Chest
-
Comparative Study
Epidemiology of nosocomial pneumonia in infants after cardiac surgery.
The pattern of nosocomial pneumonia (NP) in infants in a pediatric surgical ICU after cardiac surgery may differ from that seen in adult ICUs. ⋯ The pattern of pathogens and their antibiotic-resistance patterns in NP in infants after cardiac surgery had not shown an increasing prevalence of Gram-positive pathogens as reported by several adult ICUs. GNB still remained the most common pathogens during the last 3 years in our hospital. There was a trend of increasing antibiotic resistance in these isolates.
-
Comparative Study
Treatment of complicated parapneumonic pleural effusion with intrapleural streptokinase in children.
To evaluate the role of intrapleural streptokinase in the management of complicated parapneumonic effusions in children. ⋯ Intrapleural fibrinolytic treatment with streptokinase is safe and effective, and it can obviate the need for surgery in most cases. The combination treatment should be attempted early on, when complicated parapneumonic effusion is first diagnosed.
-
Comparative Study
A new oxygenation index for reflecting intrapulmonary shunting in patients undergoing open-heart surgery.
To assess the reliability of new and traditional oxygenation measurements in reflecting intrapulmonary shunt. ⋯ In this group of patients, PaO(2)/(FIO(2) x Paw) might be more reliable than other oxygenation measurements in reflecting intrapulmonary shunt.
-
Comparative Study
Role of flexible bronchoscopy in immunocompromised patients with lung infiltrates.
To study the diagnostic role of flexible bronchoscopy (FB) in immunocompromised patients with pulmonary infiltrates. ⋯ FB has a high diagnostic yield in immunocompromised patients with pulmonary infiltrates. Based on our results, we recommend performing TBB in these patients, whenever possible.
-
Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Prospective multicenter study of relapse following emergency department treatment of COPD exacerbation.
To determine the incidence and risk factors of relapse after an emergency department (ED) visit for COPD exacerbation. ⋯ Among patients discharged to home after ED treatment of a COPD exacerbation, one in five patients will experience an urgent/emergent relapse event during the next 2 weeks. Both chronic factors (ie, a history of urgent clinic or ED visits) and acute factors (ie, activity limitations and initial respiratory rate) are associated with increased risk. Further research should focus on ways to decrease the relapse rate among these high-risk patients. The clinicians may wish to consider these historical factors when making ED decisions.