Browsing Respiratory Medicine by Title
Now showing items 2-21 of 24
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Ballooned Intercostal Drain Trial
(2017)This study is designed to assess whether a new type of chest drain reduces the number of drains that fall out of or are accidentally removed from the chest cavity (usually requiring another drain to be inserted), without ... -
Breathlessness in an ex-miner: an unusual consideration.
(2016-05)The article presents a case study of a 73-year-old retired miner, with 36 years at the coal face, who was presented with a 5-year history of exertional dyspnoea on climbing steep inclines. His medical history was limited ... -
Bronchoscopic intrabullous autologous blood instillation: a novel approach for the treatment of giant bullae.
(2013-10)The current standard therapy for patients with giant bullae is surgical bullectomy; however, high operative risk and comorbidities preclude surgical procedures in many patients. Autologous blood instilled directly into ... -
Chronic obstructive pulmonary disease: diagnosis and management: summary of updated NICE guidance.
(2019-07-29)This article summarises the most recent recommendations from the National Institute for Health and Care Excellence (NICE). The updated areas are mainly concerned with the management of stable COPD and include self management ... -
Clinically important associations of pleurodesis success in malignant pleural effusion: Analysis of the TIME1 data set.
(2020-07)Background and Objective: Chemical pleurodesis is performed for patients with MPE with a published success rate of around 80%. It has been postulated that inflammation is key in achieving successful pleural symphysis, as ... -
Effect of Thoracoscopic Talc Poudrage vs Talc Slurry via Chest Tube on Pleurodesis Failure Rate Among Patients With Malignant Pleural Effusions.
(2019-12)Importance: Malignant pleural effusion (MPE) is challenging to manage. Talc pleurodesis is a common and effective treatment. There are no reliable data, however, regarding the optimal method for talc delivery, leading to ... -
Endobronchial Coils for Severe Emphysema Are Effective Up to 12 Months following Treatment: Medium Term and Cross-Over Results from a Randomised Controlled Trial.
(2015-04)BACKGROUND: There is a clinical need for therapeutic options to reduce hyperinflation associated with severe emphysema. Endobronchial Coils (coils) are nitinol devices implanted bronchoscopically under fluoroscopic guidance ... -
Idiopathic Pulmonary Vein Thrombus Extending into Left Atrium: A Case Report and Review of the Literature
(2016-06)Pulmonary vein thrombosis (PVT) is rather an uncommon condition which presents nonspecifically and is usually associated with lung malignancy and major pulmonary surgery. Rarely could no cause be found. It causes increased ... -
Investigating pleural thickening.
(2013-01)Downer, N, Ali, N, & Au-Yong, I 2013, 'Investigating pleural thickening', BMJ: British Medical Journal, 346, 7890, pp. 35-37. -
Manometry performed at indwelling pleural catheter insertion to predict unexpandable lung.
(2020-04)Background: The finding of unexpandable lung (UL) at an early timepoint is of increasing importance in guiding treatment decisions in patients with malignant pleural effusion (MPE). Pleural manometry is the most common ... -
A Multicenter Randomized Controlled Trial of Zephyr Endobronchial Valve Treatment in Heterogeneous Emphysema (TRANSFORM).
(2017-12)RATIONALE: Single-center randomized controlled trials of the Zephyr endobronchial valve (EBV) treatment have demonstrated benefit in severe heterogeneous emphysema. This is the first multicenter study evaluating this ... -
Non Invasive Ventilation: Case Study
(British Thoracic Society, 2019-02-18)The Acute Non-Invasive Ventilation (NIV) team at King's Mill Hospital have been asked to collaborate with the British Thoracic Society (BTS) on a case study to share the results of our quality improvement transformation ... -
Optimising prescription and titration of oxygen for adult inpatients using novel silicone wristbands: results of a pilot project at three centres
(2016-08)Oxygen is the most commonly used drug in the acute hospital setting. Oxygen can be lifesaving but there is increasing evidence that it can cause harm if it is not given correctly. Prescription of oxygen, according to target ... -
Outcome of Hospitalization for COVID-19 in Patients with Interstitial Lung Disease: An International Multicenter Study.
(2020-10)Rationale: The impact of COVID-19 on patients with Interstitial Lung Disease (ILD) has not been established. Objectives: To assess outcomes in patients with ILD hospitalized for COVID-19 versus those without ILD in a ... -
Outpatient Talc Administration by Indwelling Pleural Catheter for Malignant Effusion.
(2018-04-05)BACKGROUND: Malignant pleural effusion affects more than 750,000 persons each year across Europe and the United States. Pleurodesis with the administration of talc in hospitalized patients is the most common treatment, but ... -
P15 A pilot study of a dedicated ballooned intercostal drain
(2016-11-15)Introduction Intercostal tube drainage of pleural air or fluid is an essential tool in the management of respiratory patients. A common complication of drain insertion is accidental removal of the drain, usually as a result ... -
Prospective validation of the RAPID clinical risk prediction score in adult patients with pleural infection: the PILOT study.
(2020-07)Background: Over 30% of adult patients with pleural infection either die and/or require surgery. There is no robust means of predicting at baseline presentation which patients will suffer a poor clinical outcome. A validated ... -
Providing safe and effective pleural medicine services in the UK: an aspirational statement from UK pleural physicians.
(2018-08)Physicians face considerable challenges in ensuring safe and effective care for patients admitted to hospital with pleural disease. While subspecialty development has driven up standards of care, this has been tempered by ... -
Reflections on integrated care from those working in and leading integrated respiratory teams.
(2018-01)The concept of integrated care has been advocated for many years to address some of the challenges faced by the NHS. This report examines the experiences of respiratory healthcare specialists working in an integrated role. ... -
Surgical lung biopsy for interstitial lung disease: when considered necessary, should these be done in larger and experienced centres only?
(2019-02-21)Surgical lung biopsy for ILD: higher volume centres may offer lower mortality, but data are only suggestive – we need more research, including into lower risk alternatives to conventional biopsy, to reduce risk for patients ...
