air leak after lung volume reduction surgery and in ventilated patients

... volume reduction surgery Washington University Emphysema Surgery Group Semin Thorac Cardiovasc Surg 1996;8(1):83-93 Criner GJ, Mamary AJ Lung volume reduction surgery and lung volume reduction in ... al Autologous fibrin sealant reduces the incidence of prolonged air leak and duration of chest tube drainage after lung volume reduction surgery: a prospective randomized blinded study J Thorac ... quality, and summarize findings regarding postoperative clinical outcomes Data sources and searches Medline and manual searches were performed by two investigators independently and in duplicate...

Ngày tải lên: 10/08/2014, 09:22

... pericardial strips in controlling postoperative air leak following LVRS This was assessed by clinically relevant outcome measures of duration of air leak, drainage volume and time to drain removal We ... weeks after surgery In this study, the postoperative air leak was defined as the presence of air bubbles in the chest drains during the course of normal or forced expiration (coughing) The investigators ... The buttressing of the staple line has been shown to reduce the duration of air leak and time to chest drain removal [6] In our centre, the standard approach to Lung Volume Reduction Surgery is...

Ngày tải lên: 10/08/2014, 10:20

... ofStudy Frequency 203 lung volumechanges in outcomes at six in the Frequency distributions of changes in outcomes at six months in 203 lung volume reduction surgery patients in the NETT Genetics ... strongest in the clinically defined subgroup of patients with non-upper lobe predominant emphysema and low baseline exercise tolerance Additional SNPs in these two genes, including a promoter SNP in ... SNPs in EPHX1 in all lung volume reduction surgery subjects (significant at p < 0.05) and in subgroups defined by NETT based on upper lobe predominant emphysema on chest CT (upper lobe predominant...

Ngày tải lên: 12/08/2014, 15:21

... of Changes in the laboratory data and tumor volume are summarized in Figure Despite the blood counts becoming normal after TAE, fibrin degradation products (FDP) and D-dimer decreased after the ... successfully and non-invasively by TAE with a satisfactory decrease in symptoms and tumor volume [6], the effect of TAE generally seems to be variable and sometimes even results in a volume increase ... hemangioma is not necessarily an indication for surgery just because of its size, and continued observation in asymptomatic patients or patients with minimal abdominal symptoms seems to be justified...

Ngày tải lên: 11/08/2014, 03:21

... of Changes in the laboratory data and tumor volume are summarized in Figure Despite the blood counts becoming normal after TAE, fibrin degradation products (FDP) and D-dimer decreased after the ... successfully and non-invasively by TAE with a satisfactory decrease in symptoms and tumor volume [6], the effect of TAE generally seems to be variable and sometimes even results in a volume increase ... hemangioma is not necessarily an indication for surgery just because of its size, and continued observation in asymptomatic patients or patients with minimal abdominal symptoms seems to be justified...

Ngày tải lên: 11/08/2014, 07:20

... new vibrating mesh nebulizer designed to provide an estimated 40 to 50% of the dose administered to the lungs of intubated and mechanically ventilated patients, according to in vitro and in vivo ... characteristics of the 30 patients included in this study are reported in Table 1; 28 patients with VAP were included (no patients with HAP or HCAP were included) in the pharmacokinetic study after the specimens ... concentrations at 30 minutes, and 1, 3, 6, 9, 12 and 24 hours, and cumulative urine samples, to 12 and 12 to 24 hours, were collected to determine amikacin excretion via the kidneys Serum creatinine levels...

Ngày tải lên: 13/08/2014, 20:21

... is a standard noninvasive monitor in intensive care units and operating rooms, and is used to monitor arterial oxygen R565 Many indices have been proposed for monitoring fluid therapy in patients ... utilized in patients not routinely monitored with such catheters Applications include detection and assessment of unexpected circulatory failure in patients undergoing surgery, and preliminary evaluation ... that ∆POP and ∆PP are correlated in mechanically ventilated critically ill patients Materials and methods The protocol used in the present study was part of our routine clinical practice, and ethical...

Ngày tải lên: 12/08/2014, 22:22

... except in four patients, and virus influenza was associated with acute respiratory or cardiac failure in all cases but one Viral coinfection was detected in four patients: one case of rhinovirus and ... found in COPD patients [30] Rhinovirus RNA could be detected up to 2–3 weeks after infection [31], without exceeding five weeks and virus influenza RNA could be detected up to seven days after infection ... at the time of intubation in acutely ill patients, and to compare clinical outcome (survival and time to ventilated acquired pneumonia) with and without respiratory viruses, according to the presence...

Ngày tải lên: 13/08/2014, 03:20

... inspiration and is largely used by patients in post operatory periods of abdominal and thoracic surgery [21,22] Due to the importance of accessing VC in patients who underwent cardiac surgery and considering ... ml/Kg and DVC with incentive inspirometer varied from 9.2 to 52.7 ml/Kg There was a correlation between DVC values in ml/Kg with ventilometer and incentive inspirometer in patients after CABG surgery ... ml MV 13.178 ± 6.422 L/min 13.278 ± 6.216 L/min BMI: Body mass index, RF: respiratory frequency, TV: tidal volume, MV: minute volume inspirometer in patients before CABG surgery DVC with ventilometer...

Ngày tải lên: 10/08/2014, 09:21

... suctioning-induced decreases in lung volume and oxygenation In fact, Pesenti and coworkers [10] found no reduction in end-expiratory lung volume (EELV) or arterial oxygen saturation in patients ... examined the reduction in lung volume caused by ETS Brochard and coworkers [13] found that ETS caused an immediate reduction in EELV by about 400 ml in acute respiratory failure, and in patients ... pressure, in order to integrate all patients, including those with high PEEP, in the calculation of the curves The pressure volume curves for ETS+LR and ETS–LR obtained during the standardization...

Ngày tải lên: 12/08/2014, 19:21

... Liquid and Gases with respect to NOx and SOx reduction These include: doing nothing; re-defining maximum levels of sulphur in marine fuels; defining and fixing emission limits of SOx and NOx ... for England, Scotland, Wales and Northern Ireland (Volume 1) • investigating further the links between air pollution and climate change • developing a better understanding of the temporal and spatial ... and maintained thereafter National air quality objectives and European Directive limit and target values for the protection of human health Table Retain existing Retain existing Retain existing...

Ngày tải lên: 28/06/2014, 21:20

... contra- and ipsi-lateral lungs, heart, spinal cord and oesophagus In addition, for all intensity modulated patients, the Healthy Tissue (HT) was defined as the patient’s volume included in the ... fine needle biopsy in patients; patients underwent mediastinoscopy; patients underwent thoracotomy and patients underwent bronchoscopy Sequential or concomitant chemotherapy was performed in patients ... tumour volume in NSCLC[17] RapidArc(RA), a volumetric modulated arc therapy based on the original investigation of K Otto [18], has been recently introduced in clinical practice in several institutes...

Ngày tải lên: 09/08/2014, 09:20

... alter gross tumor volume in about 50% of the cases [41,42] FDGPET/CT images are particularly useful in defining the target volume in the presence of atelectasis and in defining involved lymph nodes ... structured training in cross-sectional imaging (CT and MRI) Clin Oncol 2002, 14:413-4 [ICRU] International Commission on Radiation Units and Measurements: Prescribing, recording and reporting photon ... established for volumetric definition of targets, taking into account the difficulties in delineating the macroscopic volume of the target and its microscopic involvement [5,13-15] Delineation is...

Ngày tải lên: 09/08/2014, 10:20

... Surgery and by the nurses in Intensive Care and High Dependency wards Written informed consent has been obtained All authors were heavily involved managing, researching and preparing the manuscript ... antibiotics (Amoxycillin with Clavulinic acid, Clarithromycin, Piperacillin-Tazobactam, Gentamicin and Vancomycin) and an anti-fungal (Voriconazole) for four weeks without any clinical or radiological ... therapy in most case series [1] The initial sequence of events described in this case with a primary pneumothorax followed by a persisting air leak and signs of infection are not unknown In our...

Ngày tải lên: 11/08/2014, 23:21

... years Competing interests None References 10 Dyhr T, Bonde J, Larsson A: Lung recruitment maneuvers are effective to regain lung volume and oxygenation after open endotracheal suctioning in acute ... multicentre Canadian randomized clinical trial comparing a pressure limited strategy with and without an ‘open lung approach is currently in progress The ‘open lung protocol includes lung recruitment ... effective in improving oxygenation, lung volume and respiratory system compliance more rapidly than did tidal ventilation and positive end-expiratory pressure alone Lung recruitment following suctioning...

Ngày tải lên: 12/08/2014, 19:21

... corresponding to variable loss in lung volume, which leads to decreased lung compliance When lung function improves, the lung volume re-expands with a concomitant increase in lung compliance and improved ... The time points for this information determined for group S patients were: before surfactant application (baseline); and h and 10 h after surfactant application Time points for group C patients ... application (baseline), 24 and 48 h thereafter, and for group C at baseline (mid-time of the ECMO course), and 24 and 48 h thereafter Children in group S received 50 to 80 mg/kg body weight porcine surfactant...

Ngày tải lên: 12/08/2014, 23:20

... Physiologic patterns in surviving and nonsurviving shock patients Use of sequential cardiorespiratory variables in defining criteria for therapeutic goals and early warning of death Arch Surg ... useful clinical tool in trauma patients J Trauma 1990, 30:1539-1543 Rady MY, Rivers EP, Martin GB, Smithline H, Appelton T, Nowak RM: Continuous central venous oximetry and shock index in the emergency ... [17,18] Complications and deaths occurring within 28 days of enrolment were included in the data analysis Complications were prospectively defined, diagnosed by clinical staff and verified by a member...

Ngày tải lên: 12/08/2014, 23:20

... endpoint occurred in 15% of patients in the CABG group and in 30% of patients in the combined surgery group Assuming an α risk of 0.05 (including the Bonferroni correction for three groups) and ... significantly greater in CABG than in valve surgery or combined surgery, and the specificity of cTnI was less in combined surgery than in CABG surgery This result is not surprising since a higher 'basal' ... following conventional adult cardiac surgery with CPB may be different among procedure types, being less accurate in combined surgery and in valve surgery than in coronary surgery versitaire Necker-Enfants...

Ngày tải lên: 13/08/2014, 08:20

... correction factor for helium absorption in lung volume determinations Scand J Clin Lab Invest 1956, 8:155-158 28 Hawkins JA, Shilling CW: Helium solubility in blood at increased pressures J Biol Chem ... consent was obtained from conscious patients and delayed consent in unconscious patients Inclusion criteria was the clinical need of a lung CT scan in patients already in mechanical ventilation Exclusion ... washout/washin technique The nitrogen washout/washin technique is based on the following principle: the gas lung volume, at baseline, includes a volume of nitrogen (V(1)N2) that is determined by...

Ngày tải lên: 13/08/2014, 11:23