A 3-month-old infant with recurrent apparent life-threatening events in a car seat.

Abstract:

:A 3-month-old infant was brought to clinic for evaluation of recurrent apparent life-threatening events (ALTEs). Two ALTE episodes occurred while the infant was sleeping in a safety car seat. The first one occurred when he was 4 weeks old. His mother noticed that he was not breathing; he appeared limp with full body cyanosis. His mother picked him up from the car seat, and he started breathing spontaneously and without any sign of distress. His skin color returned to normal. He was evaluated at the ED where the physical examination was normal. He was hospitalized 1 day for observation. During this time, workup, including ECG and chest radiograph, was normal. The parents were instructed on cardiorespiratory resuscitation and recommended to change car seats. The infant was discharged with an apnea monitor. He wore the apnea monitor while in the car seat. A second similar episode occurred at 10 weeks of age for which he was seen at the ED and referred to our clinic for further evaluation. Neither episode was related to feeding.

journal_name

Chest

journal_title

Chest

authors

DelRosso LM

doi

10.1378/chest.14-1595

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

e152-e155

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)38980-7

journal_volume

147

pub_type

杂志文章

相关文献

CHEST文献大全
  • Repeatability of inspiratory capacity during incremental exercise in patients with severe COPD.

    abstract:STUDY OBJECTIVE:Estimating lung volume using inspiratory capacity (IC) maneuvers is a useful way of tracking dynamic hyperinflation. An understanding of the repeatability of the IC in a clinical setting is important when evaluating an individual's response to a therapeutic intervention that might influence lung volume....

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.3.708

    authors: Dolmage TE,Goldstein RS

    更新日期:2002-03-01 00:00:00

  • Bilateral tuberculous pleural effusions with markedly different characteristics.

    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

    pub_type: 杂志文章

    doi:10.1378/chest.110.3.849

    authors: Murin S,Moritz E

    更新日期:1996-09-01 00:00:00

  • Infarcted extralobar pulmonary sequestration.

    abstract::A 32-year-old man who presented with symptoms suggesting empyema was found at thoracotomy to have infarction of an extralobar pulmonary sequestration. He was completely relieved by excision of the sequestration after securing the systemic vascular pedicle which had undergone torsion. Recognition of the anomalous blood...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.68.1.98

    authors: Maull KI,McElvein RB

    更新日期:1975-07-01 00:00:00

  • Understanding cardiopulmonary resuscitation decision making: perspectives of seriously ill hospitalized patients and family members.

    abstract:BACKGROUND:To improve communication and decision making related to cardiopulmonary resuscitation (CPR), a greater understanding of the perspectives of hospitalized patients with advanced diseases and their family members are needed. METHODS:In five Canadian hospitals, we administered a face-to-face questionnaire to ol...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.130.2.419

    authors: Heyland DK,Frank C,Groll D,Pichora D,Dodek P,Rocker G,Gafni A

    更新日期:2006-08-01 00:00:00

  • Effect of Age on Phenotype and Outcomes in Pulmonary Arterial Hypertension Trials.

    abstract:BACKGROUND:In recent years, the population of patients with pulmonary arterial hypertension (PAH) has changed dramatically, including more advanced age at diagnosis. We hypothesized that older patients have a distinct clinical profile with different disease characteristics and response to intervention. METHODS:All pre...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2015.11.008

    authors: Rose JA,Cleveland JM,Rao Y,Minai OA,Tonelli AR

    更新日期:2016-05-01 00:00:00

  • Unsuspected infrahepatic interruption of inferior vena cava associated with floppy mitral valve, mitral valve prolapse, and severe mitral regurgitation.

    abstract::We describe a case of unsuspected infrahepatic interruption of the inferior vena cava with hemiazygos continuation in a 67-year-old man presenting with chest pain and evidence of mitral regurgitation. He had no persistent superior vena cava, with the hemiazygos draining directly into the right superior vena cava. Poly...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.106.5.1626

    authors: Dellavalle A,Ribichini F,Steffenino G

    更新日期:1994-11-01 00:00:00

  • Hospitalizations for pulmonary reactions following nitrofurantoin use.

    abstract::Acute pulmonary illness compatible with previously described nitrofurantoin toxicity and requiring hospitalization occurred three times among 16,101 first courses of therapy with nitrofurantoin. One case of fatal pulmonary fibrosis was ascribed to long-term use of nitrofurantoin among 742 observed recipients of ten or...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.96.3.512

    authors: Jick SS,Jick H,Walker AM,Hunter JR

    更新日期:1989-09-01 00:00:00

  • Relationship between amphiregulin and airway inflammation in children with asthma and eosinophilic bronchitis.

    abstract:BACKGROUND:Amphiregulin, a member of the epidermal growth factor family, has been shown to promote the growth of fibroblasts, to be associated with the T-helper type 2 cell adaptive immune response, and to up-regulate mucin gene expression. We aimed to determine whether sputum amphiregulin is expressed at elevated leve...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-2972

    authors: Kim KW,Jee HM,Park YH,Choi BS,Sohn MH,Kim KE

    更新日期:2009-09-01 00:00:00

  • Air leaks after lobectomy increase the risk of empyema but not of cardiopulmonary complications: a case-matched analysis.

    abstract:PURPOSE:To assess whether the presence and duration of air leaks after lobectomy are associated with an increased incidence of cardiopulmonary complications. METHODS:Propensity score analysis was used on 726 patients undergoing pulmonary lobectomy from 1995 through 2004 to form three well-matched pairs of patients: pa...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.130.4.1150

    authors: Brunelli A,Xiume F,Al Refai M,Salati M,Marasco R,Sabbatini A

    更新日期:2006-10-01 00:00:00

  • Fortuitous esophageal intubation.

    abstract::Esophageal malposition is a potentially disastrous complication of attempted airway intubation. We report an unusual case in which a promptly recognized esophageal intubation aided detection of a perforated gastric ulcer. After the endotracheal tube was repositioned and the ulcer was surgically repaired, our patient h...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.2.625

    authors: Dunham D,Schmidt GA

    更新日期:1993-02-01 00:00:00

  • Clinical applications of targeted temperature management.

    abstract::Targeted temperature management (TTM) has been investigated experimentally and used clinically for over 100 years. The initial rationale for the clinical application of TTM, historically referred to as therapeutic hypothermia, was to decrease the metabolic rate, allowing the injured brain time to heal. Subsequent rese...

    journal_title:Chest

    pub_type: 历史文章,杂志文章,评审

    doi:10.1378/chest.12-3025

    authors: Perman SM,Goyal M,Neumar RW,Topjian AA,Gaieski DF

    更新日期:2014-02-01 00:00:00

  • Increased risk of myocardial infarction and stroke following exacerbation of COPD.

    abstract:OBJECTIVE:Patients with COPD are at risk for cardiovascular events. This is attributed to increased systemic inflammation. The course of COPD is punctuated by exacerbations, which further increase systemic inflammation, but the risk of vascular events in the postexacerbation period has never been defined. METHODS:We a...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-2029

    authors: Donaldson GC,Hurst JR,Smith CJ,Hubbard RB,Wedzicha JA

    更新日期:2010-05-01 00:00:00

  • Continuous precordial murmur due to congenital fistula between the femoral artery and the superior vena cava.

    abstract::An unusual case of arteriovenous communication between the left inferior epigastric artery, a branch of the femoral artery, and the superior vena cava is presented. The communication caused a continuous murmur at the lower parasternal area and was responsible for a significant left-to-right shunt. Surgical treatment, ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.74.2.226

    authors: Bashour T,Kabbani S,Cheng TO

    更新日期:1978-08-01 00:00:00

  • Effect of acute myocardial infarction on cholesterol ratios.

    abstract:OBJECTIVE:In patients with acute myocardial infarctions (MIs), cholesterol levels are no longer valid after 24 h from presentation because acute MI causes a rapid decline in serum levels of total cholesterol, low-density lipoprotein (LDL) cholesterol, and high-density lipoprotein (HDL) cholesterol. The objective of thi...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.120.4.1196

    authors: Wattanasuwan N,Khan IA,Gowda RM,Vasavada BC,Sacchi TJ

    更新日期:2001-10-01 00:00:00

  • COPD: exacerbation.

    abstract::A renewed interest in the clinical and pathogenic aspects of COPD exacerbation is timely in view of national and global COPD initiatives. The three big problems regarding COPD continue to be the following: prevention of the disease; slowing progression of the disease once diagnosis has been established; and prevention...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.117.5_suppl_2.376s

    authors: Voelkel NF,Tuder R

    更新日期:2000-05-01 00:00:00

  • Multidetector CT scan findings of a right aberrant retroesophageal vertebral artery with an anomalous origin from a cervical aortic arch.

    abstract::Various malformations of the aortic arch and great vessels have been reported in the literature, which reflects the complexity of their embryologic development. Most of them are of incidental finding and remain asymptomatic but can be responsible for respiratory or digestive symptoms and be associated with congenital ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.09-2244

    authors: Verin AL,Creuze N,Musset D

    更新日期:2010-08-01 00:00:00

  • Psychological defenses and coping styles in patients following a life-threatening attack of asthma.

    abstract::Twenty-five patients who have suffered a near miss asthma death (NMAD) have undergone a comprehensive psychiatric evaluation on average 13 months following this event. Forty percent of the patients were judged to have psychiatric disorders at the time of assessment. All patients had very high levels of denial and foll...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.6.1298

    authors: Yellowlees PM,Ruffin RE

    更新日期:1989-06-01 00:00:00

  • Importance of adequate gas-mixing in contrast echocardiography.

    abstract::Microbubble formation has been accepted as the mechanism producing contrast echoes. Comparisons of the contrast effects of various agents have been studied extensively, but the importance of gas-mixing has been less appreciated. To test the hypothesis that good gas-mixing, by facilitating microbubble formation, would ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.89.5.723

    authors: Chiang CW,Lin FC,Fu M,Fang BR,Hsu TS,Lee YS

    更新日期:1986-05-01 00:00:00

  • Mediastinal lymphadenopathy in patients undergoing cardiac transplant evaluation.

    abstract:BACKGROUND:We evaluated the association between hemodynamic parameters of chronic congestive heart failure (CHF) and mediastinal lymphadenopathy (MLA) in heart transplantation (HT) candidates and the effect of HT on MLA. We also described the results of lymph node (LN) biopsies of MLA in the patients. METHODS:Patients...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.10-1386

    authors: Pastis NJ Jr,Van Bakel AB,Brand TM,Ravenel JG,Gilbert GE,Silvestri GA,Judson MA

    更新日期:2011-06-01 00:00:00

  • Variability and Misclassification of Sleep Apnea Severity Based on Multi-Night Testing.

    abstract:BACKGROUND:Portable monitoring is a convenient means for diagnosing sleep apnea. However, data on whether one night of monitoring is sufficiently precise for the diagnosis of sleep apnea are limited. RESEARCH QUESTION:The current study sought to determine the variability and misclassification in disease severity over ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.01.039

    authors: Punjabi NM,Patil S,Crainiceanu C,Aurora RN

    更新日期:2020-07-01 00:00:00

  • Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares.

    abstract:BACKGROUND:Central venous pressure (CVP) is used almost universally to guide fluid therapy in hospitalized patients. Both historical and recent data suggest that this approach may be flawed. OBJECTIVE:A systematic review of the literature to determine the following: (1) the relationship between CVP and blood volume, (...

    journal_title:Chest

    pub_type: 杂志文章,meta分析,评审

    doi:10.1378/chest.07-2331

    authors: Marik PE,Baram M,Vahid B

    更新日期:2008-07-01 00:00:00

  • Time course of hemosiderin production and clearance by human pulmonary macrophages.

    abstract::Tracheal aspirates from four previously healthy infants with acute pulmonary hemorrhage, and small volume bronchial lavages from children undergoing flexible fiberoptic bronchoscopy were examined for pulmonary alveolar macrophages (PAM) containing hemosiderin. Hemosiderin formation was also studied in vitro. Macrophag...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.86.3.409

    authors: Sherman JM,Winnie G,Thomassen MJ,Abdul-Karim FW,Boat TF

    更新日期:1984-09-01 00:00:00

  • Gas exchange in chronic thromboembolism after pulmonary thromboendarterectomy.

    abstract::Thromboendarterectomy is the treatment of choice for chronic large vessel thromboembolic pulmonary hypertension. To identify the mechanisms responsible for the improvement in gas exchange following thromboendarterectomy, we studied nine patients with chronic thromboembolic pulmonary hypertension before and eight to 18...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.1.14

    authors: Kapitan KS,Clausen JL,Moser KM

    更新日期:1990-07-01 00:00:00

  • Chronic persistent cough. Experience in diagnosis and outcome using an anatomic diagnostic protocol.

    abstract::Irwin and co-workers have designed an anatomic approach to the diagnosis and treatment of cough. In their hands, diagnosis was consistently determined and treatment successful almost without exception, if sustained. We reviewed the results of a similar approach in 139 consecutive and unselected patients referred to pu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.4.723

    authors: Poe RH,Harder RV,Israel RH,Kallay MC

    更新日期:1989-04-01 00:00:00

  • Automated surveillance for ventilator-associated events.

    abstract:BACKGROUND:The US Centers for Disease Control and Prevention has implemented a new, multitiered definition for ventilator-associated events (VAEs) to replace their former definition of ventilator-associated pneumonia (VAP). We hypothesized that the new definition could be implemented in an automated, efficient, and rel...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.13-2255

    authors: Stevens JP,Silva G,Gillis J,Novack V,Talmor D,Klompas M,Howell MD

    更新日期:2014-12-01 00:00:00

  • Follow-up of patients with tuberculosis treated in a general hospital program. Treatment largely as outpatients by community physicians.

    abstract::As of December 1975, there had been 5 to 8 1/2 years of observation on 263 patients with bacteriologically proven tuberculosis who were initially admitted to a general hospital and were treated largely as outpatients by community physicians from July 1967 through December 1970. Ten patients died during hospitalization...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.74.1.19

    authors: Dutt AK,Miller DL,Reagan WP,Swindoll HS,Jones LS,Stead WW

    更新日期:1978-07-01 00:00:00

  • Supraventricular tachyarrhythmias in hospitalized adults after surgery. Clinical correlates in patients over 40 years of age after major noncardiac surgery.

    abstract::To assess the clinical correlates and therapeutic outcome of new postoperative supraventricular tachyarrhythmias, 916 patients who were in sinus rhythm throughout the course of surgery were prospectively followed after major noncardiac surgery. The 35 patients (4 percent) who developed new postoperative supraventricul...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.73.4.450

    authors: Goldman L

    更新日期:1978-04-01 00:00:00

  • Comparative Effectiveness of Proton Pump Inhibitors vs Histamine Type 2 Receptor Blockers for Preventing Clinically Important Gastrointestinal Bleeding During Intensive Care: A Population-Based Study.

    abstract:BACKGROUND:Proton pump inhibitors (PPIs) and histamine type 2 receptor blockers (H2Bs) are used for stress ulcer prophylaxis. Although the PPIs have greater potency for acid suppression, their relative effectiveness for preventing clinically important GI bleeding (CIGIB) has not been established. The goal of this study...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2018.05.015

    authors: Lilly CM,Aljawadi M,Badawi O,Onukwugha E,Tom SE,Magder LS,Harris I

    更新日期:2018-09-01 00:00:00

  • Ultrasound Billing for Intensivists.

    abstract::Point-of-care ultrasonography is a key skill for the critical care clinician and is gaining widespread acceptance by clinicians in all areas of medicine. In addition to mastery of image acquisition, image interpretation, and clinical application, intensivists need to be adept with billing for their scanning activity. ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2019.06.006

    authors: Koenig SJ,Lou BX,Moskowitz Y,Narasimhan M,Mayo PH

    更新日期:2019-10-01 00:00:00

  • The use of home spirometry in detecting acute lung rejection and infection following heart-lung transplantation.

    abstract::The value of home spirometry in detecting acute lung rejection and opportunistic infections was studied in 15 heart-lung transplant recipients over a six-month period. The patients measured their FEV1 and FVC twice daily at home using a portable turbine spirometer. The records were then reviewed in relation to the res...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.2.353

    authors: Otulana BA,Higenbottam T,Ferrari L,Scott J,Igboaka G,Wallwork J

    更新日期:1990-02-01 00:00:00