The measurement of thoraco-abdominal asynchrony in infants with severe laryngotracheobronchitis.

Abstract:

:Retractions of the lower ribcage (chest wall distortion [CWD]) during inspiration are frequently observed with moderate to severe respiratory disease in the infant. Laryngotracheobronchitis (LTB) results in a reversible partial airway obstruction with severe CWD. We wished to measure the motion of the chest wall during distortion to determine the changes in minute ventilation (VE) and to evaluate this clinical sign as a means of assessing disease severity. The respiratory inductance plethysmograph was used to determine the distortion of the lower chest wall, and distortion was correlated with VE, measured at the mouth, in six infants with severe LTB and ventilatory failure. As the conditions of these infants improved, the CWD decreased with decreasing transcutaneous carbon dioxide tension (tcPCO2), VE increased from 0.27 +/- 0.12 L.min-1 x kg-1 at a tcPCO2 of 64 mm Hg to 0.64 +/- 0.06 L.min-1 x kg-1 when the tcPCO2 had fallen to 28 mm Hg. Over the same change in tcPCO2, the tidal volume (VT) increased from 4.8 +/- 0.5 ml.kg-1 to 15.7 +/- 1.4 ml.kg-1. In the most severe disease state, the excursion of the chest wall (as an inductance) was -14 +/- 3 mV in severe obstruction, but increased to 75 mV +/- 4 mV with resolution of the illness. The timing and vector of movement of the abdomen and chest wall were expressed as a Lissajous figure, which is measured as a phase angle. The severity of the disease process, as determined by tcPCO2 was directly related to the phase relationship, and thus reflected both VE and VT. The severity of the CWD may be assessed rapidly by the use of Lissajous figures.

journal_name

Chest

journal_title

Chest

authors

Davis GM,Cooper DM,Mitchell I

doi

10.1378/chest.103.6.1842

subject

Has Abstract

pub_date

1993-06-01 00:00:00

pages

1842-8

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)42089-6

journal_volume

103

pub_type

杂志文章

相关文献

CHEST文献大全
  • Improvement in arterial oxygenation by saralasin infusion in man.

    abstract::Simultaneous hemodynamic and blood gas measurements were performed in 26 hypertensive adults, who were cigarette smokers, before and after a 30-minute infusion of saralasin (5 microgram/kg/min) which is a highly specific competitive antagonist of angiotensin II (AII). The arterial pressure fell in nine, rose in seven ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.75.4.492

    authors: Mookherjee S,Obeid AI,Ashutosh K,Warner RA,Smulyan H

    更新日期:1979-04-01 00:00:00

  • Nuclear accumulation of p53 is a potential marker for the development of squamous cell lung cancer in smokers.

    abstract:STUDY OBJECTIVES:To determine whether the nuclear accumulation of p53 in patients with early bronchial neoplasia represents an altered susceptibility for the development of lung cancer. PATIENTS AND MEASUREMENTS:We evaluated the percentage of cells accumulating nuclear p53 immunohistochemically in squamous cell carcin...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.123.1.181

    authors: Piyathilake CJ,Frost AR,Manne U,Weiss H,Heimburger DC,Grizzle WE

    更新日期:2003-01-01 00:00:00

  • Deep vein thrombosis among patients entering cardiac rehabilitation after coronary artery bypass surgery.

    abstract:BACKGROUND:Little information is available about the prevalence of deep vein thrombosis (DVT) after discharge from cardiac surgery units and its impact on rehabilitation programs. OBJECTIVES:To estimate the rate of DVT, in relation to different thromboprophylaxis strategies, in patients with a recent coronary artery b...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.125.1.191

    authors: Ambrosetti M,Salerno M,Zambelli M,Mastropasqua F,Tramarin R,Pedretti RF

    更新日期:2004-01-01 00:00:00

  • Angiographic evidence of myocardial squeezing accompanying tachyarrhythmia as a possible cause of myocardial infarction.

    abstract::The coronary arteriogram of a 52-year-old man with Basedow's disease and who was suffering from myocardial infarction following rapid atrial fibrillation, showed severe myocardial squeezing without organic stenosis. Angiographically, the functional obstructive lesion was always observed both at systole and diastole du...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.73.3.431

    authors: Endo M,Lee YW,Hayashi H,Wada J

    更新日期:1978-03-01 00:00:00

  • The clinical utility of flexible bronchoscopy in the evaluation of chronic cough.

    abstract:STUDY OBJECTIVES:To assess the clinical utility of flexible bronchoscopy (FB) in the evaluation of patients with chronic cough and normal or nonlocalizing chest radiographic findings. DESIGN:Retrospective chart review. SETTING:Tertiary referral center. PATIENTS:Forty-eight patients with chronic cough and no other cl...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.126.1.268

    authors: Barnes TW,Afessa B,Swanson KL,Lim KG

    更新日期:2004-07-01 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

  • The acute effects of nasal positive pressure ventilation in patients with advanced cystic fibrosis.

    abstract:OBJECTIVE:To evaluate the acute effects of noninvasive positive pressure ventilation (NPPV) in patients with stable chronic respiratory failure secondary to cystic fibrosis. PATIENTS:Eight patients (29+/-5 years of age) with severe airflow limitation (mean FEV1, 24+/-3% predicted) and chronic respiratory failure (PaO2...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.113.4.1013

    authors: Granton JT,Kesten S

    更新日期:1998-04-01 00:00:00

  • A case of orthodeoxia caused by an atrial septal aneurysm.

    abstract::Platypnea-orthodeoxia is an uncommon syndrome that may occur due to the postpneumonectomy state, cirrhosis of the liver, recurrent pulmonary embolism, and intracardiac shunting. We describe a patient who was found to have a positional change in desaturation after being admitted for dehydration. Workup revealed an atri...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.118.3.871

    authors: Acharya SS,Kartan R

    更新日期:2000-09-01 00:00:00

  • Diagnostic value of medical thoracoscopy in pleural disease: a 6-year retrospective study.

    abstract:STUDY OBJECTIVES:Unlike thoracocentesis and closed pleural biopsy (CPB), medical thoracoscopy permits biopsy with direct visualization. In a 6-year retrospective study of patients having undergone at least one medical thoracoscopy, we analyzed the diagnostic yield of thoracoscopy and its value in the management of pleu...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.5.1677

    authors: Blanc FX,Atassi K,Bignon J,Housset B

    更新日期:2002-05-01 00:00:00

  • Parasites of the air passages.

    abstract::Parasitic infestations affect millions of the world's population. Global immigration and climate change have led to changes in the natural distribution of parasitic diseases far removed from endemic areas. A broad spectrum of helminthic and protozoal parasitic diseases frequently affects the respiratory system. The wi...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.13-2072

    authors: Khemasuwan D,Farver CF,Mehta AC

    更新日期:2014-04-01 00:00:00

  • Exercise-induced pulmonary arterial hypertension in patients with systemic sclerosis.

    abstract:INTRODUCTION:Pulmonary arterial hypertension (PAH) is the most common cause of scleroderma-related deaths. New medications for PAH patients make it necessary to identify patients with high risk factors for PAH. This study looks at the use of an exercise echocardiogram in identifying patients who may have PAH and may be...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.07-2324

    authors: Steen V,Chou M,Shanmugam V,Mathias M,Kuru T,Morrissey R

    更新日期:2008-07-01 00:00:00

  • Combination antihypertensive therapy among patients with COPD.

    abstract:BACKGROUND:COPD and hypertension both increase the risk of congestive heart failure (CHF). Current clinical trials do not inform the selection of combination antihypertensive therapy among patients with COPD. We performed a comparative effectiveness study to investigate whether choice of dual agent antihypertensive the...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.12-1770

    authors: Herrin MA,Feemster LC,Crothers K,Uman JE,Bryson CL,Au DH

    更新日期:2013-05-01 00:00:00

  • The effect of body mass index on patient outcomes in a medical ICU.

    abstract:STUDY OBJECTIVES:To examine the effect of patient body mass index (BMI) on outcome in intensive care. DESIGN:In a prospective study, the patients were classified into groups based on the calculated BMI, as follows: BMI < 19.0 (n = 350), > or = 19.0 and < 25.0 (n = 663), > or = 25.0 and < 29.9 (n = 585), > or = 30.0 an...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.127.6.2125

    authors: Ray DE,Matchett SC,Baker K,Wasser T,Young MJ

    更新日期:2005-06-01 00:00:00

  • Pneumococcal infection and immunologic response to pneumococcal vaccine in chronic obstructive pulmonary disease. A pilot study.

    abstract::We assessed the importance of Streptococcus pneumoniae and immunologic response to 14-valent pneumococcal vaccine in a randomized (saline placebo or vaccine) double-blind pilot study involving 103 patients with chronic obstructive pulmonary disease (COPD). Antibody titers, the flora of the sputum, respiratory infectio...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.92.2.204

    authors: Davis AL,Aranda CP,Schiffman G,Christianson LC

    更新日期:1987-08-01 00:00:00

  • Standard therapy for tuberculosis 1985.

    abstract::Numerous clinical trials of chemotherapy for tuberculosis conducted throughout the world over the past 4 decades have established 2 basic principles of treatment: effective treatment requires the initial concomitant administration of at least 2 drugs to which the patient's organisms are susceptible; and cure of tuber...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.87.2.117s

    authors: Snider DE Jr,Cohn DL,Davidson PT,Hershfield ES,Smith MH,Sutton FD Jr

    更新日期:1985-02-01 00:00:00

  • Palatal Sensory Function Worsens in Untreated Snorers but not in CPAP-Treated Patients With Sleep Apnea, Indicating Vibration-Induced Nervous Lesions.

    abstract:BACKGROUND:Signs of both motor and sensory nervous lesions have previously been shown in the upper airway of patients with OSA and habitual snorers. Snoring per se may damage all upper airway neurons over time, thereby causing progression to manifest sleep apnea. To test this hypothesis, nonsnoring subjects, untreated ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1016/j.chest.2020.01.032

    authors: Svanborg E,Ulander M,Broström A,Sunnergren O

    更新日期:2020-05-01 00:00:00

  • Inhalation challenge with sulfidopeptide leukotrienes in human subjects.

    abstract::What is the meaning of these findings to the practicing chest physician? First, leukotrienes are potent airway constrictors; they are capable of reproducing the type of airway constriction observed in asthma. The role of leukotrienes in this regard has yet to be established, but experiments to test the importance of t...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.89.3.414

    authors: Drazen JM

    更新日期:1986-03-01 00:00:00

  • Anastomotic pulmonary hypertension after lung transplantation for primary pulmonary hypertension: report of surgical correction.

    abstract::This report describes a patient who developed pulmonary hypertension 6 years after lung transplantation for primary pulmonary hypertension (PPH). Evaluation with right heart catheterization followed by pulmonary angiography, however, demonstrated that the pulmonary hypertension was secondary to an anastomotic narrowin...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.116.2.564

    authors: Soriano CM,Gaine SP,Conte JV,Fairman RP,White C,Rubin LJ

    更新日期:1999-08-01 00:00:00

  • PEEP increases non-pulmonary microvascular fluid flux in healthy and septic sheep.

    abstract::The potential for significant interaction between PEEP and the peripheral microcirculations is not as well appreciated as are its central circulatory effects. Therefore, we studied the effects of PEEP, 15 mm Hg, on microvascular fluid flux in the hindlimb of ten mature sheep. Changes in prefemoral lymph flow (QL) and ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.96.5.1142

    authors: Hersch M,Bersten A,Robertson S,Rutledge F,Sibbald WJ

    更新日期:1989-11-01 00:00:00

  • Chronic cough due to tuberculosis and other infections: ACCP evidence-based clinical practice guidelines.

    abstract:BACKGROUND:Although tuberculosis (TB) and other lung infections are common throughout the developing world, they are not among the most common causes of chronic cough. METHODS:Articles were selected from a MEDLINE search from 1966 through 2003 (using medical subject heading words "cough," "tuberculosis," and "lung inf...

    journal_title:Chest

    pub_type: 杂志文章,评审

    doi:10.1378/chest.129.1_suppl.197S

    authors: Rosen MJ

    更新日期:2006-01-01 00:00:00

  • Effect of continuous positive airway pressure on the rapid shallow breathing index in patients following cardiac surgery.

    abstract:OBJECTIVES:To compare the rapid shallow breathing index (RSBI) under different ventilatory support settings prior to extubation trials. DESIGN:Prospective study. SETTING:Cardiac surgery unit at a university hospital. PATIENTS:A total of 33 coronary artery bypass grafting patients ready for extubation. INTERVENTIONS...

    journal_title:Chest

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1378/chest.121.2.475

    authors: El-Khatib MF,Jamaleddine GW,Khoury AR,Obeid MY

    更新日期:2002-02-01 00:00:00

  • Antithrombotic therapy in atrial fibrillation: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy.

    abstract::This chapter about antithrombotic therapy in atrial fibrillation (AF) is part of the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy: Evidence Based Guidelines. Grade 1 recommendations are strong and indicate that the benefits do, or do not, outweigh risks, burden, and costs. Grade 2 suggests that i...

    journal_title:Chest

    pub_type: 指南,杂志文章,实务指引,评审

    doi:10.1378/chest.126.3_suppl.429S

    authors: Singer DE,Albers GW,Dalen JE,Go AS,Halperin JL,Manning WJ

    更新日期:2004-09-01 00:00:00

  • Noninvasive positive pressure ventilation: successful outcome in patients with acute lung injury/ARDS.

    abstract:BACKGROUND:There is increasing support for the use of noninvasive positive pressure ventilation (NPPV) in the treatment of patients with acute respiratory failure. Highest success rates are recorded in patients with exacerbation of COPD, particularly in patients presenting primarily with hypercarbic respiratory failure...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.115.1.173

    authors: Rocker GM,Mackenzie MG,Williams B,Logan PM

    更新日期:1999-01-01 00:00:00

  • Changes in BP induced by passive leg raising predict response to fluid loading in critically ill patients.

    abstract:OBJECTIVE:To test the hypothesis that passive leg raising (PLR) induces changes in arterial pulse pressure that can help to predict the response to rapid fluid loading (RFL) in patients with acute circulatory failure who are receiving mechanical ventilation. DESIGN:Prospective clinical study. SETTING:Two medical ICUs...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.4.1245

    authors: Boulain T,Achard JM,Teboul JL,Richard C,Perrotin D,Ginies G

    更新日期:2002-04-01 00:00:00

  • A cross-cultural comparison of critical care delivery: Japan and the United States.

    abstract:OBJECTIVE:To compare the utilization and outcomes of critical care services in a cohort of hospitals in the United States and Japan. DESIGN:Prospective data collection on 5,107 patients and detailed organizational characteristics from each of the participating Japanese study hospitals between 1993 and 1995, with compa...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.2.539

    authors: Sirio CA,Tajimi K,Taenaka N,Ujike Y,Okamoto K,Katsuya H

    更新日期:2002-02-01 00:00:00

  • Prevention of cytomegalovirus infection and disease after lung transplantation: results using a unique regimen employing delayed ganciclovir.

    abstract:BACKGROUND:Many lung transplant programs employ lengthy regimens of IV ganciclovir therapy to prevent disease due to cytomegalovirus (CMV). In 1994, we introduced a regimen of delayed ganciclovir prophylaxis for CMV infection. This consisted of 2 weeks of IV ganciclovir therapy, initiated 3 to 4 weeks after transplanta...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.121.2.407

    authors: Brumble LM,Milstone AP,Loyd JE,Ely EW,Pierson RN 3rd,Gautam S,Dummer JS

    更新日期:2002-02-01 00:00:00

  • Pulmonary dead space fraction and pulmonary artery systolic pressure as early predictors of clinical outcome in acute lung injury.

    abstract:STUDY OBJECTIVE:The primary objective of this study was to test whether an elevated systolic pulmonary artery (PA) pressure or an elevated pulmonary dead space fraction (Vd/Vt) in early acute lung injury (ALI) is associated with poor clinical outcomes in the era of lung-protective ventilation. DESIGN:Prospective obser...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.07-0409

    authors: Cepkova M,Kapur V,Ren X,Quinn T,Zhuo H,Foster E,Liu KD,Matthay MA

    更新日期:2007-09-01 00:00:00

  • Ostium primum defect in the adult: postoperative follow-up studies.

    abstract::Twelve adult patients with ostium primum atrial septal defects (incomplete endocardial cushion defect) who underwent surgical repair of their lesions were evaluated in the late postoperative period. All had closure of the low-lying atrial septal defect, with suturing of the mitral valve cleft in 11 patients. Although ...

    journal_title:Chest

    pub_type: 杂志文章

    doi:10.1378/chest.67.2.185

    authors: Goodman DJ,Harrison DC,Schroeder JS

    更新日期:1975-02-01 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

  • Talc pleurodesis through indwelling pleural catheters for malignant pleural effusions: retrospective case series of a novel clinical pathway.

    abstract::Malignant pleural effusions cause significant morbidity, but there is no gold standard minimally invasive treatment. A new therapeutic approach combines talc pleurodesis and indwelling pleural catheters (IPCs) to enable outpatient management. This case series summarizes the safety and efficacy data of all patients (24...

    journal_title:Chest

    pub_type: 临床试验,杂志文章

    doi:10.1378/chest.14-0394

    authors: Ahmed L,Ip H,Rao D,Patel N,Noorzad F

    更新日期:2014-12-01 00:00:00