The balloon-tipped thermodilution catheter. Aspects of its clinical utility.

Abstract:

:The balloon-tipped thermodilution catheter (BTTC) is an expensive, labor-intensive technology that has moderate risks. The sensitivity and specificity of the three principal tests that it can perform have not yet been well defined for different patient groups. The BTTC allows the acquisition of mixed venous blood, from which oxygen content can be measured precisely and accurately, imprecise but accurate cardiac output determinations, and fairly precise but inaccurate pressure measurements. Its effects on morbidity and mortality in certain sets of patients are beginning to be defined.

journal_name

Postgrad Med

journal_title

Postgraduate medicine

authors

Desbiens NA

doi

10.1080/00325481.1986.11699383

subject

Has Abstract

pub_date

1986-05-01 00:00:00

pages

109-13, 116-7

issue

6

eissn

0032-5481

issn

1941-9260

journal_volume

79

pub_type

杂志文章
  • Hyperbaric oxygen therapy. Promoting healing in difficult cases.

    abstract::Inhalation of pressurized 100% oxygen is a helpful adjunctive treatment for certain patients, because the increased oxygen carried by the blood to the tissue enhances new growth of microcirculation and, thus, healing. Patients with tissue breakdown after radiation therapy, refractory osteomyelitis, gas gangrene, soft-...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1986.11699267

    authors: Cohn GH

    更新日期:1986-02-01 00:00:00

  • Thymoma. The most common anterior mediastinal mass.

    abstract::Thymomas may be discovered during routine evaluation, through reported symptoms, or increasingly, during evaluation for myasthenia gravis. Histologic details of these tumors have little bearing on prognosis or evaluation of malignant potential. Malignancy is determined by evidence of invasion through the tumor capsule...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1986.11699321

    authors: Cohen DJ

    更新日期:1986-03-01 00:00:00

  • Recent advances in management of gastroesophageal reflux.

    abstract::Gastroesophageal reflux is not synonymous with sliding hiatus hernia. It should be approached as a condition dependent on the intrinsic strength of the lower esophageal sphincter rather than on the presence of a hiatus hernia. The patient's account of symptoms is probably the most important means of diagnosis, but in ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1975.11713946

    authors: Cohen S

    更新日期:1975-01-01 00:00:00

  • Febrile convulsions. How dangerous are they?

    abstract::Febrile convulsions affect about 1 child in 30. Most of these children have a good outcome with no sequelae and do not require prophylactic medication. Differential diagnosis should include meningitis, epilepsy, hypoglycemia, and encephalopathies and other central nervous system disorders. Children with a high risk fo...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1991.11700905

    authors: Leung AK,Robson WL

    更新日期:1991-04-01 00:00:00

  • Weaning patients from mechanical ventilation. How to avoid difficulty.

    abstract::The majority of patients can be easily weaned from mechanical ventilation, but a substantial minority pose considerable difficulty. In such cases, the cause of ventilator dependency should be identified and correctable factors should be rectified. An organized plan of management, a team approach, optimal pulmonary and...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1991.11700795

    authors: Tobin MJ

    更新日期:1991-01-01 00:00:00

  • A systematic review of telestroke.

    abstract:BACKGROUND:The use of 2-way audiovisual (AV) technology for delivery of acute stroke evaluation and management, termed "telestroke," is supported by a rapidly growing literature base. A systematic review that provides a comprehensive, easily digestible overview of telestroke science and practice is lacking. PURPOSE:To...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2013.01.2623

    authors: Rubin MN,Wellik KE,Channer DD,Demaerschalk BM

    更新日期:2013-01-01 00:00:00

  • Myasthenia gravis: pathogenesis, diagnosis, and therapy.

    abstract::Myasthenia gravis most commonly affects the ocular muscles. Abnormal fatigability of the involved muscle groups is the most remarkable feature of the physical examination. Recent studies have demonstrated that a thymus-derived antibody plays a role in the pathogenesis of myasthenia gravis, which is now thought to be a...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1979.11715218

    authors: Winkler LH,Winkler GF

    更新日期:1979-08-01 00:00:00

  • Endocarditis. Changing trends in epidemiology, clinical and microbiologic spectrum.

    abstract::Infective endocarditis refers to infection of the endocardium or heart valves by microbes, resulting in tissue destruction. Clinical presentation is quite variable, and a high level of suspicion is essential for recognition. Diagnosis is dependent on identification of the causative agent in blood cultures. Cultures th...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1993.11701672

    authors: Nunley DL,Perlman PE

    更新日期:1993-04-01 00:00:00

  • Serologic markers: impact on early diagnosis and disease stratification in inflammatory bowel disease.

    abstract::Inflammatory bowel disease (IBD) is difficult to diagnose, and differentiating between ulcerative colitis (UC) and Crohn's disease (CD) can be challenging. Overlapping symptoms of UC and CD often delay diagnosis, despite availability of endoscopic, radiologic, and histologic tools. This delay in diagnosis is quite com...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2010.07.2184

    authors: Arai R

    更新日期:2010-07-01 00:00:00

  • Allergic rhinitis. A useful guide to diagnosis and treatment.

    abstract::Patients presenting with typical signs and symptoms of allergic rhinitis may respond to avoidance of allergens and to medications for symptomatic relief. Treatment may include antihistamines, decongestants, cromolyn sodium, and/or topical nasal steroids. Patients whose symptoms are refractory to these therapeutic meas...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11699668

    authors: Stafford CT

    更新日期:1987-01-01 00:00:00

  • The long-term prognostic significance of heart failure in sarcoidosis patients ─ a cohort study.

    abstract:OBJECTIVE:To evaluate the proportion and the long-term prognostic significance of heart failure (HF) in sarcoidosis patients. METHODS:Data extracted from a large Israeli healthcare provider's database were used to study sarcoidosis patients and matched non-sarcoidosis controls since 2000 to 2016. The proportion of HF ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2020.1832773

    authors: Etinger R,Comaneshter D,Amital H,Cohen AD,Tiosano S

    更新日期:2020-11-01 00:00:00

  • Primary health care in the People's Republic of China.

    abstract::In scarcely more than 30 years, the People's Republic of China has progressed from limited health care available only to a privileged few to a countrywide system providing basic services to one fifth of the world's population. The author gives his impressions of the current situation, based on a recent visit. :There ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1981.11715824

    authors: Taylor RB

    更新日期:1981-08-01 00:00:00

  • Accuracy and clinical utility of a point-of-care HbA1c testing device.

    abstract:BACKGROUND:Point-of-care testing (POCT) is widely used to measure blood glucose levels in people with diabetes, although its use in measuring glycated hemoglobin (HbA1c) levels is less common, perhaps due to perceived performance issues and access to the technology. METHODS:Forty blood samples were analyzed in duplica...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2013.05.2664

    authors: Knaebel J,Irvin BR,Xie CZ

    更新日期:2013-05-01 00:00:00

  • Fine-tuning insulin therapy.

    abstract::It is now possible to mimic normal insulin action more precisely than ever before with physiologic treatment programs using self-monitoring of blood glucose levels and newer insulins with more predictable action. Physiologic programs are more effective for both insulin-dependent (type I) and non-insulin-dependent (typ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1992.11701262

    authors: Beaser RS

    更新日期:1992-03-01 00:00:00

  • An overview of stroke. Epidemiology, classification, risk factors, clinical aspects.

    abstract::Although evidence indicates that the incidence of stroke has declined over the past 30 years, stroke remains one of the leading causes of disability and death in the United States. Prevention appears to be the best treatment. According to the Straub Stroke Registry, 52% of strokes in its patient population can be attr...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1986.11699535

    authors: Nakano KK

    更新日期:1986-09-15 00:00:00

  • Options for painless local anesthesia.

    abstract::Fear of the needle is a real issue with some patients and may be an obstacle to inducing anesthesia before minor surgical procedures are performed. Adults may express this fear verbally or, out of embarrassment, even avoid coming to the physician's office. Children may become intensely anxious and hysterical. In this ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1991.11700843

    authors: Holmes HS

    更新日期:1991-02-15 00:00:00

  • Recognizing and treating deep neck infection.

    abstract::Deep neck infection has ominous implications if not detected and treated in an early stage. The anatomic relationships of head and neck spaces encourage spread of infection. Immediate hospitalization and constant monitoring of the patient after diagnosis are mandatory. ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1976.11714389

    authors: Johnson JT,Tucker HM

    更新日期:1976-06-01 00:00:00

  • Demystifying hypoglycemia. When is it real and how can you tell?

    abstract::Contrary to popular belief, hypoglycemia is an infrequently encountered condition and its presence is questionable until confirmed by appropriate tests. In ambulatory patients, blood glucose levels obtained during intake of a normal diet are more reliable than those obtained during a glucose tolerance test. If the blo...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1987.11700028

    authors: McFarland KF,Baker C,Ferguson SD

    更新日期:1987-11-01 00:00:00

  • Diagnosis and management of nasal congestion: the role of intranasal corticosteroids.

    abstract::Nasal congestion is considered the most bothersome of allergic rhinitis (AR) symptoms and can significantly impair ability to function at work, home, and school. Effective management of AR-related nasal congestion depends on accurate diagnosis and appropriate treatment. Many individuals with AR and AR-related congesti...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.2009.01.1961

    authors: Benninger M

    更新日期:2009-01-01 00:00:00

  • Clinical significance of neutrophil-lymphocyte ratio and monocyte-lymphocyte ratio in women with hyperglycemia.

    abstract::Objective: Abnormal pro-inflammatory regulation of the immune system might contribute to the pathogenesis of hyperglycemia during pregnancy. We examined the correlations of neutrophil-lymphocyte ratio (NLR) and monocyte-lymphocyte ratio (MLR) with disease severity and assessed their predictive values. Methods: This re...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2020.1764235

    authors: Wang J,Zhu QW,Cheng XY,Sha CX,Cui YB

    更新日期:2020-11-01 00:00:00

  • Surgical treatment of reflux esophagitis and stricture.

    abstract::Surgical intervention is usually indicated in reflux esophagitis when medical therapy fails to control symptoms. Since most patients with peptic esophagitis also have a sliding hiatal hernia, early procedures focused on hernia repair. Weakness of the lower esophageal sphincter is now known to be the pathogenetic mecha...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1977.11712121

    authors: Woodward ER

    更新日期:1977-02-01 00:00:00

  • High-density lipoprotein cholesterol. Recommendations for routine testing and treatment.

    abstract::Evidence from epidemiologic, lipid intervention, and coronary angiographic studies demonstrates the importance of high-density lipoprotein cholesterol (HDL-C) in coronary artery disease (CAD) risk. Data from these studies strongly support the measurement of HDL-C in all patients screened for CAD. Patients with low lev...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1990.11704654

    authors: Lavie CJ,O'Keefe JH,Blonde L,Gau GT

    更新日期:1990-05-15 00:00:00

  • Percutaneous endoscopic gastrostomy. What are the benefits, what are the risks?

    abstract::One way to nutritionally support patients who cannot swallow is to administer formula directly into the stomach. Placing a gastrostomy tube percutaneously using endoscopy avoids the risks of general anesthesia and wound healing that accompany surgical gastrostomy. Although certain conditions (eg, sepsis, coagulation d...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.1080/00325481.1992.11701183

    authors: DiLorenzo J,Dalton B,Miskovitz P

    更新日期:1992-01-01 00:00:00

  • Suprapubic bladder puncture in a private pediatric practice.

    abstract::Suprapubic bladder puncture was performed 185 times in 126 girls in a private pediatric practice. Cultures of urine obtained by aspiration confirmed symptoms as indicative of urinary tract infection in 59% of instances and confirmed positive cultures of urine obtained by voiding in 57% of instances. Since suprapubic b...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.1982.11716120

    authors: Simon G

    更新日期:1982-07-01 00:00:00

  • Malnutrition, inflammation, and lipids in a cohort of dialysis patients.

    abstract:BACKGROUND:This study aimed to determine if there is an association between lipid levels, serum albumin, and C-reactive protein (CRP) levels in patients on dialysis. METHODS:Lipid profiles, albumin, and CRP levels were collected after a 12-hour fast from patients with end-stage renal disease (N = 105) who were on chro...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.3810/pgm.2010.05.2158

    authors: Bowden RG,Wilson RL

    更新日期:2010-05-01 00:00:00

  • Hoarseness. From viral laryngitis to glottic cancer.

    abstract::Hoarseness indicates an abnormality at the level of the glottis. This symptom may result from either structural or physiologic disorders. The differential diagnosis is lengthy and includes both benign and malignant diseases. History taking and physical examination, particularly laryngeal visualization, provide key clu...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:

    authors: Dettelbach M,Eibling DE,Johnson JT

    更新日期:1994-04-01 00:00:00

  • What to do when you discover testicular cancer. Helping patients overcome fear and choose treatment.

    abstract::As one patient put it after hearing his treatment options for a stage I testicular tumor, "If you're gonna have cancer, this is about as easy a road as you get." With recognition of the importance of orchiectomy, development of the nerve-sparing lymph node dissection procedure, and availability of modern chemotherapy ...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:10.3810/pgm.1999.04.699

    authors: Sonpavde G,Einhorn LH

    更新日期:1999-04-01 00:00:00

  • Subxiphoid uniportal video-assisted thoracoscopic surgery for synchronous bilateral lung resection.

    abstract:OBJECTIVES:With advancements in medical imaging and current emphasis on regular physical examinations, multiple pulmonary lesions increasingly are being detected, including bilateral pulmonary lesions. Video-assisted thoracic surgery is an important method for treating such lesions. Most of video-assisted thoracic surg...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2018.1398048

    authors: Yang X,Wang L

    更新日期:2018-01-01 00:00:00

  • Assessment of the role of serum ischemia-modified albumin in obstructive sleep apnea in comparison with interleukin-6.

    abstract:OBJECTIVES:There is limited and contradictory information regarding the role of serum ischemia-modified albumin (IMA) in obstructive sleep apnea (OSA). In this study we examine the effects of OSA and obesity on IMA and interleukin-6 (IL-6), and detect whether IMA and IL-6 may be potential biomarkers in OSA. METHODS:Fi...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章

    doi:10.1080/00325481.2016.1203237

    authors: Dogan D,Ocal N,Aydogan M,Tasci C,Arslan Y,Tapan S,Yetkin S,Bilgic H

    更新日期:2016-08-01 00:00:00

  • Peripartum complications. Hemorrhage, embolism, hypertension, and infection.

    abstract::Maternal peripartum complications continue to be a significant problem in the United States, even among previously healthy women. The problems include peripartum bleeding, infection, hypertension, and thromboembolic disease. Primary care physicians are often called upon to treat these conditions. An awareness of the a...

    journal_title:Postgraduate medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Ritter DC,deShazo RD

    更新日期:1994-02-01 00:00:00