Nutrition in the ICU: an evidence-based approach.

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

authors： Berger RM,Cromme-Dijkhuis AH,Hop WC,Kruit MN,Hess J

更新日期：2002-08-01 00:00:00

abstract：:A 57-year-old man with a history of exposure to silica for 32 years presented with pleural thickening of the lower lobe of the left lung and a chronic right-sided pleural effusion without any radiographic evidence of parenchymal nodules in either lung. Light microscopic examination of a left visceral pleural biopsy sp...

journal_title：Chest

authors： Zeren EH,Colby TV,Roggli VL

更新日期：1997-11-05 00:00:00

abstract：BACKGROUND:It is unknown if the radiographic fibrosis score predicts mortality in persistent hypersensitivity pneumonitis (HP) and if survival is similar to that observed in idiopathic pulmonary fibrosis (IPF) when adjusting for the extent of radiographic fibrosis. METHODS:We reviewed records from 177 patients with HP...

journal_title：Chest

authors： Mooney JJ,Elicker BM,Urbania TH,Agarwal MR,Ryerson CJ,Nguyen MLT,Woodruff PG,Jones KD,Collard HR,King TE Jr,Koth LL

更新日期：2013-08-01 00:00:00

abstract：OBJECTIVE:To assess the effect of baseline variables, including treatment, on outcome in patients with nosocomial pneumonia due to methicillin-resistant Staphylococcus aureus (MRSA). DESIGN:Retrospective analysis of data from two prospective, randomized, double-blind studies. SETTING:Multinational study with 134 site...

journal_title：Chest

authors： Wunderink RG,Rello J,Cammarata SK,Croos-Dabrera RV,Kollef MH

更新日期：2003-11-01 00:00:00

abstract：BACKGROUND:Much controversy persists regarding the place of statin drugs in the treatment of patients with COPD. This systematic review and meta-analysis sought to determine the clinical efficacy of statin therapy in COPD. METHODS:We searched MEDLINE, EMBASE, the Cochrane Database, and PubMed for relevant clinical stu...

journal_title：Chest

authors： Zhang W,Zhang Y,Li CW,Jones P,Wang C,Fan Y

更新日期：2017-12-01 00:00:00

abstract：OBJECTIVE:Congenital airway malacia is one of the few causes of irreversible airways obstruction in children, but the incidence in the general population is unknown. Severe airway malacia or malacia associated with specific syndromes is usually recognized and diagnosed early in infancy, but information about clinical f...

journal_title：Chest

authors： Boogaard R,Huijsmans SH,Pijnenburg MW,Tiddens HA,de Jongste JC,Merkus PJ

更新日期：2005-11-01 00:00:00

abstract：:Intrathoracic goiter is a rare cause of superior vena cava syndrome. We present the findings in a patient in whom the syndrome was precipitated by therapy with propylthiouracil and remitted on withdrawal of the medication. The superior vena cava syndrome did not recur on medical management, suggesting that surgery is ...

journal_title：Chest

authors： Hershey CO,McVeigh RC,Miller RP

更新日期：1981-03-01 00:00:00

abstract：BACKGROUND:Productivity loss is an overlooked aspect of the burden of chronic health conditions. While modern guidelines emphasize achieving clinical control in asthma management, few studies have reported on the relationship between asthma control and productivity loss. We calculated the productivity loss that can be ...

journal_title：Chest

authors： Sadatsafavi M,Rousseau R,Chen W,Zhang W,Lynd L,FitzGerald JM

更新日期：2014-04-01 00:00:00

abstract：:As a follow-up to a previous assessment of complications of sleep-disturbed breathing in 265 patients, we have reevaluated measures of sleepiness and hypertension in patients with obstructive sleep apnea (OSA) (n = 518), central sleep apnea (n = 50), and subclinical sleep-disordered breathing (SDB) (n = 107). Both sub...

journal_title：Chest

authors： Mendelson WB

更新日期：1995-10-01 00:00:00

abstract：:The first report of coincident IHSS and ostium secundum ASD is corroborated and successful septal myotomy and myectomy with patch closure of the ASD is described. ...

journal_title：Chest

authors： Smith DC,Vieweg WV,Folkerth TL,Hagan AD

更新日期：1975-08-01 00:00:00

abstract：:We report two patients with non-conventional thyroiditis whose chief complaint was chronic persistent cough. Cough was attributed to thyroiditis only after extensive diagnostic evaluations failed to uncover another cause and only after cough and thyroiditis disappeared simultaneously with suppressive therapy for the l...

journal_title：Chest

authors： Irwin RS,Pratter MR,Hamolsky MW

更新日期：1982-03-01 00:00:00

abstract：BACKGROUND:ICU telemedicine improves access to high-quality critical care, has substantial costs, and can change financial outcomes. Detailed information about financial outcomes and their trends over time following ICU telemedicine implementation and after the addition of logistic center function has not been publishe...

journal_title：Chest

authors： Lilly CM,Motzkus C,Rincon T,Cody SE,Landry K,Irwin RS,UMass Memorial Critical Care Operations Group.

更新日期：2017-02-01 00:00:00

abstract：BACKGROUND:Patients admitted to the medical ICU (MICU) are often subjected to multiple radiologic studies. We hypothesized that some endure radiation dose exposure (cumulative effective dose [CED]) in excess of annual US federal occupational health standard limits (CED ≥ 50 mSv) and 5-year cumulative limit (CED ≥ 100 m...

journal_title：Chest

authors： Krishnan S,Moghekar A,Duggal A,Yella J,Narechania S,Ramachandran V,Mehta A,Adhi F,Vijayan AKC,Han X,Wang X,Dong F,Martin C 3rd,Guzman J

更新日期：2018-05-01 00:00:00

abstract：STUDY OBJECTIVE:To compare drug output from a vented nebulizer (Pari LC Jet Plus) with a traditional unvented nebulizer (Hudson 1730 T Up-Draft 11) using aerosolized tobramycin, which is frequently used in the treatment of cystic fibrosis. DESIGN:Six nebulizers of each type were filled with a 4 mL tobramycin (80 mg) s...

journal_title：Chest

authors： Coates AL,MacNeish CF,Lands LC,Meisner D,Kelemen S,Vadas EB

更新日期：1998-04-01 00:00:00

abstract：:Widespread use of thrombolytic agents in a variety of settings has highlighted the need for measures of safety and efficacy. Previously used laboratory parameters, such as decreasing levels of fibrinogen and increasing levels of fibrin(ogen) degradation products (FDPs), have failed to correlate consistently with hemor...

journal_title：Chest

authors： Hirsch DR,Goldhaber SZ

更新日期：1990-04-01 00:00:00

abstract：STUDY OBJECTIVES:To evaluate the chest radiographic filling pattern associated with partial liquid ventilation (PLV) with the perfluorochemical perflubron (LiquiVent; Alliance Pharmaceutical Corp; San Diego CA) as a function of dose and timing. DESIGN:Post hoc review of chest radiographs by three independent observers...

journal_title：Chest

authors： Schuster DP,Lange NR,Tutuncu A,Wedel M,LiquiVent Study Group.

更新日期：2001-05-01 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：:A case of disseminated histoplasmosis followed later by disseminated coccidioidomycosis is described. The clinical illness and immunologic studies suggest subtle defects that may have existed antecedent to infection and, thus, provided an opportunity for widespread dissemination by these normally nonopportunistic orga...

journal_title：Chest

authors： Kaplan P,Graybill JR,Thor D

更新日期：1977-08-01 00:00:00

abstract：:Comprehensive pulmonary rehabilitation and respiratory therapy services benefit patients with chronic lung disease and other diseases of the lung by reducing symptoms and restoring independent function. Although the science of these therapies is not new, commercial payers and Medicare have generally been slow to suppo...

journal_title：Chest

authors： Birnbaum S

更新日期：2011-06-01 00:00:00

abstract：:COPD is a highly prevalent disorder that results from the interplay of genetic susceptibility and environmental exposures. Over the past 2 decades, significant technological advances have been made in genetic investigations of complex diseases, yet limited progress has been made in the identification of additional COP...

journal_title：Chest

authors： Wan ES,Silverman EK

更新日期：2009-09-01 00:00:00

abstract：OBJECTIVES:In California, state law now prohibits smoking in most public places. We examined the prevalence and short-term health impact of environmental tobacco smoke (ETS) exposure during travel among adults with asthma. DESIGN, SETTING, AND PARTICIPANTS:A cohort of 374 nonsmoking adults with asthma recruited from a...

journal_title：Chest

authors： Eisner MD,Blanc PD

更新日期：2002-09-01 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：:The effect on pulmonary fluid balance of adrenergic receptor agonist agents commonly employed in clinical sepsis has not been well characterized. Therefore, we tested the hypothesis that dobutamine would increase pulmonary microvasular fluid flux in experimental sepsis-induced lung injury. To define the effects of thi...

journal_title：Chest

authors： Gnidec AG,Finley RR,Sibbald WJ

更新日期：1988-01-01 00:00:00

abstract：:To determine if the timing of interposed abdominal compressions (IAC) affects the augmented blood flow during this form of cardiopulmonary resuscitation (CPR), we performed early-onset or late-onset abdominal compressions at three vascular volumes in nine dogs. Early-onset IAC began immediately following chest compres...

journal_title：Chest

authors： Einagle V,Bertrand F,Wise RA,Roussos C,Magder S

更新日期：1988-06-01 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：STUDY OBJECTIVES:To quantify the snoring sound intensity levels generated by individuals during polysomnographic testing and to examine the relationships between acoustic, polysomnographic, and clinical variables. DESIGN:The prospective acquisition of acoustic and polysomnographic data with a retrospective medical cha...

journal_title：Chest

authors： Wilson K,Stoohs RA,Mulrooney TF,Johnson LJ,Guilleminault C,Huang Z

更新日期：1999-03-01 00:00:00

abstract：:We describe two patients who develop torsades de pointes in a temporal relationship to the intravenous administration of erythromycin lactobionate in the absence of other drugs or metabolic abnormalities known to cause the arrhythmia. We also review the current literature regarding this topic, including other case his...

journal_title：Chest

authors： Gitler B,Berger LS,Buffa SD

更新日期：1994-02-01 00:00:00

abstract：:The measurement of the activity of acid hydrolases and of alkaline phosphatase in bronchial aspirates obtained through bronchoscopic procedures from a series of 300 patients forms the basis for a screening program to diagnose bronchial malignant neoplasms more effectively. We define such a screening test as one permit...

journal_title：Chest

authors： Kühn SH,de Kock MA,Gevers W

更新日期：1978-08-01 00:00:00

abstract：BACKGROUND:Obesity is known to be an important risk factor for OSA; however, OSA can also be seen in nonobese patients with a small maxilla and/or mandible as well as in all obese patients with such features. Thus, we hypothesized that regional factors, oropharyngeal crowding associated with fat deposition, and maxillo...

journal_title：Chest

authors： Ito E,Tsuiki S,Maeda K,Okajima I,Inoue Y

更新日期：2016-08-01 00:00:00

abstract：STUDY OBJECTIVES:Although percutaneous transluminal coronary angioplasty (PTCA) is known to have beneficial effects on exercise capacity, its effects on the cardiovascular response during the onset of exercise have not been clarified. The present study was undertaken to determine the effects of PTCA on the kinetics of ...

journal_title：Chest

authors： Adachi H,Koike A,Niwa A,Sato A,Takamoto T,Marumo F,Hiroe M

更新日期：2000-08-01 00:00:00