PEEP and "reverse mismatch". A case where less PEEP is best.

abstract：BACKGROUND:The relationship between gastroesophageal reflux disease (GERD) and idiopathic pulmonary fibrosis (IPF) is controversial. Current guidelines recommend that clinicians use regular antacid treatment, while two recent meta-analyses of antacid therapy in IPF were inconclusive. The objective of this study was to ...

journal_title：Chest

authors： Bédard Méthot D,Leblanc É,Lacasse Y

更新日期：2019-01-01 00:00:00

abstract：:A woman with a history of bilateral mastectomy and silicone implants for fibrocystic disease and a history of atrial septal defect repair presented with pleural nodules on a chest radiograph. A thorascopic biopsy performed for possible mesothelioma demonstrated chronic inflammation and focal pleural fibrosis due to a ...

journal_title：Chest

authors： Levine RL,Allen TC,Cartwright J Jr,Cagle PT

更新日期：2005-05-01 00:00:00

abstract：:Thoracic splenosis (post-traumatic autotransplantation of splenic tissue) is rare and generally asymptomatic. We report a patient with thoracic splenosis presenting with repeated hemoptysis. The blood supply of the hypervascular splenic transplants originated from a bronchial and an intercostal artery. Hemoptysis impr...

journal_title：Chest

authors： Cordier JF,Gamondes JP,Marx P,Heinen I,Loire R

更新日期：1992-08-01 00:00:00

abstract：:Atrial fibrillation remains a common and challenging problem following cardiac surgery. The American College of Chest Physicians, through the Health and Science Policy Committee, established a panel to develop a set of clinical practice guidelines for the management or prophylaxis of atrial fibrillation or flutter in ...

journal_title：Chest

authors： Fleisher LA,Bass EB,McKeown P,American College of Chest Physicians.

更新日期：2005-08-01 00:00:00

abstract：:The purpose of this study was to determine the number of procedures necessary to become proficient in flexible fiberoptic bronchoscopic examination. I performed 99 bronchoscopic procedures during a formal training program under the direct supervision of instructors with varying experience. There were no statistical di...

journal_title：Chest

authors： Dull WL

更新日期：1980-01-01 00:00:00

abstract：:The association between pulmonary impairment and all-cause mortality was investigated among white subjects in a follow-up study of a large national cohort. Pulmonary function was measured during the National Health and Nutrition Examination Survey (NHANESI) (1971 to 1975); subsequent mortality information was obtained...

journal_title：Chest

authors： Bang KM,Gergen PJ,Kramer R,Cohen B

更新日期：1993-02-01 00:00:00

abstract：BACKGROUND:During noninvasive ventilation, nonintentional leaks have a detrimental effect on the efficacy of ventilation. A wide range of industrial masks are available, with intentional leaks of different importance. The potential impact of this variability in intentional leaks on performances of bilevel ventilators h...

journal_title：Chest

authors： Borel JC,Sabil A,Janssens JP,Couteau M,Boulon L,Lévy P,Pépin JL

更新日期：2009-03-01 00:00:00

abstract：:Because T-piece breathing may impair oxygenation, the best airway pressure from which to extubate ventilated patients is controversial. We compared the effects of extubation after 1 h of either CPAP 5 and T-piece/ZEEP. Once weaned from mechanical ventilation and breathing spontaneously, 106 patients were randomized to...

journal_title：Chest

authors： Jones DP,Byrne P,Morgan C,Fraser I,Hyland R

更新日期：1991-12-01 00:00:00

abstract：:A 55-year-old woman underwent bronchoscopic evaluation for hemoptysis. A small polypoid endotracheal nodule was discovered approximately 2.0 cm distal to the left true vocal cord. The lesion was sampled with a cytologic brush. Epithelioid histiocytes and numerous giant cells with asteroid bodies were seen, and there w...

journal_title：Chest

authors： McCarthy MP,Gideon JK,Schnadig VJ

更新日期：1993-07-01 00:00:00

abstract：:We report 4 cases of Churg-Strauss syndrome (CSS) that occurred in patients being treated with corticosteroids for a diagnosis of asthma. One patient had asthma, eosinophilia, and eosinophilic lymphadenopathy that regressed with higher doses of corticosteroids. The second patient had both eosinophilic tissue infiltrat...

journal_title：Chest

authors： Churg A,Brallas M,Cronin SR,Churg J

更新日期：1995-08-01 00:00:00

abstract：BACKGROUND:Work-related symptoms and disability due to respiratory disease are common and costly among working-age adults. To investigate this problem, we analyzed data on respiratory symptoms related to the workplace and occupational disability from the European Community Respiratory Health Survey (ECRHS). METHODS:Th...

journal_title：Chest

authors： Blanc PD,Burney P,Janson C,Torén K

更新日期：2003-09-01 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：OBJECTIVE:In patients with advanced non-small cell lung cancer (NSCLC) treated with chemotherapy, we compared survival in patients with treated central airway obstruction to those who did not have central airway obstruction. METHODS:One hundred forty-four patients with advanced and inoperable NSCLC were included. Thes...

journal_title：Chest

authors： Chhajed PN,Baty F,Pless M,Somandin S,Tamm M,Brutsche MH

更新日期：2006-12-01 00:00:00

abstract：:Massive pulmonary emboli is a rare disease in children, with only 39 reported cases in the last 50 years. Almost 50% of the patients died suddenly without receiving medical treatment. Most of the patients who were managed medically (70% of the treated patients) underwent surgical pulmonary embolectomy with 80% surviva...

journal_title：Chest

authors： Eini ZM,Houri S,Cohen I,Sion R,Tamir A,Sasson L,Mandelberg A

更新日期：2013-02-01 00:00:00

abstract：:The integrated electronic display model for teaching bronchoscopic technique has been most helpful in guiding the student-bronchoscopist, especially in the early stages of reorientation in both the procedure for insertion and the practice of identification of the individual segmental orifice. The display board is elec...

journal_title：Chest

authors： Cunanan OS,Mazza JE

更新日期：1977-09-01 00:00:00

abstract：:A 56-year-old man with a longstanding tracheostomy presented to the hospital with upper GI bleeding and was found to have a profound respiratory alkalosis. The cause of this patient's involuntary hyperventilation was hiccuping complicated by the absence of glottic closure. ...

journal_title：Chest

authors： Campbell LA,Schwartz SH

更新日期：1991-10-01 00:00:00

abstract：BACKGROUND:While isolating the pulmonary arterial branches within the fissure is a crucial step in lobectomy, a largely fused fissure usually hinders its achievement, making lobectomy with video-assisted thoracoscopic surgery (VATS) difficult to achieve. For VATS lobectomy in lung cancer patients with a largely fused f...

journal_title：Chest

authors： Nomori H,Ohtsuka T,Horio H,Naruke T,Suemasu K

更新日期：2003-02-01 00:00:00

abstract：BACKGROUND:Patients with acute respiratory symptoms still remain a diagnostic challenge. The aim of the study was to evaluate whether focused sonography could potentially diagnose life-threatening conditions missed at the primary assessment in a patient population consisting of admitted patients with acute respiratory ...

journal_title：Chest

authors： Laursen CB,Sloth E,Lambrechtsen J,Lassen AT,Madsen PH,Henriksen DP,Davidsen JR,Rasmussen F

更新日期：2013-12-01 00:00:00

abstract：STUDY OBJECTIVE:Our group performed a randomized trial to assess whether the addition of endobronchial ultrasound (EBUS) guidance will lead to better results than standard transbronchial needle aspiration (TBNS). EBUS guidance seems to be beneficial in increasing the yield of TBNA but has not been proven to be superior...

journal_title：Chest

authors： Herth F,Becker HD,Ernst A

更新日期：2004-01-01 00:00:00

abstract：:Hemianomalous pulmonary venous connection is a rare congenital abnormality that leads to significant left-to-right shunt and complications related to that. Earlier surgical correction of this disorder was associated with the problem of stenosis at the anastomotic site with the left atrium. We describe the diagnosis of...

journal_title：Chest

authors： Murali VP,Bahuleyan CG,Jayakumar K,Ramanarayan PV,Nair GR

更新日期：1992-06-01 00:00:00

abstract：:Indirect evidence from airway pressure recordings in mechanically ventilated patients suggests that the diaphragm exhibits contractile activity beyond that required to trigger a ventilator-assisted breath. We used the diaphragmatic EMG to provide direct evidence of persistent contractile activity and studied the effec...

journal_title：Chest

authors： Flick GR,Bellamy PE,Simmons DH

更新日期：1989-07-01 00:00:00

abstract：STUDY OBJECTIVES:We sought to compare catheter studies using a right ventricular ejection fraction (REF) catheter together with echocardiography and MRI in patients with pulmonary hypertension. PATIENTS AND METHODS:We compared hemodynamic findings, echocardiography, and MRI studies in 16 patients with pulmonary hypert...

journal_title：Chest

authors： Hoeper MM,Tongers J,Leppert A,Baus S,Maier R,Lotz J

更新日期：2001-08-01 00:00:00

abstract：STUDY OBJECTIVES:To determine conformance with methodologic standards in the evaluation of diagnostic tests. DATA SOURCES:MEDLINE database search (1992 to 1997) of nine prominent general medicine and six subspecialty journals for articles that report discriminative properties of diagnostic tests in pulmonary medicine....

journal_title：Chest

authors： Heffner JE,Feinstein D,Barbieri C

更新日期：1998-09-01 00:00:00

abstract：:Twenty-six adults (23 to 58 years) with mild to moderate asthma underwent a 10-week supervised rehabilitation program, with emphasis on physical training. In the first 2 weeks, they exercised daily in an indoor swimming pool (33 degrees C) and received education about asthma, medication, and principles of physical tra...

journal_title：Chest

authors： Emtner M,Herala M,Stålenheim G

更新日期：1996-02-01 00:00:00

abstract：STUDY OBJECTIVES:Patients with cystic fibrosis (CF) are currently living to their fourth decade and are making reproductive decisions. Information concerning the reproductive health of women with CF has been limited to small or single-center studies. DESIGN:We conducted a matched parallel-cohort study to assess the im...

journal_title：Chest

authors： Goss CH,Rubenfeld GD,Otto K,Aitken ML

更新日期：2003-10-01 00:00:00

abstract：BACKGROUND:International time trends in asthma mortality have played an important sentinel role in the identification of two epidemics of asthma mortality in some countries in the 1960s and the 1970s and 1980s. Since then, little attention has been paid to the ongoing international time trends. METHODS:Country-specifi...

journal_title：Chest

authors： Wijesinghe M,Weatherall M,Perrin K,Crane J,Beasley R

更新日期：2009-04-01 00:00:00

abstract：:In a double-blind study the fiberoptic bronchoscope was contaminated with five pathogenic organisms, each at a concentration of 10(9) organisms per milliliter. The shaft and inner channel of the bronchoscope were cleansed with five antiseptic regimens. Each regimen included equal 120-ml aliquots of one, two, or three ...

journal_title：Chest

authors： Donaldson JC,Stoop DR,Williams SA

更新日期：1977-07-01 00:00:00

abstract：STUDY OBJECTIVES:Transbronchial lung biopsy (TBLB) during flexible bronchoscopy (FB) is the recommended procedure for diagnosing sarcoidosis in most cases, although its yield in stage I disease is reported to be not as high as when parenchymal involvement is radiologically evident. We undertook this study to assess the...

journal_title：Chest

authors： Trisolini R,Lazzari Agli L,Cancellieri A,Poletti V,Tinelli C,Baruzzi G,Patelli M

更新日期：2003-12-01 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：:A young man presented to us with an asymptomatic ovoid mass which appeared to be in the right major fissure. The roentgenographic appearance of the lesion was that of a pseudotumor. The computerized tomography scan suggested tissue density leading to exploration. At surgery, we found the mass to be a portion of liver ...

journal_title：Chest

authors： Fanta CH,Kacoyanis GP,Koster JK Jr,McFadden ER Jr

更新日期：1980-08-01 00:00:00