Abstract:
:Inspiratory muscle strength most often is better reflected by sniff Pes than PImax against occlusion. Furthermore, sniff Pes can be estimated noninvasively by the measurement of sniff Pmo in normal subjects and in patients with respiratory muscle weakness. The aim of this study was to compare sniff Pmo and P.PImax to assess inspiratory muscle strength in patients with acute respiratory failure. The highest pressure was produced by P.PImax in 61 percent of measurements, and by sniff Pmo in 39 percent. Above 35 cm H2O P.PImax yielded the highest pressure in 55 percent of cases and the ratio sniff Pmo/P.PImax was 1.20 +/- 0.54. Below 35 cm H2O, P.PImax yielded the highest pressure in 75 percent of cases and the ratio sniff Pmo/P.PImax was 0.76 +/- 0.35 (p less than 0.02). Thus, measurements of sniff Pmo and P.PImax complement one another for assessing inspiratory muscle strength. However, sniff Pmo underestimates inspiratory muscle strength in patients with severe inspiratory muscle weakness.
journal_name
Chestjournal_title
Chestauthors
Héritier F,Perret C,Fitting JWdoi
10.1378/chest.100.1.175subject
Has Abstractpub_date
1991-07-01 00:00:00pages
175-8issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(16)37398-6journal_volume
100pub_type
杂志文章相关文献
CHEST文献大全abstract:BACKGROUND:The hypoxia test can be performed to identify potential hypoxia that might occur in an at-risk individual during air travel. In 2004, the British Thoracic Society increased the hypoxia test cutoff guideline from 85 to 90% in young children. The aim of this study was to investigate how well the cutoff values ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.07-1198
更新日期:2008-04-01 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
pub_type: 杂志文章
doi:10.1378/chest.101.6.1718
更新日期:1992-06-01 00:00:00
abstract::To assess the pulmonary and systemic hemodynamic effects of oral captopril in patients with connective tissue disease and pulmonary hypertension, we performed right heart catheterization in eight patients with diffuse systemic sclerosis, the CREST syndrome, or mixed connective tissue diseases prior to and immediately ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.5.1407
更新日期:1992-11-01 00:00:00
abstract::Disputes regarding life-prolonging treatments are stressful for all parties involved. These disagreements are appropriately almost always resolved with intensive communication and negotiation. Those rare cases that are not require a resolution process that ensures fairness and due process. We describe three recent cas...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2016.05.026
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:To estimate the incidence of work disability among adults with asthma and to evaluate a clinically based illness severity score as a predictor of such disability. DESIGN:Baseline and follow-up telephone interviews and medical record review. SETTING:University-based outpatient pulmonary specialty practice. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.104.5.1371
更新日期:1993-11-01 00:00:00
abstract::This study was designed to determine if there is residual airflow obstruction and/or airway hyperresponsiveness in adults with symptomatic asthma remission, and if age at remission or its duration influence these parameters. We studied 30 subjects, (20 men, 10 women, 28 atopics, aged 18 to 61 years; mean, 32 years) wi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.105.4.1024
更新日期:1994-04-01 00:00:00
abstract::We describe a patient with hemodynamic deterioration and worsening mitral regurgitation related to right ventricular apex pacing. Time-dependent changes in papillary muscle contraction as well as ventricular remodeling by right ventricular apex pacing might be responsible for this rare but serious complication. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.114.6.1776
更新日期:1998-12-01 00:00:00
abstract:STUDY OBJECTIVES:The Fas-Fas ligand (FasL) pathway is a representative system of apoptosis-signaling receptor molecules. We previously described that this pathway may play an important role in the pathogenesis of fibrosing lung diseases. In this study, we hypothesized that soluble form of Fas (sFas) and FasL (sFasL) ma...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.118.2.451
更新日期:2000-08-01 00:00:00
abstract::A 60-year-old man presented with features of superior vena cava (SVC) obstruction. On evaluation, he was diagnosed as having angioimmunoblastic lymphadenopathy with dysproteinemia (AILD). SVC obstruction due to AILD, to our knowledge, has not been described. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.6.1721
更新日期:1991-12-01 00:00:00
abstract::Six patients with hemoptysis were treated by endobronchial sealing, with n-butyl cyanoacrylate, of the bleeding segment or subsegment. There was an immediate arrest of bleeding without any recurrence for a mean follow-up period of 127 (+/- 67.17) days. Endobronchial sealing appears to be an effective method of managin...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.6.2066
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:The leading cause of pericardial effusion in urban hospitals is now AIDS-related pathologies. Clinically, these effusions are a diagnostic and management dilemma. In our institution, pericardial biopsy and operative drainage have become part of the diagnostic and management plan. Surgical intervention, howev...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.6.1522
更新日期:1995-06-01 00:00:00
abstract:BACKGROUND:Previous studies have shown a high prevalence of bronchiectasis in patients with moderate to severe COPD. However, the factors associated with bronchiectasis remain unknown in these patients. The objective of this study is to identify the factors associated with bronchiectasis in patients with moderate to se...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-1758
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:The Parent Cough-Specific Quality-of-Life questionnaire (PC-QOL) has relevance and clinical utility as a cough-specific QOL measure for pediatric use. Its validity has been demonstrated. This study sought to determine the minimally important difference (MID) for the PC-QOL completed by parents of young child...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.10-1476
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:The functional consequences of pulmonary emphysema have been estimated from autopsy studies. This antemortem study correlates structure as assessed by criteria applied to chest radiographs and function in earlier disease. SUBJECTS AND METHODS:Four thousand one hundred seven male shipyard and construction wor...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.5.1225
更新日期:1995-05-01 00:00:00
abstract:STUDY OBJECTIVES:To analyze the physiologic effects and tolerance of mechanical insufflation-exsufflation (MI-E) by means of mechanical cough assistance (Cough Assist; JH Emerson Company; Cambridge, MA) for children with neuromuscular disease. DESIGN:Prospective clinical trial. SETTING:Physiology laboratory of a pedi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.07-1615
更新日期:2008-01-01 00:00:00
abstract::To evaluate whether epithelial damage of airways in asthma could be related to diminished levels of the low molecular weight bronchial leukocyte proteinase inhibitor (BLPI) in airways, we determined BLPI in bronchial washings of 13 asthma patients and 13 healthy subjects, using a sensitive enzyme-linked immunoassay. T...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.93.5.1008
更新日期:1988-05-01 00:00:00
abstract:BACKGROUND:Both pulmonary hypertension and pulmonary overflow are associated with functional and structural changes of the pulmonary arterial wall. Current techniques to evaluate the pulmonary vasculature neglect the pulsatile nature of pulmonary flow. STUDY OBJECTIVES:To determine whether the dynamic properties of th...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.2.549
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:The antisynthetase syndrome consists of interstitial lung disease (ILD), arthritis, myositis, fever, mechanic's hands, and Raynaud phenomenon in the presence of an antisynthetase autoantibody, most commonly anti-Jo-1. It is believed that all the antisynthetases are associated with a similar clinical profile,...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.08-2233
更新日期:2009-06-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate whether the respiratory changes in peak velocity (Vpeak) of aortic blood flow could be related to the effects of volume expansion on cardiac index. DESIGN:Prospective clinical study. SETTING:Medical ICUs of a university hospital (20 beds) and of a nonuniversity hospital (15 beds). PATI...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.119.3.867
更新日期:2001-03-01 00:00:00
abstract::The etiology of the SAS is unknown. To test whether endogenous opioids could be pathologically active in SAS, markers of opioid systems were measured in the CSF of 15 patients with SAS and in control subjects. Measured by receptor assay, the concentration of so-called fraction 1 opioid was higher in patients with SAS ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.96.2.250
更新日期:1989-08-01 00:00:00
abstract::Two-dimensional echocardiography showed myocardial thickening in 3 of 16 acute myocarditis patients in childhood. In all 3 cases, this myocardial thickening was transient and diminished within 3 weeks. This myocardial thickening was most marked at a few days after the onset; the interventricular septal thickness for e...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.104.6.1676
更新日期:1993-12-01 00:00:00
abstract::Uterine life is arguably the most critical time in developmental programming, when environmental exposures may have the greatest potential to influence evolving fetal structure and function. There has been substantial progress in understanding the epigenetic mechanisms through which environmental exposures can permane...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.10-1800
更新日期:2011-03-01 00:00:00
abstract::Simultaneous hemodynamic and blood gas measurements were performed in 26 hypertensive adults, who were cigarette smokers, before and after a 30-minute infusion of saralasin (5 microgram/kg/min) which is a highly specific competitive antagonist of angiotensin II (AII). The arterial pressure fell in nine, rose in seven ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.75.4.492
更新日期:1979-04-01 00:00:00
abstract:BACKGROUND:Although alveolar epithelial injury is a major determinant of outcome in patients with acute lung injury, there is no reliable biological marker of alveolar epithelial injury. The primary objective was to determine whether elevated levels of the receptor for advanced glycation end products (RAGE), a marker o...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.08-0919
更新日期:2009-02-01 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
pub_type: 杂志文章,评审
doi:10.1378/chest.88.3.436
更新日期:1985-09-01 00:00:00
abstract::A retrospective study was conducted in 23 subjects with previous occupational exposure to asbestos and exhibiting rounded atelectasis (RA) on high-resolution computed tomography scan (HRCT scan) to evaluate the retention of asbestos bodies (ABs) using light microscopy in the bronchoalveolar lavage (BAL) fluid or lung ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.107.2.477
更新日期:1995-02-01 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
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.129.4.925
更新日期:2006-04-01 00:00:00
abstract::We report a case of cardiac fibrosarcoma that was treated with cardiac tumor resection, chemotherapy, cardiac explantation, tumor repeat resection, and autotransplantation followed by external beam irradiation. The patient was able to achieve clinical remission and remained disease free > 2 years after the initial dia...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.123.5.1766
更新日期:2003-05-01 00:00:00
abstract::The accumulation of thrombin at sites of vascular injury provides one of the chief means for recruiting platelets into a growing hemostatic plug. Studies completed over the past 10 years show that platelet responses to thrombin are mediated by a subset of G protein-coupled receptors known as protease-activated recepto...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.124.3_suppl.18s
更新日期:2003-09-01 00:00:00
abstract::Increased blood lactate concentration (hyperlactatemia) and lactic acidosis (hyperlactatemia and serum pH < 7.35) are common in patients with severe sepsis or septic shock and are associated with significant morbidity and mortality. In some patients, most of the lactate that is produced in shock states is due to inade...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.15-1703
更新日期:2016-01-01 00:00:00