the acute stress reaction to major thoracic surgery
CURRENT CONCEPTS IN GENERAL THORACIC SURGERY pdf
... any aerobic metabolism The Acute Stress Reaction to Major Thoracic Surgery 31 The respiratory membrane is composed of several layers that described, from the inside of the alveolus, are: 1) liquid ... to monitor patients susceptible of fluid compartmentalisation after major surgery and early detection may reduce the risks associated with this condition The Acute Stress Reaction to Major Thoracic ... 2003;238:641—8 [44] Slinger P Post-pneumonectomy pulmonary edema: is anaesthesia to blame? Curr Opin Anaesthesiol 1999;12:49—54 The Acute Stress Reaction to Major Thoracic Surgery 39 [45] Jordan S, Mitchell...
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Current Concepts in General Thoracic Surgery Edited by Lucio Cagini pptx
... any aerobic metabolism The Acute Stress Reaction to Major Thoracic Surgery 31 The respiratory membrane is composed of several layers that described, from the inside of the alveolus, are: 1) liquid ... to monitor patients susceptible of fluid compartmentalisation after major surgery and early detection may reduce the risks associated with this condition The Acute Stress Reaction to Major Thoracic ... 2003;238:641—8 [44] Slinger P Post-pneumonectomy pulmonary edema: is anaesthesia to blame? Curr Opin Anaesthesiol 1999;12:49—54 The Acute Stress Reaction to Major Thoracic Surgery 39 [45] Jordan S, Mitchell...
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Báo cáo y học: Advances in the Surgical Management of Chronic Rhinosinusitis" pot
... downloaded to the image guidance system, usually over a network connection At the time of surgery, the CT data stored in the computer are registered, along with known points of the patient’s anatomy, ... In the setting of the patient with polyposis, the aim of surgery is first to provide immediate relief of symptoms such as nasal obstruction and facial pressure or congestion and to help in the ... of the inflammatory sinus disease Patients are frankly apprised of the high likelihood that further medical therapy will still be required to manage their disease but that marsupialization of the...
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Báo cáo y học: "Failed surgical ligation of the proximal left subclavian artery during hybrid thoracic endovascular aortic repair successfully managed by percutaneous plug or coil occlusion: a report of 3 cases" ppsx
... the proximal left subclavian artery in order to minimize potential postoperative neurological symptoms related to myelum ischemia The postoperative period was uneventful except for fever up to ... angiography of the aortic arch (a) Catheter angiography of the aortic arch, 13 months after hybrid surgery shows the stent-graft in place, starting just distal to the origin of the brachiocephalic ... preferred owing to the ease of plug deployment; in the remaining case the prevertebral segment Maleux et al Journal of Cardiothoracic Surgery 2011, 6:45 http://www.cardiothoracicsurgery.org/content/6/1/45...
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Báo cáo y học: "Surgical management of life threatening events caused by intermittent aortic insufficiency in a native valve: case report" ppsx
... systole, the pressure created by the vortex transiently exceeds that of the linear flow in the aorta, and the valve begins to close If flow does not enter the sinus at the cusp tip, then the ... into the aorta, such that flow enters the sinus during systole at the center of the cusp, and exits the sinus on both sides of the cusp [2,3] The vortex creates a pressure that is equivalent to ... necessary to counter the pressure in the aorta to prevent collapse of the cusp into the sinus of Valsalva, cannot be established [4] This phenomenon is most likely to occur in the left sinus because the...
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Báo cáo y học: " Intricacies in the surgical management of appendiceal mucinous cystadenoma: a case report and review of the literature" ppt
... along the lateral abdominal wall The lateral abdominal wall peritoneum was excised with the appendix to prevent any spillage of appendiceal contents into the abdominal cavity The base of the appendix ... also important to note that the varying thickness of the wall of the mass on CT scans has not been shown to correlate with malignancy However, Figure Mucin secreting epithelium lining the appendix ... drafting the manuscript MRK conceived the study, helped in the interpretation of the data, drafted the manuscript and provided overall supervision in the project All authors read and approved the...
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Báo cáo y học: " Use of a Javid™ shunt in the management of axillary artery injury as a complication of fracture of the surgical neck of the humerus: a case report" ppsx
... artery injuries secondary to these fractures are rare [1,4-7] The majority affect the third part of the artery, due to its position of relative immobility, being tethered by the subscapular and thoracromial ... tapered towards the ends which are bulbous in nature This allows the shunt to be clamped in place around the artery, thereby providing stability whilst surgery continues It was felt that the Javid™ ... of the subclavian artery (A) The phrenic nerve is retracted before the division of the scalenus anterior muscle (B) The subclavian artery is exposed and ligated distally, with blood flow to the...
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Báo cáo khoa học: "Optimal management of the high risk surgical patient: beta stimulation or beta blockade" pdf
... this analysis included the vast majority of the patients (80% of the cohort) Second, RCRI assess specifically the cardiac risk of the patient, not the mortality related to the surgical procedure ... compared to the other patients, using a propensity score to match patients for confounding factors In that study, beta-blockade was associated with a reduced risk of in-hospital death only in the ... justified to further attempt to increase DO2 when ScvO2 is low while it may be justified to avoid the use of beta-adrenergic agents when ScvO2 is high enough This should be tested in further studies...
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Báo cáo y học: "surgical Management of Hidradenitis Suppurativa"
... required.4,9,14 The exact etiology of HS still remains unclear, genetic factors may play a role as a positive family history has been elicited in 26% of patients with HS The role of endocrine factors in the ... never affected unless they have precocious puberty.8 Although exogenous factors such as the use of deodorants and shaving are thought to be causal, they have not been shown to be significantly ... colostomy was not used in any patients for this purpose The operative technique was based on the complete excision of the entire diseased skin and subcutaneous fatty tissue and down to the muscular...
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Báo cáo y học: Esterified Hyaluronic Acid and Autologous Bone in the Surgical Correction of the Infra-Bone Defects"
... recession, i.e the position of the gingival margin with respect to the cement enamel junction (CEJ); • CAL (clinical attachment level): i.e the position of the attachment in relationship to the CEJ; ... necessary to the subsequent healing phases are generated such as growth factors and cytokines, which promote migration of inflammatory cells, fibroblasts and endothelial cells into the damaged ... for the tools and facilitate the direct clinical view of the defect [fig 3-4] A full-thickness flap was elevated and the granulation tissue was removed showing the true extension and depth of the...
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Surgical management of spasticity
... Top: Skin incision on the right forearm from the medial aspect of the biceps brachii at the level of the elbow to the midline above the wrist Centre: First stage of the dissection; the pronator ... incision is made at the innermost part of the deltopectoral sulcus and curves along the clavicular axis The teres major nerve can be approached posteriorly to the shoulder With the patient in procubitus ... (1) to the pronotor teres and (2,3) two nerve trunks to the flexor carpi radialis, palmaris longus and flexor digitorum superficialis Bottom: Second stage of the dissection; the fibrous arch of the...
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Type 1 Diabetes Clinical Management of the Athlete potx
... release from the pancreatic islets, which together helps to increase liver glucose production [1] The increase in the glucagon -to- insulin ratio raises the rate of glucose appearance (Ra) to match ... insulin therapy programs and other treatments to avoid or treat the chronic complications of type diabetes, people with diabetes also seek to normalize their lifestyle Some will want to advance their ... strongly supported by the growth in the clinical research knowledge base of the effects of diabetes on the physiological response to exercise, on the effect of exercise on the response to hypoglycaemia...
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Assessment and Management of the Elderly Patient with Multiple Sclerosis pot
... important to take a detailed history to decipher the source of the symptoms and to target treatments A functional history is important to determine how the disease process as well as the aging ... training.24 Generally, these approaches teach patients to monitor their bodies for signs of stress, to engage in deep breathing and other stress management approaches, to evaluate their thoughts and ... response to, or cannot tolerate other therapies It has been shown to reduce the risk of disability progression and decrease the annual relapse rate However, most studies looking at NTZ as monotherapy...
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Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy pot
... reminded to take at least 0.8 mg/day of folic acid prior to pregnancy The potential teratogenicity of antihypertensives must be assessed relative to the baseline risk of major malformations: 1% to ... exposure to ACE inhibitors N Engl J Med 2006;354:2443-51 319 Schaefer C Angiotenin II-receptor-antagonists: further evidence of fetotoxicity but not teratogenicity Birth Defects Res A Clin Mol Teratol ... Antihypertensive therapy for severe hypertension (BP of > 160 mmHg systolic or ³ 110 mmHg diastolic) BP should be lowered to
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Surgical Management of Movement Disorders potx
... prospective, head -to head trials comparing the globus pallidus to the thalamus, and thus, neither site has been proven to be superior to the other Further, the STN needs to be further evaluated ... directed toward the thalamus, which sends projections to the supplementary motor area, the premotor cortical area, and the primary motor cortex Activation of the direct pathway decreases the normal ... due to the development of antibodies to botulinum toxin (107,109,111,112) 3.4.2 Ablative Procedures Early on, thalamotomy seemed to be the preferred procedure for dystonia, largely due to the...
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NASA’S MANAGEMENT OF THE MARS SCIENCE LABORATORY PROJECT potx
... loaded and then the rover and DS will be mated to form the powered descent vehicle (PDV) The PDV is installed inside the backshell and then the heatshield is mated to the backshell to form the entry ... evaluating the mission impact of unexpected degradation of the MSL’s power source, the Multi-Mission Radioisotope Thermoelectric Generator (MMRTG) One major issue contributing to the 2-year delay was the ... technologies to adjust its flight while descending through the Martian atmosphere, including a sky crane touchdown system that will lower the rover on a tether to the Martian surface Contributing to the...
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Guideline for Management of the Clinical Stage 1 Renal Mass pptx
... comments; the Panel revised the document based on the comments received The guideline was submitted first for approval to the Practice Guidelines Committee of the AUA and then forwarded to the AUA ... loss These data were not included in the meta-analysis but lend validity to the higher urological complication rate for OPN compared to ORN suggested by the meta-analyzed data.d The higher major ... Interpretation: As with the other survival analyses, the presence of confounding factors precludes meaningful comparisons Similar to the CSS data, the interventions with the highest rates had short...
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Báo cáo tin học: "Matroid automorphisms of the F4 root system" pdf
... be the automorphisms that map A to A and B to B Then H ∼ Z3 S Z3 = There are automorphisms of M (F4 ) that swap the vectors of A and B We give one such automorphism now Lemma 3.6 Let σ be the ... length of the vectors), but the two sets of vectors have the same dependence structure In fact, the vectors of A and B each form their own 24-cells, and the matroid maps that swap these two sets ... As with the root system H3 , there are matroid automorphisms that cannot be realized ‘geometrially’ in the sense that no element of the Coxeter group W corresponds to these automorphisms These...
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Báo cáo khoa học: "Effects of sustained subculture on apparent rejuvenation of the apple rootstock M.9 in vitro and in vivo" pps
... summer 1988, rooting from the micropropagated plants was further improved by severely pruning the stock plants to give the maximum of Acknowledgments We wish to thank the Agricultural Genetics ... per inoculum with the and yr old culture lines but there was no significant difference between them 57 ± 8.9% in the 1978 source over a wk period as compared with ± 3.3% from the severely pruned ... O.P (1985) The role of growth regulators in the propagation in vitro of temperate fruit trees In: Growth Regulators in Horticulture (Menhenett R., ed.) British Plant Growth Regulator Group Monograph...
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Báo cáo khoa học: " Surgical management of mediastinal liposarcoma extending from hypopharynx to carina: Case report" pptx
... given the complex anatomy of the mediastinum, can be daunting However, given the often encapsulated nature of the lesions, complete resection is often possible and debulking can lead to symptomatic ... mediastinal liposarcoma (a) indicates the position of the esophagus and (b) indicates the position of the trachea Conclusions Despite the complex nature of the anatomy surrounding mediastinal liposarcomas, ... photo following resection of well differentiated mediastinal liposarcoma (a) indicates the position of the innominate vein and (b) indicates the position of the trachea/larynx Postoperatively the...
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