Lung India : official organ of Indian Chest Society最新文献

{"title":"Elastography in mediastinal ultrasound, where do we stand?","authors":"Malay Sharma,&nbsp;Piyush Somani","doi":"10.4103/lungindia.lungindia_67_19","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_67_19","url":null,"abstract":"<p><p></p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"91-93"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/21/e5/LI-36-91.PMC6410592.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37019707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pleural effusion in acute pulmonary embolism in Bahrain: Radiological and pleural fluid characteristics.","authors":"Amit Panjwani,&nbsp;Thuraya Zaid,&nbsp;Sughra Alawi,&nbsp;Dalal Al Shehabi,&nbsp;Eman Safar Abdulkarim","doi":"10.4103/lungindia.lungindia_58_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_58_18","url":null,"abstract":"<p><strong>Background and objectives: </strong>Pleural effusion is seen in around half of the cases of pulmonary embolism (PE). There are no data on the incidence of pleural effusion in cases of PE in the Kingdom of Bahrain. This study was done to determine the frequency and radiological features of pleural effusion in cases of acute PE and also to characterize the pleural fluid biochemistry and cell type in patients subjected to diagnostic thoracentesis.</p><p><strong>Methods: </strong>This was a retrospective, observational single-center study. All the data of patients subjected to computed tomography pulmonary angiography (CTPA) in suspected cases of acute PE over a 4-year period were analyzed.</p><p><strong>Results: </strong>A total of 1756 patients were subjected to CTPA from January 2013 to December 2016. A diagnosis of acute PE was made in 200 patients (11.4%). Pleural effusion was identified in 70 cases (35%). Majority of the effusions were small to moderate in size, bilateral, and associated with peripheral emboli. Consolidation, atelectasis, and ground glass attenuation were common associated findings on CTPA in these patients. Consolidation was more common in patients of PE associated with pleural effusion as compared to those with PE alone (62.85% and 33.8%, respectively, odds rato: 3.279 and 95% confidence interval: 1.798-6.091, P < 0.001). Diagnostic thoracentesis was done in 6 (8.6%) of the cases. All the patients had an exudative effusion with normal glucose values and neutrophil predominance.</p><p><strong>Conclusion: </strong>PE was associated with pleural effusion in around one-third of the patients in Bahrain. The effusions were mainly small and bilateral. The emboli in cases associated with pleural effusion were mostly peripheral. Consolidation was the parenchymal abnormality detected on CTPA which was significantly associated with the presence of pleural effusion. Most of the pleural effusions were not suitable for thoracentesis. In patients subjected to fluid analysis, the effusions were exudative, neutrophilic predominant, and associated with normal glucose levels.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"112-117"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/90/LI-36-112.PMC6410597.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37019711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repeated exacerbation of asthma: An intrinsic phenotype of uncontrolled asthma.","authors":"Neeraj Jain,&nbsp;K Satish,&nbsp;Nitin Abhyankar,&nbsp;Nila Velayudhan,&nbsp;Jayakumar Gurunathan","doi":"10.4103/lungindia.lungindia_434_17","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_434_17","url":null,"abstract":"<p><p>Asthma is a chronic disease of the airways affecting a large number of people across the globe. Uncontrolled asthma poses an emotional as well as the physical burden on patients and results in a great economic burden. \"Exacerbation-prone phenotype\" asthmatics are a cluster of patients who may suffer from more frequent and severe exacerbations than other asthmatics. Factors such as inadequate symptom control, improper adherence to medications, and incorrect use of inhalers are responsible for frequent asthma exacerbations. Caring for the patient with \"exacerbation-prone asthma\" needs participation from both the doctor as well as the patient. Self-management, improving knowledge about the disease, control of comorbidities, and a stepwise approach with the use of a single inhaler maintenance and reliever therapy in patients with severe asthma could help in delivering better care for the \"exacerbation-prone phenotype\" of asthmatics.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"131-138"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/ad/LI-36-131.PMC6410599.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The initial steps in pulmonary rehabilitation: How it all began?","authors":"K Vaishali,&nbsp;Mukesh Kumar Sinha,&nbsp;Arun G Maiya,&nbsp;Anup Bhat","doi":"10.4103/lungindia.lungindia_101_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_101_18","url":null,"abstract":"<p><p>Pulmonary rehabilitation plays a vital role in improving symptom, thereby enhancing health-related quality of life in patients with chronic obstructive pulmonary disease. We here with review is highlighting the landmark changes and recommendation for pulmonary rehabilitation since inception to till date. We also discuss the utilization of oxygen therapy, various measures of exercise training, and adherence strategy recommendation for betterment of the patient performance in their activity of daily living life.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"139-141"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6a/7d/LI-36-139.PMC6410601.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bundle of care approach to reduce ventilator-associated pneumonia in the intensive care unit in a tertiary care teaching hospital in North India.","authors":"Varun Goel, Savita Gupta, Dakshina Bisht, Rashmi Sharma","doi":"10.4103/lungindia.lungindia_341_18","DOIUrl":"10.4103/lungindia.lungindia_341_18","url":null,"abstract":"<p><p></p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"177-178"},"PeriodicalIF":1.2,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/01/LI-36-177.PMC6410588.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A retrospective study comparing the ultrathin versus conventional bronchoscope for performing radial endobronchial ultrasound in the evaluation of peripheral pulmonary lesions.","authors":"Inderpaul Singh Sehgal,&nbsp;Sahajal Dhooria,&nbsp;Amanjit Bal,&nbsp;Nalini Gupta,&nbsp;Babu Ram,&nbsp;Ashutosh N Aggarwal,&nbsp;Ritesh Agarwal","doi":"10.4103/lungindia.lungindia_115_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_115_18","url":null,"abstract":"<p><strong>Background: </strong>Few studies have reported on the utility of ultrathin bronchoscopes (UTBs) for performing radial probe endobronchial ultrasound (EBUS). Herein, we describe our experience with UTB and conventional bronchoscope (CB) for performing radial EBUS.</p><p><strong>Materials and methods: </strong>This was a retrospective study comparing the diagnostic yield of a prototype UTB (external diameter 3 mm, working channel diameter 1.7 mm) versus CBs (external diameter ≥4.9 mm) in performing radial EBUS for the evaluation of peripheral pulmonary lesions (PPLs). Fluoroscopic guidance was not available.</p><p><strong>Results: </strong>A total of 121 subjects (34, UTB; 87, CB; 69.4% males) with a mean (standard deviation [SD]) age of 55.2 (14.8) years underwent radial EBUS. The mean (SD) size of PPLs on computed tomography of the thorax was 22.2 (13.7) mm. The lesions were significantly smaller in the UTB group (16.4 vs 24.7 mm, P = 0.006). Eight lesions could be visualized within the lumen of the peripheral smaller bronchi with the UTB. The overall yield of radial EBUS was 52.9% and was similar in the two groups (UTB vs. CB, 55.9% vs. 51.7%; P = 0.7). The procedure time was significantly shorter in the UTB group. On multivariate logistic regression, the yield was similar in the two groups after adjusting for the size and location of the lesion and position of the radial probe in relation to the lesion.</p><p><strong>Conclusion: </strong>Despite smaller lesions, radial EBUS performed with the UTB was found to have similar efficacy to that performed with the CB. More lesions could be visualized endobronchially using the UTB making it an attractive alternative for performing radial EBUS.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"102-107"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5f/2a/LI-36-102.PMC6410583.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37019709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining the optimal time to assess the reversibility of airway obstruction.","authors":"Jamel El Ghoul,&nbsp;Maher Abouda,&nbsp;Meriem Triki,&nbsp;Abdessalem Ghourabi,&nbsp;Ridha Charfi","doi":"10.4103/lungindia.lungindia_184_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_184_18","url":null,"abstract":"<p><strong>Context: </strong>The optimal time to interpret bronchodilator reversibility remains controversial. This time may affect a positive diagnosis and manage asthma and chronic obstructive pulmonary disease (COPD).</p><p><strong>Aims: </strong>We sought to document the time when maximum respiratory function is reached after inhalation of salbutamol and to define the optimal time of bronchodilator response to assess the reversibility or non reversibility of airway obstruction.</p><p><strong>Subjects and methods: </strong>This prospective analytical study was spread over 8 months and included 58 patients with asthma or COPD with airway obstruction. Spirometry was performed before and at 5, 10, 15, 20, and 30 min after salbutamol inhalation (200 mcg) administered through pressurized metered-dose inhalers and large volume spacer.</p><p><strong>Results: </strong>After salbutamol inhalation, the mean individual peak bronchodilation occurred at 20 min for the forced vital capacity and at 30 min for the forced expiratory volume in 1 s. The percentage of reversible patients in our sample was guideline dependent. It increased from 53% to 67.2% when using the American Thoracic Society/European Respiratory Society definition compared to using the Global Initiative for Chronic Obstructive Lung Disease. The maximum number of reversible patients was significantly different at 20 min compared to 5 and 10 min.</p><p><strong>Conclusions: </strong>Interpreting bronchodilator reversibility after 20 min was the ideal time to judge the reversibility or nonreversibility in obstructive ventilatory disorders in adults.</p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"123-130"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/02/LI-36-123.PMC6410582.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37019713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventional management of extensive pulmonary metastasis in adamantinoma.","authors":"Vallandramam R Pattabhiraman,&nbsp;Pavan Yadav,&nbsp;Arjun Srinivasan,&nbsp;Mahadevan Sivaramakrishnan,&nbsp;Annapoorni Shankar","doi":"10.4103/lungindia.lungindia_203_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_203_18","url":null,"abstract":"<p><p></p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"166-168"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c7/4f/LI-36-166.PMC6410594.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clotted hemothorax: An uncommon presentation of dengue fever.","authors":"Vikrant Panwar,&nbsp;Ashok Kumar Grover,&nbsp;Roman Dutta,&nbsp;Purneetha Singh","doi":"10.4103/lungindia.lungindia_204_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_204_18","url":null,"abstract":"<p><p></p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"171-172"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ca/d6/LI-36-171.PMC6410584.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Pearl\" in the lung: Hydatid membrane.","authors":"Milind Baldi,&nbsp;Sahajal Dhooria,&nbsp;Ritesh Agarwal,&nbsp;Inderpaul Singh Sehgal","doi":"10.4103/lungindia.lungindia_287_18","DOIUrl":"https://doi.org/10.4103/lungindia.lungindia_287_18","url":null,"abstract":"<p><p></p>","PeriodicalId":520705,"journal":{"name":"Lung India : official organ of Indian Chest Society","volume":" ","pages":"176"},"PeriodicalIF":1.6,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bb/4f/LI-36-176.PMC6410589.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37020142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}