Kyphoscoliosis and respiratory failure. A patient treated with assisted ventilation for 27 years.

abstract：BACKGROUND:Lowest receptor occupancy for a drug occurs at trough prior to the next dose. Previous studies have focused on the effects of triple therapy at peak dose intervals using forced expiratory maneuvers. Impulse oscillometry (IOS) and body plethysmography (PLETH) are more sensitive than spirometry to assess inhal...

journal_title：Chest

authors： Williamson PA,Short PM,Clearie KL,Vaidyanathan S,Fardon TC,Howaniec LJ,Lipworth BJ

更新日期：2010-09-01 00:00:00

abstract：:Clonidine was given to patients with essential hypertension, renovascular hypertension, and hypertension with parenchymal renal disease. The drug was effective in all groups but was more effective in patients with high plasma renin concentration. Renal function did not deteriorate when the drug was used, and there was...

journal_title：Chest

authors： Morgan T

更新日期：1983-02-01 00:00:00

abstract：:The use of physiologic pacing utilizing transvenous atrial and ventricular electrodes has recently taken on increased importance. A simple, safe, technique for electrode implantation has been used in 14 patients and enabled the implanting physicians to establish permanent atrioventricular (A-V) sequential pacing with ...

journal_title：Chest

authors： Fox S,Toonder FG

更新日期：1981-12-01 00:00:00

abstract：OBJECTIVES:Though numerous studies have demonstrated the short-term efficacy of lung volume reduction surgery (LVRS) in select patients with emphysema, the longer-term follow-up studies are just being reported. The primary objectives of this study were to assess long-term health-related quality of life, satisfaction, p...

journal_title：Chest

authors： Yusen RD,Lefrak SS,Gierada DS,Davis GE,Meyers BF,Patterson GA,Cooper JD

更新日期：2003-04-01 00:00:00

abstract：OBJECTIVE:To evaluate the costs, consequences, effectiveness, and safety of ciprofloxacin vs standard antibiotic care in patients with an initial acute exacerbation of chronic bronchitis (AECB) as well as recurrent AECBs over a 1-year period. DESIGN:Randomized, multicenter, parallel-group, open-label study. SETTING:O...

journal_title：Chest

authors： Grossman R,Mukherjee J,Vaughan D,Eastwood C,Cook R,LaForge J,Lampron N

更新日期：1998-01-01 00:00:00

abstract：:Lung volume reduction surgery (LVRS) is being evaluated in the treatment of emphysema. The proposed mechanisms of improvement are increased elastic recoil of the lung and improved mechanical efficiency of the muscles of respiration. We report a unique patient with emphysema who developed a giant bulla 3 years subseque...

journal_title：Chest

authors： Iqbal M,Rossoff L,McKeon K,Graver M,Scharf SM

更新日期：1999-12-01 00:00:00

abstract：:Using recently published data, a nomogram was constructed to estimate the likelihood of asthma following methacholine challenge. Based on Bayes' theorem, the nomogram makes use of the sensitivity and specificity of methacholine challenge to calculate the post-test probability of asthma once the physician makes a deter...

journal_title：Chest

authors： Gilbert R,Auchincloss JH Jr

更新日期：1990-03-01 00:00:00

abstract：:Streptococcus pneumoniae has been known for > 100 years as the most important bacterial pathogen of the respiratory tract in adults and children. In recent years, the pneumococcus has begun to exhibit increasing resistance to antimicrobial agents. Because of the huge number of infections caused by this organism, the d...

journal_title：Chest

authors： Harwell JI,Brown RB

更新日期：2000-02-01 00:00:00

abstract：STUDY OBJECTIVE:To examine if the perception of dyspnea during normal pregnancy may be related to an inappropriate ventilatory response to the increased metabolic rate, due to a higher chemosensitivity. PATIENTS AND INTERVENTIONS:At weeks 12, 24, and 36 of gestation and 4 months after delivery, 11 healthy pregnant wom...

journal_title：Chest

authors： García-Rio F,Pino JM,Gómez L,Alvarez-Sala R,Villasante C,Villamor J

更新日期：1996-08-01 00:00:00

abstract：:Direct mechanical ventricular actuation (DMVA) is a non-blood-contacting method of biventricular cardiac massage which may be applied expediently for total circulatory support. The purpose of this study was to assess the feasibility of DMVA application for patients suffering refractory cardiac arrest. Following inform...

journal_title：Chest

authors： Anstadt MP,Bartlett RL,Malone JP,Brown GR,Martin S,Nolan DJ,Oberheu KH,Anstadt GL

更新日期：1991-07-01 00:00:00

abstract：:We present the first case (to our knowledge) of acetaminophen-induced eosinophilic pneumonia. Although the patient had taken an acetaminophen-containing combination drug, Kinuya-chinnetsu, for only three days, the abnormal shadow on his chest radiograph continued for about a month. Lymphocyte stimulation tests showed ...

journal_title：Chest

authors： Kondo K,Inoue Y,Hamada H,Yokoyama A,Kohno N,Hiwada K

更新日期：1993-07-01 00:00:00

abstract：:Flecainide and propafenone are effective in suppressing both ventricular and supraventricular tachyarrhythmias, but their efficacy is often limited by dose-related side effects. This study was performed to evaluate noninvasively the effects of intravenous flecainide and propafenone on left ventricular systolic functio...

journal_title：Chest

authors： Santinelli V,Arnese M,Oppo I,Matarazzi C,Maione S,Palma M,Giunta A

更新日期：1993-04-01 00:00:00

abstract：:We present a case of successfully resected alpha-fetoprotein (AFP)-producing primary lung cancer. AFP in the serum decreased from 289 ng/ml to an undetectable level after a curative operation. The resected tumor was stained positively by the immunohistochemical study for AFP. The histologic appearance of the tumor was...

journal_title：Chest

authors： Saka H,Sakai S,Kondo N,Ito M,Shimokata K

更新日期：1988-10-01 00:00:00

abstract：:Unidirectional endobronchial valves, originally studied for potential treatment of emphysema, have emerged as a useful intervention for patients with persistent air leak from the lung. The procedure is accomplished via bronchoscopy in a patient who already has a chest tube in place for management of the air leak. It u...

journal_title：Chest

authors： Kovitz KL,French KD

更新日期：2013-08-01 00:00:00

abstract：:This chapter about implementation strategies for practice guidelines is part of the 7th ACCP Conference on Antithrombotic and Thrombolytic Therapy: Evidence Based Guidelines. Grade 1 recommendations are strong and indicate that the benefits do, or do not, outweigh risks, burden, and costs. Grade 2 suggests that feasib...

journal_title：Chest

authors： Schünemann HJ,Cook D,Grimshaw J,Liberati A,Heffner J,Tapson V,Guyatt G

更新日期：2004-09-01 00:00:00

abstract：STUDY OBJECTIVE:We analyzed the effects of the use of a rollator on walking distance and physiologic variables: pulmonary gas exchange, heart rate, minute ventilation (Ve), oxygen saturation, and symptoms during the 6-min walk test (6MWT) in patients with COPD. SETTING:Outpatient clinic at university hospital. PATIEN...

journal_title：Chest

authors： Probst VS,Troosters T,Coosemans I,Spruit MA,Pitta Fde O,Decramer M,Gosselink R

更新日期：2004-10-01 00:00:00

abstract：STUDY OBJECTIVES:Black smokers have been reported to have higher serum cotinine levels than do white smokers, and have higher rates of most smoking-related diseases, despite smoking fewer cigarettes per day. Another striking racial difference is the preference for mentholated cigarettes among black smokers. The contrib...

journal_title：Chest

authors： Clark PI,Gautam S,Gerson LW

更新日期：1996-11-01 00:00:00

abstract：BACKGROUND:IV fluid represents a basic therapeutic intervention for septic shock. Unfortunately, the optimal administration of IV fluid to maximize patient outcomes and prevent complications is largely unknown. METHODS:Patients with septic shock admitted to the medical ICUs of Barnes-Jewish Hospital (January to Decemb...

journal_title：Chest

authors： Chen C,Kollef MH

更新日期：2015-12-01 00:00:00

abstract：:Treatment failure (TF) is defined as a clinical condition with inadequate response to antimicrobial therapy. Clinical response should be evaluated within the first 72 h of treatment, whereas infiltrate images may take up to 6 weeks to resolve. Early failure is considered when ventilatory support and/or septic shock ap...

journal_title：Chest

authors： Menendez R,Torres A

更新日期：2007-10-01 00:00:00

abstract：:Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) can reliably sample enlarged mediastinal lymph nodes in patients with non-small cell lung cancer (NSCLC), and in practice is mostly used to sample nodes visible on CT or positron emission tomography (PET). Few data are available on the use of...

journal_title：Chest

authors： Herth FJ,Eberhardt R,Krasnik M,Ernst A

更新日期：2008-04-01 00:00:00

abstract：:As seen in this CME online activity (available at http://courses.elseviercme.com/694), idiopathic pulmonary fibrosis (IPF) is a specific form of chronic, progressive, fibrotic lung disease of unknown cause that is associated with substantial health-care utilization and high rates of mortality. The clinical symptoms of...

journal_title：Chest

authors： Martinez FJ,Lederer DJ

更新日期：2018-10-01 00:00:00

abstract：:Surfactant replacement therapy (SRT) has a proven role in the treatment of neonatal respiratory distress syndrome and severe meconium aspiration syndrome in infants, and may have a role in the treatment of pediatric patients with ARDS. Although newer delivery mechanisms and strategies are being studied, the classic su...

journal_title：Chest

authors： Stevens TP,Sinkin RA

更新日期：2007-05-01 00:00:00

abstract：BACKGROUND:The institution of inhaled corticosteroids is generally advocated for effective treatment of patients with asthma. It is yet unknown what is the best time to start inhaled corticosteroid therapy and especially whether delayed introduction is harmful. PHASE 1: In a previous study in patients with asthma and C...

journal_title：Chest

authors： Overbeek SE,Kerstjens HA,Bogaard JM,Mulder PG,Postma DS

更新日期：1996-07-01 00:00:00

abstract：:To further delineate indications for noninvasive pressure support ventilation (NIPSV), we proposed this noninvasive technique as an alternative to endotracheal intubation in 17 consecutive patients with acute respiratory failure from various causes. Eight patients (47 percent) were successfully ventilated with NIPSV, ...

journal_title：Chest

authors： Wysocki M,Tric L,Wolff MA,Gertner J,Millet H,Herman B

更新日期：1993-03-01 00:00:00

abstract：:A study of 26 men with bronchogenic cancer demonstrated high serum calcitonin levels in 62 percent (16). Levels were particularly high in patients with small-cell cancer and adenocarcinoma. Two varieties of hypercalcitonemia have been encountered: (1) ectopic hypercalcitonemia, in which the hormone is secreted by the ...

journal_title：Chest

authors： Silva OL,Becker KL,Primack A,Doppman JL,Snider RH

更新日期：1976-04-01 00:00:00

abstract：BACKGROUND:After patients recovering from respiratory failure have successfully completed a spontaneous breathing trial (SBT), clinicians must determine whether an artificial airway is still required. We hypothesized that cough strength and the magnitude of endotracheal secretions affect extubation outcomes. METHODS:W...

journal_title：Chest

authors： Khamiees M,Raju P,DeGirolamo A,Amoateng-Adjepong Y,Manthous CA

更新日期：2001-10-01 00:00:00

abstract：:A V/Q lung scan was obtained in a patient with LLL collapse who was receiving IPPV and PEEP. This revealed absent ventilation and hyperperfusion to the collapsed lobe. After a reduction in PEEP from 12 to 5 cm H2O, a repeat V/Q scan showed a more even distribution of pulmonary perfusion. Arterial hypoxemia improved. ...

journal_title：Chest

authors： Hawker FH,Torzillo PJ,Southee AE

更新日期：1991-04-01 00:00:00

abstract：:Stent placement is the only available treatment in patients presenting either a localized external compression or a malacia of the tracheobronchial tree. To assess the functional benefit of prosthesis insertion in these indications, we compared functional respiratory values before, immediately after (48 h), and at som...

journal_title：Chest

authors： Vergnon JM,Costes F,Bayon MC,Emonot A

更新日期：1995-03-01 00:00:00

abstract：:Antiphospholipid syndrome is an autoimmune disorder characterized by a hypercoagulable state, leading to arterial and venous thrombosis. We present a 23-year-old patient, suspected of having Budd-Chiari syndrome due to antiphospholipid syndrome, who developed severe and progressive hypoxemia, requiring prolonged mecha...

journal_title：Chest

authors： Bunge JJH,Wiersema US,Moelker A,van Bommel J,Tjwa ETTL

更新日期：2014-11-01 00:00:00

abstract：:The role of thoracic radiation therapy in the management of limited-stage small cell lung cancer (SCLC) is reviewed. Although chest irradiation has been used to treat SCLC for over four decades, its standard role in the management of limited-stage disease was established only during the last decade. Multiple prospecti...

journal_title：Chest

authors： Kumar P

更新日期：1997-10-01 00:00:00