CT and MR in pleural disease.

abstract：:Obstructive sleep-disordered breathing consists of a spectrum ranging from the upper airway resistance syndrome to complete apnea. Although this disorder is relatively common, it is still under-recognized, resulting in a significant increase in morbidity and mortality. In this article, we describe the rationale for tr...

journal_title：Clinics in chest medicine

authors： Bahammam A,Kryger M

更新日期：1998-03-01 00:00:00

abstract：:In the United States, trauma is the leading cause of death in people under 40 years of age. Chest trauma is a relatively common but potentially lethal injury and requires a high level of suspicion, rapid diagnosis, and appropriate therapy. Methods for the assessment, diagnosis, and treatment of chest trauma are discus...

journal_title：Clinics in chest medicine

authors： Kshettry VR,Bolman RM 3rd

更新日期：1994-03-01 00:00:00

abstract：:This article discusses refeeding in relation to respiratory skeletal muscle function and the subsequent function of the respiratory system as a whole. The characteristic alterations in malnourished skeletal muscle and the response to refeeding are outlined. Following this, a simple energetic model is used to explore f...

journal_title：Clinics in chest medicine

authors： Fraser IM

更新日期：1986-03-01 00:00:00

abstract：:VAP is clearly associated with an increased mortality, principally because of virulent pathogens such as P. aeruginosa. Part of the increased mortality may be due to inadequacies of antibiotic therapy. Apparent failure of antibiotic therapy has many causes; some are related to deficiencies of the antibiotic therapy, b...

journal_title：Clinics in chest medicine

authors： Wunderink RG

更新日期：1995-03-01 00:00:00

abstract：:Gas exchange between the atmosphere and the human body depends on the lungs and the function of the respiratory pump. The respiratory pump consists of the respiratory control center located in the brain, bony rib cage, diaphragm, and intercostal, accessory, and abdominal muscles. A variety of muscles serve to fine-tun...

journal_title：Clinics in chest medicine

authors： Benditt JO

更新日期：2018-06-01 00:00:00

abstract：:This article assesses the role of pharmacotherapy in the management of respiratory muscle dysfunction. It focuses on two classes of drugs, the methylxanthines and the sympathomimetic agents. A prospective section focuses also on the particularities of the diaphragm among the skeletal striated muscles. In addition, a n...

journal_title：Clinics in chest medicine

authors： Aubier M

更新日期：1988-06-01 00:00:00

abstract：:Recent progress in medical therapies has diminished the role of transplantation in the management of PPH during the past decade. Drug therapy is not effective in some patients, responses to therapy are not sustained over time in others, and drug side effects eventually limit the benefits of treatment in a few more. Lu...

journal_title：Clinics in chest medicine

authors： Trulock EP

更新日期：2001-09-01 00:00:00

abstract：:Lung transplantation is an accepted treatment for a large number of end-stage pulmonary diseases. There are several complications that pertain specifically to lung transplant recipients, including airway ischemia, reperfusion edema, infections, acute rejection, obliterative bronchiolitis, and other postoperative probl...

journal_title：Clinics in chest medicine

authors： Shepard JA

更新日期：1999-12-01 00:00:00

abstract：:The hyperventilation seen in asthma is due to an increase in respiratory drive. This may be reflected by increased neural output to the respiratory muscles and probably by alterations in the respiratory pattern. This increased respiratory drive is most likely in response to irritant receptor stimulation in the lung. O...

journal_title：Clinics in chest medicine

authors： Schiff M

更新日期：1980-01-01 00:00:00

abstract：:Patients with diagnosed or suspected lung cancer first require appropriate staging and proven anatomic resectability. Excellent pre-operative spirometric data (FEV1 > 2.0 L, > 60% predicted) should recommend the patient for surgery immediately without further testing. Those whose preoperative FEV1 is less than 60% pre...

journal_title：Clinics in chest medicine

authors： Gilbreth EM,Weisman IM

更新日期：1994-06-01 00:00:00

abstract：:Obesity hypoventilation syndrome has been noted for centuries, yet we still are trying to uncover the exact mechanisms behind the disease and best treatment modalities for patients afflicted by the condition. The syndrome, which results in symptoms based on a diverse spectrum of interactions between obesity, ventilato...

journal_title：Clinics in chest medicine

authors： Iftikhar IH,Roland J

更新日期：2018-06-01 00:00:00

abstract：:With the increasing threat of pandemic influenza and catastrophic bioterrorism, it is important for intensive care providers to be prepared to meet the challenge of large-scale airborne epidemics causing mass casualty respiratory failure. The severe acute respiratory syndrome outbreak exposed the vulnerability of heal...

journal_title：Clinics in chest medicine

authors： Phua GC,Govert J

更新日期：2008-06-01 00:00:00

abstract：:Pregnancy induces significant physiologic stresses on the pulmonary and cardiovascular systems that may precipitate respiratory compromise. In addition, certain disease states that are unique to the pregnant woman, such as amniotic fluid emboli syndrome, may be associated with respiratory failure. The physiologic chan...

journal_title：Clinics in chest medicine

authors： Pereira A,Krieger BP

更新日期：2004-06-01 00:00:00

abstract：:Cough is a complex physiologic event that protects the lungs from mechanical, chemical, and thermal injury. It is a normal reflex and therefore helps humans to adapt to an ever-changing environment. Cough can also be a pathologic reflex in that it may be an important and often the only sign of serious disease, may sig...

journal_title：Clinics in chest medicine

authors： Braman SS,Corrao WM

更新日期：1987-06-01 00:00:00

abstract：:This article focuses on thoracoscopy for pleural procedures, both diagnostic and therapeutic, and discusses whether there is a difference between pleuroscopy and thoracoscopy or video-assisted thoracic surgery. How thinking should be structured regarding the management of pleural disease in the modern context of avail...

journal_title：Clinics in chest medicine

authors： Detterbeck FC

更新日期：2013-03-01 00:00:00

abstract：:Rheumatoid arthritis (RA) is commonly associated with pulmonary disease that can affect any anatomic compartment of the thorax. The most common intrathoracic manifestations of RA include interstitial lung disease, airway disease, pleural disease, rheumatoid nodules, and drug-induced toxicity. Patients with RA with tho...

journal_title：Clinics in chest medicine

authors： Esposito AJ,Chu SG,Madan R,Doyle TJ,Dellaripa PF

更新日期：2019-09-01 00:00:00

abstract：:The basic science and clinical understanding of infection with Blastomyces dermatitidis has been a field of constant evolution and continued revision of hypotheses. This article highlights some areas in which recent progress has the potential for significant impact on the clinical care of patients. Specifically, this ...

journal_title：Clinics in chest medicine

authors： McKinnell JA,Pappas PG

更新日期：2009-06-01 00:00:00

abstract：:Each year, a vast number of individuals are infected with the endemic fungi. An expanding population, along with further land development in endemic areas, will likely continue to place individuals at risk for exposure to these organisms. A high index of suspicion may be required to diagnose histoplasmosis, blastomyco...

journal_title：Clinics in chest medicine

authors： Goldman M,Johnson PC,Sarosi GA

更新日期：1999-09-01 00:00:00

abstract：:Early detection and surgical resection are essential for the treatment of lung cancer. It would be ideal to be able to detect and treat preinvasive bronchial lesions, defined as dysplasia and carcinoma in situ before progressing to invasive cancer. Advanced airway-assessment techniques have opened an avenue for early ...

journal_title：Clinics in chest medicine

authors： Nakajima T,Yasufuku K

更新日期：2013-09-01 00:00:00

abstract：:Bronchiectasis is a persistent and progressive condition characterized by inflammation and infection causing damage that potentiates impaired mucociliary clearance. The rationale for promoting airway clearance is so that purulent secretions are removed from the airways, ameliorating the inflammation and improving cont...

journal_title：Clinics in chest medicine

authors： Flude LJ,Agent P,Bilton D

更新日期：2012-06-01 00:00:00

abstract：:Recognition and management of agitation, delirium, and pain are key areas. Reduced use of sedatives is an important measure that must be coupled with increased patient engagement, mobilization, and exercise. Use of low tidal volumes and low mean airway pressures during mechanical ventilation is helpful. A key hemodyna...

journal_title：Clinics in chest medicine

authors： Gelinas JP,Walley KR

更新日期：2016-06-01 00:00:00

abstract：:Two recent major guidelines on diagnosis and treatment of ventilator-associated pneumonia (VAP) recommend consideration of local antibiotic resistance patterns and individual patient risks for resistant pathogens when formulating an initial empiric antibiotic regimen. One recommends against invasive diagnostic techniq...

journal_title：Clinics in chest medicine

authors： Metersky ML,Kalil AC

更新日期：2018-12-01 00:00:00

abstract：:This heterogeneous group of immunologic causes of pleural effusions includes connective tissue diseases, a syndrome related to tissue injury (postcardiac injury syndrome), a disease of unknown etiology (sarcoidosis), a malignancy, and adverse reactions to drugs. Except in rheumatoid pleurisy and lupus pleuritis, the p...

journal_title：Clinics in chest medicine

authors： Sahn SA

更新日期：1985-03-01 00:00:00

abstract：:Thoracic imaging is widely used to detect lower respiratory tract infections, identify their complications, and aid in differentiating infectious from noninfectious thoracic disease. Less commonly, the combination of imaging findings and a clinical setting can favor infection with a specific organism. This confluence ...

journal_title：Clinics in chest medicine

authors： Ketai L,Jordan K,Busby KH

更新日期：2015-06-01 00:00:00

abstract：:This article reviews the basic principles of drug treatment of tuberculosis, individual pharmacologic agents, current treatment recommendations, and several special situations that clinicians are likely to encounter in medical practice. ...

journal_title：Clinics in chest medicine

authors： Sahbazian B,Weis SE

更新日期：2005-06-01 00:00:00

abstract：:The authors' data show a higher rate of pleural and meningeal involvement among extrapulmonary TB cases than expected by previous works. Special attention should be given to tuberculous meningitis cases among all extrapulmonary TB cases because of its high mortality rate. The most common extrapulmonary involvement is ...

journal_title：Clinics in chest medicine

authors： Ozbay B,Uzun K

更新日期：2002-06-01 00:00:00

abstract：:A multitude of overlapping defenses has evolved to help combat the inventiveness of pathogens seeking to invade us, and because the lung is the most common primary route of infection, it is in the lung that the most varied responses are seen. This article focuses on recent research, particularly in innate immunity, an...

journal_title：Clinics in chest medicine

authors： Waterer GW

更新日期：2012-06-01 00:00:00

abstract：:Pulmonary embolism remains a leading cause of morbidity and mortality in the United States. However, with improved recognition and diagnosis, the risk of death diminishes. The diagnosis depends on the clinician's suspicion. Pulmonary emboli are categorized into low, intermediate, or high risk based on the scoring scal...

journal_title：Clinics in chest medicine

authors： Islam EA,Winn RE,Test V

更新日期：2018-09-01 00:00:00

abstract：:For clinicians involved in airway management, a plan of action for dealing with the difficult airway or a failed intubation should be developed well in advance of encountering a patient in whom intubation is not routine. When difficulty is anticipated, the equipment necessary for performing a difficult intubation shou...

journal_title：Clinics in chest medicine

authors： Schwartz DE,Wiener-Kronish JP

更新日期：1991-09-01 00:00:00

abstract：:Despite complete resection of what seems to be all evident tumor, one third to three quarters of patients with stages I and II NSCLC ultimately succumb to this neoplasm. Patients who are cured of an original NSCLC or small cell cancer remain at risk for a new primary lung cancer. Although the importance of lifelong su...

journal_title：Clinics in chest medicine

authors： Tanoue LT,Ponn RB

更新日期：2002-03-01 00:00:00