Decision-Making on Withholding or Withdrawing Life Support in the ICU: A Worldwide Perspective.

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：:Eradication of the bacterial pathogen, resolution of the local and systemic inflammatory signs, and recovery of organ function are the main criteria by which antibiotic treatment is evaluated. In cystic fibrosis (CF) the pathogen is seldom eradicated and systemic markers of inflammation are not always present. The mai...

journal_title：Chest

authors： Levy J

更新日期：1988-08-01 00:00:00

abstract：:Several studies have shown that funeral directors have an increased risk of tuberculosis (TB). Although there is indirect evidence of transmission of TB from cadavers to mortuary workers, there is only one recently documented case in the literature. We report here another case of occupationally acquired TB in a funera...

journal_title：Chest

authors： Lauzardo M,Lee P,Duncan H,Hale Y

更新日期：2001-02-01 00:00:00

abstract：STUDY OBJECTIVES:Anastomotic leakage after esophagectomy is associated with high postoperative morbidity and mortality. The most important predisposing factors for anastomotic leaks are ischemia of the gastric conduit and low blood oxygen content. The aim of this study was to evaluate the influence of thoracic epidural...

journal_title：Chest

authors： Michelet P,D'Journo XB,Roch A,Papazian L,Ragni J,Thomas P,Auffray JP

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:Acute care nurse practitioners (ACNPs) are increasingly being employed in ICUs to offset physician shortages, but no data exist about outcomes of critically ill patients continuously cared for by ACNPs. METHODS:Prospective cohort study of all admissions to an adult medical ICU in an academic, tertiary-care ...

journal_title：Chest

authors： Landsperger JS,Semler MW,Wang L,Byrne DW,Wheeler AP

更新日期：2016-05-01 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：BACKGROUND:While isolating the pulmonary arterial branches within the fissure is a crucial step in lobectomy, a largely fused fissure usually hinders its achievement, making lobectomy with video-assisted thoracoscopic surgery (VATS) difficult to achieve. For VATS lobectomy in lung cancer patients with a largely fused f...

journal_title：Chest

authors： Nomori H,Ohtsuka T,Horio H,Naruke T,Suemasu K

更新日期：2003-02-01 00:00:00

abstract：BACKGROUND:Guidelines are critical for facilitating cost-effective COPD care. Development and implementation in low-and middle-income countries (LMICs) is challenging. To guide future strategy, an overview of current global COPD guidelines is required. RESEARCH QUESTION:We systematically reviewed national COPD guideli...

journal_title：Chest

authors： Tabyshova A,Hurst JR,Soriano JB,Checkley W,Wan-Chun Huang E,Trofor AC,Flores-Flores O,Alupo P,Gianella G,Ferdous T,Meharg D,Alison J,Correia de Sousa J,Postma MJ,Chavannes NH,van Boven JFM

更新日期：2020-10-08 00:00:00

abstract：:Of 354 thoracotomies, 114 cases involved intraoperative cytopathologic evaluation. The study included 86 men and 28 women, and 184 specimens were examined. Smears were taken from the lung lesion or lymph node and the chest wall or bronchial stump by imprint or needle aspiration. Intraoperative evaluations were compare...

journal_title：Chest

authors： Terada Y,Matsunobe S,Nemoto T,Tsuda T,Shimizu Y

更新日期：1990-11-01 00:00:00

abstract：:Propofol, a new intravenous sedative agent, was investigated in 41 asthmatic patients undergoing day-case (outpatient) fiberoptic bronchoscopy. The study design was a randomized comparison between propofol and midazolam, which is a well-established intravenous sedative agent. The age, weight, and American Society of A...

journal_title：Chest

authors： Clarkson K,Power CK,O'Connell F,Pathmakanthan S,Burke CM

更新日期：1993-10-01 00:00:00

abstract：STUDY OBJECTIVES:Despite the success of specialist cough clinics, there is increasing recognition of a subgroup of chronic coughers in whom a diagnosis cannot be made even after thorough, systematic investigation. We call this condition chronic idiopathic cough (CIC). The aim of this study is to compare the clinical ch...

journal_title：Chest

authors： Haque RA,Usmani OS,Barnes PJ

更新日期：2005-05-01 00:00:00

abstract：STUDY OBJECTIVES:To evaluate the safety and efficacy of sitaxsentan, an endothelin-A receptor antagonist, in a 12-week, open-label trial of patients with pulmonary arterial hypertension (PAH). PATIENTS:Six children and 14 adults with New York Heart Association (NYHA) functional class II, III, or IV primary pulmonary h...

journal_title：Chest

authors： Barst RJ,Rich S,Widlitz A,Horn EM,McLaughlin V,McFarlin J

更新日期：2002-06-01 00:00:00

abstract：BACKGROUND:Malignant pleural effusion (MPE) is common. Existing literature on pleural fluid compositions is restricted to cross-sectional sampling with little information on longitudinal changes of fluid biochemistry and cytokines with disease progression. Indwelling pleural catheters provide the unique opportunity for...

journal_title：Chest

authors： Thomas R,Cheah HM,Creaney J,Turlach BA,Lee YC

更新日期：2016-06-01 00:00:00

abstract：:A patient with systemic artery-to-pulmonary artery fistulae is described. Historically, all therapy of this type of lesion has been surgical. We describe a new mode of treatment, therapeutic embolization, which obviates surgical intervention and its attendant risks. Embolization is an alternative to surgery that shoul...

journal_title：Chest

authors： Wolf DC,Wurtzbacher JJ,Horton J

更新日期：1982-12-01 00:00:00

abstract：OBJECTIVES:To evaluate the diagnostic use of pleural fluid adenosine deaminase (ADAPF) levels in tuberculous pleuritis (TBpl), with a special reference to HIV coinfection and a Bayesian analysis. METHODS:We investigated a total of 216 patients with pleural effusion, including 100 with TBpl, 68 with malignant effusion,...

journal_title：Chest

authors： Riantawan P,Chaowalit P,Wongsangiem M,Rojanaraweewong P

更新日期：1999-07-01 00:00:00

abstract：SETTING:Seven primary health clinics and a pulmonary disease specialty clinic in Rio de Janeiro City, Brazil. OBJECTIVE:To evaluate a commercial immunochromatographic test kit (ICT Tuberculosis; AMRAD-ICT; Sidney, Australia) employing five recombinant Mycobacterium tuberculosis proteins for the detection of pulmonary ...

journal_title：Chest

authors： Perkins MD,Conde MB,Martins M,Kritski AL

更新日期：2003-01-01 00:00:00

abstract：OBJECTIVES:To investigate the prevalence of physician-diagnosed COPD and to explore the relationship between the total amount of cigarettes smoked (TACS) and COPD among urban and rural adults in Nanjing, China. DESIGN:Population-based, cross-sectional study conducted between October 2000 and March 2001. SETTING:Admin...

journal_title：Chest

authors： Xu F,Yin X,Zhang M,Shen H,Lu L,Xu Y

更新日期：2005-10-01 00:00:00

abstract：:Fatal pulmonary embolism (PE) is a major cause of mortality in patients with spinal cord injury. In order to ascertain those characteristics that might predict this event, we reviewed the records of all patients with autopsy-proven massive PE admitted to a regional spinal cord care center over a 5-year period. The inf...

journal_title：Chest

authors： Green D,Twardowski P,Wei R,Rademaker AW

更新日期：1994-03-01 00:00:00

abstract：:Central hemodynamics and gas exchange were studied in six patients with chronic obstructive pulmonary disease (mean age, 60 years). Patients were selected for the study if the volume of blood was 1 L larger than the predicted normal value, if there was no history of infection, and if no drug assumed to influence pulmo...

journal_title：Chest

authors： Gertz I,Hedenstierna G,Wester PO

更新日期：1979-02-01 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:Long-acting β2-agonists (LABAs) and long-acting muscarinic antagonists (LAMAs) are recommended as initial maintenance treatments for COPD, with their combination (LABA-LAMA) advocated as the disease progresses. Randomized trials comparing the effectiveness of this combination with the alternative combination...

journal_title：Chest

authors： Suissa S,Dell'Aniello S,Ernst P

更新日期：2019-06-01 00:00:00

abstract：:We report the occurrence of an unusual variant of congenital adenomatoid malformation (CAM) of the lung in a 16-year-old male. Abundant cartilage in the walls of malformed bronchioles, an extremely rare finding in CAM, distinguishes this lesion from the usual forms. We present the roentgenographic, computed tomographi...

journal_title：Chest

authors： Benning TL,Godwin JD,Roggli VL,Askin FB

更新日期：1987-09-01 00:00:00

abstract：:Unidirectional endobronchial valves, originally studied for potential treatment of emphysema, have emerged as a useful intervention for patients with persistent air leak from the lung. The procedure is accomplished via bronchoscopy in a patient who already has a chest tube in place for management of the air leak. It u...

journal_title：Chest

authors： Kovitz KL,French KD

更新日期：2013-08-01 00:00:00

abstract：BACKGROUND:The American Thoracic Society recommends race-specific spirometric reference values from the National Health and Nutrition Survey (NHANES) III for clinical evaluation of pulmonary function in whites, African-Americans, and Mexican-Americans in the United States and a correction factor of 0.94 for Asian-Ameri...

journal_title：Chest

authors： Hankinson JL,Kawut SM,Shahar E,Smith LJ,Stukovsky KH,Barr RG

更新日期：2010-01-01 00:00:00

abstract：:The integrated electronic display model for teaching bronchoscopic technique has been most helpful in guiding the student-bronchoscopist, especially in the early stages of reorientation in both the procedure for insertion and the practice of identification of the individual segmental orifice. The display board is elec...

journal_title：Chest

authors： Cunanan OS,Mazza JE

更新日期：1977-09-01 00:00:00

abstract：:It has been demonstrated that total parenteral nutrition (TPN) results in increased O2 consumption (VO2), CO2 production (VCO2) and minute ventilation (VE). TPN consists of a mixture of glucose and amino acids. The individual role of each of these nutrients in mediating these changes has not been well established. To ...

journal_title：Chest

authors： Rodriguez JL,Askanazi J,Weissman C,Hensle TW,Rosenbaum SH,Kinney JM

更新日期：1985-10-01 00:00:00

abstract：:Combination chemotherapy has dramatically improved the prognosis of patients with intermediate and high grade histologic subtypes of non-Hodgkin's lymphomas. Treatment-related complications, however, are considerable, and a common problem encountered is respiratory distress or respiratory insufficiency. Usually these ...

journal_title：Chest

authors： Glenn LD,Armitage JO,Goldsmith JC,Sorensen S,Howe D,Weisenberger DD

更新日期：1988-09-01 00:00:00

abstract：INTRODUCTION:Over the last several years, there have been legal decisions and changes in medical directives concerning end-of-life decisions in Israel. METHODS:The data were compared to evaluate the changes in the frequency and types of forgoing of life-sustaining treatment (FLST) in patients who were admitted to the ...

journal_title：Chest

authors： Jakobson DJ,Eidelman LA,Worner TM,Oppenheim AE,Pizov R,Sprung CL

更新日期：2004-12-01 00:00:00

abstract：:Antemortem diagnosis of a perforated MV aneurysm by Doppler echocardiography, as well as two-dimensional echocardiography (2-DE), has not been reported. Herein we present such a case. ...

journal_title：Chest

authors： Chua SO,Chiang CW,Lee YS,Chang CH,Hung JS

更新日期：1990-03-01 00:00:00

abstract：STUDY OBJECTIVES:Bronchial stenosis (BS) and bronchomalacia (BM) are often associated with lung allograft rejection or infection in lung transplant (LT) recipients. We reviewed our experience using balloon-expandable metallic (Palmaz) stents in the management of BS and BM in LT. DESIGN:Retrospective review of cases. ...

journal_title：Chest

authors： Susanto I,Peters JI,Levine SM,Sako EY,Anzueto A,Bryan CL

更新日期：1998-11-01 00:00:00