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Pneumology, critical care

J D Rollnik, J Adolphsen, J Bauer, M Bertram, J Brocke, C Dohmen, E Donauer, M Hartwich, M D Heidler, V Huge, S Klarmann, S Lorenzl, M Lück, M Mertl-Rötzer, T Mokrusch, D A Nowak, T Platz, L Riechmann, F Schlachetzki, A von Helden, C W Wallesch, D Zergiebel, M Pohl
Prolonged weaning of patients with neurological or neurosurgery disorders is associated with specific characteristics, which are taken into account by the German Society for Neurorehabilitation (DGNR) in its own guideline. The current S2k guideline of the German Society for Pneumology and Respiratory Medicine is referred to explicitly with regard to definitions (e.g., weaning and weaning failure), weaning categories, pathophysiology of weaning failure, and general weaning strategies. In early neurological and neurosurgery rehabilitation, patients with central of respiratory regulation disturbances (e...
June 2017: Der Nervenarzt
Mauricio Rojas, Ana L Mora, Maria Kapetanaki, Nathaniel Weathington, Mark Gladwin, Oliver Eickelberg
With the expected rapid growth of the aging population worldwide, there is a clear need to understand the complex process of aging to develop interventions that might extend the health span in this group of patients. Aging is associated with increased susceptibility to a variety of chronic diseases, and lung pathologies are no exception. The prevalence of lung diseases such as idiopathic pulmonary fibrosis and chronic obstructive pulmonary disease has been found to increase considerably with age. In October 2014, the Division of Pulmonary, Allergy, and Critical Care of the University of Pittsburgh cohosted the Pittsburgh-Munich Lung Conference focused in aging and lung disease with the Comprehensive Pneumology Center, Institute of Lung Biology and Disease, Ludwig-Maximilians University and Helmholtz Zentrum Munich Germany...
December 2015: Annals of the American Thoracic Society
A A Oviedo-García, M Algaba-Montes, A Segura-Grau, Á Rodríguez-Lorenzo
Ultrasound has recently become an indispensable tool for the family physician, whether exercised in primary care and emergency department; and likewise it has spread to many other specialties: internal medicine, critical care, neurology, pneumology, digestive, etc. and that ultrasound has proven to be a safe diagnostic tool and have great capacity. We firmly believe that ultrasound done to «bedside» the patient by the family doctor, can greatly complement the physical examination and greatly improve clinical effectiveness, allowing the browser an immediate view of the anatomy and physiology of certain structures...
July 2016: Semergen
Adriana Moisoiu, Monica Ionită, Lăcrămioara Sârbu, Corina Stoica, Liliana Grigoriu
Acinetobacter baumannii (A. baumannii) is one of the leading causes of morbidity and mortality in patients who are in critical condition in hospitals and especially in intensive care units (ICU). Long time considered a bacterium with low virulence, A. baumannii has more recently become a cause for major concern in clinical practice due to its high level of antimicrobial resistance. The extend of infections with Acinetobacter baumannii in ICU is caused by multiple factors, such as mechanical ventilation, invasive procedures, the use of a large number of broad spectrum antibiotics and transmission through the hands of medical staff In this study we evaluated the resistance to antibiotics of 213 non-duplicated strains of A...
April 2014: Pneumologia: Revista Societății Române de Pneumologie
Florence Ranchon, Benoît You, Gilles Salles, Nicolas Vantard, Vérane Schwiertz, Chloé Gourc, Noémie Gauthier, Marie-Gabrielle Guédat, Pierre-Jean Souquet, Gilles Freyer, Véronique Trillet-Lenoir, Catherine Rioufol
BACKGROUND: To reduce the occurrence of medication errors, a systemic approach was developed combining anti-neoplastic medication error reviews and morbidity and mortality conferences (M&MCs). We report the first experience of implementing this strategy in oncology. METHODS: The case reports submitted to combined reviews were prepared by physicians and pharmacists, and medication error(s) were described and chronological and root-cause analyses were performed. RESULTS: Ten combined reviews were conducted, which involved the departments of haematology, medical oncology, pneumology, gastroenterology and clinical oncology pharmacy...
2013: Chemotherapy
J González-Castillo, F J Martín-Sánchez, P Llinares, R Menéndez, A Mujal, E Navas, J Barberán
The incidence of community-acquired pneumonia (CAP) increases with age and is associated with an elevated morbimortality due to the physiological changes associated with aging and a greater presence of chronic disease. Taking into account the importance of this disease from an epidemiological and prognostic point of view, and the enormous heterogeneity described in the clinical management of the elderly, we believe a specific consensus document regarding this patient profile is necessary. The purpose of the present work was to perform a review of the evidence related to the risk factors for the etiology, the clinical presentation, the management and the treatment of CAP in elderly patients with the aim of elaborating a series of specific recommendations based on critical analysis of the literature...
March 2014: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
M Pfeifer
Epidemiological estimates predict an increase in patients with chronic lung diseases, such as chronic obstructive pulmonary disease (COPD) or asthma; therefore, increasing numbers of patients with preexisting lung diseases who require intensive care treatment are to be expected. These patients tend to have complex disease patterns and are difficult to wean from mechanical ventilation after intubation. It is not uncommon for these patients to need permanent mechanical ventilation after an acute illness. Also the question of limiting therapy, the need for treatment with a palliative objective and supervision of patients as well as their relatives at the end of life is a challenge for intensive care physicians when treating acutely ill patients with chronic pulmonary diseases...
May 2013: Medizinische Klinik, Intensivmedizin und Notfallmedizin
Andrea S Melani, Marco Bonavia, Vincenzo Cilenti, Cristina Cinti, Marco Lodi, Paola Martucci, Maria Serra, Nicola Scichilone, Piersante Sestini, Maria Aliani, Margherita Neri
Proper inhaler technique is crucial for effective management of asthma and COPD. This multicentre, cross-sectional, observational study investigates the prevalence of inhaler mishandling in a large population of experienced patients referring to chest clinics; to analyze the variables associated with misuse and the relationship between inhaler handling and health-care resources use and disease control. We enrolled 1664 adult subjects (mean age 62 years) affected mostly by COPD (52%) and asthma (42%). Respectively, 843 and 1113 patients were using MDIs and DPIs at home; of the latter, the users of Aerolizer®, Diskus®, HandiHaler® and Turbuhaler® were 82, 467, 505 and 361...
June 2011: Respiratory Medicine
Araceli Abad Fernández, Irene Cano Pumarega, Concepción Hernández, Gabriel Sampol, Joaquín Terán-Santos
The present study aims to review all the major articles on respiratory sleep disorders, mechanical ventilation, and respiratory critical care published in the last year in Archivos de bronconeumología. Between December 2009 and November 2010, 15 studies on these topics were published in Archivos de bronconeumología. Ten of these studies dealt with respiratory sleep disorders, consisting of six original articles, one special article, one review article, one letter to the editor and one supplement on chronic obstructive pulmonary disease and its association with sleep apneas...
2011: Archivos de Bronconeumología
A Strassburg, K Dalhoff, I Engelmann, S Ewig, F J F Herth, J Knobloch, G Rohde, H Sahly, B Schaaf, C Lange
Lower respiratory tract infections rank among the leading causes of morbidity and mortality worldwide. In clinical practice, especially in the care of severely ill patients, discrimination between tracheobronchial colonisation with potentially pathogenic microorganisms and infection is a common diagnostic challenge. While prompt antibiotic treatment is needed in critically ill patients with pneumonia, an inadequate use of antibiotics is the major cause for the emergence of drug-resistant microorganisms. The first part of this review provided a detailed overview of the currently available methods for the diagnosis of pulmonary infectious diseases...
May 2010: Pneumologie
S Mache, N Jankowiak, C Scutaru, D A Groneberg
BACKGROUND: Currently, data from questionnaires have demonstrated increasing criticism from respiratory physicians regarding their working situation. They complain about long working hours, income and an increasing amount of time spent on documentation and administrative duties in particular. Since these criticisms are only subjective perceptions they should be compared to data that are more objective. Therefore, the aim of the current study was to collect precise data about physicians' work in respiratory medicine in order to analyse working routines...
July 2009: Pneumologie
W Randerath, J Lorenz, W Windisch, C-P Criée, O Karg, D Köhler, G Laier-Gröneveld, M Pfeifer, B Schönhofer, H Teschler, C Vogelmeier et al.
The advances in intensive and critical care medicine have not only improved the prognosis of patients with acute respiratory failure but have also increased the number of ventilator-dependent patients. The continuously increasing number of patients, the differentiation of care-giving institutions and the technical progress make it necessary to re-evaluate the quality of health care in weaning centres and outpatient care of patients on long-term ventilation. Therefore, the German medical associations of pneumology and ventilatory support, "Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin e...
May 2008: Pneumologie
H Tonn, W Mall, K-D Schneider, B Schönhofer
BACKGROUND: Tracheobronchial stents are inserted mainly in cases of malignant and benign airway stenosis. Further indications are esophago-tracheal fistulas, mediastinal fistulas and tracheomalacia. METHODS: A retrospective analysis was conducted on patients' records, information provided by the general practitioners and relatives of the patients from July 1993 to December 2006 in the Department of Pneumology of the Heidehaus Hospital Hannover (since 6/05 Department of Pneumology and Internal Intensive Care Medicine, Oststadt-Heidehaus Hospital)...
October 2008: Pneumologie
(no author information available yet)
INTRODUCTION: An update of the SOR-CPG for the perioperative treatment of operable patients with resecable non small cell lung cancer, has been initiated by the French National Federation of Cancer Centres (FNCLCC). This work performed in collaboration with the French intergroup for thoracic oncology (IFCT), the French speaking language society of pneumology (SPLF), specialists from university or general hospitals and private clinics, and with the French National Cancer Institute. It is based on the methodology developed and used in the "Standards, Options and Recommendations" programme...
October 2007: Revue des Maladies Respiratoires
Paul De Leyn, Lieven Bedert, Marion Delcroix, Pieter Depuydt, Geert Lauwers, Youri Sokolov, Alain Van Meerhaeghe, Paul Van Schil
Tracheotomy is a commonly performed procedure. The Belgian Society of Pneumology (BVP-SBP) and the Belgian Association for Cardiothoracic Surgery (BACTS) developed guidelines on tracheotomy for mechanical ventilation in adults. The levels of evidence as developed by the American College of Chest Physicians (ACCP) were used. The members of the guideline committee reviewed peer-reviewed publications on this subject. After discussion, a proposal of guidelines was placed on the website for remarks and suggestions of the members...
September 2007: European Journal of Cardio-thoracic Surgery
(no author information available yet)
No abstract text is available yet for this article.
February 2002: Revue des Maladies Respiratoires
J C Chevrolet, T Rochat
We describe the relationships in Switzerland between two medical specialties, critical, or intensive, care and the respiratory medicine. To date, there are only few direct relationships between these medical fields, and very rarely a respirologist becomes the head of a critical, or an intensive care unit. There are two main reasons explaining this situation. First, internal medicine, or general internal medicine, is still a strong specialty in Switzerland, and the patients are frequently under the direct responsibility of an internist, whereas the pneumologists remain consultants...
June 1999: Revue des Maladies Respiratoires
R Liard, C Ségala, F X Béguin, T Lepage, Y Martinat, Y Rogeaux, F Neukirch
We assessed asthma severity in patients attending private practice chest specialists, studied the factors related to classification by physicians, and described medications prescribed. 545 chest specialists scattered throughout France, included the patients examined from 3 to 28 May 1993 (N = 14,865). Besides a classification of asthma severity in four classes (mild, moderate, moderately severe, and severe), questionnaires included 20 questions on the history and characteristics of asthma, lung function level and medications prescribed...
September 1997: Revue des Maladies Respiratoires
(no author information available yet)
Steps to safeguard quality assurance have always been an inseparable part of any action taken by physicians who are aware of their responsibility towards their patients. Quality assurance can be improved further by introducing additional procedures, some of which were developed by the industry, to ultimately achieve a comprehensive quality management. Of course, additional quality assurance measures involve additional cost and effort, so that the increasingly straitened financial circumstances of the hospitals restricting outpatient and inpatient care services imply a critical assessment and discussion of the pros (efficiency) and cons (cost factors) of such services...
June 1997: Pneumologie
O Karg, S Seifert, F Cujnik
No abstract text is available yet for this article.
September 1984: Praxis und Klinik der Pneumologie
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