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| | Lung Volume Reduction Revisited |
 | | Lung volume reduction surgery combined with medical treatment in a carefully selected group of patients yields significant gains in lung function, exercise tolerance, and quality of life measures compared with medical treatment alone. | | | The Canadian Lung Volume Reduction (CLVR) surgery study and the Overholt–Blue Cross Emphysema Surgery Trial (OBEST) are two independent, multicenter, randomized clinical trials that compared LVRS plus optimal medical therapy with medical treatment alone. | | | All patients underwent standardized laboratory tests of lung function, chest radiography, and CT. Health-related quality of life was measured according to the disease-specific chronic respiratory disease questionnaire (CRDQ) and the Medical Outcomes Study 36-item short form. |
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http://www.pulmonaryreviews.com/jul05/lungvolreducsurg.html
(1148 words)
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| | Postgraduate Medicine: Symposium: Surgery for severe COPD |
| | Surgical techniques have been based on the premise that patients with severe emphysema have lungs that are relatively larger than the size of their chest cavity and that this imbalance is responsible for the failure of medical therapy and such patients' inexorable decline. | | | Effect of surgical lung volume reduction on respiratory muscle function in pulmonary emphysema. | | | Laser therapy for LVRS is applied either in direct contact with the lung surface or as a beam directed at the lung from a distance. |
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http://www.postgradmed.com/issues/1998/04_98/obrien.htm
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| | Lung Volume Reduction Surgery |
| | Lung volume reduction surgery is a surgical treatment for patients with severe emphysema involving the excision of peripheral emphysematous lung tissue. | | | Overall, lung volume reduction surgery increases the chance of improved exercise capacity but does not confer a survival advantage over medical therapy; the functional benefits of lung volume reduction surgery came at the price of increased short-term mortality and morbidity. | | | The precise mechanisms of clinical improvement for patients undergoing lung reduction surgery has not been firmly established. |
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http://www.regence.com/trgmedpol/surgery/sur31.html
(1221 words)
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| | Lung surgery |
| | Volume reduction surgery is a newer surgery used to help relieve shortness of breath and increase tolerance for exercise in patients with chronic obstructive pulmonary disease, such as emphysema. | | | Lung surgery procedures will vary depending on the underlying cause of the surgical test or intervention. | | | Patients should continue to follow treatment for the underlying condition, unless instructed otherwise by the physician, and should discuss medications and changes in condition with their physician prior to the surgery. |
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http://www.healthatoz.com/healthatoz/Atoz/ency/lung_surgery.jsp
(1144 words)
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| | LVRS (Lung Volume Reduction Surgery) FAQ |
| | Lung volume reduction surgery (LVRS) is a surgical procedure where the worst areas of damaged lung tissue are removed. | | | All patients, whether surgical candidates or not, are evaluated for and prescribed a pulmonary rehabilitation program by the rehabilitation medical physician during their evaluation at the Center. | | | All arrangements are made with the patient and his or her family and the staff at the Center for Lung Failure. |
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http://www.columbiasurgery.org/divisions/cardiothoracic/dd_copd_lvrsfaq.html
(508 words)
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| | Lung Volume Reduction - Information Guide |
| | Lung volume reduction surgery has helped many patients to have improved lung function and better quality of life because their lungs are more able to expand and contract. | | | However, the surgery is risky since patients have decreased lung function and are quite ill before the surgery because of their emphysema. | | | People are first identified as candidates for the trial based on information provided by their physician, which should include a medical history, chest x-ray, and results of spirometry and EKG tests (which evaluate the condition of the lungs and heart, respectively). |
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http://www.lungvolumereduction.com
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| | Lung Volume Reduction Surgery |
| | Thus, air is trapped in the lungs, the chest wall expands and the muscles of respiration (including the diaphragm) which inflate the lungs have a more difficult time doing their job. | | | Following pulmonary rehabilitation, and final evaluation patients are randomly assigned to treatment by lung volume reduction surgery or continued medical treatment. | | | hortly after the development of feasible techniques physicians and surgeons around the country began performing lung volume reduction surgery in selected patients with emphysema. |
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http://www.lij.edu/lijh/pulmonary/nett/ne-main.html
(1280 words)
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| | Benefit From Lung Volume Reduction Surgery? - Lungs: pulmonary and respiratory health and medical information produced ... |
| | Numerous studies since the 1950s have suggested that surgical resection of the diseased portion of the lungs (lung volume reduction surgery) may benefit patients with emphysema. | | | Patients at 17 participating major medical centers in the USA are randomly assigned to receive either maximal medical therapy or the lung volume reduction surgery. | | | I should point out, however, that oxygen therapy is the only treatment that has been associated with an actual improvement (increase) in the duration of life (survival) for certain patients with emphysema. |
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http://www.medicinenet.com/script/main/art.asp?articlekey=19550
(752 words)
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| | Lung Volume Reduction Surgery |
| | The most common complication is air leakage from the stapled edge of the lung tissue into the chest cavity. | | | At the time of surgery, chest tubes are inserted through the chest wall into the space surrounding the lungs. | | | A videoscope is placed through one of the incisions, which allows the surgeon to see the lungs. |
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http://ummsdev.isg.syssrc.com/thoracic/lung_vol_redu.html
(806 words)
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| | [No title] |
| | Restrictive diseases due to stiffening of the lungs or chest wall decrease RV. | | | In practice the techniques are used to measure FRC, and then RV is determined by subtracting expiratory reserve volume when measured by any of the techniques. | | | When a patient’s vital capacity is reduced there is a primary problem involving the lung. |
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http://www.ursa.kcom.edu/Department/LectureNotes/Summer/LungVolumes.doc
(1207 words)
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| | Emphysema Treatment: Lung Volume Reduction Surgery (LVRS) |
| | Imaging studies including chest x-ray, CAT scan, and lung perfusion studies are done to determine this. | | | Most importantly, the patient must have a pattern of emphysema that is amenable to surgical management. | | | Once all necessary information has been assembled, the patient will then be discussed in the USC Cardiothoracic Surgery Lung Failure Management Conference to discuss whether LVRS should be offered to the patient. |
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http://www.cts.usc.edu/lungvolumereductionsurgery.html
(991 words)
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| | Lung Volume Reduction Surgery Success Story |
| | Once at the lung, the surgery is identical -- as much as 30 percent of the lung is removed and the lung is then resealed with a stapling device. | | | Lung Volume Reduction Surgery Improves the Life of Emphysema Patient | | | NETT, a five-year, multi-center, randomized study, was designed to determine what is the best treatment for people with severe emphysema: medical management alone, which typically involves medication and rehabilitation; or medical management plus lung volume reduction surgery (LVRS), in which damaged portions of each lung are removed. |
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http://www.umm.edu/thoracic/lvrs_success.html
(1320 words)
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| | NATIONAL EMPHYSEMA TREATMENT TRIAL |
| | For this trial, surgery was performed on both lungs, either by insertion of a tube through the chest wall (bilateral video-assisted thorascopy) or through an incision through the center of the breast bone (median sternotomy). | | | The NETT (National Emphysema Treatment Trial) is a landmark study which clarified short-term and long-term risks and benefits of bilateral lung volume reduction surgery (LVRS) to treat severe emphysema. | | | The non-high-risk survivors in the surgery group initially improved their scores (e.g., lung function, exercise capacity on a bicycle, distance walked in 6 minutes, assessment of quality of life, feelings of shortness of breath); however, over the two years of follow up, the scores declined, on average, to about the same level as before LVRS. |
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http://www.nhlbi.nih.gov/health/prof/lung/nett/lvrsweb.htm
(2848 words)
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| | Lung Volume Reduction Surgery |
| | This procedure allows the remaining lung, diaphragm, and chest cage to function more effectively, improving air flow and allowing patients to breathe more easily. | | | This surgical treatment is designed to remove sections of the most profoundly diseased lung with specialized surgical instruments. | | | The procedure done at the NYU Medical Center is performed through a minimally invasive approach. |
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http://www.med.nyu.edu/cvsurgery/en/info/thoracic/lvred.html
(217 words)
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| | Lung Volume Reduction Surgery Fact Sheet - American Lung Association site |
| | Lung Volume Reduction Surgery (LVRS) is a procedure to help people with severe emphysema. | | | The surgery can be open-chest, with a large incision allowing the lungs to be seen directly, or less invasive, through video-assisted thoracic surgery (VATS), where a series of small cuts are made. | | | The information contained in this American Lung Association® web site is not a substitute for medical advice or treatment, and the American Lung Association recommends consultation with your doctor or health care professional. |
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http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=992745
(369 words)
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| | Health Topics |
| | Abnormal results usually mean that a degree of chest or lung disease may be present. | | | The most accurate way is for a person to sit in a body plethysmograph, a sealed, transparent box that resembles a telephone booth, while breathing in and out against into a mouthpiece. | | | Reviewed By: David A. Kaufman, M.D., Assistant Professor, Division of Pulmonary, Critical Care and Sleep Medicine, Mount Sinai School of Medicine, New York, NY. |
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http://www.netwellness.org/ency/article/003853.htm
(886 words)
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| | Lung Volume Reduction Surgery (LVRS) |
| | One or more chest tubes are placed during surgery to monitor the air leakage and prevent the collapse of the lung tissue. | | | Lung reduction surgery has a higher risk than heart surgery. | | | This national clinical trial was designed to determine what is the best treatment for people with severe emphysema: medical management alone, which typically involves medication and rehabilitation or medical management plus Lung Volume Reduction Surgery (LVRS), in which damaged portions of each lung are removed. |
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http://www.umm.edu/thoracic/lvrs1.html
(1782 words)
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| | eMedCenter - Lung Volume Reduction |
| | The success of the lung volume reduction surgery program is made possible by the skilled surgeons, pulmonologists, radiologists, anesthesiologists, respiratory therapists and nurses who all have extensive experience working with lung and lung transplant patients. | | | Provides an alternative for patients not suite for lung transplant and for those who have not responded to medication, respiratory care or other medical therapy | | | Creates a dramatic improvement in lung function (45-55% six months following surgery) |
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http://emedcenter.org/pages?NavID=269
(358 words)
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| | NEJM -- A Randomized Trial Comparing Lung-Volume-Reduction Surgery with Medical Therapy for Severe Emphysema |
| | Safety and efficacy of median sternotomy versus video-assisted thoracic surgery for lung volume reduction surgery. | | | Comparison of Lung Volume Reduction Surgery and Physical Training on Health Status and Physiologic Outcomes: A Randomized Controlled Clinical Trial. | | | A Randomized Clinical Trial of Lung Volume Reduction Surgery Versus Best Medical Care for Patients With Advanced Emphysema: A Two-Year Study From Canada. |
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http://content.nejm.org/cgi/content/abstract/NEJMoa030287v1
(2137 words)
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| | MedlinePlus: Emphysema |
| | Lung - Treatment of COPD and Asthma (National Lung Health Education Program) | | | Lung - Diagnosis of COPD and Asthma (National Lung Health Education Program) | | | Lung - Anatomy (National Lung Health Education Program) |
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http://www.nlm.nih.gov/medlineplus/emphysema.html
(216 words)
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| | Lung Volume Reduction Surgery |
| | A panel of recognised authorities comprehensively review the medical, surgical, and pathophysiologic issues relevant to lung volume reduction surgery for emphysema. | | | Topics range from the open technique and video-assisted thoracoscopic approaches to LVRS, to anaesthetic management, to perioperative and nursing care of the patient. | | | * Lung Volume Reduction Surgery: Video-Assisted Thoracoscopic Approaches |
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http://www.mitec.com.au/catalogue/category392/category778/product11084
(226 words)
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| | Lung Volume Reduction Surgery |
| | The surgery itself can be open chest (median sternotomy, like heart surgery) or less invasive (video assisted thoracic surgery). | | | Also, the diaphragm muscle returns to normal shape, working freely and more efficiently. | | | Usually, about 20% to 35% of each lung is taken out. |
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http://www.templehealth.org/lvrs/whatis_lvrs.html
(149 words)
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| | Lung Volume Reduction Surgery |
| | In early 1995, members of the medical community discussed with the NHLBI widespread concerns that hundreds of patients were receiving LVRS despite the fact that its effectiveness had never been established. | | | A randomized clinical trial is the only way to answer the question of whether LVRS helps or harms patients. | | | I am pleased to have this opportunity to address some questions that have arisen regarding lung volume reduction surgery (LVRS) and the Lung Volume Reduction Clinical Trial supported by the National Heart, Lung, and Blood Institute (NHLBI) and the Health Care Financing Administration (HCFA). |
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http://www.hhs.gov/asl/testify/t970417b.html
(950 words)
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| | Barnes-Jewish Hospital - Lung Volume Reduction |
| | This is not a cure but, in selected patients, the procedure provides an alternative to a lung transplant. | | | Lung volume reduction surgery is an innovative emphysema treatment that removes 20 to 30 percent of the lung tissue most damaged by emphysema. | | | Education of patients, families, medical personnel and lay persons |
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http://www.barnesjewish.org/groups?NavID=341
(230 words)
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| | Lung volumes - Wikipedia, the free encyclopedia |
| | the Andes, Mexico City, Tibet and the Himalayas) they will often develop a condition called altitude sickness because their lungs cannot process enough oxygen for their body's needs. | | | These are the basic elements of a ventilatory pulmonary function test. | | | A person who is born and lives at sea level will have a smaller lung capacity than a person who spends their life at a high altitude. |
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http://en.wikipedia.org/wiki/Tidal_volume
(702 words)
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| | Lung Cancer Hospital Surgery Volume. |
| | Research Showing a Correlation Between Higher Volume of Lung Cancer Surgery and Better Patient Outcomes. | | | Volume was calculated for cancer patients undergoing a lobectomy of the lung. | | | Hospital Volume of Lung Cancer Surgery (Complete Lung Lobectomy). |
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http://www.healthcarechoices.com/lungcansurgery.htm
(155 words)
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| | Dynamic Lung Volume Tracker and Controller |
| | Second, to further address the condensation problem, we tried several different filter media directly upstream of the pneumotach and finally settled upon utilization of a heat-and-moisture exchange (HME) filter. | | | Present methods of accounting for lung inflation level require the patient to self-control the lung inflation level at each breathhold. | | | Because scanning of the lung requires several breathhold maneuvers to complete an apex-to-base due to long image acquisition times and cannot be performed in one continuous breathhold, volumetric images are highly dependent upon patient cooperation and is subject to errors caused by patient repeatability and fatigue due to hyperinflation efforts. |
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http://dpi.radiology.uiowa.edu/nlm/volcon/volctrl.html
(1104 words)
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| | measurement of neonatal lung volume |
| | The measurement of residual lung volume is of importance in assessing the development and performance of the respiratory system. | | | The technique is based on the injection of a known mass/volume of air into the lungs that are maintained at constant volume. | | | In this application a new technique is proposed that will enable the measurement both of Lung volume and Lung residual volume. |
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http://medical.kent.ac.uk/research/neonatal/lungvolume.html
(170 words)
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| | Lung Volume Reduction Surgery |
| | Chronic obstructive pulmonary disease (COPD) is permanent obstruction of airflow from the lungs. | | | COPD is the most common respiratory cause of death in the U.S. How does it occur? | | | Patients must also realize that COPD cannot be cured at this time. |
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http://www.templehealth.org/lvrs/about_emphys.html
(430 words)
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| | Lung Volume |
| | This is one page of 11 in this chapter, 191 in this book, and 4701 in the Family Practice Notebook. | | | Volume inspired and expired with each normal breath | | | Volume remaining in lungs at resting expiratory level |
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http://www.fpnotebook.com/LUN100.htm
(142 words)
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| | Lung Volume Reduction Surgery |
| | Welcome to the Lung Volume Reduction Surgery Website. | | | Here you will find information regarding the LVRS procedure, emphysema and the Temple Lung Center. |
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http://www.templehealth.org/lvrs
(23 words)
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| | Find in a Library: Lung volume reduction surgery for emphysema |
| | Find in a Library: Lung volume reduction surgery for emphysema | | | WorldCat is provided by OCLC Online Computer Library Center, Inc. on behalf of its member libraries. |
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http://worldcatlibraries.org/wcpa/ow/9526e17fca1d3ecaa19afeb4da09e526.html
(55 words)
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