BACKGROUND Mortality increases when extubations fail. Although predictors of extubation failure have been evaluated, physicians' reasoning to extubate a patient has received minimal attention. We hypothesized that the accuracy and reliability of physicians' extubation decisions are low. METHODS We sent surveys to 55 physicians in the divisions of pulmonary and critical care medicine of 3 teac...

1963;43;486-493 Dis Chest W. G. Trapp and M. L. Allan Pulmonary Tuberculosis Changing Indications for the Resection of http://chestjournal.chestpubs.org/content/43/5/486 can be found online on the World Wide Web at: The online version of this article, along with updated information and services ) ISSN:0096-0217 http://chestjournal.chestpubs.org/site/misc/reprints.xhtml ( without the prior writt...

Chest X-ray is a usual tool for family physicians; however, unexpected findings in chest X-ray are a frequent challenge. We present a rare case of pulmonary hilar nodule misdiagnosis in a chest X-ray. An 84-year-old woman was sent with a diagnosis of a right pulmonary hilum nodule. She had a history of chronic obstructive pulmonary disease; so in a chest X-ray, her family physician discovered a...

Christopher W. Connor, MD, PhD Assistant Professor of Anesthesiology and Biomedical Engineering Department of Anesthesiology Boston University School of Medicine Boston, MA Patients with pulmonary hypertension are some of the most challenging for an anesthesiologist to manage. Pulmonary hypertension in patients undergoing surgical procedures is associated with high morbidity and mortality due t...

Patients with scleroderma are at increased risk for the development of pulmonary hypertension, and the development of unexplained dyspnea or an isolated decrease in diffusing capacity should prompt evaluation. Echocardiography is often helpful in this situation, with further testing being performed as indicated. Because the prognosis of untreated pulmonary hypertension occurring in the setting ...

Pulmonary arterial hypertension is a rare and devastating disease characterized by vascular proliferation and remodeling. Epoprostenol, the drug counterpart of the eicosanoid prostacyclin, produced by the vascular endothelial cells, is the drug of choice for this disease. Its capacity to act rapidly and to significantly improve survival prospects in severe pulmonary hypertension patients has be...

n engl j med 358;18 www.nejm.org may 1, 2008 1969 Editor’s note: We received 1610 responses, from 85 countries, for this medical mystery. Sixty-two percent of respondents were physicians in practice, 21% were physicians in training, and 12% were medical students. Of the respondents, 65% identified some type of diaphragmatic hernia on the radiograph, which revealed a retrocardiac gastric shadow ...

2004;126;4-6 Chest Lewis J. Rubin Clinical Practice Guidelines Hypertension: ACCP Evidence-Based Management of Pulmonary Arterial Executive Summary: Diagnosis and http://chestjournals.org and services can be found online on the World Wide Web at: The online version of this article, along with updated information ). ISSN: 0012-3692. http://www.chestjournal.org/misc/reprints.shtml ( of the copyri...

1965;48;153-159 Dis Chest David V. Pecora Pneumonectomy for Pulmonary Tuberculosis http://chestjournal.chestpubs.org/content/48/2/153 can be found online on the World Wide Web at: The online version of this article, along with updated information and services ) ISSN:0096-0217 http://chestjournal.chestpubs.org/site/misc/reprints.xhtml ( without the prior written permission of the copyright holde...

1997;111;564-571 Chest Jo Ann Brooks-Brunn Surgery Complications Following Abdominal Predictors of Postoperative Pulmonary http://www.chestjournal.org/content/111/3/564 Wide Web at: information and services can be found online on the World The online version of this article, along with updated ISSN:0012-3692 ) http://www.chestjournal.org/site/misc/reprints.xhtml ( the prior written permission o...