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Review Article Open Access

Community Acquired Pneumonia

Sonia Akter
Int J Respir Pulm Med Volume 2, Issue 1

Abstract: Community-acquired pneumonia is defined as an acute infection of the pulmonary parenchyma in a patient who has acquired the infection in the community. CAP remains a common and potentially serious illness. It is associated with considerable morbidity, mortality and treatment cost, particularly in elderly patients. CAP causes problems like difficulty in breathing, fever, chest pains, and cough.

PDF   | Full Text   DOI: 10.23937/2378-3516/1410016

Case Report Open Access

Primary Mediastinal Goiter Resected via Cervical Approach

Benito Vargas-Abrego, Pablo Alvarez-Maldonado, Rosa M Alcazar-Lopez, Francisco C Lorente-Ludlow and Carlos Nunez-Perez Redondo
Int J Respir Pulm Med Volume 2, Issue 1

Abstract: Primary mediastinal goiter is a rare entity. In most cases their finding is incidental. Excision is mandatory because of the risk of compression of vital structures within the chest. We report the case of a primary posterior mediastinal goiter that was resected through a cervical approach.

PDF   | Full Text   DOI: 10.23937/2378-3516/1410015

Research Article Open Access

Does the Body Mass Index Affect the Success of Noninvasive Mechanical Ventilation in Patients with Acute Hypercapnic Respiratory Failure?

Esmehan Akpinar, Serdar Akpinar and Nazire Ucar
Int J Respir Pulm Med Volume 2, Issue 1

Abstract: Objective: Obesity has many negative effects on lung functions. It is not yet clear whether body mass index (BMI) affects the success of noninvasive mechanical ventilation (NIMV). The aim of this study was to investigate the differences in NIMV strategies, on the basis of BMI, in patients with acute hypercapnic respiratory failure and the effect of BMI on the success of NIMV. Methods: A total of 86 patients who had acute hypercapnic respiratory failure were enrolled consecutively.

PDF   | Full Text   DOI: 10.23937/2378-3516/1410014

Case Report Open Access

The Use of Independent Lung Ventilation for Unilateral Pulmonary Hemorrhage

Ajit A. Sarnaik
Int J Respir Pulm Med Volume 2, Issue 1

Abstract: Independent Lung Ventilation (ILV) has been used in the critical care setting as a rescue therapy for differential lung disease. The purpose of anatomic separation of the lungs is to prevent blood, purulent secretions, or other debris from one lung from contaminating the other lung. Physiologic separation of the lungs allows different ventilator strategies to be applied to each lung. We report the case of the successful use of ILV in a man with congenital heart disease with severe right sided pulmonary hemorrhage in which the left lung was relatively disease-free. By use of high-pressure 'open-lung' strategies applied to the right lung and moderate settings on the left lung, we were able to achieve recruitment of the right lung without over-distention and injury to the left lung. ILV can be considered in the critical care setting in patients with respiratory failure involving widely differential disease between the two lungs.

PDF   | Full Text   DOI: 10.23937/2378-3516/1410013

Mini Review Open Access

New Treatment Strategies for Influenza

Luis del Carpio-Orantes
Int J Respir Pulm Med Volume 2, Issue 1

Abstract: After the pandemic influenza H1N1 2009, there are many lessons learned regarding the diagnosis and treatment of patients affected by this virus. However, there have also been a number of contingencies that have greater concern to the world population, mainly by new types as infectious outbreaks, as well as the report of virus mutations that confer resistance to common treatment widely used. For new outbreaks have resulted in a new calamity, after the A (H1N1) pdm09, mainly mentioned the influenza A H3N2, H5N1, and more recently isolated, from avian influenza H7N9 in China, identifying in each of these types, mutations that confer resistance to conventional treatment with anti M2 (amantadine and rimantadine) and neuraminidase inhibitors even.

PDF   | Full Text   DOI: 10.23937/2378-3516/1410012

Case Report Open Access

An Enlarging Airway Foreign Body

Vijay Hadda, Kavitha Venkatnarayan, Karan Madan, Anant Mohan and GC Khilnani
Int J Respir Pulm Med Volume 2, Issue 1

Abstract: A 25-year-old female patient presented with dry coughs of 20 days duration and fever for four days. Examination of respiratory system revealed no significant abnormality. Chest radiograph was normal. CT scan of the thorax revealed endobronchial opacity in the right main bronchus suggestive of a foreign body. Patient retrospectively recollected history of betel nut aspiration just prior to onset of symptoms. Flexible bronchoscopy revealed a large sized blackish-brownish large foreign (betel nut) in the right main bronchus which was successfully removed using the flexible bronchoscope itself. Due to the hygroscopic character of betel nut, it had absorbed moisture and had considerably increased in size. Although rigid bronchoscope is the preferable modality for removal of large sized airway foreign bodies, flexible bronchoscope is especially useful and often preferable as it obviates the need for general anesthesia.

PDF   | Full Text   DOI: 10.23937/2378-3516/1410011

Research Article Open Access

Pulmonary Capillary Wedge Pressure Measurement: A Challenge for Diagnosis of Pulmonary Arterial Hypertension

F. Zoreka, H. Bouvaist, E. Vautrin, S. Marliere, R. Guerbaai, J. Labarere, G. Vanzetto and C. Pison
Int J Respir Pulm Med Volume 2, Issue 1

Abstract: Background: International registries report an aging population suffering from PAH (Pulmonary Artery Hypertension) engendering diagnosis difficulties linked with growing cases of group 2 related to left heart failure with preserved Ejection Fraction (PH-HFpE). Pulmonary Capillary Wedge Pressure (PCWP) measurement by right heart catheterization remains a technical challenge for patient classification; many centers still use digital PCWP given by cath lab software. Here, we have tried to demonstrate misclassification impact of this approximation. Methods: We investigated the PCWP-Left Ventricular End Diastolic Pressure (LVEDP) relationship in a prospective series of 31 patients undergoing heart catherization for suspicion of PAH.

PDF   | Full Text   DOI: 10.23937/2378-3516/1410010

Research Article Open Access

Halotherapy in Patients with Cystic Fibrosis: A Pilot Study

Morhaf AlAchkar, David E. Geller, Amanshe Perera Slaney and Daniel T Layish
Int J Respir Pulm Med Volume 2, Issue 1

Abstract: Objectives: Cystic fibrosis (CF) is a complex genetic disorder of the lower and upper respiratory tract. The purpose of this study is to evaluate the effect of Halotherapy on sinusitis symptoms, dyspnea, pulmonary function tests, and quality of life in CF patients. Study design: This was a pilot open-label before-and-after-study. Settings: The study was performed at the Orlando Salt Room. Participants were from a single CF care center, and were enrolled in the study between January and June, 2012.

PDF   | Full Text   DOI: 10.23937/2378-3516/1410009

Research Article Open Access

Continuous Abstinence Rates at 3, 6, 9 and 12 Months in a Smoking Cessation Unit at the Albacete University Hospital Over 2 Years

Callejas Gonzalez FJ, Genoves Crespo M, Cruz Ruiz J, Tornero Molina AI, Esquinas Lopez C, Bermejo Lopez P, Garcia Castillo S, Martinez Garcia AJ, Rodriguez Montes JA5 and Tarraga Lopez PJ
Int J Respir Pulm Med Volume 2, Issue 1

Abstract: 838 patients referred 559 attended to and only 278 treated (33%); 55.4% males and 44.6% females; mean age of 46.4 years. The most important comorbidities were psychiatric (36.3%), cardiovascular (dyslipidemia 30.2%, hypertension 19.1%, diabetes 9.4%) and respiratory (chronic obstructive pulmonary disease (COPD), 15.1%; Obstructive Sleep Apnea Syndrome (OSAS), 11.9%; asthma, 7.6%). Treatments included varenicline (VRN), 36.7%, nicotine replacement therapy (NRT), 43.4%, bupropion, 13.3%, and psychological counseling only for 7.9%.

PDF   | Full Text   DOI: 10.23937/2378-3516/1410008

Volume 2
Issue 1