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Results 401 - 450 of 827
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Murray A - - 1995
An instrument has been developed for controlled inflation and deflation of an angioplasty balloon. The mean difference between inflation to 800 kPa in air and a simulated coronary artery is 71.2 kPa. The repeatability of four inflation/deflation cycles is 6.4 kPa with the balloon in air and 9.0 kPa in ...
Tingleff J - - 1995
BACKGROUND: Central nervous system damage remains a feared complication after heart operations. Air embolism (AE) is one of several possible causes of central nervous system damage. In previous studies, intraoperative transesophageal echocardiography (ITEE) has been used to detect AE, but identification of the periods of risk and the origin of ...
Saada M - - 1995
Systemic air embolism has been frequently reported after penetrating thoracic trauma. In blunt thoracic trauma, systemic air embolism has been rarely diagnosed, and then only after an invasive procedure such as thoracotomy. Transesophageal echocardiography has been recently introduced for the early assessment of trauma patients and is considered a sensitive ...
Sama A E - - 1995
The restrained (air bag and seatbelt) driver of a vehicle involved in a high-speed motor-vehicle accident sustained a tear of the thoracic aorta with no signs of external injury. Air bag deployment may mask significant internal injury, and a high index of suspicion is warranted in such situations.
Hennrikus W L - - 1995
We studied the effect of three methods of shoulder traction during arthroscopy on arterial oxygen saturation measured by a pulse oximeter applied to the fingertip of the arm in traction. Simple longitudinal traction ablated the oxygen saturation in only 1 of 30 patients. Adding vertical traction perpendicular to the arm ...
- - 1995
Septic shock remains an important cause of death and permanent disability in obstetric and gynecologic patients. Prompt recognition and diagnosis are critical to optimizing outcome. A thorough understanding of the pathophysiologic mechanisms operative in septic shock is important in treating these critically ill women. Immediate attention to oxygenation and hemodynamic ...
Annane D - - 1995
The pathophysiology of arterial air embolism inducing brain injuries remains unclear. Previous experiments demonstrated the usefulness of computed tomography (CT) in the detection of air emboli in canine brain. This canine study investigates CT's ability to detect small air bubbles and to determine the kinetics of air elimination from cerebral ...
Jørgensen J S - - 1995
During initial clinical tests to calibrate our reflectance pulse oximetry system, we observed serious physiologic limitations to the use of pulse oximetry in the forehead region. We present a case of simultaneous reflectance and transmission mode pulse oximetry monitoring in a child undergoing cardiac surgery for congenital cyanotic heart disease ...
Sharma S K - - 1995
This study was undertaken to examine the variation of the arterial to end-tidal PCO2 (Pa-PETCO2) difference during prolonged neurosurgical anaesthesia. Hyperventilation is often used to reduce intracranial pressure in neurosurgical patients. Continuous end-tidal CO2 monitoring is used as a guide between arterial CO2 measurements. We examined the stability of the ...
Bearden E F - - 1995
The care and management of the critically ill patient have seen major advances in the past 20 years. Conventional perfusion-monitoring technologies, as well as new technological advances and their potential impact, are discussed. The following monitoring technologies are reviewed: pulmonary artery pressure, cardiac output, arterial oxygen, mixed venous oxygen, and ...
Sakamoto T - - 1995
We report a patient with meningioma and radiological findings of erosive bony change, who developed venous air embolism via the diploic vein in the eroded inner table of the skull during craniotomy in the sitting position. The findings in our case suggest that preoperative radiological imaging evaluation can increase an ...
Langen H J - - 1995
OBJECTIVE: We artificially widened the extrapleural space with contrast medium or air in 33 cadavers to create a safe extrapleural route to the anterior mediastinum and the posterior mediastinum for large-bore needle biopsies. MATERIAL AND METHODS: Under CT guidance, 120 ml of diluted contrast medium (10%) or 300 ml of ...
Scuplak S M - - 1995
A case of venous air embolism during awake craniotomy is described. Chest pain and electrocardiographic changes were the major presenting features. Capnography detected a decrease in end-tidal carbon dioxide and demonstrates its use as an aid in the diagnosis of air embolism in the awake patient. Following this episode persistent ...
Nijland R - - 1995
OBJECTIVE: We studied the relationship between preductal arterial oxygen saturation and metabolic acidosis in 18 chronically instrumented fetal lambs (gestational age 119 to 133 days) in two experimental designs. In the first group the onset of metabolic acidosis was determined. In the second group the progression of metabolic acidosis was ...
Aikawa H - - 1995
We report a case of cerebral air embolism caused by right subclavian vein catheterization. A large amount of air was seen only over the left cerebral hemisphere on computed tomographic (CT) scans. Although neurological deficit was observed bilaterally at the onset, the degree of ischemic brain damage was far greater ...
Cottrell J J - - 1995
The ability of newer airliners to fly at higher altitudes has resulted in an increased altitude exposure to both airline crews and passengers. This increase in altitude exposure has the potential to place some individuals at risk for desaturation. Using pulse oximetry, the arterial oxygen saturation of 42 airline crew ...
Rescigno G - - 1995
Air embolism is still a major risk of open-heart surgery. Different techniques of air removal have been established, even though none is completely effective. Since 1989 the authors have used a new technique to avoid air passage into the left vent line when the left heart cavities are open. A ...
Sailors R M - - 1995
Pulse oximetry is widely used in critical care medicine to noninvasively estimate arterial hemoglobin oxygen saturation. Despite the obvious benefits of using pulse oximetry to detect life threatening desaturations, it is unknown how well pulse oximetry is able to predict the finer graduations of arterial oxygenation needed for clinical decision ...
Bouros D - - 1995
Studies investigating the epidemiology of tuberculosis in Greece are lacking. Tuberculosis (TB) continues to be a public health problem and its dimensions are not clearly defined. The aim of this study was to estimate the incidence of pulmonary and pleural TB in each of the three branches of military personnel ...
Schlichtig R - - 1995
PvCO2 that would result from full O2Hb desaturation at a given O2-CO2 exchange ratio, in the absence of metabolic acid, may be termed maximum respiratory venous PCO2 (PvmrCO2). This theoretical condition of 100% O2 extraction, in the absence of metabolic acid, should simulate maximum aerobic PCO2 in tissue, provided that ...
Muras I - - 1994
A case of post-traumatic cerebral air embolism is presented. In the chest-X-radiography fractures of many ribs and hemo-pneumothorax were visible on the right side associated with intra-alveolar, interstitial hemorrhages and mediastinal emphysema. At the end of a CT scan of the head appeared features of arterial air embolism. The patient ...
Gross G J - - 1994
Bidirectional cavopulmonary anastomosis (BCA) is thought to be beneficial in the palliation of patients with univentricular congenital heart disease considered at high risk for Fontan repair. Experience with patients undergoing BCA suggested that those who were older or larger at the time of surgery tended to be more cyanotic postoperatively ...
Noll M L - - 1994
Correlations of mixed venous and arterial oxygen saturation, heart rate, respiratory rate, and mean arterial pressure with arterial blood gas variables were computed for 57 sets of data obtained from 30 postoperative coronary artery bypass graft patients who were being weaned from mechanical ventilation. Arterial oxygen saturation and respiratory rate ...
Isert P - - 1994
With the widespread availability of capnography, many anaesthetists have swung away from formally verifying hypocapnia by intraoperative arterial blood gas analysis and, instead, have come to rely upon capnography as an acceptable and constant predictor of arterial CO2 tension (PaCO2) during neurosurgery. However, the nature of the arterial-end-tidal CO2 gradient ...
Buheitel G - - 1994
OBJECTIVE: To assess the reliability of estimation of cardiac index based on the mixed venous oxygen saturation and methods of improving the estimation of cardiac index. SETTING: PICU in an university hospital. DESIGN: In the post-operative period following complete repair of congenital heart disease we carried out 55 measurements of ...
Sharma K - - 1994
Venous air embolism in posterior fossa surgery is a well-documented complication. Various highly sensitive devices help in early detection of air embolism. In management of air embolism, sealing the site of air entry is an important step in preventing further episodes. Here we discuss the importance of inspiratory hold after ...
Haney M - - 1994
OBJECTIVE: To assess the accuracy of mixed venous hemoglobin oxygen saturation estimated, using in vivo pulmonary artery reflectance oximetry with ranging concentrations of carboxyhemoglobin. DESIGN: Criterion standard, a comparison of an alternative test to the "gold standard." SETTING: Laboratory animal facility of a large university. SUBJECTS: Five mongrel dogs. INTERVENTIONS: ...
Rozanski J - - 1994
Closure of a persistent ductus arteriosus through a median sternotomy on cardiopulmonary bypass in a 24-year-old man resulted in a tear of the descending aorta below the ductus. The repair of the aortic injury was attempted with deep hypothermia and low arterial flow, which resulted in massive air embolism of ...
Gallivan G J - - 1994
Aphonia, dysphonia, and laryngotracheal stenosis with upper airway compromise are diagnosed with increasing frequency. Endoscopic surgical reconstructive techniques accompanied by tracheal T-tube stenting successfully restore voice, airway function, and structure. Timing of tracheal T-tube removal remains controversial, particularly when the tip of the upper arm of the optimally sized T-tube ...
Chisholm D G - - 1994
Methaemoglobinaemia is an unusual cause of cyanosis whether it is congenital or acquired. Hence, the diagnosis may not be immediately obvious and appropriate treatment may be delayed. The case described shows that it should be considered when pulse oximetry and arterial blood gas analysis appear to give conflicting results. A ...
Kobayashi E - - 1994
50 open thymectomies were performed in adult rodents using intubation combined with a fibrin glue able to prevent hemorrhage and pulmonary air leakage. This method had a 100% success rate and lower mortality than the ordinal suction procedure. Although the conventional suction thymectomy has been widely used, the open thymectomy ...
Weaver L K - - 1994
This report describes a patient with mucormycosis treated with hyperbaric oxygen therapy (HBO2). Arterial O2 tension (PaO2) during HBO2 was considerably lower (346 mm Hg) than expected (1,500 mm Hg) due to an inadvertent right main-stem intubation, which was not otherwise clinically evident. This case illustrates the influence of a ...
Russell D - - 1994
A 25-year-old man underwent left inguinal hernia repair. Following induction of anaesthesia, desaturation below 90% was noted which persisted despite correct placement of an endotracheal tube and ventilation with 100% oxygen. Surgery was allowed to continue, and the suspected diagnosis of pulmonary arterio-venous malformation was confirmed post-operatively by computerized axial ...
Fraser W D - - 1994
This study compared the cardiovascular responses of subjects exposed to 60,000 ft. rapid decompressions while wearing the Combined Advanced Technology Enhanced Design "G" Ensemble (COMBAT EDGE or CE) and the Tactical Life Support System (TLSS). Eight subjects were rapidly decompressed from 22,500 ft (6,858 m) to 60,000 ft (18,288 m), ...
Barton C W - - 1994
To determine the accuracy of end-tidal carbon dioxide levels as a measure of arterial carbon dioxide levels in nonintubated patients presenting to an emergency department for care. A prospective, cross-sectional analysis. University hospital ED. Nonintubated adult patients presenting to the ED for care of a variety of problems. Patients who ...
al-Mateen K B - - 1994
Fifteen adult New Zealand white rabbits were used to determine if exogenous surfactant immediately improves oxygenation in experimental meconium aspiration syndrome (MAS). They were ventilated with 100% O2 before insufflating 3 mL/kg of 40% filtered meconium. Arterial blood gases, dynamic lung compliance (CLdyn) and resistance (RL) were monitored for 2 ...
O'Connor T A - - 1994
OBJECTIVE: To describe the typical ranges for central venous oxygen saturation and PO2 in a group of critically ill neonates and the relationship of these measurements to measurements of arterial oxygenation and indicators of oxygen supply and demand. DESIGN: Survey. SETTING: Newborn intensive care unit (ICU) in a children's hospital. ...
Olympio M A - - 1994
The authors present a case of venous air embolism occurring immediately upon skin closure after craniotomy in the prone position. This 5-year-old patient had a third ventricle tumor resected with bipolar cautery via a frontal trans-collosal approach into the lateral ventricle and through the foramen of Monroe. Doppler monitoring was ...
Munshi J S - - 1994
The macrocirculation in the head of three air-breathing species of Channa was examined with the aid of vascular corrosion replicas and a scanning electron microscopic study was conducted on the pseudobranch, choroid gland and lentiform body. Two facultative air-breathing murrels, C. punctata and C. gachua, and one obligate air-breather, C. ...
Fraioli B - - 1994
The supine position has been routinely used for transphenoidal microsurgery in our department since 1973. We had 404 patients, 387 of whom had pituitary micro-or macroadenomas. It is always satisfactory, allowing a very good control of intraoperative arterial pressure and prevention of air embolism. It is also comfortable for both ...
Kales S N - - 1994
A carding machine operator in a synthetic fabric plant experienced marked symptomatic deterioration of obstructive pulmonary disease after multiple episodes of an occupational inhalation fever. Polytetrafluoroethylene was used in the industrial process and polymer fume fever is suspected as a cause of his febrile illnesses. A state industrial hygiene inspection ...
Fatigante L - - 1994
It has been reported that carbogen breathing yields a remarkable increase of radiosensitivity in murine tumour models. Hence, application of carbogen might be promising in radiotherapy of human tumours. We describe a method to increase arterial oxygenation and to ensure stability of O2 and CO2 during carbogen breathing in patients ...
Hicks I R - - 1993
We have confirmed the value of measurement of end-tidal carbon dioxide concentration as an indicator of arterial carbon dioxide tension during the use of the laryngeal mask airway in healthy patients breathing spontaneously. The mean difference between arterial and end-tidal carbon dioxide tension was 0.52 kPa (range 0-1.5 kPa), which ...
Harvey J C - - 1993
The neodymium:yttrium-aluminum-garnet (Nd:YAG) laser has been reported to have advantages in pulmonary resections including superior control of bleeding and air leak with relative sparing of pulmonary parenchyma. Extensive metastasectomies were performed in two patients with bilateral metastases who might have been excluded from surgery with other techniques. The patients were ...
Mikawa K - - 1993
The efficacy of treatment with exogenous surfactant has been reported in children with respiratory failure due to severe pneumonia. Its effect in adults with similar features has not been established. We therefore administered 240 mg of surfactant to a 71 year old man, who had developed right lower lobe pneumonia ...
Kingsmore S F - - 1993
We have described an exogenously immunosuppressed, HIV-negative patient with a subacute presentation of Pneumocystis carinii pneumonia characterized by normal arterial oxygen tension and alveolar-arterial oxygen gradient and normal findings on serial chest radiographs. This case demonstrates that other studies in addition to chest radiograph and resting arterial blood gas measurement ...
Zalev A H - - 1993
Portal venous barium and air intravasation occurred during an air contrast enema in a man with ulcerative colitis. Abdominal plain radiography and CT subsequently showed increased hepatic density. Computed tomography also showed colonic intramural and pericolic nodal or venous barium, increased splenic density, and pulmonary arterial barium. The patient's course ...
Murray K D - - 1993
Embolism remains a significant complication of the total artificial heart (TAH). The ineffectual deairing of the TAH can allow embolization of the retained air. The standard needle aspiration of TAH air (Group A) was compared with a new protocol (Group B) that included standard needle TAH aspiration plus simultaneous pumping ...
Barker S J - - 1993
BACKGROUND: Previous studies have shown that pulse oximeters whose sensors are positioned improperly may yield erroneously low saturation (SpO2) values on normoxemic subjects. The behavior of oximeters with malpositioned sensors during hypoxemia has not been studied. The current study is aimed at determining the behavior of several different pulse oximeters ...
Emre U - - 1993
In 44 episodes of acute chest syndrome of sickle cell disease occurring in 37 children, simple clinical severity score, duration of hospital stay, transfusion data, and alveolar-arterial oxygen gradient were analyzed as indicators of severity of disease. The alveolar-arterial oxygen gradient, measured during breathing of room air, proved, on multivariate ...
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