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 milieu. With the continued evolution of point-of-care ultrasound into increasingly sophisticated domains, TEE has gained steady uptake in many nontraditional environments for both advanced echocardiographic assessment as well as answering more goal directed, fundamental questions. This article introduces the workings of the TEE transducer, presents a systematic approach to a goal-directed hemodynamic assessment, and includes a series of illustrative figures and narrated video presentations to demonstrate the techniques described.
journal_name
Chestjournal_title
Chestauthors
Jaidka A,Hobbs H,Koenig S,Millington SJ,Arntfield RTdoi
10.1016/j.chest.2018.09.023subject
Has Abstractpub_date
2019-01-01 00:00:00pages
194-201issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(18)32563-7journal_volume
155pub_type
杂志文章,评审相关文献
CHEST文献大全abstract::Echocardiography has proven a useful and sensitive means to determine noninvasively the cardiac dimensions. This report describes the echocardiographic detection of progressive dilatation of the aortic root over an 18-month period, which led to death in a 33-year-old man with Marfan's syndrome; however, at no time was...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.72.6.789
更新日期:1977-12-01 00:00:00
abstract:BACKGROUND:Pulmonary hypertension, which is related to right ventricular (RV) failure, indicates a poor prognosis in heart failure (HF). Increased ventilatory response and exercise oscillatory ventilation (EOV) also have a negative impact. We hypothesized that the severity classification of HF and risk prediction could...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-2065
更新日期:2015-07-01 00:00:00
abstract::The factors that contribute to the symptoms of breathlessness and fatigue, and that limit exercise capacity in patients with chronic heart failure are poorly understood. Recent evidence suggests that the major mechanism is not related to central hemodynamics but to a reduction of skeletal muscle mass and diminished bl...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.101.5_supplement.330s
更新日期:1992-05-01 00:00:00
abstract:STUDY OBJECTIVE:Immune and inflammatory mechanisms could play a significant role in pulmonary arterial hypertension (PAH) genesis or progression, especially in patients with connective tissue diseases. Immunosuppressive therapy should be better evaluated in this setting. STUDY DESIGN:Monocentric retrospective study. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.130.1.182
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Cigarette smoking is associated with worse symptoms in asthma and abnormal segmental airways in healthy subjects. We tested the hypothesis that current symptom control in smokers with asthma is associated with altered segmental airway dimensions measured by CT scan. METHODS:In 93 subjects with mild, moderat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-1119
更新日期:2015-03-01 00:00:00
abstract::Allergy prick skin testing was performed on 137 newly diagnosed patients with primary lung cancer and 137 age-(+/- 3 years) and sex-matched randomly selected control subjects. We also compared 38 patients with lung cancer and 38 of their closest in age, same-sex siblings. Demographic data, personal, medical, smoking a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.93.2.241
更新日期:1988-02-01 00:00:00
abstract::Systemically bioavailable leukotriene receptor antagonists (LTRAs) can reduce the essential components of allergic inflammation in allergic rhinitis (AR) and asthma by blocking cysteinyl leukotriene (CysLT) activity, resulting in a wide range of clinical effects. CysLTs, mediators, and modulators in the pathophysiolog...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.127.4.1312
更新日期:2005-04-01 00:00:00
abstract::A 60-year-old woman with recent onset of exertional chest pain, left anterior hemiblock and negative stress electrocardiogram was found to have hypoplasia of the coronary sinus with drainage of the major coronary venous blood by way of the Thebesian system into the left ventricle. This abnormality appeared to be of no...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.3.384
更新日期:1975-09-01 00:00:00
abstract::There is renewed interest in the classification and methods of recording adventitious pulmonary sounds. This is a study of the importance of fine crackles (rales) in the diagnosis and estimation of the severity of diffuse infiltrative pulmonary disease. Among 272 cases documented by lung biopsy, bilateral fine crackle...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.73.3.333
更新日期:1978-03-01 00:00:00
abstract::Unresectable carcinoma of the lung has traditionally been recognized as a contraindication to surgery in massive hemoptysis. A 60-year-old man had massive hemoptysis. At surgery an unresectable neoplastic mass invading the mediastinum and great vessels was encountered. Subtotal resection was accomplished using a stapl...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.76.2.234
更新日期:1979-08-01 00:00:00
abstract:BACKGROUND:Pulmonary hypertension (PH) is a common complication of sarcoidosis that is associated with increased mortality. The pathogenesis of PH in sarcoidosis is uncertain, and the role of pulmonary arterial hypertension (PAH)-specific therapies remains to be determined. METHODS:We conducted a retrospective study o...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.08-1881
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Therapist-implemented protocols have been used to extubate or wean patients in the ICU setting. Barlow Respiratory Hospital (BRH) functions as a center for weaning patients from prolonged mechanical ventilation (PMV) in the post-ICU setting of a long-term acute-care (LTAC) facility. A therapist-implemented p...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.119.1.236
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Bronchoscopic microsampling (BMS) is a method in which a device consisting of a wire with a polyester probe at the tip is used to collect bronchial epithelial lining fluid with bronchoscopy. In this study, we bacteriologically investigated sample collection using BMS to incorporate BMS into diagnosis of resp...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.06-0989
更新日期:2007-02-01 00:00:00
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
更新日期:1986-05-01 00:00:00
abstract:BACKGROUND:Methicillin-resistant Staphylococcus aureus (MRSA) is a leading cause of hospital-acquired pneumonia (HAP), ventilator-associated pneumonia (VAP), and health-care-associated pneumonia (HCAP). These infections are associated with significant morbidity, mortality, and cost. The impact of vancomycin minimum inh...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.09-2453
更新日期:2010-12-01 00:00:00
abstract::Forty patients with atrial fibrillation and 20 patients with congestive heart failure and sinus rhythm were studied. Patients were divided into two groups. Group A consisted of 20 patients with atrial fibrillation in whom systolic time intervals were measured. Twenty to 50 beats were analyzed. Five of the patients had...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.74.6.629
更新日期:1978-12-01 00:00:00
abstract::Exposure to cigarette smoke can lead to a variety of parenchymal lung diseases, including diffuse cystic lung diseases (DCLDs). Lymphangioleiomyomatosis (LAM) is the prototypical DCLD and has a characteristic appearance on high-resolution CT (HRCT). We present a series of four patients with DCLD on HRCT who were refer...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2018.02.027
更新日期:2018-08-01 00:00:00
abstract::A 36-year-old man with a history of hypertrophic obstructive cardiomyopathy presented to the emergency room with "stabbing" chest pain. He had undergone dual-chamber pacemaker implantation in 1993 using an atrial lead (Accufix; Telectronics; Englewood, Colo) and a myomectomy in 1996 during which the distal portion of ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.114.2.637
更新日期:1998-08-01 00:00:00
abstract::Five different volumes of test solutions (1 to 3 ml) containing 15 mg of metaproterenol were placed in each of five different nebulizers. The time to complete nebulization and the amount of drug delivered varied considerably, depending upon the initial volume of solution placed in the nebulizer. Small volumes (1 ml) w...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.87.4.512
更新日期:1985-04-01 00:00:00
abstract::We report the findings in a patient with Klippel-Feil syndrome and associated agenesis of right upper and middle lobes, hypoplasia of the right lower lobe of the lung, and Lown-Ganong-Levine syndrome. To our knowledge, such an association has not been previously described. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.4.1157
更新日期:1992-04-01 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
pub_type: 杂志文章
doi:10.1378/chest.100.1.263
更新日期:1991-07-01 00:00:00
abstract::The course of 357 balloon inflations performed during 38 angioplasties for single-vessel coronary artery disease was prospectively studied using continuous ECG recording. Ischemic ECG changes appeared during 91 percent of the inflations at a mean of 20 +/- 8 seconds after inflation and resolved in 97 percent of those ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.99.2.386
更新日期:1991-02-01 00:00:00
abstract::Patients with diffuse interstitial lung diseases (DILD) are challenging to treat. Many patients with DILD have inadequate information about the disease process, an imprecise diagnosis, unsatisfactory treatment or unacceptable side effects associated with therapy, and poorly controlled symptoms of progressive illness. ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.113.1.192
更新日期:1998-01-01 00:00:00
abstract:STUDY OBJECTIVES:Solitary fibrous tumors of the pleura (SFTPs) are slow-growing neoplasms. Approximately 800 cases have been reported in the literature to date. The aim of this study was to address our experience with the management of SFTPs and to evaluate the advantage of video-assisted thoracoscopic surgery (VATS) i...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.125.3.1144
更新日期:2004-03-01 00:00:00
abstract::The effects of the administration of ouabain on the peak negative left ventriculat (LV) dP/dt were studied in 14 patients with acute myocardial infarction. Prior to administration of ouabain, negative LV dP/at was lower than previously reported for patients without coronary arterial disease. One hour after administrat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.2.259
更新日期:1976-08-01 00:00:00
abstract::In this investigation, we examined changes in exfoliated tracheobronchial cells in sputum in 46 individuals (mean age = 49.2 years; mean packyears = 48.7) who discontinued smoking and 37 individuals (mean age = 54.9 years; mean packyears = 65.2) who continued to smoke over a 12-month period after participation in the ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.3.607
更新日期:1992-03-01 00:00:00
abstract::Two recent epidemiologic case-control studies suggested that fenoterol, a selective beta-adrenergic agonist, was associated with an increase in the risk of asthma death. The results of these studies were criticized because of methodologic problems in the choice and selection of control subjects; the different methods ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.6.1586
更新日期:1991-12-01 00:00:00
abstract::Respiratory rate is a sensitive clinical parameter in a multitude of pulmonary diseases, especially in the critical care setting. In order to validate the routine recording of the respiratory rate in the intensive care unit, we compared the values obtained from the nursing records with the breathing frequency continuo...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.90.5.632
更新日期:1986-11-01 00:00:00
abstract::In this study, the systemic and coronary hemodynamic changes associated with the administration of diltiazem, a recent calcium antagonist, were evaluated in three different situations as follows: following a 200 microgram/kg intravenous bolus of the drug in 12 open-chest anesthetized dogs; following two successive int...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.78.1_supplement.224
更新日期:1980-07-01 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
pub_type: 杂志文章
doi:10.1378/chest.74.2.150
更新日期:1978-08-01 00:00:00