Artificial pneumothorax by the Veress cannula: efficacy and safety.

Abstract:

:In 16 patients with pulmonary fibrosis, an artificial pneumothorax was introduced using the Veress cannula and the Saugman water manometer. Atmospheric air was introduced by fractionated insufflation to a total volume of 800 ml (median). The interpleural space was found on the first attempt, and in all cases, fractionated insufflation of atmospheric air was conducted while the intrapleural pressure was controlled with the water manometer. In one case, the procedure was stopped because of a rise in the pleural pressure after insufflation of only 50 ml air. This was undoubtedly caused by pleural adhesions not visible on chest X-ray. The main concern with air insufflation is air embolism but this was not observed clinically in any of the present cases. The patients in the present study all suffered from pulmonary fibrosis judged by clinical examination, chest X-ray and pulmonary function tests. Despite a diffusion capacity (DCO/VA) with a median value of 48% expected, the procedure was well tolerated. It has previously been shown that artificial pneumothorax preceding thoracoscopy is well tolerated due to hyperventilation, with an increase in respiratory frequency and a fall in arterial CO2 concentration (PaCO2), while pH and arterial O2 concentration (PO2) remain constant. This probably also explains the tolerance of the patients in this material. Insufflation of air as described here should be restricted to senior pulmonologists because it is an infrequent procedure. The present authors found the procedure to be uncomplicated and easy to perform with little discomfort to the patients.

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Faurschou P,Viskum K

doi

10.1016/s0954-6111(97)90253-5

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

402-5

issue

7

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(97)90253-5

journal_volume

91

pub_type

临床试验,杂志文章
  • Smoking cessation in chronic obstructive pulmonary disease.

    abstract::Chronic obstructive pulmonary disease (COPD) is increasing in prevalence, and is predicted to become the third leading cause of deaths worldwide by 2020. The precise prevalence of COPD is not known, as many individuals with the disease are left undiagnosed, despite the requirement of only simple spirometry testing for...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.rmed.2009.02.013

    authors: Tashkin DP,Murray RP

    更新日期:2009-07-01 00:00:00

  • Completion rate of latent tuberculosis infection treatment in patients aged 65 years and older.

    abstract:INTRODUCTION:There are insufficient data on the treatment of latent tuberculosis infection (LTBI) in elderly patients. We investigated the completion rate of treatment in elderly LTBI patients. METHODS:A retrospective multicentre study was conducted at five university hospitals in South Korea. We reviewed the electron...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.rmed.2019.09.004

    authors: Noh CS,Kim HI,Choi H,Kim Y,Kim CH,Choi JH,Hyun IG,Baek MS

    更新日期:2019-10-01 00:00:00

  • Population-based estimates of transbronchial lung biopsy utilization and complications.

    abstract:BACKGROUND:Little is known about trends in the utilization or complication rates of transbronchial lung biopsy, particularly in community hospitals. METHODS:We used the Healthcare Cost and Utilization Project Florida State Inpatient and State Ambulatory Surgical Databases to assess trends in transbronchial lung biopsy...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2012.08.008

    authors: Tukey MH,Wiener RS

    更新日期:2012-11-01 00:00:00

  • Safety of sputum induction in moderate-to-severe chronic obstructive pulmonary disease.

    abstract::This retrospective study was designed to evaluate the safety and efficacy of a bronchoprotective sputum induction protocol in moderate to severe chronic obstructive pulmonary disease (COPD). Forty-two adults with COPD (FEV1 = 51.7 +/- 3.2% predicted (mean +/- SEM)) under went sputum induction using a protocol designed...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1053/rmed.2002.1342

    authors: Sutherland ER,Pak J,Langmack EL,Silkoff PE,Martin RJ

    更新日期:2002-07-01 00:00:00

  • Clinical outcome of adding long-acting beta-agonists to inhaled corticosteroids.

    abstract::Current asthma management guidelines state that where a patient is receiving a low to moderate dose of inhaled corticosteroids and is still experiencing symptoms the dose of corticosteroid should be increased and, if necessary, a long-acting bronchodilator should be added. Many studies have now shown that the addition...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,meta分析

    doi:10.1053/rmed.2001.1140

    authors: Barnes PJ

    更新日期:2001-08-01 00:00:00

  • Extrinsic allergic alveolitis: problems in diagnosis and a potential use for computed tomography.

    abstract::Bird fancier's lung, the most common form of extrinsic allergic alveolitis in Britain, can be a difficult diagnostic problem. The symptoms are non-specific, often insidious in onset and frequently misdiagnosed as influenza or a viral or bacterial pneumonia. Frequently there is a delay in eliciting the history of expos...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/s0954-6111(06)80230-1

    authors: Vincent JM,Flower CD,Shneerson JM,Stewart S

    更新日期:1992-03-01 00:00:00

  • Increased red cell distribution width: A novel predictor of adverse outcome in patients hospitalized due to acute exacerbation of chronic obstructive pulmonary disease.

    abstract:BACKGROUND:Acute exacerbation of COPD (AECOPD) is one of the leading causes for hospitalization and readmission in developed countries. No laboratory indices were consistently found to be associated with readmission risk. Recent evidence attests that red blood cell distribution width (RDW), conveys important informatio...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2018.01.011

    authors: Epstein D,Nasser R,Mashiach T,Azzam ZS,Berger G

    更新日期:2018-03-01 00:00:00

  • Six-min walk test in a healthy adult Arab population.

    abstract:BACKGROUND:The 6-min walk test (6MWT) is a submaximal exercise test used to assess functional status in patients with cardiopulmonary diseases. Regression equations have previously been published as a normal reference for 6-min walk distance (6MWD) in healthy Caucasian adults. However, a recent study showed that the no...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2009.01.012

    authors: Alameri H,Al-Majed S,Al-Howaikan A

    更新日期:2009-07-01 00:00:00

  • Lung deflation and oxygen pulse in COPD: results from the NETT randomized trial.

    abstract:BACKGROUND:In COPD patients, hyperinflation impairs cardiac function. We examined whether lung deflation improves oxygen pulse, a surrogate marker of stroke volume. METHODS:In 129 NETT patients with cardiopulmonary exercise testing (CPET) and arterial blood gases (ABG substudy), hyperinflation was assessed with residu...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.rmed.2011.07.012

    authors: Come CE,Divo MJ,San José Estépar R,Sciurba FC,Criner GJ,Marchetti N,Scharf SM,Mosenifar Z,Make BJ,Keller CA,Minai OA,Martinez FJ,Han MK,Reilly JJ,Celli BR,Washko GR,NETT Research Group.

    更新日期:2012-01-01 00:00:00

  • Exhaled nitric oxide and exercise tolerance in severe COPD patients.

    abstract::To answer the question as to whether pulmonary rehabilitation programs (PRP) induced increase in exercise tolerance (ET) is associated with increased levels of exhaled nitric oxide (eNO) in COPD patients of different degrees of severity, we designed a prospective and controlled study. Forty-seven stable COPD patients ...

    journal_title:Respiratory medicine

    pub_type: 临床试验,杂志文章

    doi:10.1053/rmed.2001.1286

    authors: Clini E,Bianchi L,Foglio K,Vitacca M,Ambrosino N

    更新日期:2002-05-01 00:00:00

  • COST-effectiveness of salmeterol/fluticasone propionate combination (Advair(®)) in uncontrolled asthma in Canada.

    abstract:OBJECTIVE:To evaluate the cost-utility of the treatment with a long acting beta-agonist (LABA) and inhaled corticosteroid (ICS) combination inhaler [salmeterol xinafoate (SAL)/fluticasone propionate (FP) combination inhaler (SFC) (Advair(®))] to continuing on current ICS dose (no ICS dose change) or increased ICS dose ...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.rmed.2014.06.005

    authors: Ismaila AS,Risebrough N,Li C,Corriveau D,Hawkins N,FitzGerald JM,Su Z

    更新日期:2014-09-01 00:00:00

  • Rabbit allergens: a significant risk for allergic sensitization in subjects without occupational exposure.

    abstract:BACKGROUND:Although rabbits are becoming popular as pets, data about the characteristics of allergic sensitization to rabbit allergens in patients without professional exposure are scarce. AIMS OF THE STUDY:To determine the characteristics of allergic sensitization to pet rabbits, and the role of direct and indirect e...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2005.11.008

    authors: Liccardi G,Piccolo A,Dente B,Salzillo A,Noschese P,Gilder JA,Russo M,D'Amato G

    更新日期:2007-02-01 00:00:00

  • Costs of asthma in Italy: results of the SIRIO (Social Impact of Respiratory Integrated Outcomes) study.

    abstract::Bronchial asthma is a costly disease and the correlated social impact is ever increasing. The aim of the Social Impact of Respiratory Integrated Outcomes (SIRIO) study was to measure the health resources consumption and the costs generated in 1 year by asthmatic patients investigated in a real-life setting. This botto...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2007.07.011

    authors: Dal Negro RW,Micheletto C,Tosatto R,Dionisi M,Turco P,Donner CF

    更新日期:2007-12-01 00:00:00

  • An investigation of the relationship between microbial and particulate indoor air pollution and the sick building syndrome.

    abstract::The sick building syndrome has been the subject of research for approximately 10 years. Although it is often suggested that symptoms in office workers are due to circulating micro-organisms or particles, epidemiological studies investigating the relationship between them have been lacking. This cross-sectional study h...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/s0954-6111(06)80060-0

    authors: Harrison J,Pickering CA,Faragher EB,Austwick PK,Little SA,Lawton L

    更新日期:1992-05-01 00:00:00

  • Utility of lung density measurements in the diagnosis of emphysema.

    abstract:BACKGROUND:The role of computerised tomography (CT) lung density measurements in objective quantification of emphysema is uncertain. The aim of this study was to determine normal reference values for CT lung density measurements and investigate their utility in identifying subjects with clinical emphysema. METHODS:Nor...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2007.01.002

    authors: Marsh S,Aldington S,Williams MV,Nowitz MR,Kingzett-Taylor A,Weatherall M,Shirtcliffe PM,McNaughton AA,Pritchard A,Beasley R

    更新日期:2007-07-01 00:00:00

  • Effect of single doses of inhaled lignocaine on FEV1 and bronchial reactivity in asthma.

    abstract::Inhaled lignocaine appeared to have considerable steroid sparing properties in an uncontrolled trial in 20 patients with oral-steroid-dependent asthma. Since it can also cause bronchoconstriction, safety needs to be studied under controlled conditions. We have performed a randomized, double-blind, placebo-controlled s...

    journal_title:Respiratory medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0954-6111(98)90142-1

    authors: Harrison TW,Tattersfield AE

    更新日期:1998-12-01 00:00:00

  • Re-examination of the diagnostic criteria of tropical pulmonary eosinophilia.

    abstract::There is no agreement on the minimum absolute eosinophil count essential for the diagnosis of tropical pulmonary eosinophilia (TPE) at present. The aim of this study was to determine this figure as well as to evaluate the other diagnostic criteria of TPE. The response to diethylcarbamazine (DEC) was tested in 98 patie...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/s0954-6111(99)90106-3

    authors: Cooray JH,Ismail MM

    更新日期:1999-09-01 00:00:00

  • Isolated pleural and pericardial effusion in a patient with ankylosing spondylitis.

    abstract::Ankylosing spondylitis (AS) is a chronic seronegative spondyloarthritis with the major histocompatibility antigen HLA B27. Pulmonary involvement in AS is rare and is usually in the form of upper lobe fibrocavitary disease. Herein, we present a case with recurrent pleural and pericardial effusion without apical fibrobu...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2006.04.028

    authors: Erkan L,Uzun O,Findik S,Atici AG,Ozkaya S

    更新日期:2007-02-01 00:00:00

  • Long-term experience after transition from parenteral prostanoids to oral agents in patients with pulmonary hypertension.

    abstract:BACKGROUND:Long-term follow-up after transition to oral agents from parenteral prostanoid therapy has not been well characterized. METHODS:We reviewed our long-term experience after oral transitioning in patients with pulmonary hypertension. Patients were weaned off parenteral therapy based on a pre-determined outpati...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2007.12.020

    authors: Diaz-Guzman E,Heresi GA,Dweik RA,Minai OA

    更新日期:2008-05-01 00:00:00

  • An economic analysis of pharmacological treatment of COPD in Spain.

    abstract:BACKGROUND:COPD is a prevalent disease that generates high use of resources. The objective of this study was to quantify the economic consequences of non-adherence to GOLD guidelines for the management of COPD patients. METHOD:An economic model was generated to compare different scenarios of observed vs. expected cost...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2008.11.019

    authors: Miravitlles M,Brosa M,Velasco M,Crespo C,Gobartt E,Diaz S,González-Rojas N

    更新日期:2009-05-01 00:00:00

  • The utility of galactomannan antigen in the bronchial washing and serum for diagnosing pulmonary aspergillosis.

    abstract:BACKGROUND:The diagnosis of pulmonary aspergillosis is difficult because the sensitivity of the conventional methods for the detection of Aspergillus such as culture and cytology, is poor. To improve the sensitivity for Aspergillus detection, the detection of galactomannan antigen has been investigated. The serum galac...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2013.04.007

    authors: Kono Y,Tsushima K,Yamaguchi K,Kurita N,Soeda S,Fujiwara A,Sugiyama S,Togashi Y,Kasagi S,To M,To Y,Setoguchi Y

    更新日期:2013-07-01 00:00:00

  • Tumor necrosis factor-alpha serum levels, weight loss and tissue oxygenation in chronic obstructive pulmonary disease.

    abstract::Weight loss has been recognized as a feature of advanced emphysema and a factor of poor prognosis, but its mechanisms remain obscure. Studies have demonstrated high serum concentrations of TNF-a (cachexin) in chronic obstructive pulmonary disease (COPD) patients with emphysema. Pink puffers (PP) COPD patients have wor...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1053/rmed.2002.1322

    authors: Pitsiou G,Kyriazis G,Hatzizisi O,Argyropoulou P,Mavrofridis E,Patakas D

    更新日期:2002-08-01 00:00:00

  • Impact of Aspergillus precipitating antibody test results on clinical outcomes of patients with Mycobacterium avium complex lung disease.

    abstract:BACKGROUND AND OBJECTIVE:Chronic pulmonary aspergillosis (CPA) is associated with mortality in patients with Mycobacterium avium complex lung disease (MAC-LD). However, the clinical significance of the positivity of Aspergillus precipitating antibody (APAb), a serodiagnostic test for pulmonary aspergillosis (PA), at th...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2020.105955

    authors: Shirai T,Furuuchi K,Fujiwara K,Nakamoto K,Tanaka Y,Ishii H,Yoshiyama T,Yoshimori K,Takizawa H,Sasaki Y,Kurashima A,Ohta K,Morimoto K

    更新日期:2020-05-01 00:00:00

  • Persistence with inhaled corticosteroid therapy in daily practice.

    abstract:OBJECTIVE:To quantify persistence with inhaled corticosteroids (ICS) among new users in daily practice and identify determinants of persistence. METHODS:A retrospective cohort study was performed with data from the Dutch PHARMO system. This system consists of medication and hospital admission records of 325,000 inhabi...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2004.01.014

    authors: Breekveldt-Postma NS,Gerrits CM,Lammers JW,Raaijmakers JA,Herings RM

    更新日期:2004-08-01 00:00:00

  • How to investigate a suspected immune deficiency in adults.

    abstract::Patients with immune deficiencies can present with variable clinical phenotypes. This often translates into a significant delay in their diagnosis, and resultant patient morbidity. This review summarises the most common types of immunodeficiency disorders, primary and secondary, along with their key features. It provi...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2020.106100

    authors: Grammatikos A,Bright P,Bhatnagar R,Johnston S

    更新日期:2020-09-01 00:00:00

  • Medication adherence and persistence in the last year of life in COPD patients.

    abstract:OBJECTIVE:To examine medication adherence and persistence among COPD patients during their last year of life. DATA SOURCE:National VA databases were used to identify patients who had COPD and died between 1999 and 2003. STUDY DESIGN:We examined use of inhaled corticosteroids (ICS), long acting beta(2) agonists (LABA)...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2008.11.004

    authors: Jung E,Pickard AS,Salmon JW,Bartle B,Lee TA

    更新日期:2009-04-01 00:00:00

  • Pituitary reactivity, androgens and catecholamines in obstructive sleep apnoea. Effects of continuous positive airway pressure treatment (CPAP).

    abstract::We studied the effects of chronic nocturnal hypoxaemia due to obstructive sleep apnoea syndrome (OSAS) on the hypothalamic-pituitary-thyroid and hypothalamic-pituitary-testicular axes and on catecholamine and cortisol secretion. We investigated whether hormones other than catecholamines may serve as markers for chroni...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/s0954-6111(99)90068-9

    authors: Bratel T,Wennlund A,Carlström K

    更新日期:1999-01-01 00:00:00

  • Health-related quality of life in asthma patients - A comparison of two cohorts from 2005 and 2015.

    abstract:INTRODUCTION:The aim was to investigate temporal variation in Health-Related Quality of Life (HRQL) and factors influencing low HRQL, in patients with asthma. MATERIAL AND METHODS:Questionnaire data on patient characteristics and the mini-Asthma Quality of Life Questionnaire (mini-AQLQ) scores from two separate cohort...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2017.10.010

    authors: Sundh J,Wireklint P,Hasselgren M,Montgomery S,Ställberg B,Lisspers K,Janson C

    更新日期:2017-11-01 00:00:00

  • Dyspnea and emotional states in health and disease.

    abstract::Anxiety and depression can increase the intensity of dyspnea out of proportion to the impairment in cardiorespiratory function and may contribute to the degree of disability associated with dyspnea. The effect of anxiety/depression on the sensory and affective components of reported dyspnea in patients with respirator...

    journal_title:Respiratory medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.rmed.2012.12.018

    authors: Scano G,Gigliotti F,Stendardi L,Gagliardi E

    更新日期:2013-05-01 00:00:00

  • Oral bacteria--the missing link to ambiguous findings of exhaled nitrogen oxides in cystic fibrosis.

    abstract:BACKGROUND:Nitrite in exhaled breath condensate (EBC) has been shown to be elevated in cystic fibrosis (CF), while exhaled nitric oxide (FENO) is paradoxically low. This has been argued to reflect increased metabolism of NO while its diffusion is obstructed by mucus. However, we wanted to study the possible influence o...

    journal_title:Respiratory medicine

    pub_type: 杂志文章

    doi:10.1016/j.rmed.2008.09.009

    authors: Zetterquist W,Marteus H,Kalm-Stephens P,Näs E,Nordvall L,Johannesson M,Alving K

    更新日期:2009-02-01 00:00:00