Ventilator-associated pneumonia during weaning from mechanical ventilation: role of fluid management.

abstract：:Eighteen newly diagnosed cases of symptomatic cocidioidomycosis developed two to four weeks following exposure to a severe natural dust storm. The population at risk consisted of 26,000 residents of the San Joaquin Valley with access to health care at the Naval Hospital, Lemoore, Calif. Eight patients were white, and ...

journal_title：Chest

authors： Williams PL,Sable DL,Mendez P,Smyth LT

更新日期：1979-11-01 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：OBJECTIVE:The objective of this study was to compare the safety, use, and cost profiles of open thoracotomy vs video-assisted thoracoscopic surgery (VATS) for wedge resection in lung cancer performed by thoracic surgeons in the United States. METHODS:The Premier database, which contains complete patient billing, hospi...

journal_title：Chest

authors： Howington JA,Gunnarsson CL,Maddaus MA,McKenna RJ,Meyers BF,Miller D,Moore M,Rizzo JA,Swanson S

更新日期：2012-02-01 00:00:00

abstract：OBJECTIVES:Primary pulmonary hypertension (PPH) is a pulmonary vasculopathy resulting in exercise intolerance, usually due to dyspnea. We hypothesized that ventilation is increased during exercise in PPH relative to normal because the ventilated lung is underperfused, cardiac output increase is restricted, and arterial...

journal_title：Chest

authors： Yasunobu Y,Oudiz RJ,Sun XG,Hansen JE,Wasserman K

更新日期：2005-05-01 00:00:00

abstract：:We describe a patient who suffered from a bacterial pneumonia and had a left-sided infiltrate on his chest radiograph. He was found to be cytopenic and acute myeloid leukemia was diagnosed. A complete remission was achieved after chemotherapy, and the patient was scheduled to have autologous bone marrow transplantatio...

journal_title：Chest

authors： Sutedja T,Kwa B,van Kamp H,van Zandwijk N

更新日期：1993-06-01 00:00:00

abstract：BACKGROUND:In observational studies using acute lung injury (ALI) as an outcome, a spectrum of lung injury and difficult-to-interpret chest radiographs (CXRs) may hamper efforts to uncover risk factor associations. We assessed the impact of excluding patients with difficult-to-classify or equivocal ALI diagnosis on cli...

journal_title：Chest

authors： Shah CV,Lanken PN,Localio AR,Gallop R,Bellamy S,Ma SF,Flores C,Kahn JM,Finkel B,Fuchs BD,Garcia JG,Christie JD

更新日期：2010-11-01 00:00:00

abstract：:Patients with COPD often have reduced inspiratory muscle strength and endurance as well as poor exercise tolerance. Increased inspiratory work during sleep (probably due to increased upper airway resistance) may further strain these compromised respiratory muscles in COPD patients. We hypothesized that nasal continuou...

journal_title：Chest

authors： Mezzanotte WS,Tangel DJ,Fox AM,Ballard RD,White DP

更新日期：1994-10-01 00:00:00

abstract：:The objective of this study was to determine the following: (1) if standard clinical evaluation is sufficient to provide an accurate estimate of hemodynamic status of unstable ICU patients; (2) the impact of pulmonary artery catheterization (PAC) on diagnosis and treatment plan; and (3) whether therapy provided after ...

journal_title：Chest

authors： Steingrub JS,Celoria G,Vickers-Lahti M,Teres D,Bria W

更新日期：1991-06-01 00:00:00

abstract：STUDY OBJECTIVES:To examine the association of occult atherosclerosis of carotid, femoral, and popliteal arteries with the presence and severity of obstructive coronary artery disease (CAD) in patients without a history or presence of cerebrovascular or peripheral arterial disease using ultrasound examination of periph...

journal_title：Chest

authors： Kafetzakis A,Kochiadakis G,Laliotis A,Peteinarakis I,Touloupakis E,Igoumenidis N,Katsamouris A

更新日期：2005-10-01 00:00:00

abstract：:The incidence and severity of catheter-induced tricuspid regurgitation has not been studied extensively. Given the frequency with which right heart catheters are employed to measure cardiac output, it is important to know whether the severity of catheter-induced tricuspid regurgitation is sufficient to invalidate the ...

journal_title：Chest

authors： Stewart D,Leman RB,Kaiser J,Mann DL

更新日期：1991-03-01 00:00:00

abstract：:There have been no published reports of pneumopericardium complicating laparoscopy. Following an apparently uncomplicated laparoscopy, a 35-year-old woman developed pneumopericardium associated with subcutaneous emphysema of the neck. This resolved without specific therapy and without sequelae. ...

journal_title：Chest

authors： Nicholson RD,Berman ND

更新日期：1979-11-01 00:00:00

abstract：:Coronary artery fistulas have been traditionally diagnosed by angiography. This report describes a congenital and a traumatic coronary artery fistula diagnosed by transesophageal echocardiography. Transesophageal echocardiography was superior to transthoracic echocardiography in both cases and to angiography in one ca...

journal_title：Chest

authors： Prewitt KC,Smolin MR,Coster TS,Vernalis MN,Bunda M,Wortham DC

更新日期：1994-03-01 00:00:00

abstract：BACKGROUND:Bosentan, an oral endothelin (ET)-A/ET-B receptor antagonist, is effective in the treatment of pulmonary arterial hypertension. OBJECTIVE:To investigate the safety and efficacy of bosentan therapy in patients with inoperable chronic thromboembolic pulmonary hypertension (CTEPH). DESIGN:Case series. SETTIN...

journal_title：Chest

authors： Bonderman D,Nowotny R,Skoro-Sajer N,Jakowitsch J,Adlbrecht C,Klepetko W,Lang IM

更新日期：2005-10-01 00:00:00

abstract：:The solitary pulmonary nodule (SPN) is frequently encountered on chest imaging and poses an important diagnostic challenge to clinicians. The differential diagnosis is broad, ranging from benign granulomata and infectious processes to malignancy. Important concepts in the evaluation of SPNs include the definition, mor...

journal_title：Chest

authors： Patel VK,Naik SK,Naidich DP,Travis WD,Weingarten JA,Lazzaro R,Gutterman DD,Wentowski C,Grosu HB,Raoof S

更新日期：2013-03-01 00:00:00

abstract：:In summary, this is a patient who presented with respiratory acidosis and cor pulmonale. The major diagnostic challenge was in differentiating primary cardiopulmonary disease from a central abnormality of ventilatory drive. The arterial blood gases showed a normal A-a gradient suggesting hypoventilation as the etiolog...

journal_title：Chest

authors： Klepper M,Barnard P,Eschenbacher W

更新日期：1991-09-01 00:00:00

abstract：BACKGROUND:Empirical therapy has been recommended as an initial clinical approach for treating gastroesophageal reflux-induced chronic cough (GERC). This study compared the predictive accuracy of the Gastroesophageal Reflux Disease Questionnaire (GerdQ) with the accuracy of multichannel intraluminal impedance pH monito...

journal_title：Chest

authors： Xu X,Chen Q,Liang S,Lv H,Qiu Z

更新日期：2014-06-01 00:00:00

abstract：:The management of congestive heart failure remains an issue of great interest. Encouraging data emerged over the last 2 years supporting the use of multisite pacing in patients with severe congestive heart failure and intraventricular conduction delay. We present a case of acute biventricular pacing in a 81-year old m...

journal_title：Chest

authors： Debrunner M,Naegeli B,Bertel O

更新日期：2000-06-01 00:00:00

abstract：:In order to determine the effect of electrode placement and standing on the 12-lead electrocardiogram required prior to exercise testing, 104 male patients with stable coronary heart disease were studied. Electrocardiograms were recorded with two different placements of the arm electrodes commonly used for exercise te...

journal_title：Chest

authors： Gamble P,McManus H,Jensen D,Froelicher V

更新日期：1984-05-01 00:00:00

abstract：STUDY OBJECTIVES:Recent studies combining medical and surgical patients have suggested that mortality is higher for mechanically ventilated women than for men. This study was designed to determine whether there are gender-based differences in outcomes in mechanically ventilated medical ICU (MICU) patients. DESIGN AND ...

journal_title：Chest

authors： Epstein SK,Vuong V

更新日期：1999-09-01 00:00:00

abstract：:A 72-year-old man presented with malaise, weight loss, and cough. Chest radiograph revealed bilateral pleural effusions. On thoracentesis, the left effusion was a clear yellow exudate with more than 90% lymphocytes, and the right effusion was a grossly bloody exudate with more than 90% neutrophils. Cultures of both ef...

journal_title：Chest

authors： Murin S,Moritz E

更新日期：1996-09-01 00:00:00

abstract：PURPOSES:To determine the diagnostic accuracy of ultrasound in the diagnosis of pneumothorax in patients with COPD with particular regard to false-positive diagnoses. MATERIALS AND METHODS:This was a single-center, prospective, blinded study. Nine patients with pneumothorax, 9 patients with cystic fibrosis, 17 patient...

journal_title：Chest

authors： Slater A,Goodwin M,Anderson KE,Gleeson FV

更新日期：2006-03-01 00:00:00

abstract：BACKGROUND:The clinical course of idiopathic pulmonary fibrosis (IPF) is characterized by progressive decline in lung function and eventual mortality. We sought to determine if future declines in pulmonary function, mortality, or both can be predicted from prior trends in pulmonary function tests (PFTs). METHODS:Data ...

journal_title：Chest

authors： Schmidt SL,Tayob N,Han MK,Zappala C,Kervitsky D,Murray S,Wells AU,Brown KK,Martinez FJ,Flaherty KR

更新日期：2014-03-01 00:00:00

abstract：STUDY OBJECTIVES:To examine the effect of patient body mass index (BMI) on outcome in intensive care. DESIGN:In a prospective study, the patients were classified into groups based on the calculated BMI, as follows: BMI < 19.0 (n = 350), > or = 19.0 and < 25.0 (n = 663), > or = 25.0 and < 29.9 (n = 585), > or = 30.0 an...

journal_title：Chest

authors： Ray DE,Matchett SC,Baker K,Wasser T,Young MJ

更新日期：2005-06-01 00:00:00

abstract：:In 14 consecutive patients with varying myocardial function, evaluation of the Valsalva maneuver was performed using aortic pulse pressure decay to investigate a possible quantitative relationship between the pattern of response and the degree of myocardial dysfunction. The aortic pulse pressure response during strain...

journal_title：Chest

authors： Bernardi L,Saviolo R,Spodick DH

更新日期：1989-05-01 00:00:00

abstract：:These studies show the results of intensive care management of 306 consecutive patients with tetanus compared with 335 patients treated conservatively in the same hospital before the institution of the ICU. The impact of the ICU treatment was manifested in a decrease in mortality, from 43.58 percent to 15 percent. In ...

journal_title：Chest

authors： Trujillo MH,Castillo A,España J,Manzo A,Zerpa R

更新日期：1987-07-01 00:00:00

abstract：OBJECTIVE:To test the hypothesis that passive leg raising (PLR) induces changes in arterial pulse pressure that can help to predict the response to rapid fluid loading (RFL) in patients with acute circulatory failure who are receiving mechanical ventilation. DESIGN:Prospective clinical study. SETTING:Two medical ICUs...

journal_title：Chest

authors： Boulain T,Achard JM,Teboul JL,Richard C,Perrotin D,Ginies G

更新日期：2002-04-01 00:00:00

abstract：STUDY OBJECTIVES:Strokes and neurocognitive dysfunction have been correlated with cerebral microemboli produced during cardiopulmonary bypass (CPB). The purpose of this study was to determine whether, and to what extent, off-pump coronary artery bypass (OPCAB) reduces the occurrence of cerebral microemboli compared wit...

journal_title：Chest

authors： Bowles BJ,Lee JD,Dang CR,Taoka SN,Johnson EW,Lau EM,Nekomoto K

更新日期：2001-01-01 00:00:00

abstract：:Although infectious mononucleosis is usually a benign illness, life-threatening complications may occur. We describe a 17-year-old pregnant girl who developed necrotizing epiglottitis and dysphagia progressing to aspiration pneumonia and respiratory failure. The factors predisposing to this life-threatening complicati...

journal_title：Chest

authors： Biem J,Roy L,Halik J,Hoffstein V

更新日期：1989-07-01 00:00:00

abstract：:To investigate the influence of resting pulmonary mechanics on the pattern of breathing during exercise in chronic obstructive pulmonary disease (COPD), we studied 29 patients with moderate to severe COPD (FEV1 50 +/- 20 percent predicted), and 10 normal subjects. Lung mechanics were studied using esophageal balloon t...

journal_title：Chest

authors： Marin JM,Hussain SN,Gibbons WJ,Polverino M,Levy RD,Cosio MG

更新日期：1993-09-01 00:00:00

abstract：:A radioaerosol procedure using 99mcTc-DTPA (diethylene triamine penta acetate) was used to evaluate the permeability of the pulmonary epithelium in smokers and nonsmokers. The average clearance of this indicator from the lungs of smokers without significant airway obstruction exceeded that found in normal subjects by ...

journal_title：Chest

authors： Mason GR,Uszler JM,Effros RM,Reid E

更新日期：1983-01-01 00:00:00