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Non invade ventilation

Santiago García Sánchez-Morago, Ma Elvira Migallón Buitrago
BACKGROUND: Non-invasive ventilation is used with a mechanical ventilator and an interface that is interposed between the patient and the ventilator without invading the airway. It is an alternative to the artificial airway in situations of acute respiratory insufficiency. OBJECTIVE: Determine if the selection of an appropriate interface to the contour of the patient's face and the pathology involves the triumph or failure of the procedure, deeming it is a dependent variable in the success of the NIV...
November 2014: Revista de Enfermería
Xian Bao Zhan, Xiao Rong Guo, Jing Yang, Jie Li, Zhao Shen Li
OBJECTIVE: To investigate the prevalence and risk factors of upper gastrointestinal bleeding (UGIB) in patients with severe acute pancreatitis (SAP). METHODS: Altogether 101 patients were admitted to the Department of Gastroenterology, Changhai Hospital, Second Medical Military Hospital from July 2006 to June 2010 due to SAP. Their prevalence and risk factors of UGIB were retrospectively analyzed. RESULTS: In total, 18 (17.8%) patients developed UGIB and 13 received endoscopic examination, which yielded six cases of acute gastric mucosal lesions (AGML), five of peptic ulcers (PU) and two of pancreatic necrotic tissue invading the duodenal bulb and presenting as multilesion, honeycomb-like ulcer...
January 2015: Journal of Digestive Diseases
M Elvira Migallón Buitrago, Santiago García-Velasco Sánchez-Morago, Miguel Angel Ramírez de Orol, M del Carmen Puyana Manrique de Lara
Non-invasive mechanical ventilation is a technique that has ceased to be exclusively used in intensive medicine services to form part of the armamentarium of emergency and critical services, assuming an adaptation to this procedure by the nursing staff whose participation is crucial to achieve the triumph of technique. Composed basically of a mechanical ventilator and a mask (interface) which is interposed between the patient and the fan without invading the airway, requires the collaboration of the patient unlike conventional mechanical ventilation and, initially, a longer time of dedication of the nurse...
December 2013: Revista de Enfermería
Richard J Butler, Paul M Barrett, David J Gower
Uniquely among extant vertebrates, birds possess complex respiratory systems characterised by the combination of small, rigid lungs, extensive pulmonary air sacs that possess diverticula that invade (pneumatise) the postcranial skeleton, unidirectional ventilation of the lungs, and efficient crosscurrent gas exchange. Crocodilians, the only other living archosaurs, also possess unidirectional lung ventilation, but lack true air sacs and postcranial skeletal pneumaticity (PSP). PSP can be used to infer the presence of avian-like pulmonary air sacs in several extinct archosaur clades (non-avian theropod dinosaurs, sauropod dinosaurs and pterosaurs)...
2012: PloS One
U-I Wu, J-L Wang, W-C Chen, S-C Chang, Y-C Chen
To determine whether there are differences in risk factors and outcomes among patients with E. coli bacteremia caused by strains that produce CTX-M or non-CTX-M extended-spectrum beta-lactamases. From 1 July 2005 to 30 June 2007, patients with positive blood culture of extended-spectrum β-lactamases (ESBL)-producing E. coli were reviewed. Sixty patients with ESBL-producing E. coli bacteremia were identified. These included 41 (68.3%) isolates with CTX-M β-lactamases. CTX-M-14 accounted for 31 (75.6%) and CTX-M-3 for 9 (22...
January 2011: European Journal of Clinical Microbiology & Infectious Diseases
Thierry Gustot, François Durand, Didier Lebrec, Jean-Louis Vincent, Richard Moreau
Sepsis is physiologically viewed as a proinflammatory and procoagulant response to invading pathogens. There are three recognized stages in the inflammatory response with progressively increased risk of end-organ failure and death: sepsis, severe sepsis, and septic shock. Patients with cirrhosis are prone to develop sepsis, sepsis-induced organ failure, and death. There is evidence that in cirrhosis, sepsis is accompanied by a markedly imbalanced cytokine response ("cytokine storm"), which converts responses that are normally beneficial for fighting infections into excessive, damaging inflammation...
December 2009: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
Paolo Macchiarini, Matthias Altmayer, Tetsuhiko Go, Thorsten Walles, Karl Schulze, Ingeborg Wildfang, Axel Haverich, Michael Hardin et al.
BACKGROUND: We present our perioperative management of operable nonsmall-cell lung cancer invading the tracheobronchial bifurcation and the results obtained. METHODS: Fifty consecutive patients undergoing carinal surgery with radical lymphadenectomy over a 5-year period were studied. RESULTS: Eighteen patients (36%) were N2 and had chemoradiation (48 +/- 6 Gy) preoperatively. Surgery included 34 carinal pneumonectomies (24 right, 10 left), 11 carinal lobectomies (n = 6) or bilobectomies (n = 5), and 5 carinal resections, with (n = 3) and without (n = 2) reconstructions...
December 2006: Annals of Thoracic Surgery
Ke-Neng Chen, Shao-Fa Xu, Zhen-Dong Gu, Wei-Min Zhang, Hong Pan, Wen-Zhong Su, Ji-You Li, Guang-Wei Xu
Determining the appropriate surgery-based treatment for complicated anterior mediastinal malignancies (CAMM), especially those invading the superior vena cava (SVC) and its branches, remains a challenge for general thoracic surgeons. In this report, we summarize our experience and lessons regarding this issue in order to discuss a reasonable strategy for diagnosis and treatment of CAMM. Between January 2001 and April 2003, 15 patients with CAMM invading the SVC and/or its branches with or without invasion of other neighboring organs were surgically treated in our institution by a single surgeon team...
February 2006: World Journal of Surgery
Marc de Perrot, Elie Fadel, Sacha Mussot, Angela de Palma, Alain Chapelier, Philippe Dartevelle
BACKGROUND: Resection of T4 non-small cell lung cancer (NSCLC) on cardiopulmonary bypass (CPB) has rarely been reported in the literature. Hence, we have reviewed our experience in the role of CPB for the surgical treatment of locally advanced NSCLC. METHODS: All patients undergoing lung resection for bronchogenic carcinoma on CPB in our institution between January 1998 and June 2004 were reviewed. RESULTS: Seven patients underwent lung resections on CPB for bronchogenic carcinoma during the study period...
May 2005: Annals of Thoracic Surgery
Robert K Jackler, Michael Cho
OBJECTIVE: To propose a new hypothesis that attempts to explain the pathogenesis of petrous apex cholesterol granuloma (PA CG). CLASSIC OBSTRUCTION-VACUUM HYPOTHESIS: PA CGs form when mucosal swelling blocks the circuitous pneumatic pathways to the apical air cells. Trapped gas resorption results in a vacuum that triggers bleeding, and CG forms through anaerobic breakdown of blood products. PROBLEMS WITH THE CLASSIC (OBSTRUCTION-VACUUM) HYPOTHESIS: Impaired ventilation of mucosa-lined pneumatic tracts in the middle ear, mastoid, paranasal sinuses, and lung are very common, but CG is rare...
January 2003: Otology & Neurotology
R Hofbauer, A D Kaye, S Kapiotis, M Frass
Inflammation represents the consequence of capillary dilation with accumulation of fluid and transmigration of leukocytes into the surrounding tissue. Leukocytes play a major role in the defense system of the body against invading microorganisms. This defense system has a non-specific branch consisting of granulocytes and macrophages and a specific branch of lymphocytes. Granulocytes release cytotoxic compounds from their intracellular granules into their local environment when encountering microorganisms. This random destruction happens rapidly, but it may also harm healthy tissue of the body...
December 1999: Current Pharmaceutical Design
J Haberstroh, K Wiese, A Geist, G B Dursunoglu, C Gippner-Steppert, M Jochum, B U von Specht
BACKGROUND: Neutrophils are of great importance for the host's defense against invading organisms. Granulocyte colony-stimulating factor (G-CSF) has been used to augment both the neutrophil number and function, and its prophylactic administration has proved beneficial in animal models of sepsis. However, pretreatment with G-CSF is not practical under clinical conditions. We therefore investigated the effect of recombinant human (rh)G-CSF, administered only after infection, on the survival rate as well as the hemodynamic and cytokine response of the animals...
February 1998: Shock
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