Pulmonary artery catheter-induced hemorrhage.

Abstract:

:Pulmonary artery rupture by a flow-directed balloon-tipped catheter is a rare complication if guidelines for insertion of catheters are strictly applied. It should be stressed that the need for a "confirmed" wedge pressure should be weighed against the very real risk of this potentially fatal complication. Users of this catheter should expect and anticipate distal migration of the catheter tip. Great care must be exercised in inflating the balloon, particularly when the location of the catheter tip in the pulmonary vascular bed is unknown. Excessive catheter manipulation should be avoided. Hemoptysis, hemothorax, cardiac or respiratory instability in patients who have the PA catheter should be suspected to have this grave complication and appropriate emergency measures should be taken until this complication has been ruled out.

journal_name

Chest

journal_title

Chest

authors

Hannan AT,Brown M,Bigman O

doi

10.1378/chest.85.1.128

subject

Has Abstract

pub_date

1984-01-01 00:00:00

pages

128-31

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)40129-1

journal_volume

85

pub_type

杂志文章

相关文献

CHEST文献大全
  • Carboxyhemoglobin half-life in carbon monoxide-poisoned patients treated with 100% oxygen at atmospheric pressure.

    abstract:STUDY OBJECTIVES:There are large reported differences for the carboxyhemoglobin (COHb) half-life (COHb t(1/2)) in humans breathing 100% atmospheric O(2) following CO inhalation in tightly controlled experiments compared to the COHb t(1/2) observed in clinical CO poisoning (range, 36 to 131 min, respectively). Other rep...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.117.3.801

    authors: Weaver LK,Howe S,Hopkins R,Chan KJ

    更新日期:2000-03-01 00:00:00

  • Acute respiratory failure due to pneumocystis pneumonia in patients without human immunodeficiency virus infection: outcome and associated features.

    abstract:OBJECTIVE:To examine outcome and associated factors of acute respiratory failure (ARF) in non-HIV-related Pneumocystis pneumonia (PCP) in patients admitted to a medical ICU between 1995 and 2002. DESIGN:A retrospective review of medical records and an APACHE (acute physiology and chronic health evaluation) III databas...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.2.573

    authors: Festic E,Gajic O,Limper AH,Aksamit TR

    更新日期:2005-08-01 00:00:00

  • Diuretics in obstructive sleep apnea with diastolic heart failure.

    abstract:BACKGROUND:Upper airway edema might contribute to pharyngeal collapsibility and account for the high prevalence of obstructive sleep apnea (OSA) in patients with heart disease. The aim of this study was to evaluate if intensive unloading with diuretics improves sleep-disordered breathing and increases pharyngeal calibe...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-0311

    authors: Bucca CB,Brussino L,Battisti A,Mutani R,Rolla G,Mangiardi L,Cicolin A

    更新日期:2007-08-01 00:00:00

  • The significance of distal bronchial samples with commensals in ventilator-associated pneumonia: colonizer or pathogen?

    abstract:STUDY OBJECTIVE:To investigate the role of oropharyngeal and cutaneous commensal microorganisms (OCCs) as a cause of ventilator-associated pneumonia (VAP). DESIGN:Retrospective analysis of the medical and microbiological records. SETTING:One medical-surgical ICU. PATIENTS:All VAP episodes recorded during a 10-year p...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.122.4.1389

    authors: Lambotte O,Timsit JF,Garrouste-Orgeas M,Misset B,Benali A,Carlet J

    更新日期:2002-10-01 00:00:00

  • Skin sensitivity to histolyn, spherulin, and PPD in the People's Republic of China.

    abstract::One hundred one subjects living in northwest Hunan Province, People's Republic of China (PRC) were tested with histolyn, (Berkeley Biological Laboratories), spherulin (Berkeley Biological Laboratories), and tubersol (PPD 5 tuberculin units, Connaught Laboratories). Age of the tested subjects ranged from 16 to 58 years...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.6.1356

    authors: Baum GL,Wu JN,Hua SS,Baum C,Ajello L

    更新日期:1990-06-01 00:00:00

  • Subepicardial infarction, myocardial impression, and ventricular penetration by sutureless electrode and leads.

    abstract::Postmortem examination two weeks following implantation of a demand pacemaker with sutureless electrodes demonstrated that (1) the loops of intrapericardial electrode leads indented the myocardium and produced a circumscribed area of subepicardial necrosis, and (2) one of the electrode coils protruded into the right v...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.70.1.80

    authors: Steinke WE,Thomas FT,ul Hassan Z,Mendoza RA,Gear AS

    更新日期:1976-07-01 00:00:00

  • Race Correction and Spirometry: Why History Matters.

    abstract::In recent months, medical institutions across the United States redoubled their efforts to examine the history of race and racism in medicine, in classrooms, in research, and in clinical practice. In this essay, I explore the history of racialization of the spirometer, a widely used instrument in pulmonary medicine to...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1016/j.chest.2020.10.046

    authors: Braun L

    更新日期:2020-10-24 00:00:00

  • Noninvasive ventilation by helmet or face mask in immunocompromised patients: a case-control study.

    abstract:OBJECTIVE:To compare the efficacy of noninvasive positive pressure ventilation (NPPV) by helmet and face mask in immunocompromised patients with hypoxemic acute respiratory failure (ARF). DESIGN:Case-control study. SETTING:The general ICU of a university hospital. PATIENTS:Nineteen immunocompromised patients (hemato...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.5.1508

    authors: Rocco M,Dell'Utri D,Morelli A,Spadetta G,Conti G,Antonelli M,Pietropaoli P

    更新日期:2004-11-01 00:00:00

  • Nocturnal nasal continuous positive airway pressure in patients with chronic obstructive pulmonary disease. Influence on waking respiratory muscle function.

    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

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.106.4.1100

    authors: Mezzanotte WS,Tangel DJ,Fox AM,Ballard RD,White DP

    更新日期:1994-10-01 00:00:00

  • Air within the spinal canal in spontaneous pneumomediastinum.

    abstract::Spontaneous pneumomediastinum is an uncommon benign condition that is occasionally associated with air within the spinal canal. We describe a further case in a 14-year-old girl and suggest a classification system based on a detailed review of the previous literature. Forty-eight patients with spontaneous pneumomediast...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.09-0514

    authors: Belotti EA,Rizzi M,Rodoni-Cassis P,Ragazzi M,Zanolari-Caledrerari M,Bianchetti MG

    更新日期:2010-05-01 00:00:00

  • Use of balloon-expandable metallic stents in the management of bronchial stenosis and bronchomalacia after lung transplantation.

    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

    pub_type: 杂志文章

    doi:10.1378/chest.114.5.1330

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

    更新日期:1998-11-01 00:00:00

  • Cigarette smoking and incidence of chronic bronchitis and asthma in women.

    abstract:STUDY OBJECTIVE:To examine the relation of smoking habits and development of asthma in a large cohort of US women. DESIGN:Prospective cohort study. PARTICIPANTS:Among 74,072 women, 34 to 68 years of age, who were free of major diseases, we documented 671 incident asthma cases and 798 incident cases of chronic bronchi...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.108.6.1557

    authors: Troisi RJ,Speizer FE,Rosner B,Trichopoulos D,Willett WC

    更新日期:1995-12-01 00:00:00

  • Correlation between perioperative blood transfusion and prognosis of patients subjected to surgery for stage I lung cancer.

    abstract:BACKGROUND:It has been reported, but not proven, that perioperative blood transfusions have a detrimental effect on the survival of patients undergoing surgery for lung cancer. STUDY DESIGN:and methods: A prospective study was carried out on the patients undergoing lobectomy for stage I lung cancer at our department f...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.124.1.102

    authors: Nosotti M,Rebulla P,Riccardi D,Baisi A,Bellaviti N,Rosso L,Santambrogio L

    更新日期:2003-07-01 00:00:00

  • Pseudopseudotumor of the lung. Hepatic herniation into the right major fissure imitating a pseudotumor on chest roentgenogram.

    abstract::A young man presented to us with an asymptomatic ovoid mass which appeared to be in the right major fissure. The roentgenographic appearance of the lesion was that of a pseudotumor. The computerized tomography scan suggested tissue density leading to exploration. At surgery, we found the mass to be a portion of liver ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.78.2.346

    authors: Fanta CH,Kacoyanis GP,Koster JK Jr,McFadden ER Jr

    更新日期:1980-08-01 00:00:00

  • Reversibility of airways injury over a 12-month period following smoking cessation.

    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

    authors: Swan GE,Hodgkin JE,Roby T,Mittman C,Jacobo N,Peters J

    更新日期:1992-03-01 00:00:00

  • Cocaine-induced bradyarrhythmia: an unsuspected cause of syncope.

    abstract::Cocaine use is associated with adverse events in nearly every organ system. Cardiovascular complications include hemorrhagic and ischemic stroke, aortic dissection, cardiomyopathy, accelerated coronary artery disease, myocardial infarction, and sudden cardiac death. Syncope may be the presenting symptom in these condi...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.117.1.275

    authors: Castro VJ,Nacht R

    更新日期:2000-01-01 00:00:00

  • Impact of expiratory muscle strength training on voluntary cough and swallow function in Parkinson disease.

    abstract:BACKGROUND:Cough provides high expiratory airflows to aerosolize and remove material that cannot be adequately removed by ciliary action. Cough is particularly important for clearing foreign particles from the airway in those with dysphagia who may be at risk for penetration/aspiration (P/A). Expiratory muscle strength...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-1389

    authors: Pitts T,Bolser D,Rosenbek J,Troche M,Okun MS,Sapienza C

    更新日期:2009-05-01 00:00:00

  • Prospective analysis of cystic fibrosis transmembrane regulator mutations in adults with bronchiectasis or pulmonary nontuberculous mycobacterial infection.

    abstract:BACKGROUND:Bronchiectasis and pulmonary infection with nontuberculous mycobacteria (NTM) may be associated with disease-causing mutations in the cystic fibrosis transmembrane regulator (CFTR). METHODS:Fifty adult patients at Stanford University Medical Center with a diagnosis of bronchiectasis and/or pulmonary NTM inf...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.130.4.995

    authors: Ziedalski TM,Kao PN,Henig NR,Jacobs SS,Ruoss SJ

    更新日期:2006-10-01 00:00:00

  • Mycobacterium avium complex pulmonary disease presenting as an isolated lingular or middle lobe pattern. The Lady Windermere syndrome.

    abstract:BACKGROUND:Pulmonary disease due to Mycobacterium avium complex (MAC-PD) radiographically resembles that due to tuberculosis; it preferentially affects elderly white men with predisposing pulmonary disorders (PDPD). METHODS:Twenty-nine patients with MAC-PD were identified from a community-based population, and the med...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.101.6.1605

    authors: Reich JM,Johnson RE

    更新日期:1992-06-01 00:00:00

  • Safety of nitrate withdrawal in angina-free and hemodynamically stable patients with coronary artery disease.

    abstract:STUDY OBJECTIVES:To assess the consequences of nitrate withdrawal in angina-free and hemodynamically stable coronary patients. DESIGN:Prospective, open, intervention study. SETTING:Cardiology outpatient clinic of a university-affiliated municipal hospital. PATIENTS:Angina-free patients who were hemodynamically stabl...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0012-3692(15)33392-4

    authors: George J,Kitzis I,Zandorf D,Golovner M,Shapira I,Laniado S,Roth A

    更新日期:2003-11-01 00:00:00

  • Treatment of bronchial asthma with terbutaline inhaled by conespacer combined with positive expiratory pressure mask.

    abstract::The influence of positive expiratory pressure (PEP) applied during inhalation of a beta 2-agonist in treatment of bronchial asthma was investigated in a randomized crossover study with two-week treatment periods. In one period, two puffs (0.5 mg) of terbutaline was given from a metered dose inhaler and inhaled through...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.100.2.317

    authors: Frischknecht-Christensen E,Nørregaard O,Dahl R

    更新日期:1991-08-01 00:00:00

  • Pulmonary lymphangioleiomyomatosis and cerebrotendinous xanthomatosis: is there a link?

    abstract::A 41-year-old woman had progressive shortness of breath. Cerebrotendinous xanthomatosis was diagnosed 4 years before. An open-lung biopsy showed the simultaneous presence of cerebrotendinous xanthomatosis and pulmonary lymphangioleiomyomatosis. This is perhaps the first time the coincidental occurrence of these two di...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.112.1.273

    authors: Dormans TP,Verrips A,Bulten J,Cox N

    更新日期:1997-07-01 00:00:00

  • Perforin down-regulation and adhesion molecules activation in pulmonary sarcoidosis: an induced sputum and BAL study.

    abstract:BACKGROUND:Sarcoidosis is thought to be a T-helper type 1 cytokine-mediated disorder. Sputum induction has been proposed as a useful noninvasive method mainly for the assessment of airway diseases. However, it is unknown whether the balance of T-cytotoxic (Tc1) type 1 and Tc2 cells is altered in sarcoidosis. STUDY OBJ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.129.6.1592

    authors: Antoniou KM,Tsiligianni I,Kyriakou D,Tzanakis N,Tzouvelekis A,Siafakas NM,Bouros D

    更新日期:2006-06-01 00:00:00

  • Proadrenomedullin improves Risk of Early Admission to ICU score for predicting early severe community-acquired pneumonia.

    abstract:BACKGROUND:Whether proadrenomedullin (ProADM) improves the performance of the Risk of Early Admission to ICU (REA-ICU) score in predicting early, severe community-acquired pneumonia (ESCAP) has not been demonstrated. METHODS:Secondary analysis was completed of the original data from 877 consecutive patients with commu...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究

    doi:10.1378/chest.11-2574

    authors: Renaud B,Schuetz P,Claessens YE,Labarère J,Albrich W,Mueller B

    更新日期:2012-12-01 00:00:00

  • The value of portable chest roentgenography in adult respiratory distress syndrome. Comparison with computed tomography.

    abstract::In 17 patients with adult respiratory distress syndrome, we used data derived from computed tomographic (CT) scan densitometric analysis to validate the value of portable chest roentgenograms in objectively estimating the amount of pulmonary edema. Chest roentgenograms and CT scans were taken in the same ventilatory c...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.100.3.762

    authors: Bombino M,Gattinoni L,Pesenti A,Pistolesi M,Miniati M

    更新日期:1991-09-01 00:00:00

  • Increased lung function decline in blue-collar workers exposed to welding fumes.

    abstract:BACKGROUND:There is no consensus at the present time about the effect of welding on lung function decline. This study compared lung function decline between blue-collar workers exposed and not exposed to welding fumes in a French longitudinal cohort of 21,238 subjects aged 37 to 52 years at inclusion. METHODS:Medical ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.11-0647

    authors: Thaon I,Demange V,Herin F,Touranchet A,Paris C

    更新日期:2012-07-01 00:00:00

  • Surgical Disparities Among Patients With Stage I Lung Cancer in the National Lung Screening Trial.

    abstract:BACKGROUND:Low-dose CT scan reduces lung cancer mortality in high-risk patients fit to undergo surgical resection. Racial disparities in resection of lung cancer in nonscreening populations are well described. We describe surgical resection patterns of patients with early stage non-small cell lung cancer (NSCLC) in the...

    journal_title:Chest

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.chest.2018.07.011

    authors: Balekian AA,Wisnivesky JP,Gould MK

    更新日期:2019-01-01 00:00:00

  • Left-to-right shunt via left superior vena cava communication with left atrium.

    abstract::The findings in a 22-year-old man with Ebstein's anomaly of the tricuspid valve, Wolff-Parkinson-White syndrome, and a persistent left superior vena cava are reported. This is the first reported case of this combination of anomalies in which the atrial septum was intact and the left superior vena cava communicated wit...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.79.6.700

    authors: Lam W,Danoviz J,Witham D,Wyndham C,Rosen KM

    更新日期:1981-06-01 00:00:00

  • Early diagnosis and estimation of pulmonary congestion and edema in patients with left-sided heart diseases from histogram of pulmonary CT number.

    abstract::To establish an early diagnosis and have a quantitative estimation of congestion or edema, pulmonary CT scans were performed to detect the increase of regional lung water volume of patients with congestive heart failure. CT scanning of the upper, middle, and lower lung fields at maximum inspiration and hemodynamic ana...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.109.6.1439

    authors: Kato S,Nakamoto T,Iizuka M

    更新日期:1996-06-01 00:00:00

  • Enoximone vs nicardipine during the early postoperative course of patients undergoing cardiac surgery. A prospective study of two therapeutic strategies.

    abstract::The hemodynamic effects of enoximone and nicardipine were compared during the early postcardiac surgery period in 40 patients with systemic hypertension and moderate cardiac dysfunction. Patients were prospectively randomized into two groups. Mean right atrial pressure was maintained above 7 mm Hg. The drug infusion r...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.106.1.52

    authors: Squara P,Denjean D,Godard P,Brunet F,Brusset A,Dubois C

    更新日期:1994-07-01 00:00:00