ICU scoring and clinical decision making.
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APACHE↗
Biomedical subjects
R C Hyzy
Publications and source records attributed to R C Hyzy.
Hypercapnic respiratory failure due to L-tryptophan-induced eosinophilic polymyositis.
A 24-year-old man presenting with fever, rash, and myalgias subsequently developed hypercapnic respiratory failure and severe limb muscle weakness. Muscle biopsy revealed eosinophilic myositis, due to the ingestion of large quantities of L-tryptophan as a dietary supplement. Complete recovery occurred with corticosteroid administration. Significant involvement of the respiratory muscles can be a predominant feature of this newly described disease entity.
Adult↗
Chylothorax after childbirth.
We report a case of chylothorax which appeared in a mother after childbirth. Disruption of the thoracic duct occurred with the high intrathoracic pressures generated by the Valsalva maneuver used by the patient during labor to "push." No evidence of other trauma or malignancy were found and the patient did well after use of total parenteral nutrition, thoracotomy with thoracic duct ligation, and pleurodesis.
Adult↗
Invasive techniques in the diagnosis of bacterial pneumonia in the intensive care unit.
Bacterial nosocomial pneumonia represents the greatest infectious risk for morbidity and mortality for patients requiring intensive care and mechanical ventilation. The occurrence of purulent respiratory secretions and new infiltrates on chest radiograph generally necessitates broad-spectrum antibiotic therapy due to the lack of a safe, reliable method of determining the presence or absence of bacterial pneumonia. This article reviews the currently available invasive techniques for the diagnosis of bacterial pneumonia in the intensive care patient, with particular emphasis on the bronchoscopic methods using protected specimen brushes and bronchoalveolar lavage. The reliability, risks, and techniques of the various procedures are compared and contrasted.
Bacterial Infections↗