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Upper Airway Cough Syndrome

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1. Upper airway cough syndrome

conditions. UACS was formerly known as postnasal drip syndrome; however, the term UACS is now preferred. Pratter M. Chronic upper airway cough syndrome secondary to rhinosinus diseases (previously referred to as postnasal drip syndrome): ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 suppl):63S-71S. http://journal.publications.chestnet.org/article.aspx?articleid=1084239 http://www.ncbi.nlm.nih.gov/pubmed/16428694?tool=bestpractice.com This is because it is unclear whether (...) Upper airway cough syndrome Upper airway cough syndrome - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Upper airway cough syndrome Last reviewed: February 2019 Last updated: September 2018 Summary Chronic cough that occurs with coexisting upper airway symptoms, including abnormal sensations arising from the throat and a postnasal drip sensation. Sensations attributed to nasal disease may actually be manifestations

2018 BMJ Best Practice

2. Upper airway cough syndrome

conditions. UACS was formerly known as postnasal drip syndrome; however, the term UACS is now preferred. Pratter M. Chronic upper airway cough syndrome secondary to rhinosinus diseases (previously referred to as postnasal drip syndrome): ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 suppl):63S-71S. http://journal.publications.chestnet.org/article.aspx?articleid=1084239 http://www.ncbi.nlm.nih.gov/pubmed/16428694?tool=bestpractice.com This is because it is unclear whether (...) Upper airway cough syndrome Upper airway cough syndrome - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Upper airway cough syndrome Last reviewed: February 2019 Last updated: September 2018 Summary Chronic cough that occurs with coexisting upper airway symptoms, including abnormal sensations arising from the throat and a postnasal drip sensation. Sensations attributed to nasal disease may actually be manifestations

2018 BMJ Best Practice

3. Computational Modelling of Cough Function and Airway Penetrant Behavior in Patients with Disorders of Laryngeal Function Full Text available with Trip Pro

% PCF). The proportion that cleared in Cases 1 and 4 was 37.5%.Airway modelling may be beneficial to the study of aspiration in patients with impaired cough function including those with upper airway and neurological diseases. It can be used to enhance understanding of cough flow dynamics within the airway and to inform strategies for treatment with "cough-assist devices" or devices to improve cough strength.N/A. (...) Computational Modelling of Cough Function and Airway Penetrant Behavior in Patients with Disorders of Laryngeal Function Patients with laryngeal disorders often exhibit changes to cough function contributing to aspiration episodes. Two primary cough variables (peak cough flow: PCF and compression phase duration: CPD) were examined within a biomechanical model to determine their impact on characteristics that impact airway compromise.Computational study.A Computational Fluid Dynamics (CFD

2017 Laryngoscope investigative otolaryngology

4. Upper Airway Cough Syndrome

Upper Airway Cough Syndrome Upper Airway Cough Syndrome Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Upper Airway Cough Syndrome (...) with a Consider Consider intranasal Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Upper Airway Cough Syndrome." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Nasal Disease About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656

2018 FP Notebook

5. Upper airway obstruction

Upper airway obstruction Printed copies of this document may not be up to date, obtain the most recent version from www.cats.nhs.uk Children’s Acute Transport Service Clinical Guidelines Upper airway obstruction (UAO) Document Control Information Author L.Chigaru Author Position CATS Consultant Document Owner E. Polke Document Owner Position Service Coordinator Document Version Version 4 Replaces Version January 2016 First Introduced Review Schedule 2 Yearly Active Date January 2018 Next Review (...) sign is stridor, which is usually an inspiratory noise, but sometimes can be both inspiratory and expiratory. Not to be confused with: - Wheeze: a sign of lower airway obstruction and narrowing. - Stertor: signifies upper airway collapse in children with decreased conscious state, pharyngeal hypotonia or swallowing problems. Key message Identify and treat serious upper airway obstruction. Once the airway is secure, time can be spent on identifying the specific cause for UAO. Specific points

2018 Children's Acute Transport Service

6. CRACKCast E168 – Pediatric Respiratory Emergencies: Upper Airway Obstruction and Infections

on lateral aspect of the neck, thickened aryepiglottic folds, loss of air in the vallecula Normal upper airway structures, shaggy tracheal air column Management Steroids uncommon, aerosolized epinephrine Intubation, antibiotics Intubation common, antibiotics rare, intubation Notes on a few common congenital diseases: “Laryngomalacia is the most common cause of chronic stridor in infants and accounts for 60% to 75% of congenital laryngeal anomalies. It is a result of incomplete development (...) CRACKCast E168 – Pediatric Respiratory Emergencies: Upper Airway Obstruction and Infections CRACKCast E168 – Pediatric Respiratory Emergencies: Upper Airway Obstruction and Infections - CanadiEM CRACKCast E168 – Pediatric Respiratory Emergencies: Upper Airway Obstruction and Infections In , , by Adam Thomas April 9, 2018 This episode of CRACKCast Covers Rosen’s Chapter 167, Pediatric Upper Airway Emergencies. Stridor is a very common presentation and this episode will help out with diagnosis

2018 CandiEM

7. Somatic Cough Syndrome (Previously Referred to as Psychogenic Cough) and Tic Cough (Previously Referred to as Habit Cough) in Adults and Children

to a psychologist and/or psychiatrist (Grade 2C) . Cough occurring in the absence of identifi ed medical disease and that does not respond to medical treatment has sometimes been labeled as psychogenic cough, habit cough, or tic cough . Although these putative disorders should be diff erentially diagnosed from other forms of chronic cough, such as chronic refractory cough, unexplained cough, upper airway cough syndrome, vocal cord dysfunction syndrome, and cough hypersen- sitivity syndrome, there are currently (...) childhood conditions, such as tracheomalacia 9 ; in a prospective study in adults, 10 it has been reported that a barking or honking cough can be due to a variety of diseases, such as bronchiectasis, gastroesophageal refl ux disease, and postnasal drip syndrome (ie, now referred to as upper airway cough syndrome). Although sleep disruption can occur because of coughing, it has been reported in prospective studies in adults that cough due to a variety of diseases, such as chronic bronchitis

2015 American College of Chest Physicians

8. Comparison of the upper and lower airway microbiota in children with chronic lung diseases. Full Text available with Trip Pro

Comparison of the upper and lower airway microbiota in children with chronic lung diseases. The lower airway microbiota is important in normal immunological development and chronic lung diseases (CLDs). Young children cannot expectorate and because of the uncertainty whether upper airway samples reflect the lower airway microbiota, there have been few longitudinal paediatric studies to date.To assess whether throat swabs (TS) and cough swabs (CS) are representative of the lower airway (...) lower airway samples and TS (P > 0.05). Less than 6.31% of beta diversity variation related to sampling method for TS (P = 0.001). Variation between pathologies and individual patients was greater (20%, 54% respectively P ≤ 0.001) than between TS and lower airway samples. There was strong correlation in the relative abundance of genera between samples (r = 0.78, P < 0.001). Similarity between upper and lower airway samples was observed to be less for individuals where one sample type was dominated

2018 PLoS ONE

9. The prevalence, co-detection and seasonal distribution of upper airway viruses and bacteria in children with acute respiratory illnesses with cough as a symptom. Full Text available with Trip Pro

The prevalence, co-detection and seasonal distribution of upper airway viruses and bacteria in children with acute respiratory illnesses with cough as a symptom. Most studies exploring the role of upper airway viruses and bacteria in paediatric acute respiratory infections (ARI) focus on specific clinical diagnoses and/or do not account for virus-bacteria interactions. We aimed to describe the frequency and predictors of virus and bacteria codetection in children with ARI and cough (...) , irrespective of clinical diagnosis. Bilateral nasal swabs, demographic, clinical and risk factor data were collected at enrollment in children aged <15 years presenting to an emergency department with an ARI and where cough was a symptom. Swabs were tested by polymerase chain reaction for 17 respiratory viruses and seven respiratory bacteria. Logistic regression was used to investigate associations between child characteristics and codetection of the organisms of interest. Between December 2011 and August

2016 Clinical Microbiology and Infection

10. Cough (acute): antimicrobial prescribing

associated Cough (acute): antimicrobial prescribing (NG120) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 5 of 36with an upper respiratory tract infection or acute bronchitis unless the person has an underlying airways disease, such as asthma: an oral or inhaled bronchodilator (for example, salbutamol) or or an oral or inhaled corticosteroid. 1.1.7 Do not offer a mucolytic (for example acetylcysteine or carbocisteine (...) , pneumothorax, pulmonary embolism, heart failure, use of certain medicines (for example, an angiotensin-converting enzyme inhibitor), upper airway cough syndrome (post-nasal drip), or gastro-oesophageal reflux disease. (NICE clinical knowledge summaries on cough, chest infections – adult, cough – acute with chest signs in children and Ebell et al. 2013). Acute bronchitis Acute bronchitis is a lower respiratory tract infection with temporary inflammation of the airways (the trachea and major bronchi

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

11. Prevalence of Arnold nerve reflex in subjects with and without chronic cough: Relevance to Cough Hypersensitivity Syndrome. (Abstract)

Prevalence of Arnold nerve reflex in subjects with and without chronic cough: Relevance to Cough Hypersensitivity Syndrome. Cough is induced by stimulation of structures innervated by the vagus nerve, including the upper and lower airways and distal esophagus. The Arnold nerve reflex describes cough resulting from stimulation of the external auditory canal, which is innervated by the auricular branch of the vagus. We have recently reported the increased prevalence of this reflex in adults (...) reflex was present in 2%.The greater than 11-fold prevalence of the Arnold nerve reflex in adults with chronic cough compared with healthy volunteers and adults with respiratory disease but without chronic cough, supports the concept of the Cough Hypersensitivity Syndrome (CHS), in which vagal hypersensitivity is proposed to underlie chronic refractory cough. The absence of increased prevalence among children with chronic cough suggests that CHS is an acquired condition, perhaps triggered by viral

2018 Pulmonary Pharmacology & Therapeutics

12. Managing Chronic Cough as a Symptom in Children and Management Algorithms: CHEST Guideline and Expert Panel Report

the management 114 on the etiology of the cough. An empirical approach aimed at treating upper airway 115 cough syndrome due to a rhinosinus condition, gastroesophageal reflux disease and/or 116 asthma should not be used unless other features consistent with these conditions are 117 present (Grade 1A). 1 118 11. For children aged =14-years with chronic cough, we suggest that if an empirical trial is 119 used based on features consistent with a hypothesized diagnosis, the trial should be of a 120 defined (...) cough syndrome due to a rhinosinus 514 condition or asthma). The following are recommended/suggested: 515 10. For children aged =14-years with chronic cough, we recommend basing the management 516 on the etiology of the cough. An empirical approach aimed at treating upper airway 517 cough syndrome due to a rhinosinus condition, gastroesophageal reflux disease and/or 518 asthma should not be used unless other features consistent with these conditions are 519 present (Grade 1A). 1 520 11. For children

2020 American College of Chest Physicians

13. Assessment of chronic cough

historical features, elimination of alternative causes, and response to targeted therapies (therapeutic trials serve as tests). Nonetheless, a careful history, along with selected therapeutic trials and/or diagnostic evaluations performed in a systematic and informed way, may satisfactorily resolve cough in over 90% of cases. Differentials Upper airway cough syndrome (UACS; postnasal drip) Asthma Gastro-oesophageal reflux disease (GORD) Non-asthmatic eosinophilic bronchitis (NAEB) Chronic bronchitis/COPD (...) Angiotensin-converting enzyme inhibitor (ACE inhibitor) Pneumonia Post-infectious cough Bordetella pertussis infection Lung cancer Bronchiectasis and chronic suppurative lung disease Interstitial pulmonary fibrosis Sarcoidosis Tuberculosis (TB) Zenker’s diverticulum Thoracic aortic aneurysm (TAA) Foreign body Hypersensitivity pneumonitis Bronchiolitis Recurrent aspiration Tropical filarial pulmonary eosinophilia Somatic cough syndrome (psychogenic cough) Contributors Authors Clinical Assistant Professor

2018 BMJ Best Practice

14. Eosinophilic airway inflammation is common in subacute cough following acute upper respiratory tract infection. (Abstract)

eosinophilia improved after treatment with corticosteroids. Compared with postinfectious cough (PIC) and NAEB, CVA had significantly higher median eosinophil count in induced sputum (0.5% vs 7.5% vs 20.0%, P < 0.01). MMEF in CVA was significantly lower than PIC and NAEB (P < 0.05). The common causes of subacute cough following acute upper respiratory tract infection (AURTI) were PIC (37.8%), NAEB (18.5%), CVA (14.3%) and upper airway cough syndrome (UACS) (10.1%). Atopic cough (AC) (5.2 (...) Eosinophilic airway inflammation is common in subacute cough following acute upper respiratory tract infection. Patients presenting with refractory postinfectious cough may respond to glucocorticosteroids but it is unclear whether airway eosinophilic inflammation exists in those patients. We aimed to determine the airway inflammation and causes of subacute cough following acute upper respiratory tract infection (AURTI).One hundred and sixteen patients with persistent cough lasting 3-8 weeks

2016 Respirology

15. Bronchoscopic thermal vapour ablation for upper-lobe emphysema

and procedure The condition, current treatments and procedure The condition 2.1 Emphysema is a chronic lung disease that typically happens with chronic obstructive pulmonary disease. In emphysema, the walls of the air sacs (alveoli) in the lungs weaken and disintegrate. This leaves behind abnormally large air spaces that stay filled with air even when the patient breathes out. The most common symptoms of emphysema are shortness of breath, coughing, fatigue and weight loss. Recurrent illnesses (such as chest (...) is usually done using general anaesthesia. A bronchoscope is passed down the airway to the diseased areas of the lung. The most severely affected and hyper- inflated lung segments are targeted for treatment. A catheter is used to deliver a patient-specific predetermined dose of thermal vapour through the bronchoscope. A balloon at the tip of the catheter is inflated to seal off the Bronchoscopic thermal vapour ablation for upper-lobe emphysema (IPG652) © NICE 2019. All rights reserved. Subject to Notice

2019 National Institute for Health and Clinical Excellence - Interventional Procedures

16. Upper Airway Obstruction Assessment: Peak Inspiratory Flow and Clinical COPD Questionnaire. (Abstract)

Upper Airway Obstruction Assessment: Peak Inspiratory Flow and Clinical COPD Questionnaire. Spirometric evaluation of upper airway obstruction (UAO) is not commonly performed by Otolaryngologists. In addition, functional evaluation of UAO by flow-volume loops (FVL) is not available in all clinical settings. More recently, peak inspiratory flow (PIF) has proven to be a useful tool to monitor UAO at the patient's bedside. The aim of this work is to assess the role of PIF measured with a simple (...) , with a non-expensive hand-held device, and could help medical follow-up programmes and prevent emergency situations. However, FVL may be necessary for further assessment of UAO diseases. The CCQ confirms that exertional dyspnoea is the main symptom of UAO, but cough remains a common symptom.© 2018 John Wiley & Sons Ltd.

2018 Clinical Otolaryngology

17. Cough Due to Tuberculous and Other Chronic Infections

complications due to cigarette smoking, and outdoor or indoor air pollution including biomass smoke inhalation, as well as asthma, gastroesophageal re?ux disease, upper airway disease, and angiotensin- converting-enzyme-inhibitor-induced cough. This report updates the 2006 American College of Chest Physicians (CHEST) guideline chapter on cough due to TB and other chronic infections. 11 It aims to determine the optimal time to test patients with cough for pulmonary TB; whether screening for the other WHO (...) resolution in cavitary compared with noncavitary pulmonary TB. Whether there are characteristic features that distinguish cough due to nontuberculous mycobacteria, fungal disease, or paragonimiasis from other conditions was also examined. chestjournal.org 469Methods The methodology of the CHEST Guideline Oversight Committee was used to select the Expert Cough Panel chair and the International Panel of Experts to perform the systematic review, synthesis of the evidence, and development ofthe

2018 American College of Chest Physicians

18. Classification of Cough as a Symptom in Adults and Management Algorithms

function tests; UACS¼ upper airway cough syndrome. See Table 2 and 3 legends for expansion of other abbreviations. 206 Evidence-Based Medicine [ 153#1 CHEST JANUARY 2018 ]Upper Airway Cough Syndrome (UACS) secondary to rhinosinus diseases Consider: • Sinus imaging • Nasopharyngoscopy • Allergy evaluation or empiric treatment Asthma Ideally evaluate: • Spirometry • Bronchodilator reversibility • Bronchoprovocation challenge • Allergy evaluation or empiric treatment Non-asthmatic Eosinophilic Bronchitis (...) management as of 2017. CHEST 2018; 153(1):196-209 KEYWORDS: cough; evidence-based medicine; guidelines; management algorithms for acute, subacute, and chronic cough in adults ABBREVIATIONS: AECOPD = acute exacerbation of COPD; CHEST = American College of Chest Physicians; PICO = population, interven- tion, comparator, outcome; QoL = quality of life; NAM = National Academy of Medicine; UACS = upper airway cough syndrome AFFILIATIONS: From the UMassMemorial Medical Center (Drs Irwin and French), Worcester

2018 American College of Chest Physicians

19. COVID-19 Airway Management Principles Full Text available with Trip Pro

. These patients may present for emergency surgery for unrelated conditions. Staff safety The highest viral load of SARS-CoV-2 appears in sputum and upper airway secretions [1]. Tracheal intubation is a potentially high-risk procedure for the airway manager, particularly as it risks exposure to a high viral load and if transmission occurs to HCWs this may be associated with more severe illness [4]. For this reason, airway managers should take all necessary precautions. This is clearly an area of great (...) syndrome-corona virus-2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19), is a single-stranded ribonucleic acid (RNA) encapsulated corona virus and is highly contagious. Transmission is thought to be predominantly by droplet spread (i.e. relatively large particles that settle in the air), and direct contact with the patient or fomites, rather than ‘airborne spread’ (in which smaller particles remain in the air longer) [1,2]. Procedures during initial airway management and in intensive

2020 ICM Anaesthesia COVID-19

20. Upper airway cough syndrome in children and two inflammatory factors: TRPV1 and TGF-β2. (Abstract)

Upper airway cough syndrome in children and two inflammatory factors: TRPV1 and TGF-β2. The aim of the study was to investigate upper airway cough syndrome (UACS) in children and to determine alternative methods to explore the relationships among TRPV1, TGF-β2, and UACS.In 2012, 104 children with adenoid hypertrophy aged 2-13 years who were admitted to the otolaryngology department, Capital Institute of Pediatrics-affiliated children's hospital, were included in this study. Enzyme-linked (...) were performed. In stage 3, 41 children were enrolled in this research who had thick mucus secretions in the posterior nasal apertures in stage 1 and 2 (23 cases with chief complaint (or history) of chronic cough and 18 cases without). The difference between the TRPV1 and TGF-β2 serum values and the clinical factors was determined.The levels of TRPV1 and TGF-β2 were significantly increased in the UACS cases. OSAHS and thick mucus secretions correlated with a diagnosis of UACS. A history of asthma

2013 International Journal of Pediatric Otorhinolaryngology

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