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1621. Restrictive Visitation Policies and Related Post-Traumatic Stress Among Families of Critically Ill Patients With COVID-19.
作者: Katherine R White.;Jane J Lee.;Kalli A Sarigiannis.;Jonathan J Tringali.;James Vu.;Ashley Eaton England.;Stephanie Lietzau.;Charles Hebert.;David Banayan.;Santosh Basapur.;Crystal M Glover.;Raj C Shah.;James Gerhart.;Jared A Greenberg.
来源: Chest. 2023年164卷6期1462-1465页 1622. Liberation From Venovenous Extracorporeal Membrane Oxygenation for Respiratory Failure: A Scoping Review.
作者: Ricardo Teijeiro-Paradis.;Tsega Cherkos Dawit.;Laveena Munshi.;Niall D Ferguson.;Eddy Fan.
来源: Chest. 2023年164卷5期1184-1203页
Safe and timely liberation from venovenous extracorporeal membrane oxygenation (ECMO) would be expected to reduce the duration of ECMO, the risk of complications, and costs. However, how to liberate patients from venovenous ECMO effectively remains understudied.
1624. Role of Sleep Apnea and Long-Term CPAP Treatment in the Prognosis of Patients With Melanoma: A Prospective Multicenter Study of 443 Patients.
作者: Jose Daniel Gómez-Olivas.;Francisco Campos-Rodriguez.;Eduardo Nagore.;Antonio Martorell.;Francisco García-Rio.;Carolina Cubillos.;Luis Hernandez.;Jose Bañuls.;Eva Arias.;Pablo Ortiz.;Valentin Cabriada.;Juan Gardeazabal.;Josep Maria Montserrat.;Cristina Carrera.;Juan Fernando Masa.;Javier Gomez de Terreros.;Jorge Abad.;Adam Boada.;Olga Mediano.;Marta Castillo-Garcia.;Eusebi Chiner.;Pedro Landete.;Mercedes Mayos.;Ana Fortuna.;Ferrán Barbé.;Manuel Sanchez-de-la-Torre.;Irene Cano-Pumarega.;Amalia Perez-Gil.;Teresa Gomez-Garcia.;Daniela Cullen.;Maria Somoza.;Manuel Formigon.;Felipe Aizpuru.;Grace Oscullo.;Alberto Garcia-Ortega.;Isaac Almendros.;Ramón Farré.;David Gozal.;Miguel Angel Martinez-Garcia.
来源: Chest. 2023年164卷6期1551-1559页
OSA has been associated with increased incidence and aggressiveness of melanoma. However, the long-term impact of OSA and CPAP treatment on the prognosis of melanoma remains unexplored.
1635. Echocardiographic Image of Extracorporeal Membrane Oxygenation Cannula-Associated Inferior Vena Cava Thrombosis and Filter Implantation.
作者: Liu Jingquan.;Zhang Fan.;Shao Ziqiang.;Lai Jifu.;Lin Zongbin.;Yang Xianghong.;Sun Renhua.;Hong Jun.
来源: Chest. 2023年163卷6期e275-e279页 1636. A 75-Year-Old Man With Irregular Solid Components Within an Emphysematous Bulla.
作者: Yanhua Li.;Caili Su.;Ying Yan.;Zheng Wang.;Xuan Wei.;Zhenchang Wang.
来源: Chest. 2023年163卷6期e265-e273页
A 75-year-old man presented to our hospital with cough and sputum for more than a year. Eight months previously, the patient was admitted to a local hospital, and his symptoms were relieved after symptomatic treatment (expectorants and antitussives). Three months ago, he was admitted to our hospital, and his symptoms improved with antiinflammatory therapy. He had a 30-pack-years history of smoking (20 cigarettes/day) and a history of drinking (200 g liquor per day). The patient had no history of genetic disorders or cancer. He did not present with fever, dyspnea, hemoptysis or chest distress, and there was no history of weight loss since onset.
1637. A 40-Year-Old Man With Multiple Pulmonary Nodules and Mediastinal Lymphadenopathy With Positive Anti-Neutrophil Cytoplasmic Antibody Reveals an Unexpected Diagnosis.
A 40-year-old man with no significant medical history presented to the ED with a 2-day history of right-sided chest pain accompanied by night sweats and chills. These symptoms were accompanied by a dry, nonproductive cough without hemoptysis. The patient worked as an air traffic controller, with a side business of buying, renovating, and selling houses. He takes part in the remodeling work himself but denies any exposure to animal droppings, bird droppings, or mold. He denied chronic sinus disease, rash, or arthralgias. A resident of Platte City, Missouri, he had recently traveled to Salt Lake City, Utah. At the time of presentation, the patient denied any fever or shortness of breath. He had no history of nicotine, alcohol, or illicit substance use and denied any recent weight loss.
1638. A 56-Year-Old Man With Cough, Bloody Sputum, and Lithoptysis.
作者: Yinzhen Han.;Wenzhuo Guan.;Ling Zhao.;Min Liu.;Guowu Zhou.;Yanhong Ren.;Huaping Dai.
来源: Chest. 2023年163卷6期e255-e258页
A 56-year-old Chinese man, who did not smoke, presented with a 2-month history of cough and bloody sputum. He also complained of fatigue, night sweats, chest pain, and shortness of breath, with no chills or loss of weight. He previously worked as a veterinarian and had been infected with Brucella 30 years ago. Additionally, he had been diagnosed with tuberculous pleurisy and completed a 1-year anti-TB treatment. Subsequently, he had been well until 2 months before the current admission. A chest CT scan showed a cruciform calcification in the mediastinum and some tree-in-bud changes. The results of the purified protein derivative skin test and interferon-gamma release assay for TB were negative. Brucella agglutination test was also negative. On the night of admission, the patient coughed up two silver-white-colored shiny stones and had a fever of up to 38.5 °C on the following days.
1639. Potassium Chloride-Induced Phlebitis via a Malpositioned Central Venous Catheter.
We present a case of potassium chloride-induced phlebitis with severe, burning, left-sided chest pain when infused via a malpositioned central venous catheter. Using a malpositioned central venous catheter requires careful consideration, but this novel case prompts the need for additional review before its use for the infusion of potentially irritating medications.
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