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"Arterial Blood Gas" OR "ABG" OR "Venous Blood Gas" OR "VBG"

Ejder Ciğer, Mustafa Koray Balcı, Akif İşlek, Kazım Önal
OBJECTIVES: To compare the anatomical and functional outcomes of two different grafts which are used for the reconstruction of subtotal or total tympanic membrane perforations: the wheel-shaped composite cartilage graft (WsCCG) and temporalis fascia (TF). METHODS: Ninety patients (94 ears) who underwent type 1 tympanoplasty for non-complicated chronic otitis media between March 2014 and June 2016 in a tertiary referral center were included in a randomized, controlled, prospective clinical trial...
October 13, 2018: European Archives of Oto-rhino-laryngology
Ji Hyung Lim, Jung Mee Park, Jung Ju Han, Seon Ik Kim, So Young Park, Shi Nae Park
OBJECTIVE: To compare hearing results of single stage ossiculoplasty with second stage ossiculoplasty, and to provide a proper indication of operation options (single stage or second stage ossiculoplasty) according to patients' clinical conditions. STUDY DESIGN: Retrospective case review study. SETTING: Tertiary referral center. PATIENTS: A total of 175 patients with chronic otitis media. INTERVENTIONS: Tympanoplasty or mastoidectomy with tympanoplasty (M&T) as well as ossiculoplasty of either single or second stage between January 2009 and March 2016 by one surgeon (S...
October 9, 2018: Otology & Neurotology
Yu Guo, Mingmin Xu, Meiqi Ji, Jialei Zhang, Qingchuan Hu, Zeren Wei, Jian Yan, Yue Chen, Jiaxuan Lyu, Xiaoqian Shao, Ying Wang, Jiamei Guo, Yulong Wei
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide with a substantial and increasing social and economic burden. Liuzijue Qigong is a kind of traditional Chinese Qigong exercises that Traditional Chinese Medicine practitioners prescribe to individuals with COPD to strengthen the internal organs' function. Liuzijue Qigong was recommended for use in COPD rehabilitation, and some clinical trials indicate that Liuzijue Qigong would produce better functional capacity and quality of life of individuals with COPD...
October 2018: Medicine (Baltimore)
Mehmet Karataş, Emin Kaskalan
OBJECTIVE: To evaluate the outcomes of simultaneous bilateral inlay butterfly cartilage tympanoplasties (BIBCT) using tragal cartilage from one ear in patients with bilateral chronic otitis media (BCOM). METHODS: 33 patients (66 ears) who underwent bilateral inlay butterfly cartilage tympanoplasties between June 2013 and September 2016 in Department of Otolaryngology-Head and Neck Surgery of Adiyaman University Education and Research Hospital, Adiyaman, Turkey - a tertiary care university teaching hospital...
October 1, 2018: Auris, Nasus, Larynx
Firooz Salehpour, Amir Mohammad Bazzazi, Javad Aghazadeh, Amin Valizadeh Hasanloei, Khatere Pasban, Farhad Mirzaei, Seyed Ahmad Naseri Alavi
Background: Head trauma is one of the most common mortality and morbidity causes in adolescent. Numerous studies have been conducted on changes in laboratory results and mortality and morbidity prognostic factors; however, the obtained results have been varied and controversial. The aim of this study is to evaluate changes in laboratory findings and arterial blood gas (ABG) analyses test at admission and investigation of the relation between these changes with outcomes in patients with traumatic brain injury...
July 2018: Asian Journal of Neurosurgery
Shiara Arulpagasam, Cassie Lux, Adesola Odunayo, Jeffery Biskup, Xiaocun Sun
Brachycephalic airway syndrome (BAS) is characterized by increased upper airway resistance due to conformational abnormalities occurring in brachycephalic dogs (BD). In this prospective study, we evaluated pulse oximetry (SpO2 ) and arterial blood gas values in 18 healthy BD and compared these values with those of 18 healthy mesocephalic and dolichocephalic dogs (MDD). All dogs were assigned a BAS score based on an owner questionnaire. Inclusion criteria included presentation to the hospital for a problem unrelated to the respiratory system and unremarkable blood analyses and physical examination...
October 1, 2018: Journal of the American Animal Hospital Association
Zong-Bin Li, Hong-Yan Chen, Jia-Yue Li, Gao-Yuan Li, Chun-Wei Liu, Yun-Dai Chen
Objective To analyze characteristics of high altitude pulmonary edema (HAPE) in Chinese patients.Methods We performed a retrospective study of 98 patients with HAPE. We reviewed the medical records and summarized the clinical, laboratory and imaging characteristics of these cases, and compared the results on admission with those determined before discharge.Results Forty-eight (49.0%) patients developed HAPE at the altitude of 2800 m to 3000 m. Ninty-five (96.9%) patients were man. Moist rales were audible from the both lungs, and moist rales over the right lung were clearer than those over the left lung in fourteen patients...
September 20, 2018: Chinese Medical Sciences Journal, Chung-kuo i Hsüeh K'o Hsüeh Tsa Chih
Hajin Nam, Harry Jung, Yooyeon Kim, Boyoung Kim, Kyeong Hee Kim, Sang Jae Park, Jun Gyo Suh
As the mechanism of aged black garlic (ABG) extract affecting lipid metabolism in adipocytes remains unclear, this study evaluated the effect of ABG extract on lipid metabolism and the expression of related proteins in mature 3T3-L1 adipocytes. ABG extract treatments at 0, 0.625, 1.25, and 2.5, and 5 mg/mL had no effect on cell morphology or viability in adipocytes. ABG extract suppressed lipogenesis and induced lipolysis in a dose-dependent manner compared to control. Furthermore, ABG extract at 2.5 and 5 mg/mL significantly reduced protein expression of proliferator activated receptor γ (PPARγ) and perilipin in mature 3T3-L1 adipocytes...
April 2018: Food Science and Biotechnology
K Devaraja, Dipak Ranjan Nayak, Abhishek Rao Kordcal, Sumeet Suresh Malapure
Neck haematoma following thyroid surgery can present with respiratory distress which is generally attributed to airway obstruction. We recently had a 63-year-old female patient who underwent total thyroidectomy for toxic nodular goitre. However, within 4 hours of surgery, she developed sudden respiratory distress which was managed by prompt evacuation of the neck haematoma. Just before the haematoma evacuation, the patient had hypertension and bradycardia along with the distress. The arterial blood gas analysis sampled at that time was normal...
September 25, 2018: BMJ Case Reports
Parisa Mokarami, Nana Wiberg, Karin Källén, Per Olofsson
Traditional validation of umbilical cord blood samples with positive veno-arterial (V-A) ΔpH and A-V ΔpCO2 values confirms the source of samples, where negative Δvalues represent mix-up of samples. To investigate whether this is true, the distributions of V-A ΔpO2 and A-V Δlactate were also explored and related to clinical characteristics. In addition, different cord blood sampling techniques were evaluated MATERIAL AND METHODS: Register study with cord blood acid-base and clinical data from 27 233 newborns...
September 26, 2018: Acta Obstetricia et Gynecologica Scandinavica
Ezequiel E Zaidenberg, Fernando Juarez Cesca, Martin J Pastrana, Carlos R Zaidenberg
OBJECTIVES: To analyze the clinical and radiological outcomes of a series of patients treated with a pedicled vascularized bone graft (VBG) of the distal radius for the treatment of recalcitrant atrophic nonunions of the distal humerus. DESIGN: Retrospective clinical study. SETTING: University-affiliated teaching hospital. PATIENTS: Fifteen patients with supracondylar humeral atrophic nonunions with at least 3 previous failed surgical interventions were included...
October 2018: Journal of Orthopaedic Trauma
Kentaro Tojo, Tasuku Yoshida, Takuya Yazawa, Takahisa Goto
BACKGROUND: The open lung approach (OLA) reportedly has lung-protective effects against acute respiratory distress syndrome (ARDS). Recently, lowering of the driving pressure (ΔP), rather than improvement in lung aeration per se, has come to be considered as the primary lung-protective mechanism of OLA. However, the driving pressure-independent protective effects of OLA have never been evaluated in experimental studies. We here evaluated whether OLA shows protective effects against experimental ARDS even when the ΔP is not lowered...
September 23, 2018: Critical Care: the Official Journal of the Critical Care Forum
Spyridon Fortis, Amy M J O'Shea, Brice F Beck, Rajeshwari Nair, Michihiko Goto, Peter J Kaboli, Eli N Perencevich, Heather S Reisinger, Mary V Sarrazin
PURPOSE: To evaluate the performance of an automated computerized ICU severity scoring derived from the APACHE III. MATERIALS AND METHODS: Within a retrospective cohort of patients admitted to Veterans Health Administration ICUs between 2009 and 2015, we created an automated illness severity score(modified APACHE or mAPACHE), that we extracted from the electronic health records, using the same scoring as the APACHE III excluding the Glasgow Coma Scale, urine output, arterial blood gas components of APACHE III...
September 6, 2018: Journal of Critical Care
John Murfee, Brendan O'Connell, David Haynes, Alejandro Rivas, Matthew Dedmon, Marc Bennett
BACKGROUND: Theoretical disadvantages are associated with the use of heat-crimped piston prostheses in stapedotomy. Loose crimping could result in prosthesis displacement or slippage. Alternatively, overly tight crimping may cause trauma to the incus with resultant necrosis. OBJECTIVES: 1) Analyze outcomes of patients undergoing stapedotomy with heat-activated piston-style prostheses, and 2) compare outcomes between prostheses made by different manufacturers. STUDY DESIGN: Retrospective...
September 19, 2018: Otology & Neurotology
Cigdem Benlice, Heath J Antoine, Philip R Schauer
PURPOSE: We present our technique for performing a laparoscopic conversion of vertical banded gastroplasty (VBG) to sleeve gastrectomy (SG) in a morbidly obese patient. MATERIALS AND METHODS: A 58-year-old female with history of hypertension, diabetes, and morbid obesity (BMI 41). She had initially undergone an open VBG (BMI 58) and cholecystectomy (2002) and subsequently underwent two laparotomies for small bowel obstructions and two open ventral hernia repairs...
September 20, 2018: Obesity Surgery
V C Keil, L Eichhorn, H J M M Mutsaerts, F Träber, W Block, B Mädler, K van de Ven, J C W Siero, B J MacIntosh, J Petr, R Fimmers, H H Schild, E Hattingen
BACKGROUND AND PURPOSE: Experienced freedivers can endure prolonged breath-holds despite severe hypoxemia and are therefore ideal subjects to study apnea-induced cerebrovascular reactivity. This multiparametric study investigated CBF, the spatial coefficient of variation as a correlate of arterial transit time and brain metabolism, dynamics during prolonged apnea. MATERIALS AND METHODS: Fifteen male freedivers (age range, 20-64 years; cumulative previous prolonged breath-holds >2 minutes and 30 seconds: 4-79,200) underwent repetitive 3T pseudocontinuous arterial spin-labeling and 31 P-/1 H-MR spectroscopy before, during, and after a 5-minute breath-hold (split into early and late phases) and gave temporally matching venous blood gas samples...
September 20, 2018: AJNR. American Journal of Neuroradiology
Raisa Rentola, Johanna Hästbacka, Erkki Heinonen, Per H Rosenberg, Tom Häggblom, Markus B Skrifvars
Arterial blood gas (ABG) analysis is the traditional method for measuring the partial pressure of carbon dioxide. In mechanically ventilated patients a continuous noninvasive monitoring of carbon dioxide would obviously be attractive. In the current study, we present a novel formula for noninvasive estimation of arterial carbon dioxide. Eighty-one datasets were collected from 19 anesthetized and mechanically ventilated pigs. Eleven animals were mechanically ventilated without interventions. In the remaining eight pigs the partial pressure of carbon dioxide was manipulated...
September 19, 2018: Journal of Clinical Medicine
Dong Kyu Lee, Heezoo Kim, Hyun Koo Kim, Dong Ik Chung, Kook Nam Han, Young Ho Choi
Background: CO2 insufflation could provide a better surgical field during single-incision thoracoscopic surgery (SITS) with small tidal two-lung ventilation (ST-TLV). Here we compared the surgical field and physiological effects of ST-TLV with and without CO2 during SITS. Methods: Patients underwent scheduled SITS bullectomy. Surgery under ST-TLV general anesthesia performed without CO2 (group NC) or with CO2 insufflation (group C). The surgical field was graded at thoracoscope introduction and at bulla resection as follows: good (more than half of the 1st rib visible; bleb easily grasped with the stapler), fair (less than half of the 1st rib visible; some manipulation needed to grasp the bleb with the stapler), or poor (1st rib non-visible; bleb ungraspable)...
August 2018: Journal of Thoracic Disease
Kiyoshi Uemasu, Susumu Sato, Shigeo Muro, Atsuyasu Sato, Naoya Tanabe, Koichi Hasegawa, Yoko Hamakawa, Tatsushi Mizutani, Yoshinori Fuseya, Kazuya Tanimura, Tamaki Takahashi, Toyohiro Hirai
BACKGROUND AND OBJECTIVE: Chronic respiratory failure (CRF) with hypoxaemia is an important pathophysiology in patients with chronic obstructive pulmonary disease (COPD), and existing mild hypoxaemia may be a sign of future CRF development. However, little is known about the trajectory of partial arterial pressure of oxygen (PaO2 ) decline in patients with COPD. We assessed decline in PaO2 and the impact of short-term reductions in PaO2 to predict future decline in PaO2 . METHODS: A total of 172 outpatients with COPD from a prospective cohort study were enrolled...
September 19, 2018: Respirology: Official Journal of the Asian Pacific Society of Respirology
M Hur, S-K Park, D E Jung, S Yoo, J-Y Choi, W H Kim, J T Kim, J-H Bahk
BACKGROUND: Gas exchange disturbance may develop during urologic robotic laparoscopic surgery with the patient in a steep Trendelenburg position. This study investigated whether prolonged inspiratory time could mitigate gas exchange disturbances including hypercapnia. METHODS: In this randomized cross-over trial, 32 patients scheduled for robot-assisted urologic surgery were randomized to receive an inspiratory to expiratory time ratio (I:E) of 1:1 for the first hour of pneumoperitoneum followed by 1:2 for last period of surgery (group A, n = 17) or I:E of 1:2 followed by 1:1 (group B, n = 15)...
September 17, 2018: Der Anaesthesist
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