Southwest journal of pulmonary & critical care最新文献_第5页

April 2021 Critical Care Case of the Month: Abnormal Acid-Base Balance in a Post-Partum Woman 2021年4月本月重症监护病例:产后妇女酸碱平衡异常

Southwest journal of pulmonary & critical care Pub Date : 2021-04-01 DOI: 10.13175/SWJPCC007-21

Mohammad T. Mahmoud

引用次数: 0

Medical Image of the Month: Pulmonary Aspergillus Overlap Syndrome Presenting with ABPA, Multiple Bilateral Aspergillomas 本月医学影像：肺曲霉菌重叠综合征伴ABPA，多发性双侧曲霉菌瘤

Southwest journal of pulmonary & critical care Pub Date : 2021-03-02 DOI: 10.13175/SWJPCC002-21

Bharath Janapati, Anil Jain, Priya G. Sharma

{"title":"Medical Image of the Month: Pulmonary Aspergillus Overlap Syndrome Presenting with ABPA, Multiple Bilateral Aspergillomas","authors":"Bharath Janapati, Anil Jain, Priya G. Sharma","doi":"10.13175/SWJPCC002-21","DOIUrl":"https://doi.org/10.13175/SWJPCC002-21","url":null,"abstract":"No abstract available. Article truncated after 150 words. Introduction. Aspergillus is a ubiquitous fungal organism that causes a variety of pulmonary manifestations, both in immune-competent and immune-compromised patients. It can vary from simple colonization, Aspergilloma, ABPA to Chronic Pulmonary Aspergillosis (CPA) and Invasive Pulmonary Aspergillosis (IPA) (1). ABPA is the most frequently recognized manifestation of allergic aspergillosis, caused by the immunological reactions mounted against Asp. fumigatus. Aspergillomas are rounded conglomerates of fungal hyphae, fibrin, mucus and cellular debris that arise in pulmonary cavities, as a late manifestation of CPA. Chronic pulmonary aspergillosis (CPA) is a long-term aspergillus infection of the lung. The most common form of CPA is chronic cavitary pulmonary aspergillosis (CCPA), which untreated may progress to chronic fibrosing pulmonary aspergillosis. Aspergillus overlap syndrome is defined as the occurrence of more than one form of aspergillus disease (e.g., ABPA with Aspergilloma, ABPA progressing to IPA etc.) in a single individual. Case Report. A 58-year-old woman, resident of …","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"22 1","pages":"76-80"},"PeriodicalIF":0.0,"publicationDate":"2021-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44465508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

March 2021 Pulmonary Case of the Month: Transfer for ECMO Evaluation 2021年3月当月肺部病例：转为ECMO评估

Southwest journal of pulmonary & critical care Pub Date : 2021-03-01 DOI: 10.13175/SWJPCC069-20

N. Blackstone, April Olson, A. Gibbs, B. Natt, J. Campion

{"title":"March 2021 Pulmonary Case of the Month: Transfer for ECMO Evaluation","authors":"N. Blackstone, April Olson, A. Gibbs, B. Natt, J. Campion","doi":"10.13175/SWJPCC069-20","DOIUrl":"https://doi.org/10.13175/SWJPCC069-20","url":null,"abstract":"A 31-year-old male fire fighter with a history of recurrent “atypical pneumonia,” environmental and drug allergies, nasal polyps, asthma, and Crohn's disease (not on immunosuppressants) was transferred from an outside hospital for management of acute hypoxic respiratory failure with peripheral eosinophilia. Prior to admission he reported a 2-week history of worsening dyspnea, productive cough and wheezing, prompting an urgent care visit where he was prescribed amoxicillin-clavulanate for suspected community acquired pneumonia. Despite multiple days on this medication, his symptoms significantly worsened until he was unable to lie flat without coughing or wheezing. He was ultimately admitted to an outside hospital where his labs were notable for a leukocytosis to 22,000 and peripheral eosinophilia with an absolute eosinophil count of 9700 cells/microL. His blood cultures and urine cultures were negative, and a radiograph of the chest demonstrated bilateral nodular infiltrates. With these imaging findings combined with the peripheral eosinophilia there was a concern for Coccidioidomycosis infection and he was subsequentially started on empirical fluconazole in addition to ceftriaxone and azithromycin. Bronchoalveolar lavage (BAL) was performed revealing 80% eosinophils, 14% polymorphic nuclear cells (PMNs), 4% monocytes and 2% lymphocytes, no pathogens were identified. The patient’s clinical status continued to decline despite antimicrobial therapy, and he was intubated for refractory hypoxia. At this point, the patient was transferred to our hospital for further care.","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"22 1","pages":"69-75"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44851118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Image of the Month: Diffuse White Matter Microhemorrhages Secondary to SARS-CoV-2 (COVID-19) Infection 本月医学影像:SARS-CoV-2 (COVID-19)感染继发的弥漫性白质微出血

Southwest journal of pulmonary & critical care Pub Date : 2021-02-02 DOI: 10.13175/SWJPCC001-21

K. Wickstrom, N. Blackstone, A. Sam, Tammer El-Aini

{"title":"Medical Image of the Month: Diffuse White Matter Microhemorrhages Secondary to SARS-CoV-2 (COVID-19) Infection","authors":"K. Wickstrom, N. Blackstone, A. Sam, Tammer El-Aini","doi":"10.13175/SWJPCC001-21","DOIUrl":"https://doi.org/10.13175/SWJPCC001-21","url":null,"abstract":"No abstract available. Article truncated after 150 words. Clinical Scenario: A 59-year-old woman with hypothyroidism presented to the emergency room with progressive shortness of breath for 2 weeks. Upon arrival, she was markedly hypoxic necessitating use of a non-rebreather to maintain her oxygen saturations above 88%. A chest radiograph demonstrated extensive, bilateral airspace disease. She was diagnosed with SARS-CoV-2 (COVID-19) pneumonia and started on the appropriate therapies. Approximately 48 hours into her hospitalization, she required intubation with mechanical ventilation due to her progressive hypoxemic respiratory failure. She was intubated for approximately 5 weeks with a gradual improvement in her respiratory status, but not to the point where she was a candidate for a tracheostomy. Despite being off sedation for an extended period, she remained unresponsive. A CT of the head without contrast did not demonstrate any significant abnormalities. An MRI of the brain was subsequently performed and demonstrated diffuse juxtacortical and callosal white matter microhemorrhages (Figure 1). Given …","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"22 1","pages":"56-57"},"PeriodicalIF":0.0,"publicationDate":"2021-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49162015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

February 2021 Imaging Case of the Month: An Indeterminate Solitary Nodule 本月影像病例:不确定孤立性结节

Southwest journal of pulmonary & critical care Pub Date : 2021-02-01 DOI: 10.13175/SWJPCC006-21

P. Panse, C. Jokerst, M. Gotway

引用次数: 0

First-Attempt Endotracheal Intubation Success Rate Using A Telescoping Steel Bougie 伸缩式钢支架首次气管插管成功率分析

Southwest journal of pulmonary & critical care Pub Date : 2021-01-25 DOI: 10.13175/SWJPCC004-21

Evan D Schmitz, CA Usa La Jolla

{"title":"First-Attempt Endotracheal Intubation Success Rate Using A Telescoping Steel Bougie","authors":"Evan D Schmitz, CA Usa La Jolla","doi":"10.13175/SWJPCC004-21","DOIUrl":"https://doi.org/10.13175/SWJPCC004-21","url":null,"abstract":"Background There has been a renewed interest in using the plastic intubation bougie to facilitate first-attempt endotracheal intubation success. The sterile single-use telescopic steel bougie (AIROD) was invented to overcome the limitations of the plastic bougie which is easily deformed during storage. Methods This is a retrospective study involving critically ill patients who were intubated with the AIROD in the intensive care unit at a single institution. The purpose of this case series is to compare the success rate of the AIROD to the generally accepted success rate for the traditional plastic bougie of 96%. Results A total of 54 patients were enrolled at a single ICU over a 10 months period. All patients were critically ill with 76% having a difficult airway, Cormack-Lehane grade view 2 or greater in 60%, and ARDS secondary to COVID-19 in 54%. The primary outcome of first-attempt intubation success in critically ill patients intubated in the ICU with the AIROD was 97% with a 95% confidence interval of 0.89 to 0.99. The average time for intubation of all airway classifications was 15 seconds. Conclusion The AIROD first-attempt intubation success rate was found to be similar to the rate for the traditional plastic bougie.","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"22 1","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41992662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Best Laid Plans of Mice and Men 老鼠和人的最佳计划

Southwest journal of pulmonary & critical care Pub Date : 2021-01-13 DOI: 10.13175/SWJPCC003-21

R. Robbins, Phoenix Pulmonary, P. Harber, Allen Thomas

引用次数: 0

Clinical Care of COVID-19 Patients in a Front-line ICU 一线ICU新冠肺炎患者的临床护理

Southwest journal of pulmonary & critical care Pub Date : 2021-01-04 DOI: 10.13175/swjpcc070-20

R. Raschke, Tyler J Glenn, K. Josen

引用次数: 0

Medical image of the month: mucinous adenocarcinoma of the lung mimicking pneumonia 本月医学影像：肺粘液腺癌样肺炎

Southwest journal of pulmonary & critical care Pub Date : 2021-01-02 DOI: 10.13175/swjpcc072-20

N. Blackstone, Tammer El-Aini

引用次数: 1

A Population-Based Feasibility Study of Occupation and Thoracic Malignancies in New Mexico. 新墨西哥州职业与胸部恶性肿瘤基于人群的可行性研究

Southwest journal of pulmonary & critical care Pub Date : 2021-01-01 Epub Date: 2021-08-13 DOI: 10.13175/swjpcc067-20

Claire R Pestak, Tawny W Boyce, Orrin B Myers, L Olivia Hopkins', Charles L Wiggins, Bruce R Wissore, Akshay Sood, Linda S Cook

{"title":"A Population-Based Feasibility Study of Occupation and Thoracic Malignancies in New Mexico.","authors":"Claire R Pestak, Tawny W Boyce, Orrin B Myers, L Olivia Hopkins', Charles L Wiggins, Bruce R Wissore, Akshay Sood, Linda S Cook","doi":"10.13175/swjpcc067-20","DOIUrl":"https://doi.org/10.13175/swjpcc067-20","url":null,"abstract":"Background: Occupational exposures in mining and oil/gas extraction are known risk factors for thoracic malignancies (TMs). Given the relatively high proportion of these industries in New Mexico (NM), we conducted a feasibility study of adult lifetime occupational history among TM cases. We hypothesized a higher proportion of occupational TM in NM relative to the estimated national average of 10-14%.Methods: We identified incident TM cases through the population-based New Mexico Tumor Registry (NMTR), from 2017-2018. Cases completed a telephone interview. An adjudication panel reviewed case histories and classified cancers as probable, possible, or non-occupational related, taking into account the presence, duration, and latency of exposures. We characterized recruitment and describe job titles and exposures among those with occupational TMs. We also compared the distributions of industry between those with and without occupational TM.Results: The NMTR identified 400 eligible TM cases, 290 of which were available to be recruited (n=285 lung/bronchial cancer; n=5 mesotheliomas). Of the latter, 60% refused and 18% were deceased, 9% had invalid addresses, 11% were unable to be reached by telephone, and 3% were too ill to participate. The 43 cases who completed an interview held 236 jobs. A total of 33% of cases were classified as probable occupational TM and 5% as possible occupational TM.Conclusions: High rates of early mortality and refusals were significant barriers to study participation. Nonetheless, the proportion of probable occupational TMs greatly exceeded the estimated national average, highlighting the need for further study of occupational TM in the state.","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"22 1","pages":"23-25"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7891545/pdf/nihms-1662883.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25391796","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}

引用次数: 0