Abstract
We aimed to conduct independent testing of the Fisher & Paykel MR860 Laparoscopic Humidification System at variable flow rates. A 2.5l insulated chamber was constructed and a digital thermo-hygrometer placed inside it. The humidifier water vessel was weighed and exactly 30.0g of water poured in. 50....
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PMID: 20151853
PDF is available here.
Abstract
We report a case in which initial insufflation of laparoscopic gas resulted in immediate cardiovascular collapse requiring prolonged resuscitation. Persistent intracranial emboli following the arrest may have resulted from nitrogen contamination of the delivered gas. CLINICAL FEATURES: A 12-day-old...
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PMID: 20431981
PDF is available here.
Abstract
The Industrial Revolution saw the creation of many new jobs, but probably none more curious than that of zookeeper. The London Zoological Gardens, established for members in 1828, was opened to the general public in 1847. In 1852 the "Head Keeper in the Serpent Room", Edward Horatio Girling, spent a...
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PMID: 20715640
PDF is available here.
Abstract
Based on animal experiments conducted in the sixteenth century by Vesalius, the Royal Humane Society recommended fireside bellows to resuscitate victims of drowning. In the mid-twentieth century, the bellows concept was adapted by Kreiselman and others, though none of these devices gained widespread...
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PMID: 20715641
PDF is available here.
Abstract
We therefore investigated if insufflation of an open surgical wound with carbon dioxide would affect wound temperature. In 10 patients undergoing cardiac surgery, the sternotomy wound was insufflated with dry, room temperature carbon dioxide via a gas diffuser for 2 minutes. A heat-sensitive camera...
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PMID: 20636552
PDF is available here.
Abstract
We report the occurrence of lung injury after TTI using the only talc approved by the US Food and Drug Administration. These results reinforce previous concerns regarding the talc used for pleurodesis in North America....
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PMID: 20097802
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Abstract
Eighty-two patients were randomized, with 41 in each arm. Groups were well matched at baseline. Intraoperative core temperature was similar in both groups. Median camera fogging score was significantly worse in the Study group (4 vs. 2, P = 0.040). There were marginal differences in pain scores, but...
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PMID: 20485147
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Abstract
We describe two different possible mechanisms of carbon-dioxide embolization.
Out of 2196 coronary bypass surgeries, between 1 January 2007 and 31 December 2009, there were 977 off-pump operations. Two off-pump cases (0.2%) had gaseous (carbon-dioxide) emboli that migrated against bl...
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PMID: 20154069
PDF is available here.
Abstract
The hypothesis that the abdominal wall thickness has an influence on the rate of the peristomal infection is not confirmed. This is of clinical relevance in patients, who are still in a relatively good general and nutritional condition before radiochemotherapy. The intraoperative ultrasonography can...
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PMID: 20190681
PDF is available here.
Abstract
We report the case of a patient who presented to the emergency department (ED) with a recent history of generalized tonic-clonic seizures whose etiology was initially a diagnostic mystery. After an initial visit to another ED, the patient presented to our ED later that day with a recurrence of the s...
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PMID: 20219165
PDF is available here.
Abstract
Removal of the fallopian tubes and ovaries at the time of vaginal hysterectomy is a skill that must be acquired if one is to be a competent vaginal surgeon. Various techniques have been described and will be reviewed in this chapter. A single technique or series of steps often must be modified depen...
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PMID: 20142640
PDF is available here.
Abstract
Our data demonstrated that CO2 pneumoperitoneum reduced pancreatic inflammation and attenuated systemic inflammatory response in AP. This article suggests that CO2 pneumoperitoneum plays a critical role on the better outcome in patients undergoing laparoscopic pancreatic surgery....
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PMID: 19924017
PDF is available here.
Abstract
We aimed to investigate the effects of colorectally insufflated oxygen-ozone on red blood cell rheology in rabbits. Rabbits were divided into Group 1 (control); Groups 2, 3 and 4 (oxygen rectally insufflated respectively for 15, 21 and 36 days); Groups 5, 6 and 7 (ozone rectally insufflated respecti...
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PMID: 20675916
PDF is available here.
Abstract
Undetected perforation during laparoscopic pyloromyotomy can be fatal. Detecting a perforation at the time of laparoscopic pyloromyotomy is difficult. The purpose of this study was to determine whether air insufflation of the stomach reliably detects perforation during laparoscopic pyloromyotomy.
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PMID: 20412644
PDF is available here.
Abstract
Mechanical insufflation-exsufflation was typically prescribed for people with motor-complete tetraplegia. Outpatient MIE usage may reduce respiratory hospitalizations in smokers with SCI. Further research of this alternative, noninvasive method is warranted in the outpatient SCI population....
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PMID: 20486531
PDF is available here.
Abstract
There were 37 procedures in 33 patients and 84% of them were on mechanical ventilation. The percentage of success in TPT placement was 89% (33/37) and the mean duration of the procedure was 12.8 min +/- 5.3. No complications were registered. CONCLUSION: TPT placement through the insufflation of air...
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PMID: 20049401
PDF is available here.
Abstract
This is a short-term study of the use of in-exsufflation as a supplement to standard NIV plus physiotherapy in a small group of patients with neuromuscular disease. The addition of mechanical in-exsufflation shortened airway-clearance sessions. The device appeared to be safe and well tolerated, and...
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PMID: 19863831
PDF is available here.
Abstract
The study was aimed to investigate the effects of different levels of pressure and duration of carbon dioxide and saline in the neck of rabbits on metabolic, hemodynamic, serum sodium concentrations and hematocrit changes.
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PMID: 20120867
PDF is available here.
Abstract
The first insertion attempts and time taken to provide an effective airway were similar between the groups. Two patients (P-LMA(), n=1; S-LMA(), n=1) were intubated due to excessive oropharyngeal leak and in one patient (P-LMA(), n=1) due to failed OGT placement. OLPs were similar (P-LMA(); 26.9+/-6...
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PMID: 19426239
PDF is available here.
Abstract
We conclude that a DNA-based vaccine delivered to the airway significantly influences the immunologic, pulmonary physiologic, and histological alterations induced by challenge with a major Alternaria allergen, rAlt a 2, in sensitized animals....
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PMID: 19631162
PDF is available here.
Abstract
The expression of E-cadherin, ICAM-1, CD44 and E-selectin in SW1116 cells were changed significantly following exposure to CO(2) insufflation at different pressures (P < 0.05). The expression of E-cadherin, CD44 and ICAM-1 decreased with increasing CO(2)-insufflation pressure. The adhesive/invasive...
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PMID: 19522021
PDF is available here.
Abstract
A 50-year-old female, who had a headache after Eustachian tube insufflation for her ear congestion, came to our hospital. CT and MRI revealed pneumocephalus and petrous ridge meningioma which destroyed petrous bone and air cells. Eustachian tube insufflation was considered to make the air coming int...
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PMID: 19432100
PDF is available here.
Abstract
The response rate was 24.5%. Fewer than half the respondents (66/142, 46.5%) were aware of the fact that room air can be replaced by CO2 for gut distension during endoscopy, and 4.2% of respondents were actually using CO2 as the insufflation agent. Endoscopists aware of the possibility of CO2 insuff...
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PMID: 19322921
PDF is available here.
Abstract
In a mild ALI model induced by inhalation of hydrochloric acid, significant hemodynamic impairment characterized by cardiac function deterioration occurred during PEEP increment, but SI, probably due to low applied values (30 cmH2O), did not exert further negative hemodynamic effects. PEEP should be...
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PMID: 19094174
PDF is available here.
Abstract
Severe vagal reaction triggered by manipulation of pelvic structures or nerves by the insufflated balloon trocar resulted in asystolic cardiac arrest in three patients. The life-threatening nature of this phenomenon should be understood by all anesthesiologists and urologists engaged in laparoscopic...
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PMID: 19220090
PDF is available here.
Abstract
CT colonography (CTC), also termed virtual colonoscopy, is increasingly accepted at sites throughout the world as a new effective tool for the diagnosis and screening of colorectal carcinoma. This article presents information of related issues of bowel cleansing, stool and fluid tagging, bowel diste...
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PMID: 19195539
PDF is available here.
Abstract
This brief report will share information about the use and safety of inflating the bladder with carbon dioxide to delineate the margins during laparoscopic dissections near the bladder in patients who have scarring, adhesions, or challenging anatomy.
A retrospective c...
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PMID: 19138575
PDF is available here.
Abstract
Gynaecological surgery is undergoing a process of constant change and therefore some of its complications as well. The incorporation of endoscopy has added a new dimension, with the rate of complications related to its complexity. Endoscopy has meant a great advance in surgery, and specifically in g...
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PMID: 19436341
PDF is available here.
Abstract
Single- and double-balloon enteroscopes have similar efficacy. The entire small bowel can be examined through the oral route in 60-90minutes in 25-40% of patients. Using the oral and rectal routes, complete examinations can be performed in 75% of patients The diagnostic indications are mid-gastroint...
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PMID: 19500878
PDF is available here.
Abstract
Heated-humidified CO(2) insufflation results in significantly less hypothermia, less peritoneal damage, and decreased adhesion formation as compared with cold-dry CO(2) insufflation. Heated-humidified CO(2) may be more suitable for insufflation application in prolonged laparoscopic surgery....
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PMID: 18639246
PDF is available here.
Abstract
A method of treatment of the abdominal cavity in peritonitis patients has been developed which promotes early regeneration of the peritoneum mesothelium, fibrinolysis, recovery of functions of the abdominal cavity and thus preventing formation of the adhesion process in the abdominal cavity. Effecti...
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PMID: 20020631
PDF is available here.
Abstract
The objective of this study was to determine the effects of low-pressure intra-abdominal application on laparoscopic cholecystectomy on acid-base equilibrium. Thirty patients were included in this study. Group 1 patients had 8 mmHg intra-abdominal pressure and Group 2 had 12 mmHg intra-abdominal pre...
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PMID: 20187512
PDF is available here.
Abstract
The constructs including "signs and symptoms of otitis media with effusion" and "comprehensive knowledge scores" showed excellent internal consistency with Kuder-Richardson 20 scores greater than 0.7 whereas the construct "signs and symptoms of acute otitis media" has a Kuder-Richardson 20 score of...
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PMID: 19155374
PDF is available here.
Abstract
Preconditioning gas by humidification and warming the pneumoperitoneum improves laparoscopic outcomes. This prevents peritoneal desiccation and detrimental events related to traditional cold-dry gas. Few comparisons have been done comparing traditional cold-dry, heated-only, and humidified-warmed car...
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PMID: 19793466
PDF is available here.
Abstract
We are going to report our early experience on laparoscopic pneumovesical approach for ureteric reimplantation and to compare the result with traditional open approach.
Methods
A retrospective review of patients who underwent ureteric reimplantation from 2000 to 2007 was carried out. They were di...
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PMID: 19040945
PDF is available here.
Abstract
Survey response was 71% (80/113). Three methods of MOV were identified. Full cuff deflation, followed by reinflation, removal of 1mL increments of air until a leak was detected, then restoration of cuff seal with 1mL of air was the preferred method (47/80 respondents, 59%) (Method 1). Full cuff defl...
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PMID: 18595709
PDF is available here.
Abstract
Overall air enema reduction of intussusception was successful in 59.1% of children who underwent this procedure. There were no deaths among children who had a successful air enema reduction of intussusception. One child (11.1%) out of nine who had laparotomy done after a failed pneumatic reduction d...
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PMID: 19413208
PDF is available here.
Abstract
Over a 4-month period, 96 patients were recruited. The caecal intubation rate was 96 and 98% in the CO2i group and the AIRi group, respectively. No complication occurred in the CO2i group whereas one patient from the AIRi group developed late haemorrhage after polypectomy. Patients in the CO2i group...
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PMID: 18959640
PDF is available here.
Abstract
We describe a completely laparoscopic approach for en-bloc dissection of the distal ureter and bladder cuff during nephroureterectomy using a pneumovesicum approach and with the need for intraoperative patient repositioning. This technique is efficient, technically feasible and adheres to the oncolo...
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PMID: 18672273
PDF is available here.
Abstract
Pressure was higher in the prone than in the supine position in both groups (p < 0.001). The measured pressure in the initial position did not differ between groups (p = 0.88). Pressure increased from 38.3 to 40.07 mm Hg in the second position in the supine-first group and decreased from 38.3 to 32....
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PMID: 18806149
PDF is available here.
Abstract
Buscopan increased the likelihood of optimal distention by an OR of 5 when considering individual colonic segments from ascending colon to sigmoid, with little effect on rectum or cecum. Considering the colon as a whole, the OR of optimal distention occurring throughout the entire colon was 7.9 time...
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PMID: 19069602
PDF is available here.
Abstract
Thus, air stacking was significantly more effective than abdominal thrust in increasing CPF, but the combination was the most effective. The CPF of the quartile of patients with the lowest unassisted CPF were also significantly (P < or = 0.04) more augmented by air stacking and thrusting than for th...
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PMID: 18716484
PDF is available here.
Abstract
Passive lung insufflation can distend the lungs of patients with NMD significantly greater than air stacking, particularly when glottic and bulbar-innervated muscle dysfunction is severe. LIC, MIC, and VC measurements permit quantifiable assessment of glottic integrity and, therefore, bulbar-innerva...
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PMID: 18716483
PDF is available here.
Abstract
Multiple patient and economic benefits have contributed to the widespread popularity of laparoscopic surgery. Although the laparoscopic approach is safe, it is not without potential complications. The following case study describes a patient undergoing a laparoscopic salpingo-oophorectomy who had a...
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PMID: 18777813
PDF is available here.
Abstract
Initial trocar placement can be taught safely to novices. The technique using an optical viewing trocar without prior abdominal insufflation is effective and efficient in morbidly obese patients....
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PMID: 18262554
PDF is available here.
Abstract
Seven RCTs were included. Patients in the WHI group experienced a significant reduction in pain score at 6 h (P = 0.006), 1 day (P = 0.010) and 3 days (P < 0.001) after operation, and in morphine usage on day 2 (P = 0.040). CONCLUSION: WHI reduces pain after laparoscopy.
(c) 2008 British Journal of...
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PMID: 18618870
PDF is available here.
Abstract
Patients undergoing totally endoscopic radical prostatectomy with 4 h of pneumoperitoneum in the Trendelenburg position experienced no significant hemodynamic depression during posture and pneumoperitoneum....
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PMID: 18224479
PDF is available here.
Abstract
Additional inspired oxygen improved Pao(2) and sternal wound PsqO(2) after bypass and may, consequently, reduce infection risk. However, oxygen insufflated locally into an occlusive dressing did not improve wound PsqO(2) and, therefore, does not appear to be useful clinically in cardiac surgery pati...
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PMID: 18499588
PDF is available here.