Early management of severe sepsis: concepts and controversies.

abstract：BACKGROUND:Self-reported tobacco pack-year history plays a large role in decisions about low-dose CT screening for lung cancer, yet is challenging to measure accurately. RESEARCH QUESTION:To what extent does random measurement error in pack-year information impact screening decisions and screening effectiveness? STUD...

journal_title：Chest

authors： Caverly TJ,Zhang X,Hayward RA,Zhu J,Waljee AK

更新日期：2020-09-14 00:00:00

abstract：BACKGROUND:There is an increasing demand for home mechanical ventilation (HMV) in patients with chronic respiratory insufficiency. At present, noninvasive ventilation is exclusively initiated in a clinical setting at all four centers for HMV in the Netherlands. In addition to its high societal costs and patient discomf...

journal_title：Chest

authors： van den Biggelaar RJM,Hazenberg A,Cobben NAM,Gaytant MA,Vermeulen KM,Wijkstra PJ

更新日期：2020-12-01 00:00:00

abstract：:There are many complementary techniques for mediastinal staging of lung cancer. It is increasingly apparent that the accuracy of mediastinal staging depends not only on which test is used but also on technical factors of how the procedure is performed. This article reviews data regarding such technical factors and pro...

journal_title：Chest

authors： Detterbeck F,Puchalski J,Rubinowitz A,Cheng D

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:Some studies have demonstrated that the function of the growth hormone (GH)-insulin-like growth factor (IGF)-1 axis is significantly impaired in patients with oral corticosteroid (CS)-induced osteoporosis. The aim of study was to investigate the effects of long-term therapy with inhaled CSs (ICSs) on the hyp...

journal_title：Chest

authors： Malerba M,Bossoni S,Radaeli A,Mori E,Bonadonna S,Giustina A,Tantucci C

更新日期：2005-02-01 00:00:00

abstract：:The findings in a 22-year-old man with Ebstein's anomaly of the tricuspid valve, Wolff-Parkinson-White syndrome, and a persistent left superior vena cava are reported. This is the first reported case of this combination of anomalies in which the atrial septum was intact and the left superior vena cava communicated wit...

journal_title：Chest

authors： Lam W,Danoviz J,Witham D,Wyndham C,Rosen KM

更新日期：1981-06-01 00:00:00

abstract：:Transesophageal echocardiography (TEE) is a safe and minimally invasive tool that can routinely provide high-quality anatomic and hemodynamic information in the severely ill. Despite its potential for frontline acute care clinicians, TEE use has typically been reserved for diagnostic experts in the cardiac-surgical mi...

journal_title：Chest

authors： Jaidka A,Hobbs H,Koenig S,Millington SJ,Arntfield RT

更新日期：2019-01-01 00:00:00

abstract：:Before and after percutaneous transvenous mitral commissurotomy (PTMC), pulmonary function studies were performed in 25 patients with mitral stenosis, in order to determine the effects of pulmonary hemodynamics on pulmonary function in patients with mitral stenosis. After PTMC, dramatic improvements in pulmonary hemod...

journal_title：Chest

authors： Yoshioka T,Nakanishi N,Okubo S,Kunieda T,Ishikura F,Nagata S

更新日期：1990-08-01 00:00:00

abstract：STUDY OBJECTIVES:Precise epidemiologic data regarding nontuberculous mycobacterial (NTM) lung infection in many Asian countries have been relatively unavailable. In order to determine the clinical significance of NTM isolated from respiratory specimens, we reviewed medical records from all patients from whom NTM isolat...

journal_title：Chest

authors： Koh WJ,Kwon OJ,Jeon K,Kim TS,Lee KS,Park YK,Bai GH

更新日期：2006-02-01 00:00:00

abstract：:The presented data suggest that PAPase may, indeed, be important in the biosynthesis of lung phospholipids. The observed increase in the specific activity of rabbit lung precedes the "surge" of phosphatidylcholine concentration and surfactant biosynthesis by at least 24 hours. In human amnionic fluid, PAPase specific ...

journal_title：Chest

authors： Johnston JM,Schultz M,Jimenez JM,MacDonald PC

更新日期：1975-02-01 00:00:00

abstract：:In a double-blind study the fiberoptic bronchoscope was contaminated with five pathogenic organisms, each at a concentration of 10(9) organisms per milliliter. The shaft and inner channel of the bronchoscope were cleansed with five antiseptic regimens. Each regimen included equal 120-ml aliquots of one, two, or three ...

journal_title：Chest

authors： Donaldson JC,Stoop DR,Williams SA

更新日期：1977-07-01 00:00:00

abstract：:We studied hemodynamic and oxygen transport parameters in 12 stable critically ill patients on assist control (ACV), synchronized intermittent mandatory (SIMV), and pressure support (PSV) ventilatory modes. Patients were optimally ventilated on ACV, were awake, and capable of spontaneous breathing. After baseline meas...

journal_title：Chest

authors： Sternberg R,Sahebjami H

更新日期：1994-06-01 00:00:00

abstract：:To elucidate the criterion for amplitude of circadian FEV1 variation suitable for phase analysis, six FEV1 measurements within a day were made on 346 days in 125 stable asthmatic children aged 8 to 12 years. Since coefficient of variation (CV) of FEV1 within a day in nonasthmatic children in our laboratory is less tha...

journal_title：Chest

authors： Kondo S

更新日期：1992-09-01 00:00:00

abstract：:We conducted a prospective study to determine the effectiveness of protected bronchoalveolar lavage (PBAL) in diagnosing pneumonia in ventilated patients and the usefulness of bronchoscopic data in treating ventilated patients. Entrance criteria were (1) fever and a new or progressive infiltrate on chest roentgenogram...

journal_title：Chest

authors： Meduri GU,Wunderink RG,Leeper KV,Beals DH

更新日期：1992-02-01 00:00:00

abstract：STUDY OBJECTIVES:Autopsy evaluation of tracheobronchomalacia (TBM) in patients with Duchenne muscular dystrophy (DMD) who were receiving long-term ventilation through uncuffed tracheostomies. DESIGN:Necropsies were performed in seven patients with DMD who had received positive-pressure ventilation through uncuffed tra...

journal_title：Chest

authors： Baydur A,Kanel G

更新日期：2003-04-01 00:00:00

abstract：:Previous work has shown that with increasing airway obstruction in chronic obstructive pulmonary disease, the decrement in the maximum midexpiratory flow (MMEF) is exponential. Therefore, with severe obstructive disease the decrease in the MMEF as the disease progresses is difficult to discern. This work points out th...

journal_title：Chest

authors： Sobol BJ,Emirgil C

更新日期：1977-07-01 00:00:00

abstract：BACKGROUND:Cardiac death is the leading cause of mortality associated with sarcoidosis in Japan. However, the involvement of sarcoidosis infiltration often remains undetected. Recently, late gadolinium enhancement with cardiovascular MRI (LGE-CMR) imaging has been introduced for the detection of myocardial infiltrative...

journal_title：Chest

authors： Nagai T,Kohsaka S,Okuda S,Anzai T,Asano K,Fukuda K

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Pulmonary arterial hypertension (PAH) is a frequent cause of morbidity and mortality in patients with systemic sclerosis (SSc). PAH is generally considered to be a late complication of limited cutaneous SSc. This study identified and investigated a subset of SSc patients with early-onset PAH. METHODS:Clinic...

journal_title：Chest

authors： Hachulla E,Launay D,Mouthon L,Sitbon O,Berezne A,Guillevin L,Hatron PY,Simonneau G,Clerson P,Humbert M,French PAH-SSc Network.

更新日期：2009-11-01 00:00:00

abstract：:A 10-year-old, 36-kg child with a malignant air leak who failed conventional mechanical ventilation and high-frequency jet ventilation was successfully treated with a neonatal high-frequency oscillatory ventilator for 31 days. Since the air leak resolved with minimal hemodynamic compromise, this technique may have app...

journal_title：Chest

authors： Mayes TC,Jefferson LS,David Y,Louis PT,Fortenberry JD

更新日期：1991-07-01 00:00:00

abstract：:We characterized the bronchopulmonary distribution of a 0.9 percent saline aerosol (1.12 microM) labelled with 99mTc sulfur colloid in nine normal subjects and five patients with CF. Homogeneity of distribution was quantified using indices derived from computerized analysis of Anger camera pulmonary images including s...

journal_title：Chest

authors： Laube BL,Links JM,LaFrance ND,Wagner HN Jr,Rosenstein BJ

更新日期：1989-04-01 00:00:00

abstract：BACKGROUND:A comprehensive evaluation of temporal trends in the treatment of patients who have DVT may assist with identification of modifiable factors that contribute to short-term outcomes. METHODS:We assessed temporal trends in length of hospital stay and use of pharmacological and interventional therapies among 26...

journal_title：Chest

authors： Morillo R,Jiménez D,Aibar MÁ,Mastroiacovo D,Wells PS,Sampériz Á,Saraiva de Sousa M,Muriel A,Yusen RD,Monreal M,RIETE investigators.

更新日期：2016-08-01 00:00:00

abstract：:Immunoblastic lymphadenopathy presents with fever, malaise, cough, dyspnea, lymphadenopathy, hepatosplenomegaly, hypergammaglobulinemia, interstitial pulmonary infiltrates, mediastinal adenopathy, and effusions. The diagnosis is made on the basis of lymph node biopsy. Based on the course in our patients and the cases ...

journal_title：Chest

authors： Bradley SL,Dines DE,Banks PM,Hill RW

更新日期：1981-09-01 00:00:00

abstract：:In a 75-year-old patient presenting with a solitary pulmonary mass, a localized form of Wegener's granulomatosis was diagnosed after lobectomy. In the absence of extrapulmonary manifestations and after a benign postoperative course, the patients was discharged without medical treatment. Three months later, diffuse alv...

journal_title：Chest

authors： Odeh M,Best LA,Kerner H,Bassan H,Oliven A

更新日期：1993-09-01 00:00:00

abstract：:Flexible bronchoscopy (FB) is uniquely suited for the study of large airway lesions in the ventilated premature infant. However, no standardized clinical scoring system of distal tracheal injury exists and the adverse consequences of FB in ventilated premature infants are not well described. Using a prototype Olympus ...

journal_title：Chest

authors： Schellhase DE,Graham LM,Fix EJ,Sparks LM,Fan LL

更新日期：1990-11-01 00:00:00

abstract：BACKGROUND:Eosinophils contain granule proteins such as eosinophil cationic protein (ECP) that have proinflammatory effects on airways. ECP may be released on activation of eosinophils into the plasma and is widely used as a marker of bronchial hyperreactivity and allergic inflammation. Environmental factors as well as...

journal_title：Chest

authors： Domej W,Schwaberger G,Tilz GP,Földes-Papp Z,Demel U,Lang J,von Duvillard SP

更新日期：2002-04-01 00:00:00

abstract：:We report a patient in whom presumed vasospasm of an angiographically normal coronary artery led to severe transmural myocardial ischemia. To our knowledge, this is the first case in which an allergic reaction to locally applied chlorhexidine caused such a severe reaction. ...

journal_title：Chest

authors： Conraads VM,Jorens PG,Ebo DG,Claeys MJ,Bosmans JM,Vrints CJ

更新日期：1998-05-01 00:00:00

abstract：:Echocardiographic studies were performed in 86 patients with right ventricular volume overload. In 45 of these 86 patients, 58 echocardiograms were performed at different intervals in the postoperative period. For control purposes, 60 normal subjects and 18 patients with right ventricular pressure overload were also e...

journal_title：Chest

authors： Laurenceau JL,Dumesnil JG

更新日期：1976-03-01 00:00:00

abstract：:The unusual occurrence of non-infected submitral and aortic aneurysms developing sequentially in an adult prompted us to review the pathogenesis of congenital aneurysms adjacent to the aortic and mitral valves. The findings support the suggestion that subvalvular aneurysms, like aortic sinus aneurysms, are a result of...

journal_title：Chest

authors： Chesler E,Mitha AS,Edwards JE

更新日期：1982-09-01 00:00:00

abstract：BACKGROUND:The mid-portion of the maximal expiratory flow-volume (MEFV) curve is often described by values of the mean forced expired flow as lung volume decreases from 75% to 25% of vital capacity (ie, forced expiratory flow, midexpiratory phase [FEF(25-75)]). It is common practice to report also forced expired flow a...

journal_title：Chest

authors： Bar-Yishay E,Amirav I,Goldberg S

更新日期：2003-03-01 00:00:00

abstract：:Two patients with the adult respiratory distress syndrome (ARDS) were placed on pressure-controlled inverse-ratio ventilation (IRV) when their condition deteriorated despite optimal treatment with intermittent mandatory ventilation and positive end-expiratory pressure. In the first case, high peak airway pressure was ...

journal_title：Chest

authors： Gurevitch MJ,Van Dyke J,Young ES,Jackson K

更新日期：1986-02-01 00:00:00

abstract：STUDY OBJECTIVES:We report on the long-term safety and efficacy of bosentan treatment in patients with pulmonary arterial hypertension (PAH). BACKGROUND:In a preceding study, bosentan was well tolerated and significantly improved the exercise capacity and hemodynamics of patients with PAH after 12 weeks of treatment. ...

journal_title：Chest

authors： Sitbon O,Badesch DB,Channick RN,Frost A,Robbins IM,Simonneau G,Tapson VF,Rubin LJ

更新日期：2003-07-01 00:00:00