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Zhao Liang L Department of Cardiovascular Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing, - - 2014
In prolonged hemorrhagic shock, reductions in intestinal mucosal blood perfusion lead to mucosal barrier damage and systemic inflammation. Gastrointestinal failure in critically ill patients has a poor prognosis, so early assessment of mucosal barrier injury in shock patients is clinically relevant. Unfortunately, there is no serum marker that can accurately ...
Conti Ricardo Augusto Slaibi RA Intensive Care Unit Director, Chester River Hospital, University of Maryland System, MD, USA ; Academic Hospitalist and Intermediate Care Unit Director, Saint Agnes Hospital, Baltimore, MD, - - 2014
We report a patient with low-pressure cardiac tamponade masquerading as sepsis and as the initial presentation of malignancy. A quick diagnosis was done by the intensivist performing a bedside ultrasound. The diagnosis of low-pressure cardiac tamponade is a challenge because the classic physical signs of cardiac tamponade can be absent. ...
Cossu Andrea Pasquale AP Department of Medical Sciences "M. Aresu", University of Cagliari, SS.554 Bivio per Sestu, 09042 Monserrato, - - 2014
Objective. The latest European guidelines for the management of hemorrhagic shock suggest the use of vasopressors (norepinephrine) in order to restore an adequate mean arterial pressure when fluid resuscitation therapy fails to restore blood pressure. The administration of arginine vasopressin (AVP), or its analogue terlipressin, has been proposed as an ...
Madani George G Little Fireface Project, Cisurupan, Cipaganti, Garut, Java - - 2014
Asian slow lorises (Nycticebus spp.) are one of few known venomous mammals, yet until now only one published case report has documented the impact of their venomous bite on humans. We describe the reaction of a patient to the bite of a subadult Nycticebus kayan, which occurred in the Mulu ...
Yang Yan Y Jiangsu Key Laboratory of Oil-Gas Storage and Transportation Technology, Changzhou University, Changzhou, Jiangsu Province, - - 2014
A supersonic separator has been introduced to remove water vapour from natural gas. The mechanisms of the upstream and downstream influences are not well understood for various flow conditions from the wellhead and the back pipelines. We used a computational model to investigate the effect of the inlet and outlet ...
Hillis Genevieve R - - 2014
Uncontrolled hemorrhage remains one of the most challenging problems facing emergency medical professionals and a leading cause of traumatic death in both battlefield and civilian environments. Survival is determined by the ability to rapidly control hemorrhage. Several commercially available topical adjunct agents have been shown to be effective in controlling ...
Frey U H UH Klinik für Anästhesiologie und Intensivmedizin, Universität Duisburg-Essen and Universitätsklinikum, Essen, - - 2013
/st>While the β2-adrenoceptor pathway is essential for cardiovascular regulation, the impact of ADRB2 gene variations on circulatory responses is unclear, possibly due to neural compensatory mechanisms. We tested the hypotheses that (i) sympathetic block by thoracic epidural anaesthesia (TEA) unmasks the influence on arterial pressure of genetic variations and (ii) ...
Lovati C - - 2013
Aim: Interactions between blood pressure control, sleep and headache have been largely studied, although not well understood. We designed a study trying to simultaneously evaluate all three aspects in the same subjects. We particularly concentrated on the observation of physiological blood pressure circadian rhythm, and the presence of cutaneous allodynia ...
Colombo Riccardo - - 2013
Surgical plethysmographic index (SPI) has been proposed as a tool to measure the nociception/antinociception balance during general anaesthesia. Untreated nociception may increase sympathetic tone, but the relationship between SPI and the autonomic nervous system (ANS) is poorly understood. We hypothesised that two different levels of SPI might be associated with ...
Sng B L - - 2013
Hypotension necessitating vasopressor administration occurs commonly during caesarean section under spinal anaesthesia. We developed a novel vasopressor delivery system that automatically administers phenylephrine or ephedrine based on continuous non-invasive arterial pressure monitoring. A phenylephrine bolus of 50 μg was given at 30-s intervals when systolic blood pressure fell < 90% of baseline; ...
Staikou C - - 2013
Background: New scientific findings are gradually implemented into daily clinical routine. The present questionnaire survey investigated the current practice in obstetric anaesthesia in Europe. Methods: A 19-point questionnaire on obstetric anaesthesia practices, regarding the techniques, drugs, fluids, vasopressors and safety measures, was uploaded on the site of the European Society ...
Ledowski T - - 2013
The Analgesia Nociception Index has been described to reflect different levels of intraoperative nociceptive stimulation during total intravenous anaesthesia. The association between this index and haemodynamic changes during sevoflurane-based anaesthesia was investigated in 30 patients with the hypothesis that changes in the Analgesia Nociception Index may coincide with or even ...
Salla Kati - - 2013
To compare the haemodynamic effects of three premedicant regimens during propofol-induced isoflurane anaesthesia. Prospective, randomized cross-over study. Eight healthy purpose-bred beagles aged 4 years and weighing mean 13.6 ± SD 1.9 kg. The dogs were instrumented whilst under isoflurane anaesthesia prior to each experiment, then allowed to recover for 60 minutes. Each dog was treated ...
Kim Yang In - - 2013
Rationale: Increased arginine-vasopressin (AVP) secretion is a key physiological response to hyperosmotic stress and may be part of the mechanism by which high-salt diets induce or exacerbate hypertension. Objective: Employing deoxycorticosterone acetate (DOCA)-salt hypertension model rats, we sought to test the hypothesis that changes in GABAA receptor-mediated inhibition in AVP-secreting ...
Kim J Y - - 2013
We report a case of significant reduction in bispectral index (BIS) associated with suspected amniotic fluid embolism (AFE) that occurred prior to change in haemodynamic variables. The patient was a 29-year-old nulliparous, who was admitted for Caesarean section under general anaesthesia in the 33rd week of pregnancy. After the baby ...
Koperwas K - - 2013
In this Letter, we show how temperature and density fluctuations affect the spatially heterogeneous dynamics at ambient and elevated pressures. By using high-pressure experimental data for van der Waals liquids, we examine contributions of the temperature and density fluctuations to the dynamics heterogeneity. We show that the dynamic heterogeneity decreases ...
Franks Rm - - 2013
We suspected that many high blood pressure measurements taken in our anaesthetic pre-assessment clinic and immediately prior to induction of anaesthesia were unusually elevated due to a 'white coat' effect. These high blood pressure measurements were causing late cancellations of surgery, even though white coat measurements may not be representative ...
Chakravarti Sucharita S Department of Anaesthesia, Fortis Hospitals, Anandapur, - - 2013
Inhalational anaesthetic agents are usually liquids at room temperature and barometric pressure and need to be converted to vapour before being used and this conversion is effected using a vapouriser. Vapourisers have evolved from very basic devices to more complicated ones. Anaesthetists should understand the basic principles of anaesthetic vapouriser, ...
Patil Vijaya P VP Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, - - 2013
Over the years, the conventional anaesthesia machine has evolved into an advanced carestation. The new machines use advanced electronics, software and technology to offer extensive capabilities for ventilation, monitoring, inhaled agent delivery, low-flow anaesthesia and closed-loop anaesthesia. They offer integrated monitoring and recording facilities and seamless integration with anaesthesia information ...
Jain Rajnish K RK Department of Anaesthesiology and Critical Care, Bhopal Memorial Hospital and Research Centre, Bhopal, Madhya Pradesh, - - 2013
Anaesthesia ventilators are an integral part of all modern anaesthesia workstations. Automatic ventilators in the operating rooms, which were very simple with few modes of ventilation when introduced, have become very sophisticated with many advanced ventilation modes. Several systems of classification of anaesthesia ventilators exist based upon various parameters. Modern ...
Ortiz Daniel - - 2013
Perfluorocarbon (PFC) emulsions can transport and release various gases based on concentration gradients. The objective of this study was to determine the possibility of carrying and delivering exogenous nitric oxide (NO) into the circulation by simply loading PFC emulsion with NO prior infusion. PFC was equilibrated with room air (PFC) ...
Iizuka Tomoya - - 2013
Most anaesthetic and analgesic drugs affect the cardiovascular system and can cause intraoperative hypotension (IOH). This study aimed to compare the incidence of IOH in anaesthetised dogs when isoflurane-fentanyl was used, compared to propofol-fentanyl. Intraoperative hypotension was defined as an episode of mean blood pressure below 60mmHg for more than ...
Jo Y Y - - 2013
We investigated the effects of 10 cmH2 O positive end-expiratory pressure on cerebral haemodynamics and cerebral oxygenation in patients undergoing laparoscopic lower abdominal surgery in the 30° Trendelenburg position during desflurane anaesthesia. Twenty-six patients were enrolled in this study. After anaesthesia induction, pneumoperitoneum was applied in Trendelenburg position. Twenty minutes later, ...
Abe Shuji - - 2013
To improve the safety of the use of a power injector for pediatric contrast CT, we newly developed a saline test injection mode for a power injector and investigated its usefulness. We used an injection route and investigated the relationship of the injection pressure to the injection rate of saline ...
Chu Edward R - - 2013
Anaesthesia may affect steady state intraocular pressure (IOP) and its interpretation in glaucoma studies involving mice. Ketamine is a commonly used anaesthetic but it lowers mouse IOP.(1-5) An alternative such as gentle restraint (e.g. cone restraint) without anaesthesia has been used to avoid this undesirable effect,(1) but restraint itself can ...
Leal Anna K AK Department of Bioengineering, University of Texas Southwestern Medical Center, Dallas, TX 75390-9174, - - 2013
What is the central question of this study? Does increasing NO production within the nucleus tractus solitarii (NTS) affect mechanoreflex function in normotensive and hypertensive rats?What is the main finding and its importance? Dialysis of 1 μm l-arginine, an NO precursor, within the NTS significantly attenuated the pressor response to ...
Li Aihua - - 2013
In normal rats, central administration of orexin, or certain stress exposures, can induce significant increases in blood pressure and sympathetic nerve activity (SNA), which can be blocked by orexin receptor antagonists. The resting blood pressure is, however, unaffected by such antagonists, but is significantly lower in rodents with total loss ...
Hayashi Ayato - - 2013
Subcutaneous hematoma is commonly caused by trauma or surgery. Proper treatment of the condition is needed to avoid severe complications. The present paper introduces a simple technique of hematoma evacuation, called cylinder syringe suction (CSS). Experiments were also performed to determine the detailed mechanism underlying its effectiveness. The CSS procedure ...
Santos M - - 2013
The effect of a single hyperinflation using a sustained high-pressure manoeuvre (SHPM) during inhalation anaesthesia was evaluated in horses. Twenty-eight client-owned male horses were recruited; 14 were operated on in dorsal recumbency and 14 in lateral recumbency. For each category, horses were randomly allocated to either the 'breathing spontaneously' or ...
Rysnik Maja K - - 2013
OBJECTIVE: To compare high definition oscillometry (HDO) to invasive blood pressure measurement in anaesthetized dogs. STUDY DESIGN: Prospective, clinical trial. ANIMALS: Fifty dogs weighing 1.95-79 kg (mean 23.5 kg). MATERIALS AND METHODS: Anaesthetic and peri-anaesthetic management was chosen according to each dog's physical status and anaesthetist's preference. Direct arterial blood pressure measurements ...
Vaughan Neil - - 2013
The amount of pressure exerted on the syringe and the depth of needle insertion are the two key factors for successfully carrying out epidural procedure. The force feedback from the syringe plunger is helpful in judging the loss of pressure, and the depth of the needle insertion is crucial in ...
Ozer A B - - 2013
Context: Endotracheal tube cuff pressure (ETCP) is recommended to be maintained between 20-30 cm H2O limits. While insufficient inflation of ETC may cause aspirations, over-inflation of it may lead to damage in tracheal epithelium. Aims: We planned to investigate the effects of user experience and cuff pressure inflation method differences ...
Ypsilantis P - - 2013
This study was designed to evaluate the oscillometric technique for intermittent non-invasive measurement of arterial pressure (AP) in the anaesthetized pig. In six pigs under sevoflurane anaesthesia, intermittent (every 2 minutes) oscillometric measurements of AP made at a forelimb (FL), a hindlimb (HL) and the tail base were compared with ...
Toyama S - - 2013
BACKGROUND: /st>Hypotension during spinal anaesthesia for Caesarean delivery is a result of decreased vascular resistance due to sympathetic blockade and decreased cardiac output due to blood pooling in blocked areas of the body. Change in baseline peripheral vascular tone due to pregnancy may affect the degree of such hypotension. The ...
Gruenewald M - - 2013
BACKGROUND: /st>Measurement of the balance between nociception and anti-nociception during anaesthesia is challenging and not yet clinically established. The Surgical pleth index (SPI), derived from photoplethysmography, was proposed as a surrogate measure of nociception. Recently, the analgesia nociception index (ANI) derived by heart rate (HR) variability was developed. The aim ...
Koeva Vesselina - - 2013
PURPOSE: Multiple sclerosis (MS) is a chronic inflammatory and degenerative disease of the central nervous system resulting in demyelination and axonal injury. Epidural blood patch (EBP) to treat postdural puncture headache (PDPH) in an MS patient may be of concern because of the potential for this to interfere with axonal ...
Obasuyi B I - - 2013
BACKGROUND: Hypotension during spinal anaesthesia occurs commonly in parturients. By influencing spread of local anaesthetic, maternal position may affect the speed of onset of sensory block and thus the haemodynamic effects. The aim of this study was to determine whether inducing spinal anaesthesia for caesarean section using plain bupivacaine in ...
Arany-Tóth Attila - - 2013
OBJECTIVE: To measure subarachnoid pressures, systemic circulatory and respiratory effects, and to calculate cerebral perfusion pressure during cisternal myelography. STUDY DESIGN: Prospective clinical study. ANIMALS: Forty-three client owned dogs with clinical signs of spinal disease, weighing 6-56 kg. METHODS: Dogs were premedicated with butorphanol and diazepam intravenously (IV) and anaesthesia was ...
Bradbrook Carl A CA Davies Veterinary Specialists, Higham Gobion, UK. - - 2013
The aim of this study was to investigate normal values for the dynamic compliance of the respiratory system (Crs) and respiratory system resistance (Rrs) in mechanically ventilated anaesthetized dogs. Prospective clinical study. Forty healthy dogs undergoing elective orthopaedic surgery. Body weight was (mean ± SD) 26.8 ± 10.7 kg (range: ...
Samhan Yasser M - - 2013
We are introducing a new continuous hydrostatic pressure system for identification and catheterization of epidural space in adults. One hundred and eight patients scheduled for elective endoscopic urological procedures were enrolled in this prospective randomized study. They were assigned to perform loss of resistance epidural technique by either the conventional ...
Wallon G - - 2013
BACKGROUND: /st>Tidal volume (V(T)) must be accurately delivered by anaesthesia ventilators in the volume-controlled ventilation mode in order for lung protective ventilation to be effective. However, the impact of fresh gas flow (FGF) and lung mechanics on delivery of V(T) by the newest anaesthesia ventilators has not been reported. METHODS: ...
Shimada Akiko - - 2013
A single intake of monosodium glutamate (MSG) may cause headache and increased muscle sensitivity. We conducted a double-blinded, placebo-controlled, crossover study to examine the effect of repeated MSG intake on spontaneous pain, mechanical sensitivity of masticatory muscles, side effects, and blood pressure. Fourteen healthy subjects participated in 5 daily sessions ...
Gautam Shefali - - 2013
Takayasu arteritis is a rare, chronic idiopathic, occlusive inflammation of the aorta and its major branches. It is a rare form of non-specific obliterative panarteritis of unknown aetiology. Anaesthesia for the patient with Takayasu arteritis is complicated by severe uncontrolled hypertension leading to end organ dysfunction, stenosis of major blood ...
Pai Rohini V Bhat - - 2013
Hypertrophic obstructive cardiomyopathy (HOCM) is a challenge to anesthesiologists due to the complex pathophysiology involved and various perioperative complications associated with it. We present a 50-year-old man, a known case of HOCM, who successfully underwent emergency haemostasis, and debridement of the traumatically amputated right upper limb and the contused lacerated ...
Narasimha Prasad Krishnamurthy - - 2013
Takayasu's arteritis (TA) is rare, chronic progressive, pan-endarteritis involving the aorta and its main branches, with a specific predilection for young Asian women. Anaesthesia for TA patients is complicated by their severe uncontrolled hypertension, extreme arterial blood pressure differentials, aortic regurgitation (AR), end-organ dysfunction, stenosis/aneurysms of major blood vessels and ...
Al-Abed Yahya A - - 2013
To conduct a study to measure the pressure effects of the different scrotal supports applied on a simulated expanding scrotal hematoma. We created a model of an expanding hematoma with simultaneous pressure recording using a urodynamics system. Pressures were recorded independently first without application of any support. Then, three types ...
Shahzad Khurrum - - 2013
To compare the effect of induction position on block characteristics (sensory and motor nerves) and haemodynamic stability in elderly patients with isobaric bupivacaine. Patient comfort was also looked at. The randomized single blinded study was conducted at the Aga Khan University Hospital, Karachi, from September 2007 to August 2008. A ...
Pavlidou Kiriaki - - 2013
The diaphragm is the main inspiratory muscle and the main indicator of diaphragmatic contractility is the trans-diaphragmatic pressure (Pdi). The aim of this clinical study was to determine the effect of four different anaesthetic protocols on Pdi in anaesthetized healthy dogs. Eighty client-owned dogs were recruited in this clinical study. ...
Graffagnino Carmelo - - 2013
Background: Intracerebral hemorrhage (ICH) causes 10-15% of primary strokes, with mortality related to hematoma volume. Blood pressure (BP) reduction may attenuate hematoma expansion. ACCELERATE (the Evaluation of Patients with Acute Hypertension and Intracerebral Hemorrhage with Intravenous Clevidipine Treatment) is a pilot study representing the first evaluation of safety and efficacy ...
Hoseini Mohammad - - 2013
The widespread use of trichloroethylene (TCE) and its frequent release into the environment has caused many environmental and health problems. In this study the degradation of TCE at different micromolar concentrations was investigated in a stainless steel reactor with various concentrations of H2O2 and TiO2 at different oxygen pressures and ...
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