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. However, recent advances in surgical technique and patient management have prompted a reconsideration of traditional preoperative approaches. This article reviews procedures currently used in the preoperative evaluation of patients considered for pulmonary resection, including the patient history, physical examination, and preoperative interventions, and addresses further evaluation of the high-risk patient.
journal_name
Chestjournal_title
Chestauthors
Reilly JJdoi
10.1378/chest.112.4_supplement.206ssubject
Has Abstractpub_date
1997-10-01 00:00:00pages
206S-208Sissue
4 Suppleissn
0012-3692issn
1931-3543pii
S0012-3692(15)47416-1journal_volume
112pub_type
杂志文章,评审相关文献
CHEST文献大全abstract::A case is presented of a reversible intra-Hisian block occurring under amiodarone treatment for atrial tachycardia in a patient without clear intraventricular conduction abnormalities. His bundle recordings showed an atrial tachycardia with intermittent exit block and greatly prolonged BH and HV intervals (40 and 100 ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.82.1.117
更新日期:1982-07-01 00:00:00
abstract:BACKGROUND:Asthma morbidity and mortality are higher in the United States for African-American (AA) children when compared to European-American (EA) children. STUDY OBJECTIVES:To explore racial differences in physiologic factors associated with pediatric asthma severity. DESIGN:Cross-sectional. METHODS:We analyzed d...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.117.5.1336
更新日期:2000-05-01 00:00:00
abstract::The history of the use of beta-blockers for congestive heart failure, beginning with the innovative seminal study by the Swedish group in 1975 to studies in 1995, is reviewed and shows that almost all trials favored the use of beta-blockers. They tended to demonstrate an increase in ejection fraction, a decrease in le...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.113.3.800
更新日期:1998-03-01 00:00:00
abstract:INTRODUCTION:The specific causes and mechanism(s) for asthma occurring among occupants of non-residential buildings with poor indoor air quality are not known, but allergic and nonallergic processes are possible explanations METHODS:Repeated indoor air quality measurements were made while employees were working in a b...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.3.1720
更新日期:2005-09-01 00:00:00
abstract::A patient with ulcerative colitis had extensive upper zone pulmonary disease while taking sulfasalazine. Pulmonary function tests showed progressive restrictive and obstructive disease. Lung biopsy showed bronchiolitis obliterans and chronic interstitial pneumonia or fibrosing alveolitis with a mild eosinophilic infil...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.81.6.766
更新日期:1982-06-01 00:00:00
abstract:CASE PRESENTATION:A 72-year-old man presented to our ED less than 24 hours following the acute onset of nausea, vomiting, and diarrhea. Within 12 hours of symptom onset, he noted bilateral lower extremity pain and swelling. His pain was associated with a new violaceous irregular rash on the anterior aspect of both feet...
journal_title:Chest
pub_type:
doi:10.1016/j.chest.2019.08.2186
更新日期:2020-02-01 00:00:00
abstract::The most examined tumor markers in lung cancer patients are CEA, hormonal peptides, and some neurogenic enzymes in small cell carcinoma. Calcitonin, ACTH, ADH, CEA, neurophysin, oxytocin, beta-endorphin, neuron-specific enolase, and CK BB are elevated in serum specimens in 25-75% of cases of small cell carcinoma. The ...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.89.4_supplement.219s
更新日期:1986-04-01 00:00:00
abstract::To determine if the timing of interposed abdominal compressions (IAC) affects the augmented blood flow during this form of cardiopulmonary resuscitation (CPR), we performed early-onset or late-onset abdominal compressions at three vascular volumes in nine dogs. Early-onset IAC began immediately following chest compres...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.93.6.1206
更新日期:1988-06-01 00:00:00
abstract::Lung volume reduction surgery (LVRS) is being evaluated in the treatment of emphysema. The proposed mechanisms of improvement are increased elastic recoil of the lung and improved mechanical efficiency of the muscles of respiration. We report a unique patient with emphysema who developed a giant bulla 3 years subseque...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.116.6.1809
更新日期:1999-12-01 00:00:00
abstract:STUDY OBJECTIVES:Previous studies have reported that magnesium (Mg) deficiency is associated with coronary spasm. However, little is known about the preventive effect of Mg on coronary spasm. The present study investigated whether Mg prevents coronary spasm in patients with vasospastic angina (VSA). DESIGN:Effectivene...
journal_title:Chest
pub_type: 临床试验,杂志文章
doi:10.1378/chest.118.6.1690
更新日期:2000-12-01 00:00:00
abstract:BACKGROUND:Data on patients with cancer who have a prolonged length of stay (LOS) in the ICU are scarce. The aim of the present study was to evaluate the characteristics and the outcomes of cancer patients with life-threatening complications with an ICU stay > or = 21 days. METHODS:A cohort study performed at a 10-bed...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.08-0359
更新日期:2008-09-01 00:00:00
abstract::We report a patient in whom presumed vasospasm of an angiographically normal coronary artery led to severe transmural myocardial ischemia. To our knowledge, this is the first case in which an allergic reaction to locally applied chlorhexidine caused such a severe reaction. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.113.5.1417
更新日期:1998-05-01 00:00:00
abstract::To further delineate indications for noninvasive pressure support ventilation (NIPSV), we proposed this noninvasive technique as an alternative to endotracheal intubation in 17 consecutive patients with acute respiratory failure from various causes. Eight patients (47 percent) were successfully ventilated with NIPSV, ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.3.907
更新日期:1993-03-01 00:00:00
abstract::Due to concerns about the efficacy and safety of using pulmonary artery catheterization to evaluate hemodynamic status, noninvasive diagnostic testing has gained increased importance. This article focuses on both the supportive evidence and the limitations of applying the vascular pedicle width (VPW), which is the med...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.121.3.942
更新日期:2002-03-01 00:00:00
abstract::Klippel-Trenaunay syndrome (KTS) is a congenital disorder characterized by a triad of cutaneous vascular nevi, soft tissue or bony hypertrophy, and varicose veins or venous malformations involving one or more extremities. An incidence of venous thromboembolism of up to 22% has been reported in this disorder. Also repo...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.117.5.1520
更新日期:2000-05-01 00:00:00
abstract::The unusual occurrence of non-infected submitral and aortic aneurysms developing sequentially in an adult prompted us to review the pathogenesis of congenital aneurysms adjacent to the aortic and mitral valves. The findings support the suggestion that subvalvular aneurysms, like aortic sinus aneurysms, are a result of...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.82.3.334
更新日期:1982-09-01 00:00:00
abstract::A 40-year-old woman with lymphangiomatosis also had an intrathoracic lymphangioma infection. Since the age of 8 years, the patient had undergone repeated abdominal and mediastinal cyst surgeries and had received a diagnosis of lymphangiomatosis. At this time, she showed a high fever of 38.5°C. Cultures of both blood a...
journal_title:Chest
pub_type:
doi:10.1016/j.chest.2020.06.048
更新日期:2020-11-01 00:00:00
abstract::Occupational exposure to aerosolized pentamidine has raised questions regarding transmission of tuberculosis and the effect of the drug itself. To estimate the exposure of a health care worker, we measured the ambient concentration of aerosolized pentamidine in field conditions in 36 m3 unventilated treatment room. Th...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.2.386
更新日期:1990-08-01 00:00:00
abstract:BACKGROUND:Vasodilatory shock refractory to catecholamine vasopressors and arginine vasopressin is highly morbid and responsible for significant mortality. Synthetic angiotensin II is a potent vasoconstrictor that may be suitable for use in these patients. RESEARCH QUESTION:What is the safety and effectiveness of angi...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2020.08.2074
更新日期:2020-08-31 00:00:00
abstract:BACKGROUND:A pulmonary right-to-left shunt (RLS) carries the risk of cerebral paradoxical embolization and severe neurologic complications. Recognizing patients at risk is important to facilitate appropriate management strategies, but a direct relation between pulmonary shunt size and risk of complications remains cont...
journal_title:Chest
pub_type: 杂志文章,多中心研究
doi:10.1378/chest.12-1599
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:During most of the cruise, submarines are detached from their environment. Therefore, O(2) levels are relatively low (19 kPa, 144 mm Hg) and CO(2) levels are high (1 kPa, 7.6 mm Hg). There are, however, periods during ventilation of the submarine in which CO(2) levels drop and O(2) levels increase. The objec...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.124.5.1716
更新日期:2003-11-01 00:00:00
abstract::The gas exchange and hemodynamics were evaluated before, during, and after a two-hour period of prone position in 13 moderate-severe ARDS patients. Lung computerized tomography was obtained in both the supine and prone positions in two of these patients. Average arterial oxygenation improved after prone positioning (p...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.94.1.103
更新日期:1988-07-01 00:00:00
abstract:CASE PRESENTATION:A 32-year-old man presented with fever, nonproductive cough, diffuse lymphadenopathy, and polyarticular pain for 2 weeks. His medical history included HIV diagnosed 10 years ago, anal intraepithelial neoplasia, Kaposi sarcoma, and herpes simplex virus-2 infection. The patient was not receiving antiret...
journal_title:Chest
pub_type: 杂志文章
doi:10.1016/j.chest.2018.05.013
更新日期:2018-11-01 00:00:00
abstract::False-negative supine M-mode echocardiograms occur in some patients with proved mitral valve prolapse. To investigate further, we performed M-mode echocardiography (MME) during standing and after the inhalation of amyl nitrite in 17 patients (group 1) selected for auscultatory evidence of mitral valve prolapse (MVP) b...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.82.2.158
更新日期:1982-08-01 00:00:00
abstract::Normal subjects were exposed to an aerosol of Escherichia coli endotoxin. Carbon monoxide diffusion (Dco), spirometry, blood neutrophils, white blood cells, and platelets were determined at various times thereafter. A significant decrease in Dco and an increase in blood neutrophils was found, with a maximum effect 4 t...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.4.1095
更新日期:1992-10-01 00:00:00
abstract::Primary neurogenic tumors of the lung are rare. Often, their histologic behavior presents a treatment dilemma. We present a case of benign endobronchial neurilemmoma managed by means of YAG laser resection together with a brief discussion of the management options available for these tumors. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.95.2.461
更新日期:1989-02-01 00:00:00
abstract::Parenteral tetracycline, one of the most commonly used agents for producing pleurodesis, is no longer available because of stricter regulations governing the manufacturing process. The objective of this project was to determine whether minocycline, a tetracycline derivative, is an effective sclerosant in an experiment...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.106.2.577
更新日期:1994-08-01 00:00:00
abstract::To assess the responsiveness of the cerebral vessels to chronic hypercapnia, we measured middle cerebral artery flow velocity by transcranial Doppler ultrasound in 20 normal subjects and in 14 COLD patients before and after stimulation by progressive hypercapnia (rebreathing test) or by intravenous administration of a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.1.135
更新日期:1992-07-01 00:00:00
abstract:STUDY OBJECTIVES:To describe the health-related quality of life (HRQL) and mental health of persons with sarcoidosis, as well as to assess physician-patient agreement about the presence of sarcoidosis symptoms. DESIGN AND SETTING:Cross-sectional study at three university medical center outpatient pulmonary clinics. P...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.125.3.997
更新日期:2004-03-01 00:00:00
abstract::Recent studies emphasize the importance of heart rate in the genesis of ventricular arrhythmias during myocardial ischemia. The role of alterations in rhythm has not previously been systematically investigated. In 20 dogs subjected to acute myocardial ischemia and crushing of the sinus node, standard electrocardiograp...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.71.5.651
更新日期:1977-05-01 00:00:00