00:00

abstract：STUDY OBJECTIVES:Human T-cell lymphotropic virus type 1 (HTLV-1)-associated bronchiolitis and diffuse panbronchiolitis might overlap. We examined whether these conditions can be differentiated by comparing their clinical features and the effect of long-term macrolide treatment. PATIENTS AND METHODS:Fifty-eight Japanes...

journal_title：Chest

authors： Kadota J,Mukae H,Fujii T,Seki M,Tomono K,Kohno S

更新日期：2004-04-01 00:00:00

abstract：:The therapeutic effects of cuirass ventilation were studied in two patients with bilateral diaphragm paralysis. Negative inspiratory and positive expiratory pressure applied to the cuirass shell was transmitted to the abdominal and thoracic cavities. Diaphragm excursion was enhanced. Nocturnal cuirass ventilation appe...

journal_title：Chest

authors： Driver AG,Blackburn BB,Marcuard SP,Austin EH Jr

更新日期：1987-10-01 00:00:00

abstract：BACKGROUND:COPD is accepted to be a multicomponent disease with various comorbidities. To our knowledge, the contribution of the GI tract to the systemic manifestation of COPD has never been investigated. This metabolically active organ may experience recurring local oxygen deficits during daily life, leading to distur...

journal_title：Chest

authors： Rutten EPA,Lenaerts K,Buurman WA,Wouters EFM

更新日期：2014-02-01 00:00:00

abstract：OBJECTIVE:We have shown that the administration of 0.8 mg/kg of morphine (M) to patients with COPD resulted in a 20% increase in the maximum oxygen consumption (Vo2max), but was associated with significant drowsiness and euphoria. The objective of the present study was to ascertain whether lower doses of M alone or in ...

journal_title：Chest

authors： Light RW,Stansbury DW,Webster JS

更新日期：1996-04-01 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：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