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american college of chest physicians year-old

Chee Kiang Phua, Audrey Wee, Albert Lim, John Abisheganaden, Akash Verma
Combination of sedatives such as fentanyl and midazolam during bronchoscopy is recommended by American College of Chest Physician due to its favourable drug profile. It improves patient comfort and tolerance, and is commonly given unless contraindicated. We describe a rare case of fentanyl-induced chest wall rigidity syndrome during a routine bronchoscopy with endobronchial ultrasound guided-transbronchial needle aspiration (EBUS-TBNA) in a 55 year old male presenting with a lung mass and mediastinal lymphadenopathy...
2017: Respiratory Medicine Case Reports
Egidio Imbalzano, Michele Creazzo, Giovanni Trapani, Giuseppina Lizio, Antonino Saitta
American College of Chest Physicians Evidence-Based Clinical Practice Guidelines, 9th edition, 2012, suggest no prophylaxis rather than pharmacological thromboprophylaxis in management of venous thromboembolism (VTE) risk of isolated lower leg injuries distal to knee requiring leg immobilization. Low-molecular-weight heparin (LMWH) is a class of drugs commonly used as antithrombotics in surgery and in case of prolonged bed rest and hypomobility. A 35-year-old obese man with no history of health disease (height, 170 cm; weight, 95 kg; and body mass index, 32...
December 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
Kezhong Chen, Xun Wang, Fan Yang, Hui Zhao, Yun Li, Yanguo Liu, Zuli Zhou, Guanchao Jiang, Jianfeng Li, Jun Liu, Jun Wang
OBJECTIVE: To analyze the clinical characteristics and follow up record of patients with synchronous multiple lung cancers (SMLC). METHODS: The medical records of 1 868 lung cancer patients who underwent surgical treatments From January 2007 to December 2014 were reviewed, in which 103 patients were diagnosed SMLC by Martini and American College of Chest Physicians modified guideline. The average age was 60.5 years, including 34 male and 69 female patients. According to consolidation/tumor ratio (CTR) on thin-section computed tomography, 103 cases were classified into three groups: group A (multiple ground-glass opacities, CTR ≤ 50%), group B (with one solid dominant nodules, CTR > 50%), group C (with two solid dominant nodules)...
October 1, 2015: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Ambar A Andrade, Juan Li, Martha J Radford, David S Nilasena, Brian F Gage
BACKGROUND: Guidelines for anticoagulant therapy in patients with atrial fibrillation (AF) conflict with each other. The American College of Chest Physicians (ACCP) guidelines suggest no anticoagulant therapy for patients with a CHADS2 score of 0. The European Society of Cardiology (ESC) prefer anticoagulant therapy for patients with a CHA2DS2-VASc of 1, which includes 65-74-year-olds with a CHADS2 score of 0. Resolving this conflicting advice is important, because these guidelines have potential to change anticoagulant therapy in 10 % of the AF population...
June 2015: Journal of General Internal Medicine
Edgardo Tiglao
SESSION TITLE: Pulmonary Vascular Disease Global Case ReportsSESSION TYPE: Global Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Cancer continues to be one of the major causes of venous thromboembolism (VTE) worlwide, and as such, a global health burden. In the Philippines, the incidence of cancer with VTE is yet to be established, although malignancy itself is the third leading cause of morbidity and mortality. Among the malignancy types, that of the lung ranks first...
October 1, 2014: Chest
Taylor R Spencer
BACKGROUND: Massive pulmonary embolism is associated with cardiac dysfunction and ischemia, hemodynamic collapse, and significant potential for death. The American College of Chest Physicians and American College of Emergency Physicians each supports thrombolytic administration to hemodynamically unstable patients with acute pulmonary embolism. OBJECTIVES: In the resuscitation of patients with massive pulmonary embolism and obstructive shock, difficulty with vascular access can hinder care...
December 2013: Journal of Emergency Medicine
Takuhiro Moromizato, Augusto A Litonjua, Andrea B Braun, Fiona K Gibbons, Edward Giovannucci, Kenneth B Christopher
OBJECTIVE: We hypothesized that deficiency in 25-hydroxyvitamin D prior to hospital admission would be associated with sepsis in the critically ill. DESIGN: Two-center observational study of patients treated in medical and surgical ICUs. SETTING: Two hundred nine medical and surgical intensive care beds in two teaching hospitals in Boston, MA. PATIENTS: Three thousand three hundred eighty-six patients, 18 years old or older, in whom 25-hydroxyvitamin D was measured prior to hospitalization between 1998 and 2011...
January 2014: Critical Care Medicine
Eric H Tischler, Danielle Y Ponzio, Claudio Diaz-Ledezma, Javad Parvizi
BACKGROUND: As hip-preservation surgery is performed in a particularly young and active group of patients, the knowledge accrued in the fields of hip arthroplasty and hip fracture care regarding postoperative thromboprophylaxis cannot be extrapolated to this patient population. Recommendations based on the evidence for each particular surgical procedure and population is desirable. For these reasons, the purpose of our study is to describe the rate of clinically relevant venous thromboembolism (VTE) and anticoagulation-related complications observed in patients undergoing hip-preservation surgery through mini-open femoracetabular osteoplasty (FAO) with a formal postoperative thromboprophylaxis protocol of aspirin dosing...
January 2014: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Philip Svigals, Luca Paoletti, Nicholas Pastis, John Huggins
SESSION TYPE: Bronchology Student/Resident Case Report PostersPRESENTED ON: Tuesday, October 23, 2012 at 01:30 PM - 02:30 PMINTRODUCTION: The frequency of secondary spontaneous pneumothorax (SSP) varies according to the underlying lung disease, and is commonly seen with lymphangioleiomyomatosis but also occurs in COPD. Spontaneous closure of air leaks significantly decline after 5-7 days and surgical management is the standard of care for correcting a persistent air leak. However, co-morbid conditions, severe architectural distortion of the underlying lung parenchyma, and the severity of the underlying lung disease often dissuade surgeons in pursuing corrective surgical options...
October 1, 2012: Chest
Sandeep Krishnan, Bashar Staitieh, A Maziar Zafari, Gautam Kumar
SESSION TYPE: Cardiovascular Student/Resident Case Report Posters IPRESENTED ON: Tuesday, October 23, 2012 at 01:30 PM - 02:30 PMINTRODUCTION: The World Health Organization divides pulmonary hypertension (PH) into five groups [1]. This case describes a unique presentation of Group V PH resulting from lymphomatous compression of the pulmonary arteries.CASE PRESENTATION: A 38 year-old African American male with a history of HIV (CD4 count 516, undetectable viral load) and stage three Hodgkin's Lymphoma (HL) presented with complaints of dyspnea and palpitations...
October 1, 2012: Chest
Pablo Romero, Carolina Barciocco, Mariano Dioca
SESSION TYPE: Cancer Global Case Report PostersPRESENTED ON: Tuesday, October 23, 2012 at 01:30 PM - 02:30 PMINTRODUCTION: Lung cancer is the leading cause of cancer death in both male and female. Overall survival is around 15% at 5 years including all stages. The primary risk factor is smoking tobacco which accounts for 85% of all cancer-related deaths. Around 36% of patients are initially diagnosed as having stage IV disease, which includes most frequently liver (33%-40%), brain (15-43%), adrenal glands (18-38%) and bone (19-33%) metastases...
October 1, 2012: Chest
Lisa M Harinstein, Joseph W Morgan, Nicholas Russo
Dabigatran etexilate is a competitive, direct thrombin inhibitor that works in the coagulation cascade to ultimately prevent thrombus formation. It is recommended by the 2012 American College of Chest Physicians evidence-based clinical practice guidelines as first-line therapy over vitamin k antagonists for long-term antithrombotic therapy in patients with paroxysmal or persistent nonrheumatic atrial fibrillation who are at intermediate to high risk of stroke and systemic embolism (grade 2B). However, serious postmarketing events involving life-threatening bleeding are emerging with no antidote for reversal of the anticoagulant effect being available for use...
June 2013: Journal of Pharmacy Practice
Daniel Fieland, Mark Taylor
OBJECTIVE: To present a case of dabigatran use for nonvalvular atrial fibrillation in a patient from a population for whom it has not been studied. Postoperative coronary artery bypass patients have significant bleeding risk and potential to develop heparin-induced thrombocytopenia (HIT). CASE SUMMARY: A 70-year-old male with a history of paroxysmal atrial fibrillation in sinus rhythm prior to surgery developed atrial fibrillation on postoperative day 2 after coronary artery bypass surgery...
January 2012: Annals of Pharmacotherapy
Sebastián Prieto, Pablo Young, José M Ceresetto, Eduardo O Bullorsky
Atrial fibrillation is the most frequent cardiac arrhythmia in adults. Its frequency increases with age, being its incidence 1.5% in individuals 50 to 59 years old and 8-10% from 80 to 89 years. Atrial fibrillation increases 5 fold the risk of suffering stroke and actually causes 15% of all strokes. Its management focuses primary in the prevention of thromboembolic phenomena, heart rate and rhythm control. Anticoagulation, when indicated, has demonstrated to be the main tool in the prevention of these thromboembolic events...
2011: Medicina
Emily L Spangler, Ellen D Dillavou, Kenneth J Smith
BACKGROUND: Inferior vena cava filters (IVCFs) can prevent pulmonary embolism (PE); however, indications for use vary. The Eastern Association for the Surgery of Trauma (EAST) 2002 guidelines suggest prophylactic IVCF use in high-risk patients, but the American College of Chest Physicians (ACCP) 2008 guidelines do not. This analysis compares cost-effectiveness of prophylactic vs therapeutic retrievable IVCF placement in high-risk trauma patients. METHODS: Markov modeling was used to determine incremental cost-effectiveness of these guidelines in dollars per quality-adjusted life-years (QALYs) during hospitalization and long-term follow-up...
December 2010: Journal of Vascular Surgery
Rita Mattiello, Edgar E Sarria, Ricardo Stein, Gilberto Bueno Fischer, Helena Teresinha Mocelin, Sergio Saldanha Menna Barreto, João Antônio Bonfadini Lima, Diego Brandenburg
OBJECTIVE: To assess functional capacity during exercise in children and adolescents with post-infectious bronchiolitis obliterans (PIBO). METHODS: 20 children with PIBO, aged 8-16 years old, and in follow-up at an outpatient clinic carried out cardiopulmonary exercise testing (CPET), a 6-minute walk test (6MWT) and pulmonary function tests (PFT), according to American Thoracic Society (ATS), European Respiratory Society (ERS) and American College of Chest Physicians (ACCP) guidelines...
July 2008: Jornal de Pediatria
Mark A Socinski, Richard Crowell, Thomas E Hensing, Corey J Langer, Rogerio Lilenbaum, Alan B Sandler, David Morris et al.
BACKGROUND: Stage IV non-small cell lung cancer (NSCLC) remains a treatable but incurable disease. METHODS: A MEDLINE search was performed to identify pertinent peer-reviewed articles that addressed the questions posed for this section. The writing committee developed and graded recommendations, which were subsequently approved by the American College of Chest Physicians. RESULTS: Platinum-based doublets remain the standard of care in patients with good performance status (PS); there is no evidence that the addition of a third cytotoxic agent improves survival...
September 2007: Chest
A Amin, S Stemkowski, J Lin, G Yang
BACKGROUND: As hospitalized medical patients may be at risk of venous thromboembolism (VTE), evidence-based guidelines are available to help physicians assess patients' risk for VTE, and to recommend prophylaxis options. The rate of appropriate thromboprophylaxis use in at-risk medical inpatients was assessed in accordance with the 6th American College of Chest Physicians (ACCP) guidelines. METHODS: Hospital discharge information from the Premier Perspective(trade mark) inpatient data base from January 2002 to September 2005 was used...
August 2007: Journal of Thrombosis and Haemostasis: JTH
Sigmund Silber, Barbara M Richartz, Matthias Brilmayer
The European Society of Cardiology (ESC) for the first time issued guidelines for percutaneous coronary interventions (PCI) in spring 2005. The strengths of recommendations stated in the ESC guidelines (as in those of the AHA/ACC [American Heart Association/American College of Cardiology]) are traditionally a combination of recommendation classes (I, IIa, and IIb) and a level of evidence (A, B, or C). This paper explains and discusses selected focal points of the ESC PCI guidelines based on three representative cases from daily practice...
December 2006: Herz
Thomas V Bilfinger
PURPOSE OF REVIEW: The treatment of lung cancer has been most successful when surgery is involved. This review is a succinct overview of lung cancer treatment from the thoracic surgeon's perspective over the past 2 years. RECENT FINDINGS: Starting with the evidence-based guidelines developed by the American College of Chest Physicians, the main themes in the literature are a multimodality approach and the miniaturization of surgical approaches. Palliative procedures, staging, and extension of surgery to patients previously thought inoperable are other subjects covered...
July 2004: Current Opinion in Pulmonary Medicine
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