Prevention of suctioning-related arterial oxygen desaturation. Comparison of off-ventilator and on-ventilator suctioning.

Abstract:

:The purpose of this study was to determine the frequency and severity of arterial oxygen desaturation during and after endotracheal suctioning in a group of ventilator-dependent patients with acute respiratory failure (the majority of whom had underlying obstructive lung disease) and to evaluate the efficacy of several maneuvers designed to minimize desaturation. The adaptor method presented obviates both removal from and reconnection to the ventilator during suctioning, as well as the need to alter ventilator settings. It is concluded that on-ventilator adaptor suctioning is a simple and effective measure for minimizing suctioning-related arterial oxygen desaturation.

journal_name

Chest

journal_title

Chest

authors

Brown SE,Stansbury DW,Merrill EJ,Linden GS,Light RW

doi

10.1378/chest.83.4.621

subject

Has Abstract

pub_date

1983-04-01 00:00:00

pages

621-7

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)41889-6

journal_volume

83

pub_type

杂志文章

相关文献

CHEST文献大全
  • Potassium and magnesium distribution, ECG changes, and ventricular ectopic beats during beta 2-adrenergic stimulation with terbutaline in healthy subjects.

    abstract:OBJECTIVE:To study the effect of intravenous (i.v.) terbutaline on potassium (K) and magnesium (Mg) distribution, ECG changes, and prevalence of ventricular ectopic beats in healthy subjects. DESIGN:Randomized double-blind, placebo-controlled crossover. Subjects received either placebo or terbutaline (bolus, 0.25 mg; ...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.106.6.1654

    authors: Tveskov C,Djurhuus MS,Klitgaard NA,Egstrup K

    更新日期:1994-12-01 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

  • Inhaled corticosteroid dose response using domiciliary exhaled nitric oxide in persistent asthma: the FENOtype trial.

    abstract:BACKGROUND:International guidelines advocate a standard approach to asthma management for all, despite its heterogeneity. "Personalized" treatment of inflammatory asthma phenotypes confers superior benefits. We wished to evaluate dose response to inhaled corticosteroids (ICSs) in patients with asthma with an elevated f...

    journal_title:Chest

    pub_type: 杂志文章,随机对照试验

    doi:10.1378/chest.12-1310

    authors: Anderson WJ,Short PM,Williamson PA,Lipworth BJ

    更新日期:2012-12-01 00:00:00

  • Complete resolution of roentgenographic changes in a patient with pulmonary histiocytosis X.

    abstract::A smoker presented with pleuritic chest pain and was found to have reticulonodular interstitial opacities on chest x-ray film. Open lung biopsy revealed changes consistent with histiocytosis X, a disease seen almost exclusively in smokers. Smoking cessation was recommended, and the patient complied. A chest x-ray film...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.98.3.765

    authors: Von Essen S,West W,Sitorius M,Rennard SI

    更新日期:1990-09-01 00:00:00

  • Passive smoking in children. Racial differences in systemic exposure to cotinine by hair and urine analysis.

    abstract::Passive smoking has been shown to adversely affect the health of infants and children. Black children and adults appear to be more susceptible to a variety of tobacco smoke health hazards for unknown reason. The objectives of this study were as follows: (1) to correlate the number of cigarettes reported to have been s...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.109.2.446

    authors: Knight JM,Eliopoulos C,Klein J,Greenwald M,Koren G

    更新日期:1996-02-01 00:00:00

  • Use of methylprednisolone in patients following acute myocardial infarction. Hemodynamic and metabolic effects.

    abstract::Hemodynamic and metabolic effects of methylprednisolone were investigated in a double-blind study of 28 patients with acute myocardial infarction (AMI), confirmed by unequivocal electrocardiographic and enzyme changes. Measurements were performed prior to and at 1.5, 3, 4, 4.5, 12 and 24 hours following infusion of me...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.79.2.186

    authors: Henning RJ,Becker H,Vincent JL,Thijs L,Kalter E,Weil MH

    更新日期:1981-02-01 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

  • A 54-year-old man referred with nonresolving pneumonia.

    abstract::A 54-year-old man was referred with nonresolving pneumonia. He had been treated for community-acquired pneumonia 6 weeks earlier. He reported grade 2 dyspnea, malaise, and a nonproductive cough. He had also experienced three episodes of minimal hemoptysis but denied weight loss, fever, or any other constitutional symp...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.13-2790

    authors: Catteeuw J,Koegelenberg CFN,Bruwer JW,Sissolak G,Schroeter L,Mohamed N,Irusen EM

    更新日期:2014-09-01 00:00:00

  • Upper airway collapsibility during sleep in upper airway resistance syndrome.

    abstract:STUDY OBJECTIVES:To compare upper airway collapsibility during sleep between patients with upper airway resistance syndrome (UARS), normal subjects, and patients with obstructive sleep apnea/hypopnea syndrome (OSA/H). DESIGN:A descriptive study of a series of clinical patients and a cohort of normal control subjects. ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.5.1531

    authors: Gold AR,Marcus CL,Dipalo F,Gold MS

    更新日期:2002-05-01 00:00:00

  • Pleural effusion in Churg-Strauss syndrome.

    abstract::A 33-year-old man with a two-year history of asthma and sinusitis presented with wheezing, pleuritis, bilateral pleural effusions, and patchy basilar infiltrates on chest roentgenogram. Laboratory studies revealed peripheral blood eosinophilia, and pulmonary function studies showed an obstructive pattern which was bro...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.95.6.1357

    authors: Erzurum SC,Underwood GA,Hamilos DL,Waldron JA

    更新日期:1989-06-01 00:00:00

  • Unusual complications after embolization of a pulmonary arteriovenous malformation.

    abstract::A pulmonary arteriovenous malformation was embolized in a patient with hereditary hemorrhagic telangiectasia. Several unusual complications, including early deflation of a detachable balloon, migration of a coil, and development of severe pulmonary hypertension, occurred. Pulmonary hypertension was attributed to a coe...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.109.5.1401

    authors: Haitjema T,ten Berg JM,Overtoom TT,Ernst JM,Westermann CJ

    更新日期:1996-05-01 00:00:00

  • Perceptions of prognosis, treatment, and treatment impact on prognosis in non-small cell lung cancer.

    abstract:STUDY OBJECTIVES:We designed and performed a survey to assess the roles and knowledge level of physicians, by specialty, in the management of non-small cell lung cancer (NSCLC). The primary objective was to evaluate the potential variability of physician perceptions of prognosis, recommended treatments, and the impact ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.2.593

    authors: Perez EA

    更新日期:1998-08-01 00:00:00

  • Cardiac arrhythmias during performance of the flow-volume loop.

    abstract::The purpose of our study was to determine the frequency of cardiac ectopy during the performance of flow-volume loops. The performance of an adequate flow-volume loop entails significant shifts in intrathoracic pressure and oxyhemoglobin saturation that could heighten myocardial arrhythmogenicity and lead to increased...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.103.4.1006

    authors: Fields CL,Byrd RP Jr,Ossorio MA,Roy TM,Michaels MJ,Vogel RL

    更新日期:1993-04-01 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

  • Relevance of latent TB infection in areas of high TB prevalence.

    abstract::About one-third of the world population has latent TB infection (LTBI), the majority of which is distributed in 22 high-burden countries. Early diagnosis and treatment of active TB remains the top priority in resource-poor countries with high TB prevalence. Notwithstanding, because LTBI contributes significantly to th...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.12-0142

    authors: Sharma SK,Mohanan S,Sharma A

    更新日期:2012-09-01 00:00:00

  • A combined modality approach to recurrent cardiac sarcoma resulting in a prolonged remission: a case report.

    abstract::We report a case of cardiac fibrosarcoma that was treated with cardiac tumor resection, chemotherapy, cardiac explantation, tumor repeat resection, and autotransplantation followed by external beam irradiation. The patient was able to achieve clinical remission and remained disease free > 2 years after the initial dia...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.5.1766

    authors: Mery GM,Reardon MJ,Haas J,Lazar J,Hindenburg A

    更新日期:2003-05-01 00:00:00

  • Tracheomalacia and bronchomalacia in children: incidence and patient characteristics.

    abstract:OBJECTIVE:Congenital airway malacia is one of the few causes of irreversible airways obstruction in children, but the incidence in the general population is unknown. Severe airway malacia or malacia associated with specific syndromes is usually recognized and diagnosed early in infancy, but information about clinical f...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.5.3391

    authors: Boogaard R,Huijsmans SH,Pijnenburg MW,Tiddens HA,de Jongste JC,Merkus PJ

    更新日期:2005-11-01 00:00:00

  • Metastatic squamous cell carcinoma of the mediastinum with unknown primary tumor.

    abstract::Although metastatic carcinoma from an unknown primary tumor is known to occur, the combination of squamous cell carcinoma histologic findings and a mediastinal location is quite unusual. The evaluation of a case of a patient with a posterior mediastinal mass, eventually shown to be metastatic squamous cell carcinoma o...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.114.3.938

    authors: Blanco N,Kirgan DM,Little AG

    更新日期:1998-09-01 00:00:00

  • Cystic Fibrosis Sputum Rheology Correlates With Both Acute and Longitudinal Changes in Lung Function.

    abstract:BACKGROUND:Cystic fibrosis (CF) airway secretions are abnormal, contributing to decreased clearance and a cycle of infection and inflammation. CF sputum properties may predict disease progression. We hypothesized that sputum viscoelasticity and clearance abnormalities would inversely correlate with pulmonary function d...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2018.03.005

    authors: Ma JT,Tang C,Kang L,Voynow JA,Rubin BK

    更新日期:2018-08-01 00:00:00

  • Diameter of non-small cell lung cancer correlates with long-term survival: implications for T stage.

    abstract:STUDY OBJECTIVES:To determine the effect of tumor diameter on the long-term survival of patients with stage I non-small cell lung cancer (NSCLC) within a large multi-institutional database, and to assess the accuracy of the T-descriptor threshold of 3 cm. DESIGN AND PATIENTS:A total of 9,191 patients > or = 20 years o...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.128.5.3255

    authors: Mery CM,Pappas AN,Burt BM,Bueno R,Linden PA,Sugarbaker DJ,Jaklitsch MT

    更新日期:2005-11-01 00:00:00

  • Intentional leaks in industrial masks have a significant impact on efficacy of bilevel noninvasive ventilation: a bench test study.

    abstract:BACKGROUND:During noninvasive ventilation, nonintentional leaks have a detrimental effect on the efficacy of ventilation. A wide range of industrial masks are available, with intentional leaks of different importance. The potential impact of this variability in intentional leaks on performances of bilevel ventilators h...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.08-1340

    authors: Borel JC,Sabil A,Janssens JP,Couteau M,Boulon L,Lévy P,Pépin JL

    更新日期:2009-03-01 00:00:00

  • Inspiratory muscle training in patients with Duchenne muscular dystrophy.

    abstract:PURPOSE:The aim of this study was to assess the usefulness of a specific inspiratory muscle training in Duchenne muscular dystrophy (DMD). PATIENTS AND METHODS:Fifteen patients with DMD started 6 months of training the inspiratory muscles and 15 patients served as a control group. Pulmonary and inspiratory muscle func...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.105.2.475

    authors: Wanke T,Toifl K,Merkle M,Formanek D,Lahrmann H,Zwick H

    更新日期:1994-02-01 00:00:00

  • Liposarcoma of the posterior mediastinum in a child.

    abstract::Liposarcoma is rare in children and rarely occurs in the posterior mediastinum in any age group. A massive intrathoracic tumor in a 17-year-old young man was a diagnostic dilemma; preoperative radiographic evaluation and biopsy led us to believe it was a teratoma. At operation, a poorly differentiated myxoid liposarco...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.106.4.1288

    authors: Mikkilineni RS,Bhat S,Cheng AW,Prevosti LG

    更新日期:1994-10-01 00:00:00

  • Long-term results of neoadjuvant ifosfamide, cisplatin, and etoposide combination in locally advanced non-small-cell lung cancer.

    abstract::Thirty-three patients with T3,N2,M0 or T4,N2,M0, non-small-cell lung cancer (NSCLC) took part in a phase 2 study in an attempt to evaluate the feasability of neoadjuvant chemotherapy followed by surgery and thoracic radiotherapy. Chemotherapy consisted of daily administration of the following treatment: etoposide, 100...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.106.5.1451

    authors: Pujol JL,Hayot M,Rouanet P,Le Chevalier T,Michel FB

    更新日期:1994-11-01 00:00:00

  • Elevated levels of soluble interleukin-2 receptors in tuberculous pleural effusions.

    abstract::The levels of soluble IL-2R were measured in pleural fluid from patients with tuberculosis pleurisy. There were significantly elevated soluble IL-2R values in tuberculous pleural fluid as compared with pleural fluid of nontuberculous etiology including malignant, bacterial and transudative pleural effusions. In patien...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.97.5.1141

    authors: Ito M,Kojiro N,Shirasaka T,Moriwaki Y,Tachibana I,Kokubu T

    更新日期:1990-05-01 00:00:00

  • Focused sonography of the heart, lungs, and deep veins identifies missed life-threatening conditions in admitted patients with acute respiratory symptoms.

    abstract:BACKGROUND:Patients with acute respiratory symptoms still remain a diagnostic challenge. The aim of the study was to evaluate whether focused sonography could potentially diagnose life-threatening conditions missed at the primary assessment in a patient population consisting of admitted patients with acute respiratory ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.13-0882

    authors: Laursen CB,Sloth E,Lambrechtsen J,Lassen AT,Madsen PH,Henriksen DP,Davidsen JR,Rasmussen F

    更新日期:2013-12-01 00:00:00

  • Fluid balance during pulmonary edema. Is fluid gain a marker or a cause of poor outcome?

    abstract:STUDY OBJECTIVE:To evaluate the importance of fluid balance and changes in extravascular lung water (EVLW) on survival in the ICU and short-term outcome in patients with pulmonary edema. DESIGN:Retrospective analysis of data (sorting by survival and "treatment received") from a recent randomized controlled trial of fl...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.100.4.1068

    authors: Schuller D,Mitchell JP,Calandrino FS,Schuster DP

    更新日期:1991-10-01 00:00:00

  • Is protected specimen brush a reproducible method to diagnose ICU-acquired pneumonia?

    abstract:UNLABELLED:Protected specimen brush (PSB) is considered to be one of the standard methods for the diagnosis of ventilator-associated pneumonia, but to our knowledge, intraindividual variability in results has not been reported previously. PURPOSE:To compare the results of two PSB performed in the same subsegment on pa...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.104.1.104

    authors: Timsit JF,Misset B,Francoual S,Goldstein FW,Vaury P,Carlet J

    更新日期:1993-07-01 00:00:00

  • Outcomes up to 5 years after severe, acute respiratory failure.

    abstract:STUDY OBJECTIVE:To use an existing database from a large cohort study with follow-up as long as 5.5 years to assess the extended prognosis of patients who survived their hospitalizations for severe acute respiratory failure (ARF). DESIGN, SETTING, AND PATIENTS:Secondary analysis of an inception cohort of 1,722 patient...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.6.1897

    authors: Garland A,Dawson NV,Altmann I,Thomas CL,Phillips RS,Tsevat J,Desbiens NA,Bellamy PE,Knaus WA,Connors AF Jr,SUPPORT Investigators.

    更新日期:2004-12-01 00:00:00

  • Peak airway pressure: why the fuss?

    abstract::The preponderance of evidence indicates that high airway pressure is not by itself injurious to the lung. Rather, overdistention of the lung appears to be the fundamental mechanism underlying VALI. The physician must bear in mind the factors (ie, flow-resistive pressure losses, respiratory muscle activity, and abnorma...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.105.1.242

    authors: Manning HL

    更新日期:1994-01-01 00:00:00