Abstract:
STUDY OBJECTIVE:Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation. DESIGN:Retrospective review of extubation failures in the trauma ICU. SETTING:University hospital and regional trauma center. PATIENTS:Four hundred five patients arriving intubated or requiring intubation during hospitalization after 2,516 traumatic injury admissions over 18 months. INTERVENTIONS:None. RESULTS:Reintubation incidence was 7% (27 times per 405 patients). Comparative mortality of the reintubated group (2/24 = 8%) is similar to overall trauma center mortality (224/2516 = 6.5%), but less than the cohort of patients admitted to the hospital intubated (63/405 = 16%). Reintubated patients had an increased frequency of stridor than reported previously (33%), and an increased tracheostomy rate (62% vs 30%). Stridor was not predictable from injury severity score, Glasgow coma score, age, sex, length of intubation, or place of intubation. Pulmonary complications (atelectasis, tracheobronchitis, pneumonia) developed in half of reintubated patients; stridorous patients did not have an increased rate of pulmonary complications. CONCLUSION:Reintubation in trauma ICU patients does not predict poor outcome.
journal_name
Chestjournal_title
Chestauthors
Daley BJ,Garcia-Perez F,Ross SEdoi
10.1378/chest.110.6.1577subject
Has Abstractpub_date
1996-12-01 00:00:00pages
1577-80issue
6eissn
0012-3692issn
1931-3543pii
S0012-3692(15)46606-1journal_volume
110pub_type
杂志文章相关文献
CHEST文献大全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
更新日期:2002-02-01 00:00:00
abstract::A 42-year-old woman with an anomalous left coronary artery originating from the pulmonary artery and a fistula from the left coronary artery to the left ventricle was treated by aortocoronary bypass grafting of an autologous saphenous vein. The presence of an abundant collateral circulation and of fistulous communicat...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.74.1.102
更新日期:1978-07-01 00:00:00
abstract:BACKGROUND:Knowledge of the relationship between respiratory disorders and gastroesophageal reflux disease (GERD) is increasing. However, the association between GERD and pulmonary disease caused by nontuberculous mycobacteria (NTM) has not been studied in detail. We investigated the prevalence of GERD in patients with...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.06-2280
更新日期:2007-06-01 00:00:00
abstract::A prospective study of community-acquired pneumonia in Hong Kong was carried out between January and December, 1988. Ninety adults (57 male) with a mean age of 57.3 years were admitted to the Prince of Wales Hospital with community-acquired pneumonia. The etiologic diagnosis of pneumonia was made in 37 cases (41 perce...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.2.442
更新日期:1992-02-01 00:00:00
abstract::Intravenous dipyridamole thallium imaging is reported to be a safe test with minimal side effects. It has been proposed by some that the test simply dilates the coronary vessels without actually producing myocardial ischemia. In this report, we describe a patient who, following intravenous dipyridamole thallium imagin...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.92.6.1102
更新日期:1987-12-01 00:00:00
abstract:CASE PRESENTATION:A 62-year-old woman with a history of partially treated Graves disease and hypertension presented with approximately 3 weeks of worsening fatigue, lower extremity myalgias, and shortness of breath. Her medical history included a thyroid radiofrequency ablation several years earlier. Following the abla...
journal_title:Chest
pub_type:
doi:10.1016/j.chest.2019.09.041
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Pulmonary vascular capacitance (PVC) is reduced in pulmonary arterial hypertension (PAH). In normal lung, PVC is largely a function of vascular compliance. In PAH, increased pulmonary vascular resistance (PVR) arises from the arterioles. PVR and PVC share pressure and volume variables. The dependency between...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-1461
更新日期:2015-04-01 00:00:00
abstract::Of 1,599 patients who underwent surgery for direct myocardial revascularization in 1973 at Cleveland Clinic Hospital, 19 patients (1.2 percent) developed primary ventricular fibrillation or ventricular tachycardia during the immediate postoperative period. Occurrence of postoperative ventricular tachyarrhythmias could...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.72.4.426
更新日期:1977-10-01 00:00:00
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
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Little is known about the association between left ventricular (LV) diastolic dysfunction and outcomes in patients with idiopathic or heritable pulmonary arterial hypertension (PAH). Our rationale was to investigate the prevalence of LV diastolic dysfunction, and its association with disease severity and out...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.11-1903
更新日期:2012-06-01 00:00:00
abstract:CASE PRESENTATION:A 32-year-old Nigerian woman, who became pregnant after undergoing in vitro fertilization, was admitted with nausea and abdominal pain. She had a history of two miscarriages and infertility because of tubal blockage treated by salpingectomy. One week prior, she presented to an outside hospital with pr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2018.10.001
更新日期:2019-04-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate the interaction between craniofacial structure and obesity in male patients with obstructive sleep apnea (OSA). DESIGN:Retrospective analysis of a cohort of OSA patients. The relationships between neck circumference (NC), body mass index, apnea severity, and craniofacial and upper airway so...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.2.375
更新日期:1995-08-01 00:00:00
abstract:STUDY OBJECTIVES:To determine the incidence and mortality as well as to analyze the clinical and pathologic changes of aortic dissection. DESIGN AND SETTING:A population-based longitudinal study over 27 years on a study population of 106,500, including 66 hospitalized and 18 nonhospitalized consecutively observed pati...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.117.5.1271
更新日期:2000-05-01 00:00:00
abstract::Hyperlipemia in an acyanotic patient with diabetic ketoacidosis, alcoholism, and pancreatitis produced a falsely elevated concentration of methemoglobin (19 percent) and a lower-than-expected oxygen saturation measured with an automated spectrophotometer (IL-282 CO-Oximeter). In addition, there was a "normal" hemoglob...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.86.1.84
更新日期:1984-07-01 00:00:00
abstract::Preoperative evaluation of patients being considered for pulmonary resection is a common practice for both pulmonologists and internists. Traditionally, preoperative evaluation of this population has entailed identifying patients in whom pulmonary resection carries an unacceptably high risk of morbidity and mortality....
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.112.4_supplement.206s
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND:COPD includes the chronic bronchitis (CB) and emphysema phenotypes. Although it is generally assumed that emphysema or chronic airflow obstruction (CAO) is associated with worse quality of life (QOL) than is CB, this assumption has not been tested. METHODS:The current study's analyses from the Lovelace Smok...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-2240
更新日期:2015-08-01 00:00:00
abstract:STUDY OBJECTIVES:The effect of therapy using a cervicomandibular support collar (CMSC) to manage obstructive sleep apnea (OSA) was compared with standard therapy, nasal continuous positive airway pressure (nCPAP). DESIGN:Subjects received treatment with CMSC or nCPAP each for 1 month in random order. The study was ana...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.125.1.118
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:Fractional flow reserve (FFR) is a valid surrogate for hemodynamic significance in stenotic native coronary arteries, but its validity in patients with coronary stent restenosis is unknown. DESIGN:Prospective. SETTING:University hospital. PATIENTS:We studied 42 patients (mean age +/- 1 SD, 62 +/- 10 years)...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.3.1645
更新日期:2005-09-01 00:00:00
abstract::Pulmonary hypertension (PH) due to chronic lung disease is associated with a poor prognosis, regardless of the underlying respiratory condition. Updated PH guidelines recommend optimal treatment of the underlying lung disease, including long-term oxygen therapy, in patients with chronic hypoxemia despite the lack of r...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1016/j.chest.2017.06.008
更新日期:2018-01-01 00:00:00
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
更新日期:2005-11-01 00:00:00
abstract::A 51-year-old man developed fever, cough, and dyspnea 5 days after completing murine monoclonal anti-CD3 antibody (OKT3) treatment for acute cardiac allograft rejection. Samples of BAL fluid grew influenza A virus. Progressive pulmonary infiltrates, respiratory compromise, and hypoxia developed, and the patient ultima...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.108.5.1456
更新日期:1995-11-01 00:00:00
abstract::Indirect evidence from airway pressure recordings in mechanically ventilated patients suggests that the diaphragm exhibits contractile activity beyond that required to trigger a ventilator-assisted breath. We used the diaphragmatic EMG to provide direct evidence of persistent contractile activity and studied the effec...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.96.1.130
更新日期:1989-07-01 00:00:00
abstract::Aortopulmonary window is a rare congenital cardiac anomaly. When it coexists with a ventricular septal defect, the accurate diagnosis of aortopulmonary window on the basis of clinical examination is difficult. We report the case of an infant who had an aortopulmonary window together with a ventricular septal defect. A...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.101.1.280
更新日期:1992-01-01 00:00:00
abstract::We studied 15 nonsmoking, clinically stable asthmatic subjects aged 27 to 39 years to evaluate the potential cardiotoxic effects of combined use of a beta-adrenergic agonist drug and theophylline in the treatment of asthma. Subjects underwent a one-week washout period followed by two one-week periods of study receivin...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.90.1.45
更新日期:1986-07-01 00:00:00
abstract:BACKGROUND:Cardiac death is the leading cause of mortality associated with sarcoidosis in Japan. However, the involvement of sarcoidosis infiltration often remains undetected. Recently, late gadolinium enhancement with cardiovascular MRI (LGE-CMR) imaging has been introduced for the detection of myocardial infiltrative...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-0139
更新日期:2014-10-01 00:00:00
abstract::The object of this study was to compare the diagnostic yield of Abrams and Cope needles. Pleural biopsies were performed in 24 patients with both needles. In two patients, the procedure was repeated within a few days. All patients had pleural effusion. The biopsies were performed at the same time; the biopsy sites wer...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.92.6.1050
更新日期:1987-12-01 00:00:00
abstract::To evaluate bronchoalveolar lavage (BAL) findings in patients infected with human immunodeficiency virus (HIV), 39 patients seropositive for the virus but with no history of opportunistic infection were studied. Opportunistic organisms such as Pneumocystis carinii were not found in any of the 35 BAL fluids sent for sp...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.97.5.1066
更新日期:1990-05-01 00:00:00
abstract::Primary influenza pneumonia is a disease of high mortality. Differentiation between a bacterial and viral etiology for the pulmonary infiltrates frequently presents a diagnostic dilemma. Rapid diagnosis is essential; and once established, the patient requires careful supportive therapy. This report describes two patie...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.4.513
更新日期:1975-10-01 00:00:00
abstract:BACKGROUND:C-reactive protein (CRP) has been well recognized as a strong independent predictor of short-term and long-term mortality after non-ST-segment elevation acute coronary syndromes. However, limited studies have been conducted correlating CRP levels within 6 h following the onset of ST-segment elevation (ST-se)...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.127.3.803
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Among patients with nearly normal ventilation/perfusion (V/Q) lung scans in the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED), pulmonary embolism (PE) was diagnosed more frequently in those who underwent pulmonary angiography than in those in whom PE was diagnosed on the basis of an adve...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.110.2.395
更新日期:1996-08-01 00:00:00