Efficacy of positive vs negative pressure ventilation in unloading the respiratory muscles.

abstract：BACKGROUND:Heparin-induced thrombocytopenia (HIT) is an antibody-mediated adverse drug reaction that can lead to devastating thromboembolic complications, including pulmonary embolism, ischemic limb necrosis necessitating limb amputation, acute myocardial infarction, and stroke. METHODS:The methods of this guideline f...

journal_title：Chest

authors： Linkins LA,Dans AL,Moores LK,Bona R,Davidson BL,Schulman S,Crowther M

更新日期：2012-02-01 00:00:00

abstract：STUDY OBJECTIVES:Lymphangioleiomyomatosis (LAM) is a rare disorder of unknown etiology, affecting almost exclusively women of childbearing age, that is associated with the proliferation of spindle cells and cystic changes in the affected lung. The underlying processes that contribute to this disease are poorly understo...

journal_title：Chest

authors： Evans SE,Colby TV,Ryu JH,Limper AH

更新日期：2004-03-01 00:00:00

abstract：:A six-month-old girl with an aberrant systemic arterial supply from the descending thoracic aorta to the left lower lobe had congestive heart failure. Although the pulmonary parenchyma was normal, there was an absence of normal pulmonary arterial supply to the left lower lobe. Main pulmonary arterial and aortic cinean...

journal_title：Chest

authors： Yabek SM,Burstein J,Berman W Jr,Dillon T

更新日期：1981-11-01 00:00:00

abstract：PURPOSES:To determine the diagnostic capabilities of dynamic high-resolution electron-beam (HREB) CT scanning for diagnosing bronchiolitis obliterans syndrome (BOS) in lung transplant recipients. MATERIALS AND METHODS:At the time of follow-up examinations after lung transplantation, 52 patients were examined by dynami...

journal_title：Chest

authors： Knollmann FD,Kapell S,Lehmkuhl H,Schulz B,Böttcher H,Hetzer R,Felix R

更新日期：2004-08-01 00:00:00

abstract：OBJECTIVE:To determine the risk of acquiring ventilator-associated pneumonia (VAP) and the impact on costs when extending ventilator circuit change intervals beyond 2 days to 7 and 30 days. DESIGN:Prospective 4-year review of mechanically ventilated patients. SETTING:The respiratory and medical ICUs of an 800-bed ter...

journal_title：Chest

authors： Fink JB,Krause SA,Barrett L,Schaaff D,Alex CG

更新日期：1998-02-01 00:00:00

abstract：BACKGROUND:Evidence-based guidelines recommend serial measurements of peak expiratory flow (PEF) on days at and away from work as the first step in the objective confirmation of occupational asthma. The aim of this study was to improve the diagnostic value of computer-based PEF analysis by using the program Oasys-2 to ...

journal_title：Chest

authors： Moore VC,Jaakkola MS,Burge CBSG,Robertson AS,Pantin CFA,Dev Vellore A,Burge PS

更新日期：2009-02-01 00:00:00

abstract：:A case is presented of a reversible intra-Hisian block occurring under amiodarone treatment for atrial tachycardia in a patient without clear intraventricular conduction abnormalities. His bundle recordings showed an atrial tachycardia with intermittent exit block and greatly prolonged BH and HV intervals (40 and 100 ...

journal_title：Chest

authors： Santinelli V,Chiariello M,Ambrosio G,Stanislao M,Condorelli M

更新日期：1982-07-01 00:00:00

abstract：STUDY OBJECTIVE:Increasing evidence indicates that routine preoperative diagnostic spirometry (pulmonary function tests [PFTs]) before elective abdominal surgery does not predict individual risk of postoperative pulmonary complications and is overutilized. This economic evaluation estimates potential savings from reduc...

journal_title：Chest

authors： De Nino LA,Lawrence VA,Averyt EC,Hilsenbeck SG,Dhanda R,Page CP

更新日期：1997-06-01 00:00:00

abstract：:A 62-year-old man with a long history of lung disease developed atelectasis of the right middle lung lobe, caused by a protrusion in the wall of the middle lobe bronchus. A biopsy was performed in the suspicious region. This was immediately followed by massive arterial bleeding into the airways and complicated by card...

journal_title：Chest

authors： Maxeiner H

更新日期：2001-05-01 00:00:00

abstract：:In two patients with acute dissection of the ascending aorta, the diagnosis was made with two-dimensional echocardiography and confirmed by aortography. The echocardiograms localized the intimal flap and false channel in both cases. Although clinical evaluation and indicated radiologic studies remain the primary modal...

journal_title：Chest

authors： Rubenson DS,Fowles RE,Miller DC,Guthaner DF,Popp RL

更新日期：1981-11-01 00:00:00

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

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

更新日期：2013-05-01 00:00:00

abstract：:Myocardial ischemia results in altered left ventricular (LV) diastolic compliance, reflected by an abnormal mitral inflow pattern on Doppler echocardiography. To investigate the relationship of Doppler echocardiography and regional myocardial systolic function during dipyridamole infusion, we evaluated transmitral flo...

journal_title：Chest

authors： Lattanzi F,Picano E,Masini M,De Prisco F,Distante A,L'Abbate A

更新日期：1989-05-01 00:00:00

abstract：:The efficacy of a new tissue-culture technique for the diagnosis of malignant pleural effusions was contrasted with conventional cytologic methods. The new technique is based on the ability of the tissue-culture medium to transform mesothelial cells into fibroblasts while not sustaining lymphoreticular cells. Against ...

journal_title：Chest

authors： Monif GR,Stewart BN,Block AJ

更新日期：1976-05-01 00:00:00

abstract：BACKGROUND:Exhaled breath temperature (EBT) is a new noninvasive method for the study of inflammatory respiratory diseases with a potential to reach clinical practice. However, few studies are available regarding the validation of this method, and they were mainly derived from small, pediatric populations; thus, the ra...

journal_title：Chest

authors： Carpagnano GE,Foschino-Barbaro MP,Crocetta C,Lacedonia D,Saliani V,Zoppo LD,Barnes PJ

更新日期：2017-04-01 00:00:00

abstract：BACKGROUND:Current management guidelines for pulmonary arterial hypertension (PAH) recommend a treatment choice based primarily on World Health Organization (WHO) functional class. This study was designed to assess how the incorporation of readily obtained clinical and test-based information may significantly improve t...

journal_title：Chest

authors： Kane GC,Maradit-Kremers H,Slusser JP,Scott CG,Frantz RP,McGoon MD

更新日期：2011-06-01 00:00:00

abstract：PURPOSE:This study attempts to determine the distribution of transudates vs exudates in pathologically proved malignant pleural effusions and the necessity for cytologic studies in patients with a transudative effusion. MATERIALS AND METHODS:A retrospective review of all cytologically positive malignant pleural effusi...

journal_title：Chest

authors： Assi Z,Caruso JL,Herndon J,Patz EF Jr

更新日期：1998-05-01 00:00:00

abstract：BACKGROUND:There is significant heterogeneity within the primary graft dysfunction (PGD) syndrome. We aimed to identify distinct grade 3 PGD phenotypes based on severity of lung dysfunction and patterns of resolution. METHODS:Subjects from the Lung Transplant Outcomes Group (LTOG) cohort study with grade 3 PGD within ...

journal_title：Chest

authors： Shah RJ,Diamond JM,Cantu E,Lee JC,Lederer DJ,Lama VN,Orens J,Weinacker A,Wilkes DS,Bhorade S,Wille KM,Ware LB,Palmer SM,Crespo M,Localio AR,Demissie E,Kawut SM,Bellamy SL,Christie JD

更新日期：2013-08-01 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：BACKGROUND:The practice of treating a solitary pulmonary nodule (SPN) suspicious for stage I non-small cell lung cancer (NSCLC) with stereotactic ablative radiotherapy (SABR) in the absence of pathology is growing. In the absence of randomized evidence, the appropriate prior probability threshold of lung cancer of when...

journal_title：Chest

authors： Louie AV,Senan S,Patel P,Ferket BS,Lagerwaard FJ,Rodrigues GB,Salama JK,Kelsey C,Palma DA,Hunink MG

更新日期：2014-10-01 00:00:00

abstract：OBJECTIVE:We hypothesized that pentoxifylline, administered after phorbol myristate acetate (PMA), would diminish the severity of lung injury. SETTING:Animal research laboratory. DESIGN:Comparative study. SUBJECTS:Mongrel dogs (n = 33). INTERVENTIONS:Baseline measurements were obtained from the isolated blood-perfu...

journal_title：Chest

authors： Creamer KM,McCloud LL,Fisher LE,Ehrhart IC

更新日期：2001-06-01 00:00:00

abstract：:Interstitial pneumonitis in children is a rare and poorly understood disease. Controversy exists as to whether the varoius histologic changes encountered represent different disease or a spectrum of the same disease. Fourteen biopsy-confirmed cases of desquamative interstitial pneumonitis in children were seen at the ...

journal_title：Chest

authors： Stillwell PC,Norris DG,O'Connell EJ,Rosenow EC 3rd,Weiland LH,Harrison EG Jr

更新日期：1980-02-01 00:00:00

abstract：:A series of 15 patients with life threatening, massive hemoptysis is reported. Thirteen of these patients underwent immediate operative treatment with only three deaths. One died after bronchoscopic identification of the bleeding site while awaiting elective thoracotomy. The other patient left the hospital against med...

journal_title：Chest

authors： McCollun WB,Mattox KL,Guinn GA,Beall AC Jr

更新日期：1975-02-01 00:00:00

abstract：:End-tidal CO2 monitors are used to estimate arterial CO2 pressure (PaCO2), but appropriate use of this noninvasive method of assessing blood gases is unclear. In patients with lung disease, the end-tidal CO2 pressure (PETCO2) can differ from PaCO2 because of ventilation-perfusion (VA/Q) mismatching, and changes in PET...

journal_title：Chest

authors： Yamanaka MK,Sue DY

更新日期：1987-11-01 00:00:00

abstract：:Two cases are presented in which a Dormia ureteral stone dislodger with straight filiform tip was used to retrieve broken central venous pressure catheters from the right side of the heart and vena cavae. It should be emphasized that this particular model is more easily passed into the vascular system and more easily ...

journal_title：Chest

authors： Drabinsky M

更新日期：1976-03-01 00:00:00

abstract：:A 64-year-old woman with ovarian carcinoma that had been treated with high-dose chemotherapy and autologous bone marrow transplantation presented with a maculopapular rash on the extremities and miliary infiltrates evident on chest roentgenogram. Transbronchial biopsy specimens revealed caseating granulomas, and cultu...

journal_title：Chest

authors： Peters EJ,Morice R

更新日期：1991-11-01 00:00:00

abstract：:In order to determine the likelihood of pre-existing nutritional deficits in medical patients with acute respiratory failure, a nutritional assessment survey was performed on 18 control patients with stable COPD and nine patients with COPD and acute respiratory failure. Significant differences were noted with the resp...

journal_title：Chest

authors： Driver AG,McAlevy MT,Smith JL

更新日期：1982-11-01 00:00:00

abstract：:Since publication of the seventh American College of Chest Physicians (ACCP) supplement on antithrombotic and thrombolytic therapy, the results of clinical trials have provided important new information on the management of thromboembolic disorders, and the science of developing recommendations has advanced. In the ac...

journal_title：Chest

authors： Hirsh J,Guyatt G,Albers GW,Harrington R,Schünemann HJ

更新日期：2008-06-01 00:00:00

abstract：:A 55-year-old woman had bilateral hilar lymphadenopathy and retinouveitis. Microscopic examination of a biopsy specimen from a mediastinal lymph node revealed noncaseating epithelioid cell granulomas. Since granulomatous diseases of infectious origin and sarcoid reaction were reasonably excluded, she was diagnosed as ...

journal_title：Chest

authors： Yamaguchi E,Haneda H,Okazaki N,Abe S,Kawakami Y,Nojima T

更新日期：1989-01-01 00:00:00

abstract：:Of 1,599 patients who underwent surgery for direct myocardial revascularization in 1973 at Cleveland Clinic Hospital, 19 patients (1.2 percent) developed primary ventricular fibrillation or ventricular tachycardia during the immediate postoperative period. Occurrence of postoperative ventricular tachyarrhythmias could...

journal_title：Chest

authors： Abedin Z,Soares J,Phillips DF,Sheldon WC

更新日期：1977-10-01 00:00:00

abstract：BACKGROUND:Diabetes mellitus is recognized as a stroke risk factor in atrial fibrillation (AF). Patients with diabetes with retinopathy have an increased risk for systemic cardiovascular complications, and severe diabetic retinopathy predisposes to ocular bleeding. We hypothesized that patients with diabetes, retinopat...

journal_title：Chest

authors： Lip GYH,Clementy N,Pierre B,Boyer M,Fauchier L

更新日期：2015-04-01 00:00:00