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441. Comparison of a self-inflating bulb syringe and a colorimetric CO2 indicator with capnography and radiography to detect the misdirection of naso/orogastric tubes into the airway of critically ill adult patients.
作者: Nicholas A Smyrnios.;Richard Lenard.;Sunil Rajan.;Michael S Newman.;Stephen P Baker.;Nehal Thakkar.;Wahid Wassef.;Niraj K Ajmere.;Richard S Irwin.
来源: Chest. 2015年147卷6期1523-1529页
The objective of this study was to develop a mechanism of discovering misdirection into the airway of naso/orogastric (NG) tubes before they reach their full depth of placement in adults.
442. Greater risk of hospitalization in children with Down syndrome and OSA at higher elevation.
作者: Kristin M Jensen.;Carter J Sevick.;Laura A S Seewald.;Ann C Halbower.;Matthew M Davis.;Edward R B McCabe.;Allison Kempe.;Steven H Abman.
来源: Chest. 2015年147卷5期1344-1351页
Children with Down syndrome (DS) are at high risk for OSA. Increasing elevation is known to exacerbate underlying respiratory disorders and worsen sleep quality in people without DS, but whether altitude modulates the severity of OSA in DS is uncertain. In this study, we evaluate the impact of elevation (≤ 1,500 m vs > 1,500 m) on the proportion of hospitalizations involving OSA in children with and without DS.
443. Silicosis Appears Inevitable Among Former Denim Sandblasters: A 4-Year Follow-up Study.
作者: Metin Akgun.;Omer Araz.;Elif Yilmazel Ucar.;Adem Karaman.;Fatih Alper.;Metin Gorguner.;Kathleen Kreiss.
来源: Chest. 2015年148卷3期647-654页
The course of denim sandblasting silicosis is unknown. We aimed to reevaluate former sandblasters studied in 2007 for incident silicosis, radiographic progression, pulmonary function loss, and mortality and to examine any associations between these outcomes and previously demonstrated risk factors for silicosis.
444. Pain and its clinical associations in individuals with COPD: a systematic review.
作者: Annemarie L Lee.;Samantha L Harrison.;Roger S Goldstein.;Dina Brooks.
来源: Chest. 2015年147卷5期1246-1258页
Pain is emerging as a clinical complication in COPD, but the clinical impact of this comorbidity and the measurement properties of instruments used to assess pain require evaluation.
445. Lung Ultrasound-Implemented Diagnosis of Acute Decompensated Heart Failure in the ED: A SIMEU Multicenter Study.
作者: Emanuele Pivetta.;Alberto Goffi.;Enrico Lupia.;Maria Tizzani.;Giulio Porrino.;Enrico Ferreri.;Giovanni Volpicelli.;Paolo Balzaretti.;Alessandra Banderali.;Antonello Iacobucci.;Stefania Locatelli.;Giovanna Casoli.;Michael B Stone.;Milena M Maule.;Ileana Baldi.;Franco Merletti.;Gian Alfonso Cibinel.;Paolo Baron.;Stefania Battista.;Giuseppina Buonafede.;Valeria Busso.;Andrea Conterno.;Paola Del Rizzo.;Patrizia Ferrera.;Paolo Fascio Pecetto.;Corrado Moiraghi.;Fulvio Morello.;Fabio Steri.;Giovannino Ciccone.;Cosimo Calasso.;Mimma A Caserta.;Marina Civita.;Carmen Condo'.;Vittorio D'Alessandro.;Sara Del Colle.;Stefania Ferrero.;Giulietta Griot.;Emanuela Laurita.;Alberto Lazzero.;Francesca Lo Curto.;Marianna Michelazzo.;Vincenza Nicosia.;Nicola Palmari.;Alberto Ricchiardi.;Andrea Rolfo.;Roberto Rostagno.;Fabrizio Bar.;Enrico Boero.;Mauro Frascisco.;Ilaria Micossi.;Alessandro Mussa.;Valerio Stefanone.;Renzo Agricola.;Gabriele Cordero.;Federica Corradi.;Cristina Runzo.;Aldo Soragna.;Daniela Sciullo.;Domenico Vercillo.;Attilio Allione.;Nicoletta Artana.;Fabrizio Corsini.;Luca Dutto.;Giuseppe Lauria.;Teresa Morgillo.;Bruno Tartaglino.;Daniela Bergandi.;Ilaria Cassetta.;Clotilde Masera.;Mario Garrone.;Gianluca Ghiselli.;Livia Ausiello.;Letizia Barutta.;Emanuele Bernardi.;Alessia Bono.;Daniela Forno.;Alessandro Lamorte.;Davide Lison.;Bartolomeo Lorenzati.;Elena Maggio.;Ilaria Masi.;Matteo Maggiorotto.;Giulia Novelli.;Francesco Panero.;Massimo Perotto.;Marco Ravazzoli.;Elisa Saglio.;Flavia Soardo.;Alessandra Tizzani.;Pietro Tizzani.;Mattia Tullio.;Marco Ulla.;Elisa Romagnoli.; .
来源: Chest. 2015年148卷1期202-210页
Lung ultrasonography (LUS) has emerged as a noninvasive tool for the differential diagnosis of pulmonary diseases. However, its use for the diagnosis of acute decompensated heart failure (ADHF) still raises some concerns. We tested the hypothesis that an integrated approach implementing LUS with clinical assessment would have higher diagnostic accuracy than a standard workup in differentiating ADHF from noncardiogenic dyspnea in the ED.
446. Lung Volume Reduction in Emphysema Improves Chest Wall Asynchrony.
作者: Zaid Zoumot.;Antonella LoMauro.;Andrea Aliverti.;Christopher Nelson.;Simon Ward.;Simon Jordan.;Michael I Polkey.;Pallav L Shah.;Nicholas S Hopkinson.
来源: Chest. 2015年148卷1期185-195页
Lung volume reduction (LVR) techniques improve lung function in selected patients with emphysema, but the impact of LVR procedures on the asynchronous movement of different chest wall compartments, which is a feature of emphysema, is not known.
447. Acid and Weakly Acidic Gastroesophageal Reflux and Pepsin Isoforms (A and C) in Tracheal Secretions of Critically Ill Children.
作者: Cristiane Hallal.;Veridiana S Chaves.;Gilberto C Borges.;Isabel C Werlang.;Fernanda U Fontella.;Ursula Matte.;Marcelo Z Goldani.;Paulo R Carvalho.;Eliana A Trotta.;Jefferson P Piva.;Sergio G S Barros.;Helena A S Goldani.
来源: Chest. 2015年148卷2期333-339页
Gastroesophageal reflux (GER) and pulmonary aspiration are frequent in patients in the ICU. The presence of pepsin in airways seems to be the link between them. However, pepsin isoforms A (gastric specific) and C (pneumocyte potentially derived) need to be distinguished. This study aimed to evaluate GER patterns and to determine the presence of pepsin A and C in tracheal secretions of critically ill children receiving mechanical ventilation.
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