Chest
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We describe a case of air embolism complicating neodymium-YAG laser resection of an endobronchial carcinoid tumor. A 27-year-old man experienced an acute neurologic syndrome during laser photoresection which responded to acute hyperbaric therapy.
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Upper airway obstruction following adult respiratory distress syndrome. An analysis of 30 survivors.
To evaluate the effects of current supportive care measures for the adult respiratory distress syndrome (ARDS) upon the upper airway, we studied 30 survivors of ARDS. All patients were interviewed and examined and performed inspiratory and expiratory maximal flow-volume curves more than six months after the onset of ARDS. Three women had developed symptomatic upper airway obstruction due to laryngotracheal stenosis 4 to 12 months after discharge from the hospital. ⋯ Although corrective surgery improved airflow, two survivors of ARDS had upper airway obstruction and exertional dyspnea more than five years after the ARDS. We conclude that upper airway obstruction is an important cause of dyspnea and impairment following ARDS. Exertional dyspnea weeks to months following treatment for ARDS suggests the possibility of laryngotracheal stenosis.
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Case Reports
Combination high dose amrinone and dopamine in the management of moribund cardiogenic shock after open heart surgery.
Two patients who suffered severe cardiogenic shock after open-heart surgery were successfully resuscitated with high doses of amrinone and dopamine. Both patients had required cardiopulmonary resuscitation and neither was responsive to more conventional mechanical and pharmacologic intervention. ⋯ These two case reports suggest the potential for using higher than previously reported doses of amrinone in combination with dopamine for the successful treatment of moribund cardiogenic shock in the post open-heart surgical patient. Further studies are needed to assess whether this high-dose drug combination will be successful in patients who present with severe cardiogenic shock unrelated to the post open-heart surgical setting.
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Retracted Publication
Influence of PEEP ventilation immediately after cardiopulmonary bypass on right ventricular function.
This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal). This article has been retracted at the request of the request of the editor. In 2018, CHEST published a notice1 that all articles authored by Joachim Boldt be read with caution due to expressions of concern about falsified data. ⋯ CHEST 153(3), p. 767. 2. Mukherjee, J. Statement on the scientific credibility of articles published by Joachim Boldt, formerly professor at Justus Liebig University (JLU), Giessen, Germany. https://ars.els-cdn.com/content/image/1-s2.0-S000709122030163X-mmc3.pdf.