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Q Cai, Y H Liu, K L Wu, J Wu, Y Zhao, C Y Yao
Objective: To investigate the effect of preoperative airway treatment and postoperative asphyxiation preventive measures in patients with tumors invasion in the cervical tracheal. Method: The clinical date of 35 patients with different degree of tumors invasion in the cervical tracheal were analyzed retrospectively. Anesthesia including normal endotracheal intubation anesthesia, awake intubation anesthesia with visual laryngoscope assisted after topical anesthesia, intubation anesthesia with preoperative tracheotomy, intubation anesthesia after transection of trachea and anesthesia with extracoporeal circulation was selected according to the patient's situation such as whether exist forced position, or the extent of dyspnea, or the range of recurrent tumor...
December 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Kathleen M Lamb, Hitoshi Hirose
Venoarterial extracorporeal membrane oxygenation is a rescue therapy in patients with severe cardiopulmonary failure. Often, cannulation is done emergently and the femoral vessels are most readily accessible for venous and arterial access. Unfortunately, complications with arterial femoral access can lead to devastating complications, primarily related to limb ischemia. A coordinated protocol of diligent limb examination by trained intensive care unit staff, near infrared spectroscopy monitoring of limbs, and placement of a distal perfusion catheter at the time of femoral cannulation or when signs of ischemia develop, can lead to successful limb salvage...
October 2017: Critical Care Clinics
Nobutsugu Abe, Yoshikazu Hashimoto, Hirohisa Takeuchi, Atsuko Ohki, Gen Nagao, Yutaka Suzuki, Tadahiko Masaki, Toshiyuki Mori, Masanori Sugiyama
INTRODUCTION: Gastrointestinal stromal tumor (GIST) with ulceration may potentially disseminate into the peritoneal cavity after laparoscopic local wedge resection (full-thickness resection) when the intestinal wall is opened under the aeroperitoneum. To prevent this intraoperative tumor seeding, we developed laparoscopy-assisted full-thickness resection (LAFTR) of the duodenum for GIST with ulceration. Here, we present the preliminary results of LAFTR. METHODS: Three patients with duodenal GIST with ulceration underwent LAFTR...
November 2017: Asian Journal of Endoscopic Surgery
Y S Han, Y S Lee, E K Park
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Nicholas J Slater, Her J H Zegers, Benno Küsters, Thimpe Beune, Henri A van Swieten, Dietmar J O Ulrich
BACKGROUND: Under ideal circumstances, creation of the anastomosis during free flap transfer is a routine task and can be performed under short ischemia time. However, vessels may be in suboptimal state due to atherosclerosis, radiotherapy or trauma, increasing difficulties regarding receptor vessel identification, and anastomosis which in turn may lead to lengthening of ischemia time resulting in postoperative wound problems or even flap loss. In the current pilot study, a modified heart-lung machine was assembled to achieve continuous oxygenated extracoporeal perfusion using porcine myocutaneous rectus abdominis flaps, aimed at minimizing tissue damage occurring during ischemia time...
October 2016: Journal of Surgical Research
Aisling M Flinn, Andrew R Gennery
Acute graft-versus-host disease (aGvHD) continues to be a major obstacle to allogeneic haematopoietic stem cell transplantation. Thymic damage secondary to aGvHD along with corticosteroids and other non-selective T lymphocyte-suppressive agents used in the treatment of aGvHD concurrently impair thymopoiesis and negatively impact on immunoreconstitution of the adaptive immune compartment and ultimately adversely affect clinical outcome. Extracorporeal photopheresis (ECP) is an alternative therapeutic strategy that appears to act in an immunomodulatory fashion, potentially involving regulatory T lymphocytes and dendritic cells...
2016: F1000Research
Hong Yu, Shuodong Wu, Renzhong Zhu, Xiaopeng Yu
Adult intussusception is rare and laparotomy is required in most of the cases due to the potential pathologic underlying reasons. Although it is technically challenging, single-incision laparoscopic surgery can work as an alternative to laparotomy. Here we report the case of a 45-year-old man with intermittent right lower quadrant abdominal pain for 1 month. Abdominal enhanced computed tomography (CT) scan was performed and ileo-ileal intussusception was found, with lipoma as a likely leading point. Ileal resection was performed using the single-incision laparoscopic-assisted technique...
April 2016: Journal of Minimal Access Surgery
Michael Broomé, Dirk W Donker
Veno-arterial extracoporeal membrane oxygenation (VA ECMO) is increasingly used for acute and refractory cardiogenic shock. Yet, in clinical practice, monitoring of cardiac loading conditions during VA ECMO can be cumbersome. To this end, we illustrate the validity and clinical applicability of a real-time cardiovascular computer simulation, which allows to integrate hemodynamics, cardiac dimensions and the corresponding degree of VA ECMO support and ventricular loading in individual patients over time.
January 6, 2016: Journal of Translational Medicine
Nicholas Johnson, Cindy Hsu, David F Gaieski
No abstract text is available yet for this article.
February 2015: Resuscitation
Aakash Chauhan, Robert J Moraca, Daniel T Altman
STUDY DESIGN: Case report. OBJECTIVE: To present the first reported case of using extracorporeal membrane oxygenation (ECMO) support in an emergent decompression and evacuation of a thoracic epidural abscess. SUMMARY OF BACKGROUND DATA: Thoracic epidural abscesses with neurological deficits require surgical evaluation and intervention in most cases. We report a case of a 35-year-old patient with an acute onset of paraplegia diagnosed with a thoracic epidural abscess...
July 15, 2013: Spine
Philip Troyk, Zhe Hu
Extreme miniaturization of implantable electronic devices is recognized as essential for the next generation of neural prostheses, owing to the need for minimizing the damage and disruption of the surrounding neural tissue. Transcutaneous power and data transmission via a magnetic link remains the most effective means of powering and controlling implanted neural prostheses. Reduction in the size of the coil, within the neural prosthesis, demands the generation of a high-intensity radio frequency magnetic field from the extracoporeal transmitter...
May 2013: IEEE Transactions on Bio-medical Engineering
Ahmed R El-Nahas, Bassam A Awad, Ahmed M El-Assmy, Mohamed E Abou El-Ghar, Ibrahim Eraky, Mahmoud R El-Kenawy, Khaled Z Sheir
UNLABELLED: WHAT'S KNOWN ON THE SUBJECT? AND WHAT DOES THE STUDY ADD?: Extracorporeal shockwave lithotripsy is effective for the treatment of paediatric renal stones with favourable short-term safety. Extracorporeal shockwave lithotripsy for treatment of paediatric renal stones is also safe for the kidney and the child on long-term follow-up. OBJECTIVE: To evaluate the long-term effects of extracoporeal shockwave lithotripsy (SWL) for treatment of renal stones in paediatric patients...
April 2013: BJU International
Federico Nalesso
During sepsis, lipopolysaccharide released by gram-negative bacteria induces activation of inflammatory pathways resulting in organ dysfunction and failure. Extracorporeal therapies that remove this molecule and support organ function are useful in critically ill patients in ICUs. Today, blood purification therapies such as high-volume hemofiltration, polymyxin B hemoperfusion, and coupled plasma filtration adsorption are easy to perform. According to the reconciliation of the three sepsis theories and thanks to the removal of lipopolysaccharide (the first inflammatory stimulus) from the blood, we can provide an effective and useful extracoporeal therapy for this clinical condition...
January 2012: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
Ceyhun Pekin, Sakir Tekin, Tevfik Kucukkartallar, Murat Cakir, Ahmet Tekin, Adil Kartal
BACKGROUND AND OBJECTIVES: To investigate the effect of extracorporeal shock waves on the healing of intestinal anastomosis. MATERIALS AND METHODS: Thirty Wistar rats were randomly divided into three groups of ten each comprising of Group I (only laparotomy), Group II (right colon segment resection and end to end anastomosis) and Group III (right colon segment resection and end to end anastomosis). Group III animals a total of 1200 impulse 0.12 mj/mm 2 shock waves on the post-operative 3rd , 5th and 7th days in three session each of which included 400 impulse with 14KV...
July 2011: Annals of African Medicine
A Alluin, J Jezequel, N Gauthier, J-L Desmaretz, C Canevet
We present the case of a 24-year-old-female patient, who made an attempt to autolysis with valproic acid, benzodiazepines and neuroleptic. The valproic acid plasma level was very high (1437 μg/mL), confirming it was a severe intoxication. She presents an acute encephalopathy with prolonged status epilepticus, a lactic metabolic acidosis and hematologic disorders such as bicytopenia. Treatment including L-carnintine and continuous veno-venous haemodialysis (CVVHD) was rapidly introduced to prevent the occurrence of cerebral oedema...
October 2011: Annales Françaises D'anesthèsie et de Rèanimation
Rungsun Rerknimitr
Chronic pancreatitis (CP) is a disabling condition worldwide that presents as pain, maldigestion, and diabetes. It is usually perceived as alcohol related, or classified as idiopathic otherwise. However, this is true only for Western countries. Asian CP comprises not only alcohol-related CP but also tropical pancreatitis (TP). Tropical pancreatitis is a unique entity commonly found in South Asia. It shares similar presentations with other CPs for pain and maldigestion. However, its diabetes is more ketosis resistant...
March 2011: Journal of Gastroenterology and Hepatology
Zhongmin Peng, Jinghan Chen, Long Meng, Jiajun Du, Lei Wang, Lin Zhang, Xiaohang Wang
BACKGROUND: Lung cancer invading left atrium or base of pulmonary vein belongs to locally advanced lung cancer (T4). The prognosis of treatment without surgery is poor. The aim of this study is to explore the feasibility and the value of surgical method in the treatment of this disease. METHODS: From April, 1993 to April, 2005, lobectomy or pneumonectomy combined with extended resection of left atrium were carried out in 46 patients with locally advanced lung cancer...
February 20, 2006: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
Wisoot Kongchareonsombat, Sahachart Atichoksakun, Kittinut Kitvikai, Suthep Patcharatrakul, Suchart Chaimuengraj
OBJECTIVE: To evaluate laparoscopic ureterolithotomy between extraperitoneal and intraperitoneal approach in patients with failure for Extracoporeal shock wave lithotripsy (ESWL) and endoscopic procedure of stone removal. MATERIAL AND METHOD: A retrospective review was performed in 39 patients (40 stone units) underwent laparoscopic ureterolithotomy (extraperitoneal or intraperitoneal approach) in Ramathibodi Hospital between July 1997 and December 2007. The patients who had a large, impacted ureteric stone more than 1...
July 2010: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
N K Chou, N H Chi, I W Wu, S C Huang, Y S Chen, H Y Yu, C I Tsao, W J Ko, S H Chu, S S Wang
Extracorporeal membrane oxygenation (ECMO) can provide excellent mechanical circulatory support (MCS). Some case reports use ECMO to rescue heart transplantation (HTx) recipients with posttransplant cardiopulmonary failure. Herein reported a series of use of ECMO to rescue HTx recipients with refractory cardiopulmonary failure have during the posttransplant period. The causes of cardiopulmonary failure were right ventricular failure, primary graft failure, acute rejection, or sepsis. A retrospective review of 366 consecutive HTx recipients revealed 40 cases of cardiopulmonary failure requiring ECMO rescue in the posttransplant period...
April 2010: Transplantation Proceedings
N K Chou, N H Chi, I W Wu, S C Huang, Y S Chen, H Y Yu, C I Tsao, W J Ko, S H Chu, S S Wang
Ventricular-assist devices (VADs) have benefitted patients with end-stage heart failure as a bridge to heart transplantation (HTx). Herein, we describe our experience with HTx in the presence of extracorporeal membrane oxygenation (ECMO) together with the Thoratec VAD (Thoratec Corp, Pleasanton, California). From May 1996 to June 2009, mechanical circulatory support with the Thoratec VAD was provided in 20 patients. Before implantation of the VAD, circulation in 17 patients was maintained using ECMO. Although 350 patients underwent HTx during that period, only 13 patients (65%) received suitable donor organs for orthotopic HTx...
April 2010: Transplantation Proceedings
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