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What goes down, must come up: oscillation, obstruction and lung physiology最新文献

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S44 Bronchodilator response for airway oscillometry in severe eosinophilic asthma 支气管扩张剂对重度嗜酸性哮喘气道振荡测量的影响
Pub Date : 2021-11-01 DOI: 10.1136/thorax-2021-btsabstracts.50
R. Chan, C. Kuo, B. Lipworth
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引用次数: 0
S43 Repeatability of impulse oscillometry in patients with severe asthma 重度哮喘患者脉冲振荡测量的重复性
Pub Date : 2021-11-01 DOI: 10.1136/thorax-2021-btsabstracts.49
R. Chan, B. Lipworth
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引用次数: 0
S46 Lung function and pulmonary symptoms in classical and late-onset fabry disease 经典和迟发性法布里病的肺功能和肺部症状
Pub Date : 2021-11-01 DOI: 10.1136/thorax-2021-btsabstracts.52
A. Shah, N. Shafi, A. Saigal, S. Mandal, M. Lipman, D. Hughes
IP-10) and cytokines (IL-6, IL-1). CS leads to fever, hypotension, coagulopathy, respiratory failure, ARDS, and death. Lenzilumab is a novel Humaneered ® anti-human GM-CSF monoclonal antibody that binds GM-CSF and prevents signaling through its receptor. The LIVE-AIR Phase 3 randomized, double-blind, placebo-controlled trial investigated the efficacy and safety of lenzilumab to improve the likelihood of ventilator-free survival (referred to herein as survival without ventilation, SWOV), beyond standard suppor-tive care, in hospitalized subjects with severe COVID-19. Background The hyperinflammatory cytokine storm (CS) of COVID-19 is mediated by GM-CSF leading to release of downstream inflammatory chemokines, cytokines, and markers of systemic inflammation (C-reactive protein, CRP). The LIVE-AIR study demonstrated that lenzilumab, an anti-GM-CSF monoclonal antibody in patients hospitalized with COVID-19, safely improved the likelihood of achieving the primary endpoint, survival without ventilation (SWOV) by 1.54-fold (HR: 1.54; 95%CI: 1.02 – 2.32, p=0.0403) compared with placebo. An exploratory analysis in patients with CRP<150 mg/L and age<85 years was conducted to deter-mine lenzilumab efficacy when administered prior to advanced inflammation.
和细胞因子(IL-6, IL-1)。CS可导致发热、低血压、凝血功能障碍、呼吸衰竭、急性呼吸窘迫综合征和死亡。Lenzilumab是一种新型Humaneered®抗人GM-CSF单克隆抗体,可结合GM-CSF并通过其受体阻止信号传导。LIVE-AIR 3期随机、双盲、安慰剂对照试验研究了lenzilumab在标准支持治疗之外提高重症COVID-19住院患者无呼吸机生存(此处称为无通气生存,SWOV)可能性的有效性和安全性。背景COVID-19的高炎症细胞因子风暴(CS)由GM-CSF介导,导致下游炎症趋化因子、细胞因子和全身炎症标志物(c反应蛋白,CRP)的释放。LIVE-AIR研究表明,lenzilumab是一种抗gm - csf单克隆抗体,用于住院的COVID-19患者,安全提高了实现主要终点的可能性,无通气生存期(SWOV)提高了1.54倍(HR: 1.54;95%CI: 1.02 ~ 2.32, p=0.0403)。对CRP< 150mg /L且年龄<85岁的患者进行了探索性分析,以确定在晚期炎症之前给予lenzilumab的疗效。
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引用次数: 0
S42 Correlation of measurement of small airways indices in a population of firefighters 消防人员小气道指数测量的相关性
Pub Date : 2021-11-01 DOI: 10.1136/thorax-2021-btsabstracts.48
J. Feary, T. Kabir, S. Schofield, P. Cullinan
the use of impulse oscillometry (IOS) in of may on the first 203 individuals cohort of We significant bronchodilator response an improvement in forced expiratory volume in one second (FEV1) of 12% and 200mls following administration of inhaled bronchodilator. We also collected information on smoking and self-reported breathlessness using the Dyspnoea-12 questionnaire (maximum score of 36) and explored correlations between different measurements of small airways function. and year of Overall, 32 (16%) had a of asthma (ever), 15 (8%) had evi-dence of significant bronchodilator reversibility and 3 (2%) were taking asthma treatment. The majority (73%) reported no breathless (Dyspnoea-12 score of zero). The mean percent-age predicted pre-bronchodilator FEV1, forced vital capacity (FVC) and forced expiratory flow at 25 – 75% of FVC (FEF25 – 75) were 98%, 102% and 92% respectively using GLI reference equations. The correlation between FEF25 – 75 and frequency dependence of resistance (R5-R20) was (-0.35
使用脉冲振荡测量法(IOS)在5月份的前203名受试者中,我们的支气管扩张剂反应显著,吸入支气管扩张剂后一秒钟用力呼气量(FEV1)改善了12%和200ml。我们还使用呼吸困难-12问卷(最高36分)收集了吸烟和自我报告的呼吸困难的信息,并探讨了小气道功能不同测量值之间的相关性。总体而言,32例(16%)患有哮喘(曾经),15例(8%)有明显的支气管扩张剂可逆性,3例(2%)正在接受哮喘治疗。大多数(73%)报告无呼吸困难(呼吸困难-12评分为零)。使用GLI参考方程预测25 - 75% FVC (FEF25 - 75)时支气管扩张剂前FEV1、用力肺活量(FVC)和用力呼气流量(FEF25 - 75)的平均百分比分别为98%、102%和92%。FEF25 - 75与电阻频率依赖性(R5-R20)的相关系数为(-0.35)
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引用次数: 0
S45 A puff of sugar and a pinch of (speech & language therapy) SALT: is the mannitol challenge test a useful ingredient in the assessment of inducible laryngeal obstruction?
Pub Date : 2021-11-01 DOI: 10.1136/thorax-2021-btsabstracts.51
C. Slinger, A. Vyas, H. Lever, R. Slinger, J. Silva, C. Prior
S44 Figure 1 Spoken sessions A32 Thorax 2021;76(Suppl 2):A1–A205 on A ril 2, 2022 by gest. P rocted by coright. httphorax.bm jcom / T hrax: frst pulished as 10.113orax-2021-B T S absacts.51 on 8 N ovem er 221. D ow nladed fom Conclusions In assessment for causation of breathlessness, observations of the inspiratory arm of the FVL during MCT may provide clues to the experienced clinician. MCT has potential to be a useful adjunct in the assessment for ILO. However, due to poor inter-rater reliability, further studies are needed to improve our understanding. Further prospective studies are needed, ideally with MCT and concurrent laryngoscopy to further investigate the utility in assessment for ILO. S46 LUNG FUNCTION AND PULMONARY SYMPTOMS IN CLASSICAL AND LATE-ONSET FABRY DISEASE AJ Shah, N Shafi, A Saigal, S Mandal, M Lipman, DA Hughes. Thoracic Department, Royal Free London Foundation NHS Trust, London, UK; UCL Respiratory, London, UK; Haematology Department, Royal Free London NHS Foundation Trust, London,
S44图1口语会话A32胸腔2021;76(增刊2):A1-A205在2022年4月2日。P由赖特保护。httphorax。[jj.com / T hrax]首次发表为10.113orax-2021-B T S摘要。]51在8n / 221。在评估呼吸困难的原因时,观察MCT过程中FVL的吸气臂可以为经验丰富的临床医生提供线索。MCT有可能成为劳工组织评估的有用辅助。然而,由于评估者间信度较差,需要进一步的研究来提高我们的理解。需要进一步的前瞻性研究,理想的是MCT和并发喉镜检查,以进一步研究在国际劳工组织评估中的效用。[46]陈建军,李建军,李建军,等。慢性法布里病的肺功能与肺部症状。英国伦敦皇家自由伦敦NHS信托基金会胸外科;伦敦大学呼吸学院,伦敦,英国;伦敦皇家自由NHS基金会信托血液科,
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引用次数: 0
S47 Hard to swallow; incidence of oropharyngeal dysphagia in inducible laryngeal obstruction (ILO) 难以下咽;诱导性喉梗阻患者口咽吞咽困难的发生率
Pub Date : 2021-11-01 DOI: 10.1136/thorax-2021-btsabstracts.53
H. Lever, K. Prior, A. Vyas, C. Slinger
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引用次数: 0
期刊
What goes down, must come up: oscillation, obstruction and lung physiology
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