Improved oxygenation and lower peak airway pressure in severe adult respiratory distress syndrome. Treatment with inverse ratio ventilation.

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 reduced by 50 percent with the institution of IRV. In the second, refractory hypoxemia was eliminated by using an inspiratory-to-expiratory ratio of 4:1. These cases show that IRV may offer certain advantages in the treatment of severe ARDS.

journal_name

Chest

journal_title

Chest

authors

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

doi

10.1378/chest.89.2.211

subject

Has Abstract

pub_date

1986-02-01 00:00:00

pages

211-3

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)42512-7

journal_volume

89

pub_type

杂志文章

相关文献

CHEST文献大全
  • Smoking cessation counseling: a practice management perspective.

    abstract::Individuals continue to smoke despite its numerous proven adverse health effects. Now viewed as a chronic medical condition, health-care professionals are more involved in cessation efforts. Physicians are often the first line of defense, providing intervention through prescription management and counseling. Some insu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.130.4.1231

    authors: Pohlig C

    更新日期:2006-10-01 00:00:00

  • Biochemical response to treatment of bone hyperresorption in chronically critically ill patients.

    abstract:STUDY OBJECTIVE:The chronically critically ill (CCI) are a subgroup of critically ill patients who have survived an acute critical illness but remain profoundly debilitated and ventilator dependent. We have previously shown that CCI patients have a very high prevalence of bone hyperresorption. The objective of this pre...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.3.761

    authors: Nierman DM,Mechanick JI

    更新日期:2000-09-01 00:00:00

  • The impact of new-onset atrial fibrillation on in-hospital mortality following cardiac surgery.

    abstract:BACKGROUND:The impact of new-onset postoperative atrial fibrillation (NAF) on in-hospital mortality (IHM) following cardiac surgery is unknown. METHODS:All patients without preoperative atrial fibrillation undergoing isolated coronary artery bypass graft surgery (CABG) and concomitant CABG and valve surgery were ident...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.06-0735

    authors: Kalavrouziotis D,Buth KJ,Ali IS

    更新日期:2007-03-01 00:00:00

  • A 26-Year-Old Woman With a Small Right Lung and a Right-Sided Heart.

    abstract::A 26-year-old woman presented with abnormal findings on a chest radiograph. She had no significant history other than a fever 4 months prior to presentation that had resolved without a definite cause identified. She denied cough, shortness of breath, chest pain, history of smoking, environmental exposures, or prior pr...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2015.08.023

    authors: Albores J,Smith MI

    更新日期:2016-03-01 00:00:00

  • Does aging modify pulmonary tuberculosis?: A meta-analytical review.

    abstract:STUDY OBJECTIVES:To evaluate the differences in the clinical, radiologic, and laboratory features of pulmonary tuberculosis (TB) in older patients, as compared to younger patients. DESIGN:A meta-analysis (the Schmidt-Hunter method) of published works found in MEDLINE and other sources was performed. A total of 12 stud...

    journal_title:Chest

    pub_type: 杂志文章,meta分析

    doi:10.1378/chest.116.4.961

    authors: Pérez-Guzmán C,Vargas MH,Torres-Cruz A,Villarreal-Velarde H

    更新日期:1999-10-01 00:00:00

  • Serial studies of pulmonary function in continuous ambulatory peritoneal dialysis. A prospective study.

    abstract::Continuous ambulatory peritoneal dialysis (CAPD) produces a nearly continuous state of iatrogenic ascites which may interfere with respiratory excursions of the diaphragm and compromise ventilatory function. Sitting and supine studies of pulmonary function and arterial blood gas analyses done serially in 13 patients u...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.86.6.874

    authors: Singh S,Dale A,Morgan B,Sahebjami H

    更新日期:1984-12-01 00:00:00

  • Effect of preoperative renin-angiotensin system blockade on hypertension following coronary surgery.

    abstract::Renin-angiotensin system activation is suspected of being involved in postcoronary surgery hypertension, but appears to be useful in maintaining blood pressure during anesthesia and cardiopulmonary bypass. To clarify these points, 19 patients were compared: ten as a control group and nine who received captopril during...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.93.6.1156

    authors: Colson P,Grolleau D,Chaptal PA,Ribstein J,Mimran A,Roquefeuil B

    更新日期:1988-06-01 00:00:00

  • Can mediastinal nodal mobility explain the low yield rates for transbronchial needle aspiration without real-time imaging?

    abstract:BACKGROUND:The diagnostic yields with transbronchial needle aspiration (TBNA) for mediastinal nodes are highly variable. Nodal positions, as assessed on a breath-hold conventional CT scan, do not account for nodal motion. We studied nodal motion on four-dimensional (4D) CT scans. METHODS:A total of 47 mediastinal node...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.06-2964

    authors: Piet AH,Lagerwaard FJ,Kunst PW,van Sörnsen de Koste JR,Slotman BJ,Senan S

    更新日期:2007-06-01 00:00:00

  • Analysis of sequential aliquots of hypertonic saline solution-induced sputum from clinically stable patients with cystic fibrosis.

    abstract:STUDY OBJECTIVES:Sputum induction (SI) is a noninvasive tool for sampling inflamed airways. The purpose of this study was to determine the optimal duration of collection in patients with cystic fibrosis (CF). The hypothesis was that the duration of SI collection would quantitatively and qualitatively alter the content ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.3.792

    authors: Aitken ML,Greene KE,Tonelli MR,Burns JL,Emerson JC,Goss CH,Gibson RL

    更新日期:2003-03-01 00:00:00

  • Classification of the thoroughness of mediastinal staging of lung cancer.

    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

    pub_type: 杂志文章,评审

    doi:10.1378/chest.09-1378

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

    更新日期:2010-02-01 00:00:00

  • Bone marrow-derived cells contribute to pulmonary vascular remodeling in hypoxia-induced pulmonary hypertension.

    abstract:STUDY OBJECTIVE:In these days, it was reported that bone marrow (BM) cells might take part in the remodeling of some systemic vascular diseases; however, it remains unknown whether the BM cells were involved in the vascular remodeling of pulmonary arteries and the progression of pulmonary hypertension (PH). The purpose...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.5.1793

    authors: Hayashida K,Fujita J,Miyake Y,Kawada H,Ando K,Ogawa S,Fukuda K

    更新日期:2005-05-01 00:00:00

  • Effect of mild hypoxia on airway responsiveness to methacholine in subjects with airway hyperresponsiveness.

    abstract:STUDY OBJECTIVES:The inhalation of hypoxic gas has been reported to enhance the airway responsiveness to methacholine in some animal models. However, the data on humans have so far been conflicting. We attempted to examine the effect of hypoxic gas inhalation on the airway responsiveness to methacholine. DESIGN:We eva...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.116.6.1653

    authors: Saito H,Nishimura M,Shinano H,Sato F,Miyamoto K,Kawakami Y

    更新日期:1999-12-01 00:00:00

  • Distinct characteristics of pleuroparenchymal fibroelastosis with usual interstitial pneumonia compared with idiopathic pulmonary fibrosis.

    abstract:BACKGROUND:Pleuroparenchymal fibroelastosis (PPFE) is a rare form of interstitial pneumonia and sometimes coexists with a histologic usual interstitial pneumonia (UIP) pattern. This study aimed to describe the distinct clinical features of PPFE with UIP pattern compared with idiopathic pulmonary fibrosis (IPF). METHOD...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.13-2866

    authors: Oda T,Ogura T,Kitamura H,Hagiwara E,Baba T,Enomoto Y,Iwasawa T,Okudela K,Takemura T,Sakai F,Hasegawa Y

    更新日期:2014-11-01 00:00:00

  • Pulmonary edema due to upper airway obstruction in adults.

    abstract::A report of pulmonary edema following acute upper airway obstruction in an adult is presented, and the literature involving 25 additional cases is reviewed. This form of pulmonary edema appears to be related to markedly negative intrathoracic pressure due to forced inspiration against a closed upper airway resulting i...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.94.5.1090

    authors: Willms D,Shure D

    更新日期:1988-11-01 00:00:00

  • The effects of macrolides on inflammatory cells.

    abstract::Bronchial epithelial damage and mucus hypersecretion are characteristic features of chronic airway inflammation that can impair mucociliary clearance and can cause recurrent or persistent respiratory infection. In response to chemoattractants produced by damaged or inflamed tissue, neutrophils move through sequential ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.125.2_suppl.41s

    authors: Tamaoki J

    更新日期:2004-02-01 00:00:00

  • High altitude pulmonary edema and exercise at 4,400 meters on Mount McKinley. Effect of expiratory positive airway pressure.

    abstract::Breathing against positive expiratory pressure has been used to improve gas exchange in many forms of pulmonary edema, and forced expiration against resistance during exercise has been advocated for climbing at high altitude as a method to optimize performance. To evaluate the effect of expiratory positive airway pres...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.87.3.330

    authors: Schoene RB,Roach RC,Hackett PH,Harrison G,Mills WJ Jr

    更新日期:1985-03-01 00:00:00

  • Advancing a multilevel framework for epidemiologic research on asthma disparities.

    abstract::Our understanding of asthma epidemiology is growing increasingly complex. Asthma outcomes are clearly socially patterned, with asthma ranking as a leading cause of health disparities among minority and low socioeconomic groups. Yet, the increasing prevalence and marked disparities in asthma remain largely unexplained ...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.07-1904

    authors: Wright RJ,Subramanian SV

    更新日期:2007-11-01 00:00:00

  • Massive hemoptysis from a pulmonary artery aneurysm associated with an emphysematous bulla.

    abstract::A 66-year-old man with a history of COPD and Aspergillus fumigatus infection developed massive hemoptysis. Pulmonary artery angiography revealed an aneurysm which was successfully treated with coil embolization. This is the first known report of a pulmonary artery aneurysm causing massive hemoptysis in a patient with ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.4.1130

    authors: Bowler RP,Durham J,Schwarz MI

    更新日期:1998-04-01 00:00:00

  • Resection of pulmonary blebs and pleurodesis for spontaneous pneumothorax.

    abstract::Over a 20-year period, 83 patients underwent operative pleurodesis with resection of pulmonary blebs for spontaneous pneumothorax. Follow-up for all patients was between 5 and 25 years, with a mean of 9.1 years. There were five early (5.6 percent) and three late recurrences (3.6 percent). There were no deaths or need ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.6.1767

    authors: Donahue DM,Wright CD,Viale G,Mathisen DJ

    更新日期:1993-12-01 00:00:00

  • Interpretability of Change Scores in Measures of Balance in People With COPD.

    abstract:BACKGROUND:Balance deficits and an increased fall risk are well documented in individuals with COPD. Despite evidence that balance training programs can improve performance on clinical balance tests, their minimal clinically important difference (MCID) is unknown. The aim of this study was to determine the MCID of the ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.15-0717

    authors: Beauchamp MK,Harrison SL,Goldstein RS,Brooks D

    更新日期:2016-03-01 00:00:00

  • Hypoxemia in acute pulmonary embolism.

    abstract::Most patients with severe, acute pulmonary embolism (PE) have arterial hypoxemia. To further define the respective roles of ventilation to perfusion (VA/Q) mismatch and intrapulmonary shunt in the mechanism of hypoxemia, we used both right heart catheterization and the six inert gas elimination technique in seven pati...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.88.6.829

    authors: Huet Y,Lemaire F,Brun-Buisson C,Knaus WA,Teisseire B,Payen D,Mathieu D

    更新日期:1985-12-01 00:00:00

  • Histoplasma capsulatum endocarditis cured by amphotericin B combined with surgery.

    abstract::A patient is reported who had Histoplasma capsulatum endocarditis, a rare form of disseminated histoplasmosis. He also had disseminated intravascular coagulopathy and defects in cell-mediated immune responses to Histoplasma antigens. Prompt etiologic diagnosis was made by stain of tissue from a mouth ulcer and confirm...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.78.5.791

    authors: Bradsher RW,Wickre CG,Savage AM,Harston WE,Alford RH

    更新日期:1980-11-01 00:00:00

  • Oxygen supplementation and cardiac-autonomic modulation in COPD.

    abstract:STUDY OBJECTIVES:Patients with COPD have an increased sympathetic modulation and reduced baroreflex sensitivity (BRS). Therefore, we studied the effects of breathing 31% supplemental oxygen (SuppO(2)) on autonomic modulation in a group of COPD patients. DESIGN:We measured autonomic modulation before and during the adm...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.118.3.691

    authors: Bartels MN,Gonzalez JM,Kim W,De Meersman RE

    更新日期:2000-09-01 00:00:00

  • The subvalvular apparatus in rheumatic mitral stenosis: methods of assessment and therapeutic implications.

    abstract::The assessment of the structure and function of the subvalvular apparatus (SVA) in patients with rheumatic mitral stenosis (MS) is complex, yet is of major importance prior to therapeutic decision making. Currently available methods of assessment are neither sufficiently accurate nor feasible. We review anatomic and f...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.124.5.1929

    authors: Turgeman Y,Atar S,Rosenfeld T

    更新日期:2003-11-01 00:00:00

  • The effect of the total cumulative epinephrine dose administered during human CPR on hemodynamic, oxygen transport, and utilization variables in the postresuscitation period.

    abstract:BACKGROUND:Studies evaluating the dose of epinephrine required to optimize return of spontaneous circulation and survival after CPR have shown that doses greater than recommended by advanced cardiac life support (ACLS) improve coronary perfusion pressure and short-term resuscitation rates. Since survival has not improv...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.106.5.1499

    authors: Rivers EP,Wortsman J,Rady MY,Blake HC,McGeorge FT,Buderer NM

    更新日期:1994-11-01 00:00:00

  • Effect of mechanical ventilation on hepatic drug pharmacokinetics.

    abstract::Mechanical ventilation was able to induce a decrease in cardiac output and regional blood flow, especially hepatic flow. Thus, hepatic elimination of drugs with a high hepatic-extraction ratio, which was linked to alteration in hepatic blood flow, could be reduced during mechanical ventilation. The aim of this work wa...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.90.6.837

    authors: Richard C,Berdeaux A,Delion F,Riou B,Rimailho A,Giudicelli JF,Auzépy P

    更新日期:1986-12-01 00:00:00

  • Extracorporeal life support for status asthmaticus.

    abstract::Status asthmaticus is a life-threatening form of reactive airway disease, refractory to initial control with ordinary medical measures, sometimes requiring mechanical ventilatory assistance. In this report, we describe a patient whose bronchospasm could not be controlled with conventional measures, with severe respira...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.6.1651

    authors: Shapiro MB,Kleaveland AC,Bartlett RH

    更新日期:1993-06-01 00:00:00

  • Bronchial stenosis due to anthracofibrosis.

    abstract:STUDY OBJECTIVES:To define the clinical characteristics of the patients showing bronchoscopic findings of bronchial narrowing or obliteration with black pigmentation on overlying mucosa (we named this finding as "anthracofibrosis"), and to determine the association of anthracofibrosis with tuberculosis. PATIENTS AND M...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.2.344

    authors: Chung MP,Lee KS,Han J,Kim H,Rhee CH,Han YC,Kwon OJ

    更新日期:1998-02-01 00:00:00

  • Metastatic malignant melanoma presenting clinically as obstruction of the right ventricular inflow and outflow tracts. Characterization by magnetic resonance imaging.

    abstract::Metastatic disease involving the heart may present in a variety of fashions. A patient with melanoma metastatic to the right ventricle which was diagnosed clinically by evidence of recent onset of right ventricular inflow and outflow tract obstruction is described. Important information regarding the extent of the met...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.92.2.362

    authors: Emmot WW,Vacek JL,Agee K,Moran J,Dunn MI

    更新日期:1987-08-01 00:00:00

  • Factors associated with the treatment of latent tuberculosis infection among health-care workers at a midwestern teaching hospital.

    abstract:STUDY OBJECTIVE:To assess factors associated with initiating therapy and compliance with treatment for latent tuberculosis infection among health-care workers with positive tuberculin skin test results. DESIGN:Prospective cohort study. SETTING:An urban midwestern teaching hospital in St. Louis, MO. STUDY POPULATION:...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.122.5.1609

    authors: Shukla SJ,Warren DK,Woeltje KF,Gruber CA,Fraser VJ

    更新日期:2002-11-01 00:00:00