Multidisciplinary respiratory medicine
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A 70-year-old man was admitted for severe hypoxia, haemoptysis and cough. Chest-X-ray and CT-scan indicated a right-lower-lobe collapse. ⋯ Histopathologic examination of BC showed fibrin with lymphocytes and neutrophils, and, surprisingly, also the presence of lung cancer. Although the association between BC and benign, myxoid-soft-tissue, tracheobronchial tumors has been described, the association with lung cancer has not previously been reported, and it remains unclear whether it is causal or casual.
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Multidiscip Respir Med · Nov 2012
EditorialChronic obstructive pulmonary disease phenotype desaturator with hypoxic vascular remodelling and pulmonary hypertension obtained by cluster analysis.
Significant heterogeneity of clinical presentation and disease progression exists within chronic obstructive pulmonary disease (COPD). This article discusses and refines the concept of desaturator phenotypes in COPD with pulmonary hypertension (PH) obtained by cluster analysis and presents a pattern of phenotypic markers that could be used as a framework for future diagnosis and research. ⋯ Establishing a common language for future research will facilitate our understanding and management of such a disease. This knowledge could lead to different pharmacological treatments and other interventions directed at specific phenotypic groups.
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Multidiscip Respir Med · Jan 2012
Dynamics of regional lung aeration determined by electrical impedance tomography in patients with acute respiratory distress syndrome.
⋯ These results show that regional lung mechanics can be assessed by EIT. They reflect the lower respiratory system compliance of injured lungs and imply more pronounced regional recruitment and derecruitment in ARDS patients.
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Multidiscip Respir Med · Jan 2012
Management of kyphoscoliosis patients with respiratory failure in the intensive care unit and during long term follow up.
We aimed to evaluate the ICU management and long-term outcomes of kyphoscoliosis patients with respiratory failure. ⋯ We strongly discourage the use of NIV in the case of septic shock in ICU kyphoscoliosis patients with ARF. Pulmonary performance improved with NIV during long term follow up.
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Multidiscip Respir Med · Jan 2012
C-reactive protein as a predictor of mortality in patients affected with severe sepsis in intensive care unit.
⋯ The risk of sepsis related mortality appears to be increased when the 3rd day CRP value is greater than 100 mg/dL. Thus, CRP appears to be as valuable a predictor of mortality as the SOFA score.